STOP SENDIND LACTNET...

STOP


I havew tried everything..NO lUCK

STOP SENDING LACTNET....


P L E A S E
On Sun, 24 Nov 1996 00:01:47 -0500 Automatic digest processor
<[log in to unmask]> writes:
>
>------------------------------
>
>Date:     Sun, 24 Nov 1996 00:01:47 -0500
>Reply-To: Lactation Information and Discussion
><[log in to unmask]>
>Sender:   Lactation Information and Discussion
><[log in to unmask]>
>From:     Automatic digest processor <[log in to unmask]>
>Subject:  LACTNET Digest - 23 Nov 1996
>To:       Recipients of LACTNET digests <[log in to unmask]>
>
>There are 16 messages totalling 369 lines in this issue.
>
>Topics of the day:
>
>  1. cross-nursing
>  2. Mixing ABM and Breastmilk
>  3. post discharge mother baby clinics
>  4. EBM for jaundice
>  5. lc help needed in Belgium
>  6. Hepatitis C
>  7. Neonatal Graves Disease
>  8. recurrent mastitis (3)
>  9. lead in breastmilk
> 10. macho dad wants to buy formula for baby
> 11. green stools
> 12. Cross nursing
> 13. lc needed in Belgium.
> 14. Vigorous suctioning and a decrease in baby''s sucking
>
>To post to the subscribers of  LACTNET, send your note to
>[log in to unmask]
>To change your subscription options as in those listed below, send
>commands
>in e-mail to:                [log in to unmask]
>Note that LISTSERV is a *computer program,* not a human, so don't add
>punctu-
>ation or words like "please."  Here are some commonly-used *commands*:
>                To leave LACTNET, write:  SIGNOFF LACTNET
>     To temporarily stop your subscription, write:  SET LACTNET NOMAIL
>             For information on other commands, write:  HELP
>        LACTNET WWW site: http://www.mcs.com/~auerbach/lactation.html
>   LACTNET archives on WWW:
>http://library.ummed.edu/lsv/archives/lactnet.html
>
>
>
>------------------------------
>
>Date:    Sat, 23 Nov 1996 17:06:26 -0500
>From:    "L. Jonathan Kramer, P.E." <[log in to unmask]>
>Subject: Re: cross-nursing
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>When we talk about cross-nursing, we should ask what the alternative
>is.
>If a mother can't nurse for some reason, I think cross-nursing is a
>better
>option than feeding donor or banked milk, since it satisfies the
>baby's need
>to suckle, and allows the nurser's breast to produce a specific immune
>response when inoculated by the baby.  Obviously, the mother needs to
>be
>confident of the health of the nurser, but I don't see this as
>invalidating
>it as
>a resource.
>
>Christine Gauthier wrote:
>> I always wondered what really is
>>happening when a mother nurses non-twins. Does both babies get what
>they
>>need from the mom? Which baby controls the milk content?
>
>Milk content is controlled by time since the last delivery.  If the
>nurser has
>been producing milk for months, her milk will be appropriate for an
>older child.
>For a neonate, this would not be optimal, but for a child more than a
>month
>old, it would make little difference.  (The composition vs: time
>graphs in
>Riordan & Auerbach show composition essentially leveled off after 30
>days.)
>
>Jonathan
>
>------------------------------
>
>Date:    Sat, 23 Nov 1996 16:13:23 -0800
>From:    Stephen Starr <[log in to unmask]>
>Subject: Mixing ABM and Breastmilk
>MIME-Version: 1.0
>Content-Type: text/plain; charset=us-ascii
>Content-Transfer-Encoding: 7bit
>
>Sharon, I understood that you were not endorsing such claims, so I
>hope I
>did not offend you!  I was reacting just to hearing that people are
>still
>making such claims.  One of the reasons I did not get very far with
>nursing my first adopted baby was that my sister-in-law had been told
>at
>LLL that even one bottle of formula would negate the benefits of
>breastmilk so, when my body did not immediately respond with a huge
>milk
>supply, I gave up quite early.  I did not learn until my second baby
>how
>much of a difference even a small amount of breastmilk could make.
>
>Now that it has been mentioned, I do remember hearing that mixing ABM
>and
>breastmilk together did something to the breastmilk.  Since most
>adopted
>are supplemented at the breast, they do recieve the breastmilk and ABM
>together.  I really kind of doubt this claim.  If it were true, I
>don't
>think it could be equally applied to every type of ABM, since there
>are
>so many.
