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Subject:
From:
"Janice M. Riordan" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 9 Jul 1996 16:02:01 +0100
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CONFIRM LACTNET




>Date:     Sun, 7 Jul 1996 20:20:08 -0400
>Reply-To: Lactation Information and Discussion <[log in to unmask]>
>Sender: Lactation Information and Discussion <[log in to unmask]>
>From: Automatic digest processor <[log in to unmask]>
>Subject:  LACTNET Digest - 6 Jul 1996 to 7 Jul 1996 - Special issue
>To: Recipients of LACTNET digests <[log in to unmask]>
>
>There are 15 messages totalling 426 lines in this issue.
>
>Topics in this special issue:
>
>  1. Back Back
>  2. fibrocystic breasts
>  3. dificulty latching
>  4. formula as distant
>  5. drug counseling statement and caffeine
>  6. Distant second
>  7. Colostrum,vaseline
>  8. abm lawsuit
>  9. radioactive iodine
> 10. Cancer Research?
> 11. violent feeder
> 12. calorie content
> 13. Fwd: Lactivist: pesticides and breastmilk
> 14. herpes and BF
> 15. Fwd: Renewal of your subscription to the LACTNET list
>
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>
>----------------------------------------------------------------------
>
>Date:    Sun, 7 Jul 1996 07:53:38 -0400
>From:    "Jon Ahrendsen, MD" <[log in to unmask]>
>Subject: Back Back
>
>In a message dated 96-07-03 16:14:08 EDT, you write:
>
>> This woman is seriously
>>considering weaning completely in order to get rid of the relaxin. She
>>had previously nursed her now 10 year old with no problems for 2.5 years.
>
>As an MD that has studied manipulation treatment, I would suggest that this
>woman ask her friends for suggestions of referral to a chiropractor or an
>osteopathic physician that specialized in manipulation treatment.  I would
>think that she has a good chance of improving with the correct treatment.
>
>Jon Ahrendsen MD, FAAFP, LLLI Medical Associate
>215 13th Ave. SW, Clarion, IA 50525, USA
>(515)-532-2836  Fax (515)-532-2523
>new prefered email address:  [log in to unmask]
>[log in to unmask] will stay active for now.
>
>------------------------------
>
>Date:    Sat, 6 Jul 1996 20:16:37 -0700
>From:    "C. Ione Sims CNM/MSN/IBCLC" <[log in to unmask]>
>Subject: fibrocystic breasts
>
>As Barbara Wilson-Clay pointed out, fibrocystic breasts are not a
>"disease". They are a normal variation. According to one of my gyn texts,
>the condition occurs due to hyperplasia of epithelial cells and fibrous
>tissue, probably r/t hormonal influence.  In my present practice, I see
>lots of perimenopausal age women, and lumpy, sometimes tender breasts
>usually seems to be much more problematic for this group.  I will have to
>go thru my notes, but I believe that there is research to support
>decreasing or eliminating caffiene to decrease symptoms such as
>tenderness. I recently saw a 45 year old who breastfed all three of her
>children for at least a year each. She is someone who makes cysts (two
>previously aspirated, one currently present, palpable, and also seen on
>her mammo). She is one of those women who have experience cyclic breast
>tenderness for several years now. She states that it was completely gone
>throughout breastfeeding (which also suppressed her periods for several
>months). Though I don't recall seeing any research on fibrocystic breasts
>and breastfeeding, her experience does not seem unique to me, and I think
>that it is reasonable to reassure a mom with such a history that exclusive
>breastfeeding may decrease cyclic breast tenderness.
>
>Back to caffiene: Anecdotally, I have had several clients tell me that
>their symptoms of cyclic tenderness disappear or dramatically decrease
>when they eliminate caffiene.  Some women also find that adding 600 to 800
>IU vitamin E is also helpful.
>
> Ione Sims, CNM, IBCLC
>
>------------------------------
>
>Date:    Sun, 7 Jul 1996 09:54:58 -0400
>From:    "Patricia B. Drazin, IBCLC" <[log in to unmask]>
>Subject: Re: dificulty latching
>
>janet
>
>    have you thought of trying, or tried eye dropper, syringe or feeding tube
>at the breast ... to reward the baby and keep him going.....
>
>                   patricia
>
>------------------------------
>
>Date:    Sun, 7 Jul 1996 09:55:28 -0400
>From:    "Patricia B. Drazin, IBCLC" <[log in to unmask]>
>Subject: Re: formula as distant
>
>ros:
>
>   this weeks aap news ( a newpaper put out by the american academy of
>pediatrics)
>discusses two article on breastfeeding. one is the pedatric research article
>on protein intake that shows that exclusive bf to 6 months infants grew at
>the same rate as thos supplemented fro 4 months on with higher protein
>intake... the other from clinical pediatrs on weaning ages... average 2 1/2 -
>3... range from 1 month to 7 1.2 .. true child led is seldom less than 4 ...
