I was very surprised to see Joan Meek's name on a
conference agenda to be given by Enfamil in Tucson. I
have great respect for Joan. Seeing the other posts,
it seems like she is appearing at several conferences.
They seem to be all sponsored by Enfamil. Is this a
pattern? What is happening? I seem to remember a
problem with her and the new booklet by the AAP. I
need reassurance that this is O.K>
BArbara Arthur RNC,IBCLC
Tucson, Arizona
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<[log in to unmask]> wrote:
> There are 7 messages totalling 359 lines in this
> issue.
>
> Topics in this special issue:
>
> 1. MJ lecture
> 2. 'stressed' baby - help requested
> 3. Dr. Joan Meek Would Never Do This! You are
> being scammed
> 4. lectures sponsored by formula company
> 5. Mom with history of Anorexia
> 6. Resending - need an LC or LLLL in Provo UT
> 7. Nursing at conferences at hotel
>
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>
> Date: Mon, 9 Jun 2003 13:21:13 EDT
> From: [log in to unmask]
> Subject: MJ lecture
>
> Margaret says,
>
> > My partners and I received an invitation from Mead
> Johnson to attend a =
> > lecture given by Joan Y. Meek, MD, MS, RD. The
> title of this lecture is =
> > "DHA and ARA Supplementation in Infant Formula:
> Implications for Infant =
> > Development" The saleswoman knows that we don't
> attend anything sponsored =
> > by them or any other formula company. We are a
> little confused why Dr. =
> > Meek is speaking on this subject, has any one else
> attended a lecture by =
> > her on this topic?
> >
> Margaret, I think this is a golden opportunity for
> you and your partners.
> Can you go (for the benefit of Lactnet) and simply
> not accept any freebies --
> i.e. take your own Krispy Kreme & Starbucks w/ you?
> I would LOVE to know what
> she has to say -- I don't know why she is on their
> speaking circuit, but she
> may have no qualms about taking $$ from formula
> companies -- or she may be doing
> it for free (we just don't know). Anyway, I have
> question that I'm not sure
> anyone has addressed and would love it if you could
> ask her. That is, what
> impact does supplementing a breastfed baby with
> these *new & improved (TIC)
> formulas have on the DHA & ARA in the breastmilk?
> We know that giving iron
> fortified formulas can impact the lactoferrin in the
> breastmilk and allow for
> proliferation of E-coli -- I'm really curious as to
> what impact (negative OR
> positive) these formulas may have. (I know they are
> iron-fortified, that's not what
> I'm asking here). I'm very concerned that they may
> render the DHA/ARA (or
> some other substance) in the breastmilk
> non-bioavailable.
>
> And, if she says that they don't think there is any
> negative impact, then I
> want to know how many exclusively breastfed babies
> they supplemented with these
> formulas and then tested to make SURE there was no
> negative impact.
>
> Pretty please?
>
> Jan Barger, RN, MA, IBCLC, RLC
> Wheaton, Illinois
> www.lactationeducationconsultants.com
>
>
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> ------------------------------
>
> Date: Mon, 9 Jun 2003 19:41:25 +0200
> From: Rachel Myr <[log in to unmask]>
> Subject: 'stressed' baby - help requested
>
> I have mother's permission to post to ask for
> suggestions.
> Baby is 2 months old and has never seemed to relax
> and enjoy feeding.
> According to mother she chokes, and 'gasps for
> breath' during feeds. She
> also spits up more than mother feels is normal.
> Mother had been very sore
> earlier but is better now, after first trying
> silicone nipple shields and
> then going over to pumping and feeding by bottle for
> the past few weeks.
> Mother's soreness was exacerbated by shields, but
> baby seemed less stressed
> when they were used. Still, the pain led to mother
> deciding to pump
> instead. Weight gain has been excellent though has
> fallen off a bit since
> bottle feeding of EBM began. Baby is active, alert,
> and cheerful otherwise
> but doesn't have a pleasant time breastfeeding.
>
> She contacted me nearly a week ago, because she is
> unsatisfied with pumping
> and bottle feeding, and baby was not enjoying
> attempts to get her back to
> the breast.
>
> I observed a feed the next day, and could not see
> anything obviously wrong
> with latch visually, but there was a clicking sound
> with suckling and mother
> felt discomfort when it was heard. Baby was wiggly
> at the breast, squirming
> as if trying to find a better position, though very
> willing to latch
> repeatedly. We tried maximizing extension of the
> neck and using an
> exaggeratedly asymmetric latch, which made little
> difference in baby's
> behavior. Her oral cavity looks normal to me, and
> there is full tongue
> mobility.
> When the MER occurred, baby let go of the breast and
> just waited. When she
> is on the breast, milk frequently runs out of her
> nose. This also happens
> with bottles, according to mother. At that point
> the baby will cry and
> choke. She also makes snorting noises like a little
> piglet when she is
> hungry.
>
> It looked to me like a combination of a few
> problems: overactive MER, likely
> overproduction as well, and possibly a
> suck/swallow/breathing difficulty,
> perhaps some kind of obstruction or laryngomalacia
> in baby. Overlaid on
> this was that baby was now accustomed to the flow
> and technique of a bottle.
> I suggested several things.
> 1) one-sided feeding for 3 hours at a stretch to
> reduce overproduction
> 2) manual stimulation of MER, and waiting for it to
> subside before offering
> baby breast
> 3) BFing positions with baby higher than breast
> 4) using finger feeding rather than bottles if baby
> doesn't stay on breast
>
=== message truncated ===
=====
Barbara Arthur RNC, IBCLC
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