signoff lactnet <[log in to unmask] are 16 messages totalling 424 lines
in this issue.
>
>Topics in this special issue:
>
>  1. Reynauds symtoms
>  2. Thanks to KB and KGA!
>  3. medical shorthand
>  4. Medical shorthand...
>  5. fussy, slow-gaining twins
>  6. plugs.
>  7. verucca vulgaris
>  8. ilca
>  9. nutritional value of baby food
> 10. Early, transient sore nipples
> 11. buttons buttons buttons
> 12. Medical Shorthand G2P2
> 13. breastfeeding in WW II
> 14. Teacher asked to stop pumping in lounge
> 15. G2P2
> 16. Oprah
>
>----------------------------------------------------------------------
>
>Date:    Sun, 3 Mar 1996 01:34:16 -0500
>From:    "Tami Markgraf, LLLL" <[log in to unmask]>
>Subject: Reynauds symtoms
>
>Could someone personally mail me what causes this to happen?
>[log in to unmask]
>
>------------------------------
>
>Date:    Sun, 3 Mar 1996 09:00:41 EST
>From:    Melissa Vickers <[log in to unmask]>
>Subject: Thanks to KB and KGA!
>
>Thank you, thank you, thank you for Lactnet!
>
>Lactnet was pretty wonderful back when there were only 9 of us--it is
incredible
>now! All the time, energy and money you two have put in this thing is most
>appreciated!
>
>Having moved nearly 2 years ago from a large metropolitan area (Atlanta,
>Georgia), where there were lots of LCs, lots of LLL groups and Leaders, lots of
>conferences and lots of moms breastfeeding, all within a local calling zone, to
>a very rural county in west Tennessee where there is ONE LC (me), ONE LLL
Leader
>(me) and no LLL group, NO conferences, some "closet" breastfeeders (who would
>never do it in public), and is isolated both physically and philosophically, I
>NEED something like this both professionally and personally.
>
>It's an amazing world we live in, huh?
>
>Thanks again!
>
>Melissa Vickers, IBCLC
>[log in to unmask]
>Huntingdon, Tennessee (population: 5000)
>
>------------------------------
>
>Date:    Sun, 3 Mar 1996 22:35:56 +0800
>From:    Sherwood <[log in to unmask]>
>Subject: medical shorthand
>
>I'm sure that someone will get to this before me, and I'm not sure if I get
>the Latin right but G2P2 means "gravida 2 para2" which translates second
>pregnancy gravid means pregnant, para must mean something like child so a
>woman who is G2P2 has been pregnant and has 2 children.  I am G7P5- I have 5
>kids.  Tell me docs-is this correct?   Nancy mother of 5 living children
>
>------------------------------
>
>Date:    Sun, 3 Mar 1996 09:59:52 -0500
>From:    Alicia Dermer <[log in to unmask]>
>Subject: Re: Medical shorthand...
>
>Jay:  G2P2 means Gravida 2 Para 2.  Gravida is the number of pregnancies,
>while Para is the number of babies carried to viability, i.e. could
>potentially survive outside the womb (I don't know if this has changed,
>but it used to be past 20 or 24 weeks, I'm not sure what that actual age
>of gestation is).  This is regardless of whether the baby actually
>survives.  The complete shorthand would be G2P2002, which means two
>pregnancies, 2 carried to viability, no stillbirths, no miscarriages or
>abortions, and 2 live children.  So a mother of twins would be designated
>G1P2, and a mother with a history of repeated miscarriages might have
>something like G4P1031 (meaning 4 pregnancies, 1 carried to viability, no
>stillbirths, 3 miscarriages and 1 live child).  Hope this helps. Alicia.
>[log in to unmask]
>
>------------------------------
>
>Date:    Sun, 3 Mar 1996 10:05:52 -0500
>From:    Diane Wiessinger <[log in to unmask]>
>Subject: fussy, slow-gaining twins
>
>Jay -
>
>Re: twins who have cried all the time since birth and are gaining no more
>than .5 oz per day:  Could their gassiness and fussiness be simply hunger?
> Is their one-breasted mom supplementing them to the extent they need?
