>There are 13 messages totalling 411 lines in this issue.
>
>Topics in this special issue:
>
> 1. emotions and nipple pain
> 2. BF Conferences not on Lactnet
> 3. short sig files please and subjects
> 4. Email Advice
> 5. TLC* - baby smacks when nursing
> 6. thrush and teats
> 7. Midwife comment
> 8. baby smacking
> 9. B Strep
> 10. Storage containers for expressed breast milk
> 11. LACTNET Digest - 4 Dec 1996 - Special issue
> 12. Dr.Jack Newman please comment re:decongestants when bf
> 13. new to lactnet
>
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>
>Date: Wed, 4 Dec 1996 11:31:50 -0600
>From: "Patricia Gima, IBCLC" <[log in to unmask]>
>Subject: emotions and nipple pain
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>Carolyn and Linda,
>
>As usual both of you make good points. Initially, the baby was causing the
>sore nipples and after two sessions of cranial/sacral treatment there was no
>visible nipple trauma, and no nipple pain. There is a lot going on here
>that, I believe, relates to Carolyn's post. I have talked to the ped. about
>ppd and recommended a referral to our local ppd. support group. There is a
>part of this mother that doesn't want to be Mother. I think that she feels
>that if the baby were not b'fed she could sleep the 10 hours at night and a
>nap in the afternoon that she "needs" and that the baby would go to sleep
>after feeding, etc. She feels that baby never sleeps, though her records
>have several 3-4 hour sleep periods every day and some longer ones at night.
>
>I observed that the baby never makes eye contact with mother. She does with
>me and with Dad. Mom said baby never looks at her. She can never comfort
>the baby, whereas Dad and I can. She doesn't call the baby by name.
>
>I think the problem is not a breastfeeding problem, but, with my bias, I
>believe that this baby and mother NEED to breastfeed. We're playing it one
>day at a time. Presently she is choosing to pump and feed with a bottle.
>She really wants to wean, but can't bring herself to feed what is in the abm
>can. She, herself, had many childhood illnesses that she believes were due
>to abm. Is some of her blockage a feeling that she MUST b'feed, that she is
>trapped?
>
>I guess long ago this baby would either be wet-nursed or would die. I have
>worked with other reluctant mothers and found that if they will continue
>b'feeding the chains of their own histories are disolved and they fall in
>love with their babies.
>
>Patricia Gima,IBCLC
>Milwaukee
>
>Date: Wed, 4 Dec 1996 12:52:04 -0500
>From: Kathleen Bruce <[log in to unmask]>
>Subject: BF Conferences not on Lactnet
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>Greetings. In my flu induced stupor, I would like to gently point out that
>we do not accept conference notices on Lactnet. Please, if you have
>questions, re read your intro notes. Also, the place for conference
>postings, book advertisements, etc..is on Barbara Wilson Clay's LACTNEWS.
>That is a different thing.
>
>Thanks. Kathleen
>
>Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,Corgi-L,TLC, Indep. Consultant
>http://together.net/~kbruce/kbbhome.html
>LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
>
>Date: Wed, 4 Dec 1996 12:52:07 -0500
>From: Kathleen Bruce <[log in to unmask]>
>Subject: short sig files please and subjects
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>Hi guys. Once *again*, Please put appropriate subjects in when you are
>sending notes to Lactnet. I notice that several of you are quoting
>extensively from previous posts. You can leave off doing that, please. It
>is not necessary.
>
>I also notice that some of you continue to have long sig files. ..several
>lines of poetry..graphics, etc. Please...these are a distraction. Can you
>cut them down a bit? I would appreciate it.
>
>Thanks. Kathleen
>
>Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,Corgi-L,TLC, Indep. Consultant
>http://together.net/~kbruce/kbbhome.html
>LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
>Good for you, Anna,
>
>Thank you for continuing to meet a mother's needs right where she is.
> Sometimes a mother needs the anonymity of a telephone call or an
>email to work up the courage to face "the expert". Sometimes a
>mother needs to feel that she worked through a situation by herself,
>using the information she attained through her own efforts on the
>internet. You serve a valuable place in our promotion of
>breastfeeding. And thank you for the assurance that women are
>referred to appropriate people in their geographical area.
>
>Thank you, also, for not criticizing another's instructions. I
>learned a long time ago that I can't criticize what I didn't see.
>There's no way of knowing what the LC saw, heard and understood
>during a consult with a mother. What I see may be several days later
>with only the mother's reports of what has happened in the meantime.
>And, just as I may re-evaluate a previous LC's work, she will most
>assuredly have the opportunity to re-evaluate mine! Let's be kind to each
other.
>
>Keep up the good work, Anna.
>
>La Leche League has a Help Form staffed by Leaders at their website:
>http://www.LaLecheLeague.org
>
>
>
>
>
>
>Jeanne B. Fisher, MSN, RN, IBCLC
>Breastfeeding Promotion Nurse
>Texas Department of Health
>(512)406-0744
>[log in to unmask]
>Sharon,
>
>A couple quick thoughts based on a couple things in your post---though
>there may be more to the whole picture.
