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>Date:     Wed, 30 Sep 1998 07:30:18 -0400
>Reply-To: Lactation Information and Discussion <[log in to unmask]>
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>Subject:  LACTNET Digest - 29 Sep 1998 to 30 Sep 1998 - Special issue
>To:       Recipients of LACTNET digests <[log in to unmask]>
>
>There are 12 messages totalling 376 lines in this issue.
>
>Topics in this special issue:
>
>  1. Time to write more letters...
>  2. National Geographic: October 1998 page 22
>  3. miscellaneous stufff
>  4. tv show b-feeding
>  5. Solids
>  6. EBM for colds
>  7. buprenorphine
>  8. Herbals and Safety
>  9. early solids
> 10. Palatal Obturators
> 11. Hypobilirubinaemia
> 12. RSV, vaccine and bf -- summary article?
>
>
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>Kathleen B. Bruce BSN, IBCLC [log in to unmask]
>Kathleen G. Auerbach Ph.D, IBCLC [log in to unmask]
>[log in to unmask]
>Date:    Wed, 30 Sep 1998 00:55:51 EDT
>From:    "Carol Schlef, RNC, MSW, IBCLC" <[log in to unmask]>
>Subject: Time to write more letters...
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>
>Hi all,
>
>Am still no-mail until I get my book manuscript done (this week's the
>deadline!  Pray for me, please!) but I had to get y'all riled up one more
>time.
>
>My husband just pointed out an article in the October issue of Parenting (not
>to be confused with "Parents") Magazine.  It's titled, "Your Amazing
Breasts",
>and talks about breast development and care from conception to weaning.
>
>Several problems in the article:  1) while they quote a "certified lactation
>consultant", it's in relation to buying a bra. 2) while they assume
>breastfeeding is the norm, they make it sound easier to NOT breastfeed, in
>terms of comfort; 3) most of the actual latch/supply/problem-solving
advice is
>quoted from a nurse-midwife, not an LC; 4) they have MIS-information, like
(in
>reference to inverted nipples) "A breast shield, a dome-shaped plastic shield
>with air-flow holes, may also have to be worn when feeding to help the baby
>latch on." Are they talking shells or nipple shields?? 5) They imply that
>nursing makes breasts "droopy" and 6) THIS IS THE BIG ONE:  Right in the
>middle of the article is a full page ad for Carnation Good Start, complete
>with mail-in card!!!!!!
>
>As Jack would say, "AAAAAAARRRRRGGGGHHHHH!!!"
>
>Anyway, Parenting's email address is:  [log in to unmask]
>They also have a website:  www.parenttime.com  that has a bulletin board
where
>they ask for input.
>
>Go get 'em, y'all!!
>'Bye for now,  gotta go back to "real" writing! ;-)
>
>Carol in St. Louis
>Date:    Tue, 29 Sep 1998 23:40:06 -0400
>From:    Amy J Mueller <[log in to unmask]>
>Subject: National Geographic: October 1998 page 22
>
>The following article was printed in our local newspaper in response to
>the above referenced photo.
>
>"Warning: The following column is not intended for those who are faint of
>heart when it comes to public discussion of women's bodies, or for my
>children and their friends.
>
>Some kids are gathered around, thumbing throught an issue of National
>Geographic. There's a picture that one child wants to show the others.
>
>I can only imagine what that photo might be. It's only been three decades
>or so since I was a juvenile, rifling through the pages of National
>Geographic hoping to find a picture of:
>a) A woman naked from the waist up
>b) A man nearly naked from the waist down
>c) All of the above
>
>No matter the content of the story. That maybe some ancient tribe had
>been discovered. Or that it is, as I see later in this case, an update on
>the plight of refugees. To a kid thumbing throught the National
>Geographic, the articles can be irrelevant.
>
>So I ask what it is the picture shows. The answer? A woman breastfeeding,
>and it looks like a banana.
>
>I ask for the magazine. Yes, a woman is breastfeeding. The baby is
>suckling off a fold of skin that is, if you are inclined to think that
>way, somewhat shaped like a banana. Thankfully they both look healthy.
>
>Remembering similar photos I have seen over the years of women who have
>nursed maybe10 or 12 kids, plus the babies of a few other tribeswomen and
>some orphans from the next town over, I tell them  "That's what can
>happen after a women has breastfed children."
>
>Not that anyone ever told me that before it was too late. I think if
>people knew going into it exactly what toll childbirth takes on the
>female body, the world's population would be about half what it is now.
>
>Breastfeeding offered some of the calmest, closest times I had with my
>babies. But I remember going in for a check-up the year after my first
>child wasborn. Months had passed since we'd gone to bottle feedings. My
>stomach had flattened some, but where I was looking for a hint of
>perkiness, I was instead reminded of those cartoons of grandmas with
>severe cases of the droop. And I was only 29. So that was the first
>question I had for the doctor.
>
>"When are they going to go back to being themselves ?" I asked him, as
>you might inquire about a relative who has undergone shock treatment.
