Alexander Brian Fabisch born 4/28!
My first grandbaby born naturally and
Breastfed immediately. I'm already so in
Love :-) and proud of my dil and son for
Their birthing and feeding decisons.

Sent from my iPod
Ilene Fabisch, IBCLC
Gentle Beginnings Lactation Assistance

On May 2, 2010, at 12:00 AM, LACTNET automatic digest system <[log in to unmask] 
 > wrote:

> There are 3 messages totaling 153 lines in this issue.
>
> Topics of the day:
>
>  1. Reflux baby
>  2. torticollis
>  3. From Jim Akre's lecture on Gold10
>
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> ----------------------------------------------------------------------
>
> Date:    Sat, 1 May 2010 07:37:00 -0400
> From:    Anne Brown <[log in to unmask]>
> Subject: Reflux baby
>
> Permission to post.
> I have a patient with a very demanding, fussy, gassy, cannot-put-her- 
> down 8 week old baby who was diagnosed with reflux and on prevacid,  
> which is helping.  Baby had a frenotomy at 2 weeks for a type 2 TT  
> but tongue was still tight afterward, still unable to fully lift the  
> tongue.   Mom continued to experience sore nipples even after the  
> frenotomy through a nipple shield.  A direct latch was even more  
> painful.  She declined to persue a second opinion on the tongue  
> because she is so consumed with the baby's care.
> Baby had slow weight gain in the first few weeks before the  
> frenotomy so mom was pumping and bottle feeding her milk and formula  
> until she caught up her weight.  Now baby is thriving, 95% on WHO  
> curve.  Mom also had suppressed lactation, due in part to the baby's  
> TT but I suspect potential PCOS, she has tubular breasts, and had an  
> intrauterine insemination to get pregnant.
> After fenugreek, goats' rue and lots of pumping, mom's supply is up  
> to 24 oz pumped milk/day but baby takes in about 35-40 oz so she was  
> still using formula (Alimentum) to supplement.
> Pedi GI doc suggested she take a week off breastmilk and just give  
> Alimentum, after which there was worsening of symptoms plus foul  
> smelling stools:-)  They are suggesting Neocate now but I think she  
> just needs to go back to breastmilk from the breast and have mom go  
> on an elimination diet.  So mom hasn't nursed in a week and she is  
> willing to try without the nipple shield to see if it still hurts.   
> If it does, I will suggest a second opinion for a posterior TT.    
> Once this baby gets to full breast, I suspect mom's supply will fill  
> in accordingly.  I just hope we haven't lost our prolactin window,  
> which declines after 2 months.  This mom is determined to BF.
> Any suggestions?
> Annie Brown, FNP, IBCLC
> Greenwich CT
>
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> ------------------------------
>
> Date:    Sat, 1 May 2010 19:43:26 -0400
> From:    sheila stubbs <[log in to unmask]>
> Subject: torticollis
>
> I don't recall ever hearing the word "torticollis" until reading it  
> on Lactnet today. I did however have a baby who "held her head  
> funny."  So that's what it was! When I pointed it out to the doctor,  
> he said, "Pffft! She's fine." I took her immediately to a  
> chiropractor, who noticed the problem immediately, showed me where  
> to massage, and the problem was fixed very quickly.
>
> Sheila Stubbs
>
>
>
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> ------------------------------
>
> Date:    Sun, 2 May 2010 06:33:40 +0300
> From:    Esther Grunis <[log in to unmask]>
> Subject: From Jim Akre's lecture on Gold10
>
> If you are not yet registered for the Gold10 conference, you still  
> have
> time.  Here is a summary of the 10 commandments of breastfeeding  
> which Jim
> Akre presented in his amazing lecture.  The problem is with a  
> society which
> sees artificial feeding as the norm, and does not give the mother  
> enough
> help to overcome the challenges she faces in the beginning.
>
>
>
> From Jim Akre's lecture on Gold 10
> Ten proposals for action    Based on the remarks made in my pre- 
> conference
> presentation, here are ten distinct, yet complementary, proposals for
> immediate action.
> 1. We need to stop referring to breastfeeding as 'best feeding' and  
> define
> it as 'normal feeding'.
> 2. We need to stop talking about 'the benefits of breastfeeding' and  
> focus
> instead on 'the risks of not breastfeeding'.
> 3. We need to publicize breast milk's significance for  
> neurocognitive and
> visual development.
> 4. We need to reframe routine artificial feeding for what it is - a
> momentous deviation from the biological norm for the young of our  
> species.
> 5. We need to recall that infant formula was originally developed for
> emergency use; it was never intended for routine consumption.
> 6. We need to identify infant formula for what it is: an inert  
> paediatric
> fast food based on the milk of an alien species, and the least-bad
> alternative to human milk.
> 7. We need to track systematically, across the life course, artificial
> feeding's adverse health outcomes for both mothers and children.
> 8. We need to evaluate the global economic implications - in the  
> short,
> medium and long term - of child-feeding mode.
> 9. We need to calculate the amount and value of human milk produced  
> and
> consumed worldwide while we make certain that human-milk banks  
> become a
> routine component of healthcare infrastructure everywhere.
> 10. We need to clarify what breastfeeding costs even as we ensure  
> that every
> mother can afford to breastfeed.
>
>
>
>
>
> Esther Grunis
>
> Tel Aviv, Israel
>
>
>
>
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> ------------------------------
>
> End of LACTNET Digest - 30 Apr 2010 to 1 May 2010 (#2010-354)
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