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Subject:
From:
Kathleen Bruce <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 28 Nov 1995 11:13:00 -0500
Content-Type:
text/plain
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text/plain (91 lines)
THis message is from our Taiwanese friend who cannot post directly to
Lactnet. Please read and welcome her to Lactnet. SHe is truly a pioneer in a
very difficult situation.

>Date: Tue, 28 Nov 95 07:31:49 CST
>X-Sender: [log in to unmask]
>To: [log in to unmask] (Kathleen Bruce)
>From: cch1@vghtc (CHEN CHAO-HUEI)
>Subject: Re: Introduction and jaundice
>
>
>Hi, all:
>
>I've been on line for several weeks, but I'm hesitated to introduce myself
>for it will be a long story. However, I'll try in brief.
>I am a qualified pediatric neurologist and neonataologist in Taiwan. I  have
>been in charge of the newborn unit in Taichung VGH for 5 years. I have 2
>children, Penny and Wenddy, 8 and 5 years old. I mixed breastfed Penny for
>one month, and exclusively breastfed Wenddy also for only one month. At that
>time, the breastfeeding rate in Taiwan was only 5% !!! After my second
>child, I met the leaders of LLL and got many breastfeeding information from
>them. I became a member of Medical Progress Association  of ILLL and the LCA
>two years ago.
>I've published a booklet "Breastfeeding--The beginning of Love" in Chinese
>two years ago. Now I'm translating the "Helping mother breastfeeding" by Dr
>F Savage King. The Health Department of our government have been promoting
>breastfeeding in these two years, I've made many lectures about
>breastfeeding all around the island. Also, I've written many small articles
>publish in newspaper or popular journals.  I still remember one day, one
>reporter of the journal asked my personal breastfeeding experience. When she
>knew the answer, she laughed at me " the professional breastfeeding doctor
>with the poor experience". I did not feel guilty, but I did feel regretful
>and very angry. If I had the knowledge now I have, the decision I made might
>be different five years ago. The culture in Taiwan in totally bottle feeding
>culture now and the breastfeeding rate was 95% just 30 years ago!!! I
>personlly hope more physicans get involved the topics of breastfeeding. As
>in USA, during our medical training, there is very litte concerned about
>breastfeeding. It's a long way to go. Both in hospital and at society.
>Now, I help mother both in hospital and in home. I am in charge of intensive
>care unit in this year. The breastfeeding rate of the premature in our NICU
>is around 80-90% in the beginning, but drop to 15% after discharge. I with
>our nurses are trying to improving the results, with the help of LLL,
>hopefully. I receive phone call at home, most mothers are referred from
>leaders of LLL, concerning about the medical part associated with
>breastfeeding. Jaundice is one of the common problem.
>----------------------------------------------------------------------------
>According to the study in Tawain, the incidence of jaundice associated with
>breastfeeding is about 34%. There have been many papers discussed the
>relationship between breastfeeding and jaundice.  As I known, Dr Gartner LM
>from  The University of Chicago had made a wonderful review in the Seminars
>in Perinatology, 1994, Vol 18, No 6.
>There are some key points of all the studies:
>1. If the jaundice is caused by breastfeeding, then there is no report that
>it will cause kernicterus( which causes cerebral palsy). So, the jaudice
>does no harm to the baby. Our Pediatric association recommended
>discontinuate breastfeeding only after bilirubine above 17-20 mg/dl.
>2. During the first week of lift,  the more frequent of breastfeeding, the
>less level of bilirubin. So in case of jaundice associated with
>breastfeeding, increase the breastfeeding frequency is the most important
>method for prevention and treatment. Phototherapy may be given if the
>bilirubin level is above 17 mg/dl
>3. If the jaundice is not caused by breastfeeding, e.g, hemolysis disorder
>of newborn, then the physicans may have to do more study  to find out the
>cause. But breastfeeding is still encouraged.
>
>In the Chapter 38 of "Neonatology. Pathophysiology and management of the
>newobrn" ed by Dr Avery GB, Dr Maisels MJ made the suggestion: for well baby
>without hemylysis, interrupt or modify nursing, with or without phototherapy
>when the bilirubin level is 17-22 mg/dl, if the infant is sick or hemolysis
>likely, there is no indication of interrupt nursing. The physicians may be
>interested in it.
>
>Hope it'll help.
>
>Chen Chao-Huei M.D.
>Department of Pediatrics
>Taichung Veterans General Hospital
>160, sec 3, Chung Kang Rd
>Taichung 407
>Taiwan
>Tel 886-4-3741259
>Fax 886-4-3591498
>E mail [log in to unmask]
>
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Kathleen B. Bruce, BSN, IBCLC, LLL Leader
Co-Owner Lactnet, LLLOL, Corgi-L E-mail lists
LACTNET WWW site: http://www.mcs.com/~auerbach/lactation.html
"If money could talk, it would say good bye!"
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