aaaaaaaAt 11:42 AM 5/6/98 -0400, Automatic digest processor wrote:
>Date: Wed, 6 May 1998 11:42:34 -0400
>Reply-To: Lactation Information and Discussion <[log in to unmask]>
>Sender: Lactation Information and Discussion <[log in to unmask]>
>From: Automatic digest processor <[log in to unmask]>
>Subject: LACTNET Digest - 5 May 1998 to 6 May 1998 - Special issue
>To: Recipients of LACTNET digests <[log in to unmask]>
>
>There are 13 messages totalling 359 lines in this issue.
>
>Topics in this special issue:
>
> 1. LACTNET Digest - 5 May 1998
> 2. media response, another version
> 3. conference and toddlers- Thanks
> 4. Patient satisfaction evaluation forms
> 5. ? Pituitary problem
> 6. Public Breastfeeding in Atlanta
> 7. breast reduction
> 8. Chris Mulford's letter to NPR
> 9. Breastfeeding Chat on OBGYN net
> 10. new yorker cover
> 11. postoperative low milk supply
> 12. no feeds in 36 hours
> 13. Bentyl
>
>
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>For further help, write to Lactnet Listmoms at:
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>Date: Wed, 6 May 1998 00:23:06 EDT
>From: PQProducts <[log in to unmask]>
>Subject: Re: LACTNET Digest - 5 May 1998
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>
>In a message dated 5/5/98 9:05:44 PM Pacific Daylight Time,
>[log in to unmask] writes:
>
><< <[log in to unmask]> >>
>In regards to the mother with the breast reductionn surgery. With 7-10% wt.
>loss please feed the baby!! Can you do pre-post weights with a 1-2 gm
>accuracy scale. Can you supplement at the breast? I have seen some breast
>reduction mothers produce more than I would of guessed but each one is a
>unique situation and needs to be followed closely.
>
>I also have another question. I have been unable to retreive Lactnet achives
>tonight even with then help of my 13 yr old. I am looking for premie milk
>stroages guidelines, supporting the HMBA but have costs calculated in.
>
>I am also looking for good communication tool ideas for larger LC practices
>that work with NICU populations. Does anyone use a "pathway" for premie BF,
>successfully?
>
>Thank you
>
>Karen Querna
>Date: Wed, 6 May 1998 01:08:53 EDT
>From: Chrismulfo <[log in to unmask]>
>Subject: media response, another version
>MIME-Version: 1.0
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>
>Well, I called NPR's comment line and tried out a new version of my comment.
>You are allowed up to 60 seconds---this called for some heavy editing! I
hope
>you'll indulge me in sharing this work with you all. It was pretty stressful
>making this call, and I feel I need to touch base with my LactNut buddies.
>
>BEGIN
>Your story about the unexpected high infant mortality among the rats on the
>space shuttle told how rat babies died when their mothers didn't nurse them.
>I don't know why this should surprise anybody. Reproduction is risky for all
>of us mammals---especially under stress. Picture a mother who struggles to
>keep her pups attached…but they keep floating away.
>
>What bothered me was hearing the cause of death identified as---quote---bad
>mothers. Don't blame the mothers! Baby feeding is set of a survival
>techniques that have evolved to suit each mammal's normal environment, so
that
>whales nurse under water, bats can nurse in mid-air, humans nurse anywhere,
>and rats expect to nurse safe in their nests. The wonder of the shuttle
>story is that, despite weightlessness and lack of foresight by the humans who
>thought up the experiment, some of the mothers actually did figure out how to
>keep their babies alive, using instincts they brought from a world where
>gravity is the law.
>Date: Wed, 6 May 1998 15:09:33 +0900
>From: Aileen Emerling <[log in to unmask]>
>Subject: conference and toddlers- Thanks
>MIME-Version: 1.0
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>
>I would to say thank you to all those who have responded to my question
>about bringing my 2 year old son to the ILCA conference.
>
>We will be attending with the help of my sister in law. I look foward
>to meeting many of you then.
>
>Dozo yoroshiku onegai-itashimasu
>
>Aileen Emerling
>La Leche League Leader, Tokyo Japan
>Date: Wed, 6 May 1998 02:34:24 -0500
>From: Jon Ahrendsen <[log in to unmask]>
>Subject: Patient satisfaction evaluation forms
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>My wife Becky, RN IBCLC has just started working on a contract basis for
our clinic and hospital to provide LC services. Long story of how we got
this far, but I will not labor that history in this post.
>
>We are looking for someone on LACTNET that has access to a "patient
satisfaction" type of survey form that we can give to the mothers after the
fact so that they could provide feedback on the performance of the LC
services.
>
>I think it would be good to have this data gathered to present back to
administration when our six month trial period is up. We will then
reevaluate the status and decide if they wish to continue some type of join
program to provide LC services.
