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Subject:
From:
Carole Jernigan <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 17 Sep 2002 07:44:47 -0700
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Beloved Lactnetters,
Oh, I am dreaming big this morning!  The post about
shutting down well-baby nurseries in hospitals really
got my wheels turning...

How about converting a large section of the nursery
into a group breastfeeding room?  (Some space may need
to be preserved for babies who need more observation,
or those whose moms have been discharged home :(  .)
Moms and babies could come in and out any time, comfy
chairs, lots of pillows, soft lights and soothing
music...no visitors, no staff except either a
Lactation Educator or Consultant to go from chair to
chair to teach effective positioning and latch
techniques, and breastfeeding norms....SIGN ME UP!
Sounds like a little corner of heaven...

Carole Jernigan
IBCLC hopeful and hospital-based LC

--- Automatic digest processor
<[log in to unmask]> wrote:
> There are 8 messages totalling 369 lines in this
> issue.
>
> Topics in this special issue:
>
>   1. ordinary, normal, gewoon! (3)
>   2. betadine
>   3. Prolactinoma and breastfeeding
>   4. An introduction and a comment on jaundice
>   5. TB and Breastfeeding
>   6. BF mom sentenced to death at weaning
>
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----------------------------------------------------------------------
>
> Date:    Tue, 17 Sep 2002 09:23:56 +0200
> From:    Sara Bernard <[log in to unmask]>
> Subject: ordinary, normal, gewoon!
>
> To follow Diane's thread about how formula is
> perceived as normal and bf. is
> put high in the clouds.....
>
> I give a bf course where I live (deep in the Dutch
> countryside, away from
> the big cities, bright lights etc). I do this in
> collaboration with the
> local midwives who give me a list of expectant
> mothers - some call me for
> the course and the rest I call myself. This is the
> interesting bit - those
> who don't want to do the course say "no, I'm going
> to give the accustomed
> bottle feeding". I hope my translation is correct -
> in Dutch it's 'gewoon'
> which according to my dictionary means "accustomed,
> ordinary, the usual,
> plain etc". Thus, these mothers accept artificial
> feeding as just plain old
> normal, it's what everybody does etc.
>
> I guess there's nothing new in this, but when you
> here it so many times you
> realise just how ingrained and "normal" bottle
> feeding is.
>
> Sara Bernard
> The Netherlands
> (for the Dutch lacnetters - how many times do you
> hear "nee, ik ga gewoon
> flessvoeding geven!")
>
>
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> ------------------------------
>
> Date:    Tue, 17 Sep 2002 09:42:06 +0200
> From:    Sara Bernard <[log in to unmask]>
> Subject: betadine
>
> Since this (betadine) is regularly used during the
> postpartum period, I need
> information about regulating the amount and/or use
> for breastfeeding
> mothers.
>
> Sorry, but why on earth is this used regularly after
> vaginal birth? Never
> heard of it here. Can't help feeling that women are
> being viewed as dirty
> after giving birth and need to be dis-infected :-(
>
> Is it also used before delivery? Hope not.
>
> Sara Bernard
> The Netherlands
>
>
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> ------------------------------
>
> Date:    Tue, 17 Sep 2002 15:55:21 +0800
> From:    Cathy Fetherston
> <[log in to unmask]>
> Subject: Prolactinoma and breastfeeding
>
> On 17/9/02 11:06 AM, "Automatic digest processor"
> <[log in to unmask]> wrote:
>
> > Well, I learned that the mom is on bromocriptine
> and that dr does not
> > want her to breastfeed because the whole reason
> she's on the med is to
> > lower the prolactin level so the tumor does not
> grow.  My next question
> > is, say the bromocriptine lowers her level to
> about that of the average
> > lactating woman, would breastfeeding raise her
> level higher, or would
> > breastfeeding have little or not effect on her
> prolactin level? I
> > apologize if this is not clear.  It's just that
> I'm confused and
> > obviously showing just how far over my head this
> technical stuff
> > is........Thanks to anyone who can clear this up
> for me.  Mary
>
> Mary I'm by no means "well informed" in this area
> however I did care for a
> mother with a prolactinoma who was taking
> bromocriptine and was
> breastfeeding successfully, also - in Hale (I only
> have the 99 ed) - he
> reports one breastfeeding patient who received
> 5mg/day and continued
> lactation with no untoward effects on the infant. I
> also know of another
> woman who came off her bromocriptine just to get
> pregnant and breastfeed
> each of her three children (don=B9t know for how
> long) and then went back on
> it again (have no other details - 2nd hand story).
> There appears to be no
> hard and fast rules here but I would think it would
> depend on the degree of
> the hyperprolactinaemia (and associated side
> effects) the patient is
> experiencing. Certainly breastfeeding does stimulate
> an increase in
> prolactin levels 45 minutes after breast stimulation
> - but the half life of
> prolactin produced in this case is around 60mins as
> the levels quickly
> return to previous baseline levels following the
> feed.
>
> I would think there should be room to let the mother
> breastfeed and monitor
> the effects it may (or may not) have on her basal
> levels and then treat
> accordingly.
>
=== message truncated ===


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