>
>I too have wondered about the lactoferrin.  One Meade Johnson rep once
>told me that he recommended that breastfed babies who were
>supplemented
>with formula be given the lo-iron version, to avoid interferrence with
>the absorption of iron from breastmilk.  That made sense to me.  I
>have
>mostly used either low-iron milk-based ABM, or made a formula based on
>raw goat milk, which is not high in iron, but the only one of my
>children
>that has ever been anemic was the one who'd had surgery three times
>and
>was quite anemic by the time I got her.
>
>I am still looking for references to the research I spoke of.  I know
>that I have seen one that looked at otitis media and another that
>looked
>at NEC.  I'll send them when I locate them!
>
>Thanks!
>
>Darillyn Starr
>
>------------------------------
>
>Date:    Sat, 23 Nov 1996 15:48:44 -0800
>From:    "C. Ione Sims CNM/MSN/IBCLC" <[log in to unmask]>
>Subject: post discharge mother baby clinics
>MIME-Version: 1.0
>Content-Type: TEXT/PLAIN; charset=US-ASCII
>
>Dear cyber friends,
>
>I am looking for information on post discharge mother baby clinics.
>How do
>they work? Who staffs them? How do they sustain themselves financially
>and
>so on?  I have been approached about the possibility of setting up
>such a
>clinic by someone but need more information. I am aware of the one at
>Evergreen and am aware that it seems to have been very successful. I
>will
>try to contact someone from there.  But the posting from Liz Cook made
>me
>wonder if others out there might have association or familiarity with
>these type of clinics and might be able to provide me with info or
>contacts with those working in such clinics.
>
>Please email me privately about this.  I am NOMAIL for now on Lactnet
>as I
>am way behind on my mail and am in the process of starting a private
>practice so am busier than ever at the moment.  Thank you so much in
>advance for any help.
>
>Ione Sims, CNM, ARNP, IBCLC
>Community Nurse Midwife
>[log in to unmask]
>
>------------------------------
>
>Date:    Sat, 23 Nov 1996 18:52:41 EST
>From:    Becky Krumwiede <[log in to unmask]>
>Subject: Re: EBM for jaundice
>
>I read Katherine's post with interest and think she's on to something.
> I don't
>know that the bili has to be down to 10-12 to resume direct
>breastfeeding but
>would go more by baby's level of alertness.
>
>It always irritates me when I'm talking by phone to a mother whose
>baby is
>having serial bilirubins done because of high levels and the baby is
>not being
>weighed when in for the bili's.  I run into some kids with bili's over
>18 who
>are good and alert, nursing up a storm and gaining weight--then you
>know that
>lack of intake is not influencing the bilirubin level.  Then there are
>others
>with higher levels that are sleepier than the dickens that are not
>feeding well,
>not stooling well and not gaining weight.  Those DEFINITELY benefit by
>stuffing
>them full of milk by whatever means is necessary, usually by bottle.
>Ever try
>to get sufficient amounts of milk into a lethargic jaundiced baby by
>cup?  Been
>there, done that, not reasonable.
>
>I'd never really thought about it, but our temporarily bottle-fed
>jaundiced
>babies go back to the breast without a lot of trouble, also.  Since
>it's not
>done with the alert kids, Katherine's explanation makes sense to
>me--anecdotally, of course.  :-)
>
>Becky Krumwiede, RN, IBCLC, hospital-based
>Appleton, WI
>[log in to unmask] or [log in to unmask]
>
>------------------------------
>
>Date:    Sat, 23 Nov 1996 17:59:05 -0600
>From:    "Anne L. Varberg" <[log in to unmask]>
>Subject: Re: lc help needed in Belgium
>
>Is this family using a hospital on the base or a Belgian hospital?  If
>a Belgian
>hospital, it may be that the staff is Flemish speaking, not Dutch
>(Nederlandse
>(sp)), which may be important if you are looking for an appropriate
>dictionaray
>for translation purposes!  If on base, well, if at SHAPE, hmm, maybe
>the
>hospital is staffed by the Dutch and not the US??  Don't know.  I'd
>love to hear
>more about this!  I lived in Brussels for 4 years during high school
>and miss it
>a lot!