>
>So if anyone has this type of survey and can email it to me or fax it or
send it via snail mail. The information to forward on is as follows:
>
>Jon Ahrendsen MD
>215 13th Ave. SW
>Clarion, IA 50525
>
>FAX 515-532-2523
>
>email [log in to unmask]
>
>Thanks a bunch!!
>Date: Wed, 6 May 1998 19:58:40 +0800
>From: Brian & Bobbie Deans <[log in to unmask]>
>Subject: ? Pituitary problem
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
> A 41yr old para2, baby 3 weeks old. History of low supply 4 years
>ago with 1st babe, used a supply line (supplementer) for 8 months until
>started solids. 4 yr old still B/F. Mum's supply low again with this babe.
>History of allergies. Mum very committed and keen not to give anything other
>than breastmilk. Banked milk not available in Australia.
> Mum looked hot in clinic today. When asked, she describes frequent
>episodes of sweating both day and night, but mainly night.Heavy sweats
>soaking the bedlinen etc. I am suspicious this mum may have some sort of
>Pituitary problem and suggested prolactin and thyroid levels be checked.
>What do you think? Would Dr Jack's fenugreek and blessed thistle help? If
>so, how much how often. I'm not familiar with this regime.
>Date: Wed, 6 May 1998 22:31:16 +1000
>From: Chris & Suzette Powell <[log in to unmask]>
>Subject: Public Breastfeeding in Atlanta
>MIME-Version: 1.0
>Content-Type: text/plain; charset=us-ascii
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>
>An Australian breastfeeding mother will be visiting Atlanta, Ga. next
>month.
>What is the situation there with breastfeeding in public. I tried the
>LLL
>web site but there was no legislation listed.
>
>Thanks in anticipation.
>
>Please email me privately : [log in to unmask]
>--
>
>Suzette Powell
>Sunnybank Group Counsellor
>South Brisbane Region WHO Code Liaison Officer
>Queensland Branch President.
>Date: Wed, 6 May 1998 08:08:12 -0500
>From: "Barbara Wilson-Clay,BSE,IBCLC" <[log in to unmask]>
>Subject: breast reduction
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>I honestly don't mean to sound critical, because I served for many, many
>years as a LLLL who ONLY did ph. counseling, and I know that I was helpful
>in that capacity. However, there are some situations where there is risk to
>the baby to be involved in long discussions with a mother who isn't "ready
>to be seen" in person by someone who can make a realistic assessment about
>her breastfeeding situation. In a way, it enables the mother to remain in
>denial. It also prevents the LC from giving the MD any empirical
>information about the feeding situation to help him/her make a decision.
>Our role is also to educate, and this includes MDs who may lack info on the
>increased risk of lactation failure experienced by women who have hx of
>previous breast surgery. If the MD doesn't even know the woman has had a
>reduction (common in my experience) someone has to tell him/her. If you see
>the woman in person, you at least get a signed consent which assists you in
>communicating with the doctor. The LC can still ph. the MD with her
>concerns, but lines are less clear when the LC's relationship is just phone
>chatting with no observation.
>
> My policy is to be friendly and spend a few min. helping mothers on the ph.
>sort out what kind of problem they have. If it is something (ie
>information) that can be competantly handled that way, I will do a ph.
>consult. But I have limits which I state up-front about situations where I
>consider ph. consults to be less useful or positively risky. If the woman
>doesn't want to see me, I refer her on to someone else, but I won't continue
>to have a phone-only relationship.
>
> A situation where mom has had invasive breast surgery, baby is losing a lot
>of weight, and mother has been evasive with care providers fits into this
>category. As much as I would love my doctor to dx and treat me over the ph.
>(so I wouldn't have to come in or pay) I respect them when they remind me
>that their ethics demand that they see the condition and the patient in
>person, in order to provide the best care. They seldom waffle on this
>point, and I don't get furious and hate them over this issue, because I am
>used to and expect this response. If LCs are to be professional, we do have
>to have some boundries and protocols, because when situations like this go
>sour, and we are involved, the bad press is harmful to us all. And the
>bottom line is we are ethically bound to protect the baby.
>
>Barbara
>
>Barbara Wilson-Clay, BS, IBCLC
>Private Practice, Austin, Texas
>Owner, Lactnews On-Line Conference Page
>http://moontower.com/bwc/lactnews.html
>Date: Wed, 6 May 1998 08:08:11 -0500
>From: "Barbara Wilson-Clay,BSE,IBCLC" <[log in to unmask]>
>Subject: Chris Mulford's letter to NPR
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>What a great letter Chris wrote. Short. To the point. Funny. Beautifully
>restrained, while making some wonderful points about breastfeeding. Way to
>go, Chris. Hope they read it on the air.