>(And not with cereal in a bottle ;-)  )
>
>It would be really nice to see what these kids did with a few days of full
>access to donor human milk.  If they settled on that, and if mom couldn't
>continue access to donor milk, perhaps she could try a hypoallergenic formula.
>
>I've had several mothers of underfed babies comment that their babies are
>fussy and gassy.  The comments stop when the babies get fed.  A thought.
>
>Diane Wiessinger, MS, IBCLC, LLLL  Ithaca, NY
>
>------------------------------
>
>Date:    Sun, 3 Mar 1996 10:42:47 -0500
>From:    "Patricia B. Drazin, IBCLC" <[log in to unmask]>
>Subject: Re: plugs.
>
>Fiona:
>
> try increasing salt intake.....
>
>                        Patricia
>
>------------------------------
>
>Date:    Sun, 3 Mar 1996 10:42:47 -0500
>From:    "Patricia B. Drazin, IBCLC" <[log in to unmask]>
>Subject: Re: verucca vulgaris
>
>Group:
>
>   I have had a call from an lc /wout lactnet... mother has wart on her
>nipple that has been diagnosed as verucca vulgaris....
>
>  The question is can she bf?
>
>   Infectious disease thought that bf whould be ok AFTER removal....
>
>   Any one with any thoughts or experience?
>
>            Thank you,
>
>                                Patricia
>
>------------------------------
>
>Date:    Sun, 3 Mar 1996 10:42:48 -0500
>From:    "Patricia B. Drazin, IBCLC" <[log in to unmask]>
>Subject: Re: ilca
>
>This summer' ilca conference is in Kansas City, july 11-14 Hyatt regency
>crown center....
>
>           Patricia
>
>------------------------------
>
>Date:    Mon, 4 Mar 1996 00:43:39 +0800
>From:    Sherwood <[log in to unmask]>
>Subject: nutritional value of baby food
>
>I was just looking at the NBC TV web page and I saw that for Monday March
>4th one of the topics is t"the nutritional value of baby food".  I'm not in
>the US, so can't watch this show, but maybe some of you in the US can and
>see what they say?   Nancy Sherwood- Perth, Australia
>
>------------------------------
>
>Date:    Sun, 3 Mar 1996 11:56:17 -0500
>From:    Pardee Hinson <[log in to unmask]>
>Subject: Early, transient sore nipples
>
>I find that I generally agree with the discussion of early, transient sore
>nipples but with a different perspective.
>
>It is true that many mothers, experienced and inexperienced breastfeeders, have
>sore nipples for the first few days postpartum.  However, I do not think we
need
>to throw out the relationship between nipple pain/damage and infant
>position/attachment at breast.
>
>New skills take practice.  We improve with repeated exposure and practice
in the
>new activity.  Babies are no different.  They may nurse a time or so in an
>"iffy" position--not attaching just so.  With additional practice, they improve
>their skill.  The not-quite-right times may cause the nipple tenderness;  the
>improvement allows healing and pain-free feedings.  This makes sense to me as I
>relate the literature to my practice experience.
>
>In working with new mothers, I apply this understanding to a practical
>"formula."  1. Watch the infant feed with special attention to position at
>breast, attachment to breast, & shape of nipple when infant first detaches.
>2.Suggest changes if needed.  3.Talk a bit about how we all learn new
>skills--practice, do it okay one time, not-so-great another, and so on.
>4.Suggest that the mother continue to watch infant's position and attachment at
>breast and if her nipples are not okay, or at least better, in 48 hours she
call
>the lactation center for help --OR-- if her nipples start getting worse, she
>call us for help.  This 48 hour rule has worked well and it lets mothers know
>that she does not have to hurt to breastfeed--it reminds her that help is
>available.  The ones that are not at least better by this time tend to be the
>ones who really need intervention of some sort as the pain & damage has gotten
>progressively worse.
>
>This perspective prevents me from telling mothers that they can expect nipple
>pain.  I find that I relate pain to something not being right--position or
>otherwise.  If there is nipple or breast pain, they are to let us know.  At
this
>time, I go to the above plan -- just a different view of the same discussion.
