If there is not such thing as breastfeeding medicine, I wonder what I have been doing for the past 13 years!?!
Seriously, I am the first to admit it should not NEED to exist, but for now, it does.
As for the mastitis protocol, I had nothing to do with it, but feel compelled to point out that in fact it says “If symptoms of mastitis are mild and have been present for less than 24 hours, conservative management (effective milk removal and supportive measures) may be sufficient.” Supportive measures are described in an earlier paragraph.
Kathy Leeper, MD, IBCLC, FABM
Breastfeeding Medicine Specialist
MilkWorks-nonprofit breastfeeding support center
5930 South 58th, Suite W, Lincoln, NE 68516
CELL(402)432-6867, FAX(402) 423-6422, www.milkworks.org
Creating a healthier community by helping mothers breastfeed their babies....
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Date: Wed, 16 Jul 2014 14:53:58 -0500
From: [log in to unmask]
Subject: Re: Unusual Tongue Lateralization
Has this baby been referred to a Physical Therapist specializing in torticollis and plagiocephaly? Has baby had an MRI or other diagnostic studies to rule out something else going on? To me, CST and chiropractic is not sufficient. JMHO.
-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Laura Spitzfaden
Sent: Monday, July 14, 2014 1:20 PM
Subject: Unusual Tongue Lateralization
PTP
I have been working with a mom whose infant had a very significant lip-tie that was affecting her latch and milk transfer. Revision of this tie has been a lifesaver and has totally transformed her breastfeeding abilities. Previously, Baby could not maintain her latch for a feeding and could not drain breasts. Mom had to pump and offer supplemental bottle-feeds to satisfy Baby. Now Baby can drain breasts and is satisfied with just breastfeeding.
This baby also had significant structural issues, with cranial asymmetry, head turning to one side, arching and mild strabismus. She has had one CST appointment and will be receiving more treatment along with additional chiropractic care.
The most unusual finding was that while Baby can lateralize her tongue evenly, from side-to-side, she does so to the opposite side of gum stimulation. When I trace a finger to the right side of her gums, she lateralizes to the left and vice versa.
Has anyone encountered this with another infant and what is the significance?
Laura Spitzfaden, LLLL, IBCLC, APL
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Date: Wed, 16 Jul 2014 14:55:30 -0500
From: [log in to unmask]
Subject: Re: ABM mastitis protocol
The whole purpose of ABM is to have educate and support physicians interested in breastfeeding. We have ILCA and many physicians are IBCLC's as well. I don't blame them for NOT having non-MD's on their board.
-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Lee Galasso
Sent: Monday, July 14, 2014 3:25 PM
Subject: ABM mastitis protocol
Jennifer - Regarding your below message, I am not surprised that you noted: "It could not have been more medicalized." Years ago, I wrote on LACTNET that I wished the Academy of Breastfeeding Medicine (ABM) would change its name to use the word SCIENCE instead of MEDICINE. There is no such thing as breastfeeding medicine, as far as I'm concerned...and I am very uncomfortable with the way breastfeeding is being medicalized. One of the former Presidents of ABM was quick to treat mastitis with antibiotics instead of first rooting out the cause of the mastitis and resolving it with better breastfeeding management.
The responses to my posts were scarce and negative. So breastfeeding is medicalized by ABM and its board of physicians; the ABM board does not include IBCLC icons who are not medical doctors.
Warmest regards,
Lee Galasso, MS, LLLL, IBCLC, RLC
Lactation Specialist, Lactation Center of Westchester/Putnam Westchester County in NYS, USA “Children Are Born with the Need to Breastfeed”
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Formula feeding is the longest-lasting uncontrolled experiment in the history of medicine.
~~ Frank Oski, MD; Chair, Department of Pediatrics, Johns Hopkins University, 1985-1996
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Date: Mon, 7 Jul 2014 02:48:44 -0400
From: "Jennifer Tow, IBCLC" <[log in to unmask]>
Subject: ABM mastitis protocol
How unfortunate that the ABM did not think to include TT as a consideration in its newest mastitis protocol. I think I see more mastitis due to ties than anything else other than maternal diet. Just as disturbing for me is the complete lack of concern for the integrity of the gut and global protocols that do not rush to medicate women for mastitis--this is so easily managed w.o meds --I would guess 95% of the time. Nothing in the protocol is reflective of anything I see in my practice. This is such a disappointment. It could not have been more medicalized.
http://online.liebertpub.com/doi/full/10.1089/bfm.2014.9984
Jennifer Tow, IBCLC, USA & France
Intuitive Parenting Network, LLC
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Date: Wed, 16 Jul 2014 20:08:00 -0400
From: Tina Lavy <[log in to unmask]>
Subject: What should I do - 1 month old barely back to BW
I am very concerned about a 5 week old baby who had bowel surgery soon after birth. BW was 5#11. DOB 6/8. Lowest weight we know of was 5#7oz. Baby left hospital 7/6 after surgery at 6#2oz (1 month) and I saw on the 11th (4 1/2 weeks) - was still at 6#2. Seen again on the 15th - still 6#2oz. (mom is breast and bottle feeding). Baby has a very weak suck/no milk transfer, I wanted to see if she would at least take something - which she did - 1oz of formula. I called the doctor on the 11th with concerns (he did not contact her nor did she go in) then called him again on the 15th - insisted mom take baby to the doctor to be seen. Mom did - doctor said baby was 6#4oz - and he will see in a week. I am so worried about this baby - she does not look good at all.
Tina Lavy,
IBCLC
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End of LACTNET Digest - 15 Jul 2014 to 16 Jul 2014 - Special issue (#2014-347)
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