>"extended nursing has documented benefitr and practitioners can be confident
>in supporting mothers who choose to nruse their children into toddlerhood and
>beyond"
>
>                    patricia
>
>------------------------------
>
>Date:    Sun, 7 Jul 1996 08:59:13 -0500
>From:    "Barbara Wilson-Clay,BSE,IBCLC" <[log in to unmask]>
>Subject: drug counseling statement and caffeine
>
>Sure, it's fine with me to use anything I've posted publically on Lactnet. I
>think that we have to find ways to get mothers to candidly ask the questions
>they need answers for, and anonymously by phone is one way to help mothers
>to feel safe.  For LCs who fear to get involved because of reporting laws
>for child abuse, this is a way which permits them to feel safe, too.  One
>hopes that by answering questions honestly, rapport will be established
>which eventually will assist a womam with a problem to ask for real help.
>If appropriate mother-child attachment takes place (due to breastfeeding)
>that mother may be motivated as never before to change her behavior with
>regards to drugs.
>
>Ione Sims, whose experience and knowledge I respect, writes about
>perimenopausal women who do seem to profit from caffeine elimination.   If I
>saw the research I would incorperate the advice.   Actually, in my folder
>about induced lactation somewhere is a remark that in moderate amounts
>caffeine is a mild galactagogue. So it is possible there is some
>relationship between the active chemicals in caffeine and breast changes.  I
>just hate giving people lists of taboos, calling things diseases when they
>aren't, etc.Just MHO.
>
>Barbara Wilson-Clay, BSE, IBCLC
>priv. pract. Austin, Tx
>Owner LACTNEWS On-Line (the Conference Page)
>http://moontower.com/bwc/lactnews.html
>
>------------------------------
>
>Date:    Sun, 7 Jul 1996 11:21:00 -0400
>From:    "Linda J. Smith, BSE, FACCE, IBCLC" <[log in to unmask]>
>Subject: Re: Distant second
>
>The news of the American Academy of Pediatrics' expected new policy made it
>to the Dayton Daily News, too.  Since Ohio rakes in tons of tax $$ from Ross
>Labs sales, the fact that it made our paper is REALLY big news.  Looking
>forward to the official policy, which I sure hope is as good as Dr. Neifert
>says!
>
>Linda Smith, LC in private practice
>Dayton OH
>
>------------------------------
>
>Date:    Sun, 7 Jul 1996 12:43:14 -0400
>From:    pat Bull <[log in to unmask]>
>Subject: Colostrum,vaseline
>
>Hi Netters,
>
>I have decided to read backwards my posts.  Maybe next year I will get to my
>mid June posts.  (Thank-you Kathy Auerbach for forgetting to put me no mail
>while I was in Africa)  Dido Jonathan in regards to the petroleum/ vaseline
>issue.  I at one time had to research into nipple/breast creams.  Found that
>petroleum could be harmful to tissue if used over long period of time.
> Vaseline does not allow any air to get to the tissues for healing purposes.
> I remember working in the nursery and was always told never to use on diaper
>rashes because if there is a yeast infection, it only gets worse.  There
>needs to be an exchange of air.  That is why Medela uses USP modified
>lanolin- it does allow air exchange.
>Colostrum- calories from 1-5 days is 58 per 100ml (mature milk >30 days is
>70) and that is cited from "Lactation- Physiology, Nutrition, and BF" by
>Neifert. p. 203.  We have to remember that colostrum is very high in protein
>(2-3times more than mature) and therefore assists with increasing the suger
>and maintaining it at a higher level.  That is why the diabetic is encouraged
>to eat protein (spoon of peanut butter, etc.) along with the sugar because it
>will keep the level up and not just sky rise it and then come right back
>down.
>
>See you all at ILCA!!!!!!!!
>
>Pat Bull, RN, IBCLC
>The Breastfeeding Connection/Medela
>Naperville, IL (hot today-90)
>
>------------------------------
>
>Date:    Sun, 7 Jul 1996 10:24:12 -0700
>From:    Rhoda Taylor <[log in to unmask]>
>Subject: abm lawsuit
>
>For those of you eagerly ;) awaiting the introduction of yet another abm in
>your area I thought you might take heart at this article. It is from CP
>newservice and was in our local paper on July 5.
>
>Headline: Enfalac maker's lawsuit aimed at Similac Advance.
>
>        The maker of Enfalac baby formula says it has filed a lawsuit trying
>to stop a competitor from making health claims about its Similac Advance
>formula recently introduced in Canada.
>        Mead Johnson Canada said Thursday it has asked an Ontario court for
>an injunction to stop Ross Pediatrics from claiming its advance formula
>strengthens a baby's immune system and is close to breast milk than other
>products.
>        "We believe these claims and many others are simply not true," Steve
>Johnson, president of Mead Johnson Canada, sain in a release.
>        "Leading Canadian and US experts in immunology and infant nutrition
>have reviewed the relevant available research and have concluded that there
>is no basis for these claims."
>        Johnson said research shows many Canadian mothers believe using
>Similac Advance will keep their babies from getting sick and that this
>infant formula gives their babies the same resistance to disease that breast
>milk does.
>        "We strongly object to Ross trying to increase sales of its formulas
>by raising false expectations in mothers," he said.