>
>Barbara
>
>
>
>Barbara Wilson-Clay, BS, IBCLC
>Private Practice, Austin, Texas
>Owner, Lactnews On-Line Conference Page
>http://moontower.com/bwc/lactnews.html
>Date: Wed, 6 May 1998 10:04:00 -0400
>From: Cindy <[log in to unmask]>
>Subject: Breastfeeding Chat on OBGYN net
>MIME-Version: 1.0
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>
>Hello !
>
>Tomorrow night (Thursday May 7) at 8 pm EST I will be hosting a
>breastfeeding chat for OBGYN.NET . This chat is open to professionals as
>well as new moms , or anyone else that is interested. Please feel free
>to forward this to anyone or any list that you think would be
>interested.
>
>For more info , go to this page , http://chat.obgyn.net:4080/ and
>register. After you register, you can either choose html chat, which
>requires no additional software, you can download i chat , from the
>registration page, instructions included or you can use mirc. Let me
>know if you need the mirc instructions.
>
>Hope to see some of you there
>
>Cindy
>--
>^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^
>Cindy Curtis , RN, IBCLC ~ Virginia , USA
>ICQ # 412812 mailto:[log in to unmask]
>Benefits of Breastfeeding Home Page http://www.erols.com/cindyrn
>Date: Tue, 5 May 1998 21:57:53 -0700
>From: Donna Hansen <[log in to unmask]>
>Subject: new yorker cover
>MIME-Version: 1.0
>Content-Type: text/plain; charset=us-ascii
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>
>Hi all,
>
>For a look at the cover of the May 11 New Yorker go to
>http://magazines.enews.com/magazines/new_yorker
>
>Donna Hansen
>Burnaby, BC (looking forward to hearing Kathy A. speak at a bf workshop
>at SFU at the end of the month)
>Date: Wed, 6 May 1998 09:24:09 -0700
>From: Dan & Liz Spannraft <[log in to unmask]>
>Subject: postoperative low milk supply
>MIME-Version: 1.0
>Content-Type: text/plain; charset=ISO-8859-1
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>
>I have been counseling a woman with low milk supply following gallbladder
>surgery 2.5 weeks postpartum. Although I suspect multiple factors in the
>low supply, and medication currently doesn't seem to be a problem; would
>anyone like to comment on surgical stress and the effect on lactation.
>Usually post-C-section it doesn't seem to be a problem, although those moms
>also have breastfeeding assistance for several days.
>Liz Spannraft IBCLC
>Date: Wed, 6 May 1998 23:05:05 +0000
>From: Val Best RN RM IBCLC <[log in to unmask]>
>Subject: no feeds in 36 hours
>MIME-Version: 1.0
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>
>This is a very abbrieviated story, here goes:
>Mother had a caeser yesterday morning, elective, second pregnancy,
>baby hasn't had a feed since, it is now 36 hours old. Baby not
>latching on. Blood glucose, 3.5 mmols, baby voiding heaps. Baby has
>not had any other fluids, is starting to look jaundiced and the
>midwives have noted 2 epidsodes in which the baby is a little blue.
>Baby also very mucousy. This is not my patient, is my husbands, I am
>hoping to get some ideas on what the story could be with this baby.
>The night staff have just rung up and feel the baby needs fluids.
>Another doctor was present when the midwife was going to do a Blood
>Glucose, he stated that the readings were irrelevant in newborns,
>She then rang up my husband. Between us we decided that the baby
>should be fed EBM and AF for the night and he will review it in the
>morning (he is not actually on call, he is not just been slack by not
>going in!!!!!!!!!!!!!!) What would you do after 36 hours?????? I am
>not sure why this baby is voiding so much (don't know how much is so
>much, the midwives just said it is voiding heaps), can that be
>explained?
>Val in Busselton, Western Australia
>RN RM IBCLC
>Date: Wed, 6 May 1998 11:41:22 EDT
>From: Eljay62 <[log in to unmask]>
>Subject: Bentyl
>MIME-Version: 1.0
>Content-Type: text/plain; charset=US-ASCII
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>
>A mother of a 3 month old (11lbs 9 oz.) called me asking if it was okay to
>take Bentyl while breastfeeding. She has a spastic colon. I searched the
>archives and an older Hale book, but am unable to find this specific drug.
>She is also taking Ibuprofen for Thyroiditis, 400mg every 4 hours during the
>day. She has taken thyroid medicine since she was in her teens and has been
>on Levothyroxine 0.2mg every day since the last trimester of her pregnancy.
>Her family doctor knows of her enlarged thyroid and did not order labs of
>adjust her thyroid med. She believes her thyroid med may be too high and
that
>it may also have caused her colon to act up. She has had diarrhea with blood
>in her stools. Her OB just finally is taking matters into his own hands and
>ordering a consult with an internist. She has no insurance. Anyway, is
>Bentyl okay?
>
>TIA!!!!!!
>Laurie McDaniel, RN, IBCLC
>Evansville, IN
>
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