>
>Anne in Mpls
>
>------------------------------
>
>Date:    Sat, 23 Nov 1996 16:07:36 -0800
>From:    "Donna Zitzelberger BSN, CLE" <[log in to unmask]>
>Subject: Hepatitis C
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>Lacnetters,
>
>        A fellow lactnetter sent me the file on Hep C, since it has
>been
>recently discussed.  Oops - that was the week I didn't read LACTNET -
>Shame
>on me :)
>
>        Donna Zitzelberger, RN BSN IBCLC
>
>------------------------------
>
>Date:    Sat, 23 Nov 1996 19:19:32 -0500
>From:    Jack Newman <[log in to unmask]>
>Subject: Neonatal Graves Disease
>MIME-Version: 1.0
>Content-Type: text/plain; charset=us-ascii
>Content-Transfer-Encoding: 7bit
>
>There should be no reason why a baby with neonatal grave's disease
>should not be able to breastfeed.  The reasons suggested have a
>certain
>intellectual attractiveness, but are invalid.  Breastfeeding is too
>important to contraindicate for theoretical reasons.
>
>Jack Newman, MD, FRCPC
>
>------------------------------
>
>Date:    Sat, 23 Nov 1996 19:21:11 -0500
>From:    Sarah Barnett <[log in to unmask]>
>Subject: Re: recurrent mastitis
>MIME-Version: 1.0
>Content-Type: TEXT/PLAIN; charset=US-ASCII
>
>This week I read an interesting article
>"Mastitis: infection or inflamation?"
>By Sally Inch and Chloe Fisher
>The Practitioner, Aug. 1996
>The basic thesis of the article is that sometimes antibiotics seem to
>work because of their strong anti-inflamatory effects.  They feel that
>the inflamatory problem is due to insufficient drainage of the breast.
>Treatment is to correct the poor feeding procedures that cause
>blockage
>and inflamation.
>
>On another related note- telling a marathoner not to run is sort of
>like
>telling a mother to wean for a minor problem.  As the wife of a
>marathoner I know the emotional toll that not running takes.  I would
>certainly work on different bras before suggesting no running.
>
>Sarah Friend Barnett   LLLL, IBCLC
>Bronx (New York City), NY  -  [log in to unmask]
>" You are not obliged to finish the task,
> neither are you free to neglect it."       R. Tarfon
>
>------------------------------
>
>Date:    Fri, 22 Nov 1996 13:45:12 PST
>From:    Pearl Shifer <[log in to unmask]>
>Subject: Re: lead in breastmilk
>
>Last week I posted a request for information on lead in breastmilk,
>but
>received no response.
>I knew that if I tried the search engine for lactnet, I would get
>hundreds of responses to the word "lead" but not necessarily re: lead
>the heavy metal. Sure enough, that's what happened; I got a message
>that
>there were 1500 posts with "lead"; only the first 100 are listed, and
>the
>word lead did not refer to the metal...
>Please, if anyone has a reference, please post. Thanks.
>
>Pearl Shifer, IBCLC
>
>------------------------------
>
>Date:    Sat, 23 Nov 1996 19:26:57 PST
>From:    Pearl Shifer <[log in to unmask]>
>Subject: Re: macho dad wants to buy formula for baby
>
>I overheard this at the clinic the other day; a pregnant mom was
>chatting
>with a friend, and said (proudly) that the baby's father doesn't want
>her
>to participate in the WIC program; HE wants to buy the baby's milk!
>Folks, I almost fell out of my chair. I know I've read something like
>this in some of the anthropological looks at infant feeding practices
>across the world. Idon't remember which country or province this was
>(certainly not in NYC!) where the father proved his paternity by
>providing the infant with tinned milk.
>Where are we going and where have we been???
>
>Pearl Shifer, IBCLC
>
>------------------------------
>
>Date:    Sat, 23 Nov 1996 19:31:57 -0500
>From:    Jack Newman <[log in to unmask]>
>Subject: recurrent mastitis
>MIME-Version: 1.0
>Content-Type: text/plain; charset=us-ascii
>Content-Transfer-Encoding: 7bit
>
>I do not know why the mother cannot breastfeed while taking
>Azythromycin.  It has low oral bioavailability (37%) which is
>decreased
>when taken with food, which the baby obviously is.  Furthermore, after
>a
>dose of 500 mg, the maximum serum concentration is 0.4 micrograms/ml.
>I
>do not have information about the milk:plasm ratio, but I would guess
>it
>is not higher than 1.
>
>        Other antibiotics which this mother could take are clindamycin
>and
>ciproflaxin.  Though ciproflaxin is generally thought to be
>contraindicated during breastfeeding, the articular damage story does
>not seem to have panned out, and that was the main reason there was
>concern.  There are few if any antibiotics which are incompatible with
>breastfeeding.  Do not the mothers not get to make an informed choice,
>even if there is some concern about the antibiotic (or any drug for
>that
>matter?).
