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From:
Lisa Paladino <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 12 May 2018 09:40:50 -0400
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I highly recommend Annie Frisbie- her book and website are so informative! Especially for someone just starting private practice. https://www.paperlessibclc.com/
Lisa Paladino



-----Original Message-----
From: LACTNET automatic digest system <[log in to unmask]>
To: LACTNET <[log in to unmask]>
Sent: Sat, May 12, 2018 12:00 am
Subject: LACTNET Digest - 10 May 2018 to 11 May 2018 (#2018-129)

There are 3 messages totaling 134 lines in this issue.

Topics of the day:

 1. Consultation notes
  2. Constipation in breastfed babies
  3. New study on maternal depression trajectories and children's behavior

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Date: Fri, 11 May 2018 07:43:22 -0400
From:    "juana Rodriguez BS,IBCLC" <[log in to unmask]>
Subject: Consultation notes

Starting my private practice and would like recommendations on which electronic charting  notes are the easiest to work with.

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Date:    Fri, 11 May 2018 14:14:32 +0000
From:    Tricia Shamblin <[log in to unmask]>
Subject: Constipation in breastfed babies

As far as giving oil to babies to treat constipation,  are they actually constipated? Or do you think this is an educational issue? I have to say I don't think I've ever seen an exclusively breastfed baby be truly constipated.  At about 6 weeks many are stooling less frequently,  but that is normal as long as their stools are loose, they are fine. The record I've seen is 10 days between stools. I wonder if these babies are really constipated or the moms are just misunderstanding that the baby doesn't need to go every day? Are these cases of constipation when baby was supplemented with formula? I would also say that I would agree that giving solids, juice, water,  formula, etc would mean baby is not exclusively breastfed, for drops for gas or other medications is the USA we normally consider the baby to still be exclusively breastfed. 
Tricia Shamblin 

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------------------------------

Date:    Fri, 11 May 2018 22:34:37 -0400
From:    Debra Swank <[log in to unmask]>
Subject: New study on maternal depression trajectories and children's behavior

Greetings All,

Developmental cognitive neuroscientist Adele Diamond is one of the authors in this new study from the University of British Columbia.  Diamond is a leader in the field of developmental cognitive neuroscience.  

Title:  Maternal depression trajectories from pregnancy to 3 years postpartum are associated with children’s behavior and executive functions at 3 and 6 years

Journal:  Archives of Women's Health

Authors:  Mina Park, Ursula Brain, Ruth E. Grunau, Adele Diamond, Tim F. Oberlander

Abstract:  "The objective of this study was to investigate how patterns of maternal depressive symptoms from mid-pregnancy to 3 years postpartum are associated with children’s behavior at age 3 years and executive functions. Maternal depressive symptoms were measured from mid-pregnancy to 3 years postpartum. Growth mixture modeling was used on standardized maternal depression scores (n = 147) to identify trajectories. Children’s behavioral problems and mental health symptomatology (internalizing, externalizing, and attention deficit hyperactivity disorder) were obtained at 3 and 6 years. EFs were assessed by a laboratory-based computerized task and maternal-report at 6 years. Multivariable linear regressions of children’s outcomes against maternal depressive symptom trajectories were conducted (n = 103). Three distinct patterns of maternal depressive symptom trajectories were identified: low (n = 105), increasing (n = 27), and decreasing (n = 15). Children of mothers whose depressive symptoms increased reported more problem behaviors at 3 years and poorer EFs at 6 years as assessed by both instruments, but no significant differences in mental health symptomatology at 6 years, relative to those whose mothers had consistently low depressive symptoms. Children whose mothers became less depressed over time had comparable levels of behavioral problems at age 3, executive functions, and internalizing and externalizing scores at age 6; and fewer reported ADHD behaviors at age 6, than those whose mothers remained less depressed over time. If mothers’ depressive symptoms improve over the first 3 years postpartum, their children’s outlook may be comparable to those whose mothers had consistently low depressive symptoms."

http://www.devcogneuro.com/Publications/Park(2018)_maternal_depression.pdf

Bonus link to Dr. Diamond's developmental cognitive neuroscience website:  http://www.devcogneuro.com/

With best regards,

Debra Swank, RN BSN IBCLC
Ocala, Florida USA
MoreThanReflexes Education
http://www.MoreThanReflexes.org

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End of LACTNET Digest - 10 May 2018 to 11 May 2018 (#2018-129)
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