>
>"Uh," he said, "they aren't." The moment of truth. I'll never forget it.
>
>I breastfed the next one because, after all, what difference would it
>make?  The damage was done. But it did make a difference.
>
>You come to accept it. And realize that as you get older, it doesn't get
>any better. You don't even mind when you go to buy nasty birthday cards
>for people who are turning 40 or 50 and see that they are half devoted to
>cracks about the impact gravity has on womens' aging chests.
>
>It doesn't mean we like it. On the other hand, those of us who have come
>to terms with the certainty that we will never be asked to pose for
>Playboy can take heart in the words of the Mother Superior  in "The Sound
>of Music," who advised a young Maria that "When God closes one door, he
>opens another."
>
>Looking at it that way, there's always National Geographic."
>
>Author:
>Kathy Gibbons
>[log in to unmask]
>
>For anyone wishing to comment:
>Record-Eagle Letters to the Editor
>Box 632
>Traverse City, MI 49685-0632
>www.record-eagle.com
>
>___________________________________________________________________
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>Date:    Wed, 30 Sep 1998 01:05:27 EDT
>From:    "Cheryl L. Tompkins CLC" <[log in to unmask]>
>Subject: Re: miscellaneous stufff
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>
>I agree with Jay!
>
>Cheryl L. Tompkins, CLC
>Phoenix, Arizona, USA
>mailto: [log in to unmask]
>Date:    Wed, 30 Sep 1998 01:59:02 EDT
>From:    "Anne F. Norton-Krawciw RPh, IBCLC" <[log in to unmask]>
>Subject: tv show b-feeding
>MIME-Version: 1.0
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>
>how much is the current price to fly from the us of a to the netherlands.
>
>i am just tired of all the bad press we get over here breastfeeding and other
>wise
>
>
>anne norton-krawciw, RPh IBCLC
>Brestfeeding Specialists Inc
>Sterling Heights MI USA
>Date:    Tue, 29 Sep 1998 20:15:34 -1000
>From:    Gloria Buoncristiano-Thai <[log in to unmask]>
>Subject: Solids
>
>Thought I'd add my .02 on this.  It just amazes me the wide range of
>thinking on this one.  At birth, my son weighed 7 lbs. 8 oz., by 3
>months, he was 17 lbs.  The pediatrician wanted him to start solids to
>"slow" his weight gain.  Did I follow this---of course not!  Every time
>we went in for a well baby, the doctor would ask if I started my son on
>solids.  I would just smile, and he would say, you didn't, did you.
>
>Aloha,
>Gloria Thai LLLLeader Hawai'i
>who is wondering where the time has gone as my oldest just celebrated her
>eighth birthday!
>
>___________________________________________________________________
>You don't need to buy Internet access to use free Internet e-mail.
>Get completely free e-mail from Juno at http://www.juno.com
>Or call Juno at (800) 654-JUNO [654-5866]
>Date:    Tue, 29 Sep 1998 11:50:37 +0200
>From:    Jean Ridler <[log in to unmask]>
>Subject: Re: EBM for colds
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>
>Dear Johanna
>
>EBM for colds (in the nose) and for ear infections is used extensively
>by some cultures in South Africa.  It works, too.  It cetainly won't do
>any harm and is worth a try.  Also used for "sticky eyes" with good
>results.
>
>Regards
>Jean Ridler
>RN  RM  IBCLC
>Cape Town
>South Africa
>Date:    Tue, 29 Sep 1998 21:33:43 +0100
>From:    Françoise Railhet <[log in to unmask]>
>Subject: buprenorphine
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>
>Dear Lactnetters
>
>Does someone have any experience about buprenorphine in a BF woman ? It
>seems it is more and more used (in France) instead of methadone.
>Thank you a lot.
>
>Francoise Railhet
>Manager of the LLL France Medical Associates Program
>[log in to unmask]
>Date:    Wed, 30 Sep 1998 09:45:41 +0000
>From:    Moshe and Susan Srebrnik <[log in to unmask]>
>Subject: Herbals and Safety
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>
>There ARE problems with regulating herbals.  I would never buy herbals
>OTC in a supermarket or from a health food store.  Just like I wouldn't
>go to a non-qualified health practitioner, I wouldn't dream of trusting
>clerks who have little or no training.  I work with a number of
>homeopathic/herbal pharmacies where the pharmacists ARE well trained.
>They either make their own preparations or sell ones they know are safe.
>Another bet would be to work with a certified herbalist.  The HP who
>commented that he thinks this is all a fad is dead wrong.  The field is
>growing, growing, growing... Even hospitals and health funds are
>participating.
>
>BTW, a number of you have written to me with the question about
>pregnant/lactating and children fasting on Yom Kippur.  There are no
>clear answers because Jews belong to different branches ranging from
>the most liberal Reform to Haredi or ultra-Orthodox.  It is generally
>accepted that young children and those who have medical conditions
>are exempt from fasting.  One thing I've learned from living in Israel -
>you ask two Jews, you get 3 opinions...