>
>        When mothers get recurrent mastitis, hard on the heels of a
>previous
>mastitis, without complete resolution, think breast abscess, which
>would
>present with a tender mass in the breast.  The diagnosis is made by
>aspiration of the mass.  Treatment is by incision and drainage, and
>breastfeeding does not have to stop.
>
>        The mother undoubtedly has a yeast component to her problems.
>
>Hope this helps.
>
>Jack Newman, MD, FRCPC
>
>------------------------------
>
>Date:    Sat, 23 Nov 1996 19:35:54 -0500
>From:    Jack Newman <[log in to unmask]>
>Subject: green stools
>MIME-Version: 1.0
>Content-Type: text/plain; charset=us-ascii
>Content-Transfer-Encoding: 7bit
>
>I am responding to the question of the woman in Belgium whose baby has
>green stools.  My answer is "so what?"  If the baby is thriving, and
>is
>a content, happy baby, why should anyone worry about green stools.
>Why
>would anyone admit the baby to the hospital, never mind do unnecessary
>tests?
>
>        This is not an infrequent problem.  We treat the stools, we
>treat the
>test.  We should treat the baby, not the stools.  Tell the mother to
>put
>on sun glasses, and she won't see the colour of the baby's stools.
>And
>go back to breastfeeding.
>
>Jack Newman, MD, FRCPC
>
>------------------------------
>
>Date:    Sun, 24 Nov 1996 10:00:44 +0800
>From:    Joy Anderson <[log in to unmask]>
>Subject: Re: Cross nursing
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>It seems that cross nursing is more common, even in Western countries,
>than
>most people realise. A couple of years back, there was a request in
>the
>NMAA Newsletter for letters from Members who had 'wet nursed' another
>mother's baby, and it amazed me the number of replies that were
>received.
>It seems that, in Australia at least, it goes on, but normally no-one
>talks
>about it because it is not culturally (or socially) 'acceptable'.
>
>Joy Anderson IBCLC, NMAA Breastfeeding Counsellor
>Perth, Western Australia
>[log in to unmask]
>
>------------------------------
>
>Date:    Sat, 23 Nov 1996 21:02:22 -0500
>From:    "Michele Riggs, LLL Leader" <[log in to unmask]>
>Subject: Re: lc needed in Belgium.
>
>Hi ALL!
>I'm a LLL Leader and private practice LC in South Carolina and soon
>will be
>traveling to France (specifically Clermont-Ferrond).  I have relatives
>in
>Belgium that I will be visiting, but I won't be there until the mid
>part of
>February.  I realize this mother needs help now, but I would be glad
>to get
>in touch with her if that's what she would like.  Let me know if I can
>help.
> You can EMail me at LCMichele @aol.com.
>
>Michele Riggs BA, LLL, IBCLC.
>
>------------------------------
>
>Date:    Sat, 23 Nov 1996 21:55:07 -0500
>From:    "Kathleen Bodden, RN, BScN, IBCLC" <[log in to unmask]>
>Subject: Vigorous suctioning and a decrease in baby''s sucking
>
>Hi, First time for me to post!  I'm a IBCLC working casually in two
>clinics.
> I have four boys, and all of them were breastfed.  I would like to
>know if
>there is a reference that suggests vigorous suctioning of the infant
>after
>birth affects the baby's suck.  I saw a baby today who was born at 4
>am the
>day before and didn't suck effectively till about 2100 hours that
>night.  The
>case room nurse had charted that the infant was mucusy and had been
>suctioned
>vigorously for large amounts on two occassions.  Mom had an epidural.
>I
>remember hearing this mentioned at conferences, but I'm looking for a
>reference that I can show to the resident on the postpartum floor.
>Thanks.
>
>------------------------------
>
>Date:    Sat, 23 Nov 1996 21:18:32 -0600
>From:    "Patricia Gima, IBCLC" <[log in to unmask]>
>Subject: recurrent mastitis
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>The massage therapists that I have talked to (women) say that any
>nursing
>mother is given a small pillow or rolled-up towel to put under the
>breasts
>because they all said that lying on lactating breasts while back work
>is
>being done can cause damage to breast tissue.  I worked with a mother
>who
>had infections after two massages that were soooo painful to her
>breasts.
>
>Patricia Gima, IBCLC
>Milwaukee
>
>--------------------------------
>