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Subject:
From:
"Jennifer Tow, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 6 Nov 2010 21:26:03 -0400
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Katherine,
I agree with you completely, but take a different approach when I can. When I have been with a mother at birth or immediately after, we have been able to avoid all meds post-partum by using magnesium (I always use Natural Calm), arnica in a high potency and homeopathic cells salts (ferr phos and mag phos). And I do mean these moms require no meds whatsoever. I will also often follow with Bach Flowers, and get the mom to a chiro asap. 


Jennifer Tow, IBCLC, Toulouse, FR
Intuitive Parenting Network, LLC








Date:    Mon, 25 Oct 2010 10:07:19 -0400
From:    Katherine Lilleskov <[log in to unmask]>
Subject: Re: Pain control after C/S

I don't think it is difficult at all to bring this discussion back to nursing. 
We have a shockingly high section rate in this country and while we are 
agitating to bring down those numbers, I think we need to be simultaneously 
thinking about the pain management protocols that are least disruptive to 
breastfeeding. Intravenous and injectable narcotics wreak havoc on the 
initiation of breastfeeding and we need to push for the methods that will leave 
the mother alert and high functioning. Toradol is an example of a medication 
that does a pretty decent job of controlling pain without disabling the mother. 
The most heartbreaking example of the dangers of postoperative pain relief that 
I can recall in my practice, is that of a mother who was given Demerol to 
control her pain and the combination of the drug and her prolonged labor prior 
to her section made her so sleepy that she fell asleep doing the skin to skin 
that she felt was the best for her baby. The hospital had a practice of not 
allowing partners to spend the night, so here was this poor soul doing her best 
to be a good mommy, all by herself in her room, and she dropped her baby onto 
the floor. Baby was absolutely fine, but the result of this incident was weeks 
of visits by child protective services to check on her mothering skills and a 
crushing blow to this woman's confidence.

Too often the people in charge of pain management are trained to treat the woman 
as a regular surgical case forgetting that there are two people involved in any 
decision about her medication. Thank goodness for people like you Sarah, who can 
be out there leading the good fight!!!!!!!!!!!!!!

Kathy Lilleskov







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