>
>In my humble opinion and experience, If a baby is having an allergic
>reaction in the classic definition of such, and if it is related to an
>allergen coming through breastmilk like cow's milk, elimination of ALL
>the food and drink containing milk & milk derivatives is needed to clear
>the frequent sinus congestion, related rash, and colic type fussiness.
>With intolerances, reducing the load and not worrying about 100%
>elimination seems to be enough to reduce symptoms. Maureen Minchin's
>book, FOOD FOR THOUGHT is a good resource I think and in the LLL library.
>
>The Lactation Institute's forms book indicates that "clicking" sometimes
>clears up with the removal of an allergen in the maternal diet. (they
>theorize it is related to the allergic symptom of itchy palate.) In this
>baby's case, positioning does seem to be a factor too and I very much
>appreciated the other post on seal and release of suction which it also
>easily could be.......It might be worth experimenting with pillows in
>various places supporting the breast and/or baby and testing baby in
>different angles/positions for lying down......
>
>What a challenging case with all of the issues going on at once. Best to
>you as you support mom and help her decide the difficulty-possible
>benefit of more intervention than you are already doing. Keep us posted
>as you learn more!
>
>Natalie Shenk BS IBCLC
>private practice Findlay Ohio USA
>
>n Tue, 3 Dec 1996 21:14:14 EST Sharon Starkston
><[log in to unmask]> writes:
>............>Baby had a cold last week and I observed her to be snuffly
>when
>>nursing.................
>.........>She experiences some nipple soreness on the days when baby
>nurses a
>>lot. Her>nipples look fine and she is using Lansinoh now.............
>...........>Baby nurses for relatively short feedings (10-15 minutes per
>side) but
>>stools>sound fine in terms of consistency and color. ..........
>.......>When baby>is gassy she tends to arch backwards and stretch her
>legs out. Mom has>eliminated many foods from her diet, including major
>sources of dairy
>>(not>reading labels for small additions of whey, casein, etc). Baby
>rarely
>>burps.>Mom is sometimes giving homeopathic colic tablets or Mylecon
>drops........
>.......>I counseled her on general fussy baby management issues, since
>baby is
>>having>almost nightly fussy times and is awake a lot at night.
>..........
>..........>My goal is to identify a reason for smacking and to enable mom
>to
>>nurse lying>down. Is the smacking and frequent lack of strong
>suction/attachment a
>>variation>of normal in light of good weight gain. I understand that
>positioning
>>lying down>is not always easy with a newborn but it nags at me that the
>smacking
>>is present>in that position............
>
>Date: Wed, 4 Dec 1996 16:48:22 +0100
>From: Diane Wiessinger <[log in to unmask]>
>Subject: thrush and teats
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>What do you recommend for killing yeast on teats - Boiling? How long and
>how often. Bleach? How concentrated, how long, how often? Other?
>
>Diane Wiessinger, MS, IBCLC, LLLL Ithaca, NY USA
>
>Date: Wed, 4 Dec 1996 16:08:56 -0500
>From: Jack Newman <[log in to unmask]>
>Subject: Midwife comment
>MIME-Version: 1.0
>Content-Type: text/plain; charset=iso-8859-1
>
>To all midwives:
>
> Sorry, I did not intend to put down midwives. I agree with Ms.
>Simpson's saying that midwives are an important part of the health
>delivery system. I am one of the strongest proponents of midwifery I
>know. However, the comment comes out of a disappointment that some
>midwives (not all midwives‹‹never suggested all), are buying into the no
>breastfeeding and/or separation approach in a situation where it makes
>absolutely no sense. If more midwives helped more mothers in labour and
>birth, we would have a lot more successful breastfeeding going around.
>But if midwives had bought into the physician view of childbirth, there
>would never have been the changes in maternity routines we have seen
>over the past few years. I just would have expected midwives to be more
>sceptical. And they need to remain sceptical not just in the area of
>pregnancy labour and birth, but also the whole continuum, which includes
>breastfeeding.
>
> Boy, you do have to be careful about the throwaway lines, eh? It's
not
>the main points, its the side comments that get you into trouble. Mea
>culpa!
>
>Jack Newman, MD, FRCPC
>Sharon:
>
> It sounds like you have done a tremendous amout for this mother and are
>providing her with much needed support.
>
> It also sounds as if there are some potential worisome things going on
>and it would be in the best interest of the mother/baby for you to refer them
>to a professional who can fully evaluate and assist them.
>
> Patricia
>Dr. Newman:
>
> thank you for sharing your wealth of information and insight with us.
>
> In a recent (nov. 96) article on advising bf mothers dr, freed says that
>"the potential exists for an infected infant (with b-strep) to transmit the
>disease to mothers, and them become reinfected through the breastmilk." Would
>this transmission be through the milk? through contact? or vertical? Is this
>transmission possible breastfeeding or not?
>
> thank you,
>
> Patricia
>Dear Lacnet subscribers;
>
>I am an RN and LC for a large Level III NICU. We are loosing our source for
>volu-feeders and caps. These are what we have been giving our Mothers to
>collect and store their breast milk in. We follow the Human Milk Banking
>recommendations for storage and handling of HM, so we are reluctant to use
>plastic bags. Does anyone have any suggestions? Please HELP!!!