>
>Pardee Hinson, MPH, IBCLC
>Charlotte, NC      [log in to unmask]
>
>------------------------------
>
>Date:    Sun, 3 Mar 1996 18:26:26 PST
>From:    Toby Gish <[log in to unmask]>
>Subject: Re: buttons buttons buttons
>
> I would also love  LACTNET buttons in addition to my t-shirt.
>-------------------------------------
>Name: Toby Gish R.N.LLLL.IBCLC
>E-mail: Toby Gish <[log in to unmask]>
>Date: 03/03/96
>Time: 06:26:26 PM
>
>This message was sent by Chameleon
>-------------------------------------
>
>------------------------------
>
>Date:    Sun, 3 Mar 1996 18:45:58 UT
>From:    Joyce Blangiardo <[log in to unmask]>
>Subject: Medical Shorthand G2P2
>
>On 3/2 Jay posted a request about medical shorthand re G2P2.  Gravida (G)
>means the number of times a woman has been pregnant and Parity (P) means the
>number of viable infants she's delivered; G2P2 would mean she's had two
>pregnancies and delivered two babies.  Hope that helps, Jay!
>Joyce Blangiardo RN, FACCE, IBCLC
>here in sunny, cold, WINDY Long Island, NY where we've just set a record for
>the largest snowfall total ever in the history of the area!  Still
>shoveling.......
>
>------------------------------
>
>Date:    Sun, 3 Mar 1996 14:02:34 -0600
>From:    "katherine a. dettwyler" <[log in to unmask]>
>Subject: breastfeeding in WW II
>
>I've been reading books about American/English/Australian female
>prisoners-of-war during World War II -- got the books out of the library for
>a paper my daughter was writing, but started reading the books myself.  Most
>are diaries.  In the one I'm reading now, the woman talks about being taken
>prisoner along with her 2 year old son, along with a number of other women
>with children under 5.  And they were not breastfeeding -- she goes on and
>on about "life and health" in a tin -- meaning the powdered milk, and how
>the children suffer so from not having milk.  This was in Borneo, in 1942.
>Seems like it shouldn't have been *that long* since women routinely
>breastfed, and that at least some of the them would have thought about
>trying it, especially so far from home under such difficult circumstances
>(before the imprisonment).  Very depressing, for lots of reasons.
>
>Kathy Dettwyler, whose two mustangs fillies are still nursing at 1 year of
>age, even though most horses are forcibly "weaned" by separation from their
>mothers at 6 months of age!  The *babies* are only a few inches shorter than
>their mothers.
>
>------------------------------
>
>Date:    Sun, 3 Mar 1996 17:58:24 -0500
>From:    James Steeg <[log in to unmask]>
>Subject: Teacher asked to stop pumping in lounge
>
>Hello.  I am Meg Wright, La Leche League Leader in Westfield NY.  I have a
>note in to Liz Baldwin but am not sure when she will get it, so I'm trying
>to get all the help I can!
>
>I received a call from a Mom who has been asked by her principal to stop
>pumping in the faculty lounge.  Her baby is 3-4 months old and she has been
>back to work for about one month.  Her prior arrangement with the principal
>was to pump in her own classroom when it was available and the lounge when
>it is not.  She has stuck to that agreement.  She double pumps with a
>Lactina 2x/day.  She tells me she is discreet covering herself so that only
>the bottles are "showing" as she holds onto them.  Another female teacher
>"reported" her to the union which "told" the superintendant who decided she
>must quit based on the offended teachers "comfort" level.  There's no outlet
>in the bathroom and no where else suitable to pump.
>
>I have found much on right to BF in public but not much about pumping
>rights.  What have others found out about this?  Shouldn't her union support
>her as much as the offended teacher?  I want her to have good info before
>she approaches the other teacher or the principal or the union.  Of course I
>have plenty to give her on benefits etc.  I need more about "legal issues."
>Could the ACLU help her?
>
>thanking everyone in advance.