>
>Susan Nachman-Srebrnik, IBCLC
>Ranana, Israel
>Date:    Wed, 30 Sep 1998 10:11:41 +0000
>From:    Heather <[log in to unmask]>
>Subject: early solids
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>
>Anneleis: I think the study you mean was published on Jan 1 this year, in
>(I think) the BMJ  (or it could have been the Lancet - I'm pressed for time
>so can't check). It showed that solids before 15 weeks inc. the liklihood
>of respiratory illness episodes by age seven, and had some measurable
>effect on blood flow (slows if fed early solids) and on body fat (though
>it's too soon to say this will lead to obesity). This is part of the
>wonderful 'Dundee study' which is tracking about 500 mother and baby pairs
>- the 'babies' are now 13 and their overall health is now being monitored,
>with a special focus on blood flow and body fat.
>
>So far, it seems (now prepare yourself for a shock - NOT) :
>
>it is best to bf exclusively
>it is second best to formula feed and introduce solids after 15 weeks
>it is third best (or worst) to formula feed and int. solids before 15 weeks
>
>The great thing about the Dundee study is that it tracks Western babies in
>a fairly typical urban environment, and gives us ammunition against those
>anti-bf peope who say bf is only important in the developing rural world,
>and makes no diff. to Western babies.
>
>Heather Welford Neil
>NCT bfc Newcastle upon Tyne UK  - in the North East of England - about 300
>miles from London : )
>Date:    Wed, 30 Sep 1998 12:20:04 +0200
>From:    Pamela Morrison IBCLC <[log in to unmask]>
>Subject: Palatal Obturators
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>
>Kathleen wrote, "Ok. So, who actually lives in an area where plastic
>surgeons will actually agree to make palatal obturators for cleft babies?"
>
>"Plates" as they are called are fitted to every baby who has a cleft that I
>have worked with (about 5) within about 24 hours of birth.  But so thick, so
>clumsy and so unwieldy that the upper gum ridge is *huge* and precludes
>latching.  Furthermore, the plastic surgeon who choreographs the whole
>exercise has so successfully succeeded in convincing the mother that she
>"cannot" breastfeed by the second time I see her that it's just about
>impossible to try again.
>
>Pamela Morrison IBCLC (frustrated) in Zimbabwe
>Date:    Wed, 30 Sep 1998 12:20:23 +0200
>From:    Pamela Morrison IBCLC <[log in to unmask]>
>Subject: Hypobilirubinaemia
>MIME-Version: 1.0
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>
>Jack wrote, "Physicians should rather encourage women with
>babies with *hypobiliribinemia* due to artificial feeding to take the babies
>of the formula for a couple of days and put them on the breast so that the
>bilirubin rises into the normal range."
>
>Oh YESSS!  I do like this.  Brilliant in its simplicity, Jack!
>
>Pamela Morrison IBCLC, Zimbabwe
>Date:    Wed, 30 Sep 1998 07:15:58 -0400
>From:    Patrica Young <[log in to unmask]>
>Subject: Re: RSV, vaccine and bf -- summary article?
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>
>Doraine, first of all RSV is ubiquitous.  By age 2 or 3 every child has had
>it.  In the healthy infant it is a bad cold.  In the premature or BPD
>(bronchopulmonary dysplasia) baby it can be a major crisis, requiring
>hospitalization.  Subsequently many of these babies have problems with RAD
>(Reactive Airway Disease - asthma) for a year or more.  There is some
>discussion if RSV is the trigger for RAD or a marker, but if your kid is
>wheezing I guess it doesn't really matter which came first - the kid
>wheezes now!
>
>2nd There is no RSV vaccine.  Respigam and Synagis are antibodies, must be
>given monthly during RSV season (Nov-Apr), at $1000 per dose this is not
>being discussed for the average kid with no major problems.  The prime
>reason to use Synagis is that it is IM and doesn't interfere with other
>immunizations.  Respigam requires a short hosp stay for administration by
>IV and does interfere with live virus vaccines like MMR.  Pro respigam -
>it seemed to help decrease colds and Otitis in these babies, con - Synagis
>didn't have same effect on colds and OM.  I believe a real vaccine for RSV
>is years away  and I have reservations about its use in the general
>population.
>
>My gut feeling is that being BF helps a lot in how a baby handles RSV.
>Unfortunately, the population who need the most protection from RSV are the
>least likely to be BF (very early prematures and BPD babies).  The average
>healthy full term BF baby probably has a runny nose from RSV and not much
>else.
>
>Someone mentioned on the net that the average stay in their area was 4
>days.  It varies here in my area, depending on severity.  I tend to begin
>nebulizer tx(treatment) at first wheeze so manage to keep most out of the
>hospital.  Last winter (which was mild in NJ) was just horrible for RSV
>infections.  I hospitalized more babies than the previous 3 year total!
>There were days when I thought I'd scream if I heard one more wheezy chest!
> (We are a high volume inner city practice).
>
>Sincerely, Pat, PNP, east coast USA, mid-Atlantic region (my sig is
>evolving!)
>