>
>Thank you,
>
>A. Kim Sweet
>Phoenix AZ
>Hi,
>>The latest update on my three emailers is that one turns out to be
>>British and lives up the road from me - I was able to refer her to
>>people by name (which is always a help); one has given up and is pumping
>>as much EBM as possible and bottle-feeding it and the other is having a
>>disagreement with her LLL leader and she is not going to like my latest
>>email which says that perhaps her LLL leader is right? I think she'll
>>make it however, if someone can convince her! :-)
>
>The even more latest update is that the latter mum has now decided, oh
>joy of joys, to employ a professional LC! The LC seems to think the
>problem is a congenital sucking problem compounded by nipple confusion
>and they are beginning to work on it. I am absolutely thrilled - I
>really didn't think the mother would carry on and it was all I could do
>to persuade her to get to a LLL meeting on the off-chance someone had
>any ideas, let alone part with hard-earned cash to seek professional
>advice. She seems a lot more positive, and the LC did an excellent job
>of getting her to see it as a problem to be tackled, rather than a sign
>of her being a lousy mother. I am willing her to succeed :-)
>--
>Anna (mummy to Emma, born 17th Jan 1995 and Alice, born 11th Sept 1996)
>Web Page: http://www.ratbag.demon.co.uk/anna
>
>Turnpike evaluation. For Turnpike information, mailto:[log in to unmask]
>
>Date: Wed, 4 Dec 1996 17:17:07 -0500
>From: Maureen Kennedy <[log in to unmask]>
>Subject: Dr.Jack Newman please comment re:decongestants when bf
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>Hi Jack
>
>I'm seeing a client who has been having sinus and ear congestion since 7th
>mo. of pregnancy, and it continues- her babe is 10 days old. The
>paediatrician said she should not use Chlortriplon (the regular one-not
>decongestant) even though our MotherRisk clinic said it was ok. I think
>Hale's book also said it was ok. She would like to use it. In the meantime
>she has been using Otrivin paediatric strength for herself. She's afraid to
>use adult strength because of possible rebound effect. This is all
>complicated by the fact that she's new to Ottawa, and is not properly
>established with a doc she likes.
>
> Can you comment on the Chlortripolon and Otrivin? How often and how long
>can she take the Otrivin without it causing rebound? Is adult strength ok?
>She also had started a series of allergy desensitization and stopped during
>her pregnancy and would like to resume. Is allergy desensitization
>compatible with breastfeeding?
>
>Thanks
>
>Maureen Kennedy PHN IBCLC
>
>Date: Wed, 4 Dec 1996 23:24:14 +0100
>From: Pierre Bitoun <[log in to unmask]>
>Subject: new to lactnet
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>I'm very happy to have found this group and although quite overwhelmed by
>the volume of info I finally take time to introduce myself/ I am a
>pediatrician in Paris and worked as a trainer for LLL france about 10 years
>ago and then trained and worked as a consultant for wellstart. I helped
>create the European society for the support of breastfeeding (SESAM) about 4
>years ago and we are running conferences on BFIN Europe, articles in the
>professionnal and lay press as well as running BF management training
>courses in maternity hospitals throughout france. I am very impressed by
>the vast amount of knowledge you all have. And I do find it hard to read all
>the mail we get.
>A few comments about some ideas that struck me:
>Newborn on phenobarbital: You know that baby was on phenobarb throughout
>pregnancy so getting a bit more postnatally won't affect him especially with
>such a low level, as a matter of fact BF allows for a more gradual weaning
>which is ideal rather than having the withdrawal symptoms.
>
>About the Peter hartmann studies why is it that one can assume that
>increases in breast volumes are assumed to be milk volumes? I don't think
>one can make this assumption in the first few weeks post partum. Indeed a
>lot of the so called primary engorgement of day 3 is usually felt to be
>mostly redistribution of extravascular and extra cellular fluids from
>placenta and adnexa to the breast.I still do not believe that breasts can be
>storage tanks because there is no sphincter on the end of milk ducts as
>there is in every reservoir of fluid in the human body.
>
>About milk reduction: it is felt here that the best remedy(often unknowingly
>taken) to decrease milk production is parsley. Pulsatilla (sorry I do not
>know the english name for this flower)mother tincture 150 drops for one or 2
>days is also used.
>
>About pleasure during breastfeeding : 2pleasure hormones are circulating in
>breastfeeding mothers' blood: oxytocin and endorphins. Although oxytocin is
>also generated during orgasm it is of special value as the strongest hormone
>to induce mothering behavior when injected into animals(I learned from my
>friend mary Kroeger from wellstart who is on this net as well (is it in
>Hawai no less). So just because ocytocin is secreted should not be confused
>to mean it is a sexual pleasure, but only a sensual pleasure with that one
>common hormone.
>
>pierre
>PIERRE BITOUN
>70 RUE NOTRE DAME DE NAZARETH
>75003 PARIS
>TEL/FAX +331 4274-5662
>email: [log in to unmask]
>
|