>---meg
>############################################################
>#  [log in to unmask]                                          #
>#                                                           #
>#  I am only one; but still I am one.                       #
>#  I cannot do everything; but still I can do something.    #
>#  Because I can't do everything,                           #
>#  I will not refuse to do the something I can do.          #
>#  Author Unknown                                           #
>############################################################
>
>------------------------------
>
>Date:    Sun, 3 Mar 1996 19:28:31 EST
>From:    Bruce Henry <[log in to unmask]>
>Subject: G2P2
>
>Jay,
>
>G stands for gravid or number of pregnancies and P stands for para (sp) or
>number of  deliveries so G2P2 means second pregnancy, 2 baby born.  G2P1 means
>pregnant with her second baby (not born yet) and G1P2 would mean that she had
>twins (1 pregnancy, 2 babies or births).
>
>Felicia Henry, AAHCC & LLLL
>
>------------------------------
>
>Date:    Sun, 3 Mar 1996 20:28:30 -0500
>From:    Kathleen Bruce <[log in to unmask]>
>Subject: Oprah
>
>THis note comes from Joyce Blangiardo, and is so good I think we might
>second it, and follow up her excellent letter with more to old Oprah, who
>needs a dose of reality therapy concerning breastfeeding and childbirth. I
>think that urging OPHAH to do a show where IBCLCS, and certified childbirth
>instructors and LLLeaders discuss childbearing and breastfeeding in accurate
>informed ways would be very helpful and influential.
>
>Kathleen
>
>
>>Date: Sun, 3 Mar 96 23:19:45 UT
>>From: "Joyce Blangiardo" <[log in to unmask]>
>>To: [log in to unmask]
>>Cc: [log in to unmask]
>>Subject: Oprah
>>
>>Dear Kathleens,
>>       As co-owners of Lactnet, I thought you might be interested to see
the letter
>>I sent Oprah regarding the airing of  her 3/1/96 show on childbirth.  It gave
>>a tremendous amount of misinformation, presented as if it were fact, and as an
>>IBCLC and Lamaze teacher, I felt it did a tremendous disservice to viewers.
>>The transcript is probably available, if you haven't seen the show.  I've seen
>>a few comments on Lactnet; they did not reveal that Lamaze was characterized
>>as one of the ten greatest lies about childbirth, that she vehemently
>>advocated epidurals, and that the general consensus about breastpumps was that
>>they were humiliating.  They also failed to mention LC's as far as I could
>>see.  Very upsetting....
>>       This is very long, and I apologize for that.  In retrospect I can
see that I
>>wish I'd said more about the breastfeeding issues, but it would have been even
>>longer.    I felt it probably overstepped the lengths you'd like for Lactnet,
>>or I'd have posted it there.    Am I right?  Here goes:
>>~ ~ ~ ~ ~ ~ ~ ~ ~
>>Dear Oprah,
>>       I need to comment on the Oprah show on 3/1/96 featuring "What your
body's
>>like after childbirth...Things your mother didn't tell you".   First, an
>>introduction:  I'm an RN, an ASPO/Lamaze Certified Childbirth Educator (ACCE)
>>for 25 years, a fellow in the American College of Childbirth Educators
>>(FACCE), an IBCLC (International Board Certified Lactation Consultant,
>>sometimes referred to as LC), and also an ASPO/Lamaze  National Faculty Member
>>(one of 30 faculty members nationwide who teach the program candidates must
>>complete in order to become ACCE's).  Lamaze has been my life's work.
>>       As funny as the show intended to be, it was presented at the expense of
>>instilling fear and misinformation into huge numbers of women.  The Oprah show
>>has presented so many important themes and done such good...but when a woman
>>as powerful as Oprah says "I advocate epidurals", I would ask that you pause
>>and consider your tremendous power as an advocate for women (and babies).  You
>>have seen the benefit of epidurals, as you've discussed many times on your
>>show. What about the dangers of epidurals?  The potential side effects to mom
>>and baby and breastfeeding?  The potential side effects are there, and there
>>are plenty of them.  When you showcase guests (a comedian and an author
>>selling her book) who go for the laugh at the expense of presenting valid
>>information to women, in my opinion it would have been wise to issue a
>>disclaimer that their birth and breastfeeding tales reflected only their own
>>individual experiences and should not be generalized as if their experiences
>>are "fact" for all women.
>>       The discussion on labor ("baby wrestles to get out of you"-my
paraphrase of
>>the author's quote) contained wrongful information.  The baby does not
>>wrestle, but is a passenger in the process. "Give me heroin"-author's quote,
>>and your comment "I'm an advocate of epidurals" both failed to mention the
>>dangers of medication use/abuse.  Clearly medication has its role in
>>childbirth.  It also has its potential risks.
>>       The show also did nothing to encourage women to breastfeed.  There
was a
>>lengthy discussion on how "the milk doesn't come out of just one hole...it
>>comes out of six or seven", followed by your excited surprise "It comes out of
>>six or seven?"  Great laughter ensued.  Good entertainment.  But accurate
>>information?  No!   Breastfeeding and Human Lactation, a well respected text
>>on breastfeeding for LC's on p.84 states "There are 15 to 20 openings (pores)
>>in the nipple".  If the Oprah show is going to be presenting information to
>>women, I respectfully request that the information be accurate, and be
>>presented by FACCE's and IBCLC's, not comedians and would-be-comedian writers.
>> I have no doubt that "The Girlfriend's Guide..." presents some good
>>information and is a funny book, but so much of what the author stated as fact
>>is simply not fact at all.
>>       In my 25 years of teaching childbirth education classes and
breastfeeding
>>classes, it is sometimes my experience that those who speak from a very narrow
>>field of experience (their own births, period) sometimes forget that no two
>>births are alike and no two breastfeeding experiences are alike.  Those of us
>>who know what we are doing (IBCLC's and FACCE's) know that the more we know
>>the more we realize how much we still have to learn.  I believe you are one of
>>those people who knows what you are doing, and is open to learning more.   I
>>hope that you'll be open to hearing my opinion that the act of allowing people
>>who are trying to entertain or trying to sell books to speak as if they are
>>experienced credentialed authorities telling women how IT is (birth and
>>breastfeeding) is doing a tremendous disservice.
>>         I think the public deserves a show featuring ASPO/Lamaze prepared
parents,
>>FACCE's, and IBCLC's to speak the facts and present accurate information.
>>ASPO/Lamaze, the nation's first and foremost provider of Lamaze Childbirth
>>Education Classes, educates more than two million expectant parents each year.
>> ASPO certification is considered the mark of excellence in childbirth
>>education.  The "top ten" list you presented for entertainment's sake
>>trivialized the importance of the role of Lamaze and made me question whether
>>some of the speakers had taken classes with ASPO Certified Childbirth
>>Educators or with someone who lacked this important educational preparation.
>>ASPO's goal is to prepare expectant parents by sharing with them factual
>>information on what to expect during labor, delivery and post-partum (which
>>can allay the fears they've accrued from misconceptions and horror stories
>>they've heard),  to share with them research-based breathing and relaxation
>>techniques to make them more comfortable during labor, and to empower
>>expectant parents to be active participants in decision-making during their
>>births, fully cognizant of their rights as consumers of health care, obstetric
>>options, and how to make informed decisions related to birth and parenting.
>>The body of research upon which Lamaze is based clearly shows that there are
>>both physical and psychological reasons for its success. Lamaze parents, from
>>whom I receive eloquent testimonials in their birth announcement calls to me
>>each day, attest to the fact that Lamaze works.
>>       My sincere thanks for considering my thoughts on the 3/1/96 show.
>>
>>Sincerely,
>>Joyce Blangiardo RN, FACCE, IBCLC              [log in to unmask]
>>ASPO/Lamaze National Faculty                   (516) 483-8139
>>1233 Webber Avenue
>>South Hempstead, NY 11550
>>
>>
>>
>>
>Kathleen B. Bruce, BSN, IBCLC, LLLeader, co-owner Lactnet, LLLOL, Corgi-L
>LACTNET WWW site: http://www.mcs.com/~auerbach/lactation.html
>Personal WWW page: http://www.together.net/~kbruce/kbbhome.html
>
>------------------------------
>
>End of LACTNET Digest - 2 Mar 1996 to 3 Mar 1996 - Special issue
>****************************************************************
>
>