>
><grin>
>
>
>"Without interest and passion, nothing great has ever happened in history."
>                                                                    G.W. Hegel
>Rhoda Taylor, B.A., IBCLC         ph 604-748-4945
>3346 Glacier St                   fax 604-748-2743
>Duncan, B.C.                      e-mail [log in to unmask]
>Canada,  V9L 3Z8
>
>------------------------------
>
>Date:    Sun, 7 Jul 1996 14:02:33 -0400
>From:    "Dawn Staudt-Vanek, BSN, IBCLC" <[log in to unmask]>
>Subject: radioactive iodine
>
>I apologize if this has already been covered. I had a client call since she
>was having a thyroid scan and was told by our radiologist that she could not
>nurse for 8 days. Our resources including, Briggs, Dr. Hale, The Answer Book,
>all gave differing times. I referred her to Dr. Anderson's 900 number. She
>called again to inform me that they advised she never nurse since the
>radioactive ions will always have the potential to enter her milk. This is of
>great concern that we get this info. right. Please help. If this is correct,
>what about the women who have had this done prior to pregnancy? Also, what is
>this doing to mom's body? Thanks so much, Dawn., (At the current time, very
>much enjoying my teenage son!)
>
>------------------------------
>
>Date:    Sun, 7 Jul 1996 14:56:06 -0500
>From:    MRS LISA J WHITE <[log in to unmask]>
>Subject: Cancer Research?
>
>Hi!  I am new to Lactnet, so forgive any blunders please.
>  I need info asap on the research done with human milk & cancer
>patients.  I cannot find anything in writing.  If you have this info
>please email to me.
>  A dear friend's 11yo son was recently diagnosed with Leukemia.
>Would the benefits of human milk (antibodies, etc.) be helpful in a
>child of this age?  His immune system is completely deleted.  He is
>currently in remission, but even an ear infection sends him to the
>hospital.  He has been in hospital 5 times since April.  He starts
>chemo very soon.  I wondered if the milk would be better in the
>digestive area, also.
>  Thank you in advance for any information you can offer.
>                                      Lisa White
>                                      [log in to unmask]
>
>------------------------------
>
>Date:    Sun, 7 Jul 1996 15:10:53 -0400
>From:    "Laurie Wheeler, RNC, MN,  IBCLC" <[log in to unmask]>
>Subject: violent feeder
>
>Chris,
>I would vote for dairy allergy.  Baby was on Enfamil 24 for 2 wks in hosp -
>takes 2 wks for babe to be sensitized I think.  Symptoms started on way home
>- makes sense. Does mom consume dairy or have family hx of allergy - she
>should eliminate that.  I vote for Nutramigen (Mead Johnson) or
>Alimentum(Ross) for the formula to use during transition to total human milk,
>if possible.  They are the hydrolyzed, hypoallergenic formulas. They are
>expensive.  I am not familiar with Neocare.  The baby may indeed have reflux,
>but the reflux could very well be caused by a dairy allergy.  I vote for
>football hold to keep baby upright and to keep baby upright after fdgs.  Some
>peds use Maalox I think to soothe the irritated esophagus in the short-term;
>many mothers report good results with this and there are some with flavorings
>- of course  mom needs ped to prescribe what is appropriate for this baby -
>just now reaching corrected age of 38 wks (full-term).
>Mom should strive for increasing supply so baby can get off artificial milks.
>Maybe the mom could take the reglan - it is used to increase supply. The iron
>may be an irritant too, but I would mess with only one thing at a time,
>especially since this was a premie and did not get the last few wks to lay
>down iron stores.  Perhaps mom could change her prenatal vits if they contain
>iron since she is now 6 wks postpartum and does she really need it?
>Hope this is helpful,
>Laurie Wheeler, Rnc, Mn, Ibclc
>Violet Louisiana
>
>------------------------------
>
>Date:    Sun, 7 Jul 1996 15:12:25 -0400
>From:    "Laurie Wheeler, RNC, MN,  IBCLC" <[log in to unmask]>
>Subject: calorie content
>
>Hello Jane,
>In Breastfeeding and Human Lactation by Riordan & Auerbach, it states in Ch.
>5  that the "caloric density of human milk is generally considered to be 65
>kcal/100 ml" (p. 106).  And also that "Using breastmilk as the 'gold
>standard', the American Academy of Peds recommends a calorie content of 67
>kcal/100ml for commercial formulas."  When you thought 50-70 cals/oz it
>should have been per 100ml or 100cc.  In the US, we tend to be more familiar
>with ounces and that equates to about 20 cals/oz for human milk and
>artificial milk (formula).
>So if human milk is available it has the appropriate no. of cals (of course!)
>and also all the wonderful properties of breastmilk - especially colostrum.
> Emphasize that and the hazards of infant formula - perhaps offer some of the
>consents that may make them think of liability issues if they use artificial
>feeding.  Remind them of "first, do no harm".
>The other thing to remember is sugar water or D5W only has 6 cals/oz if I'm
>not mistaken - even 3 oz of that will not equal 1 oz of human milk or
>colostrum in terms of calories.
>Hope this helps,
>Laurie Wheeler, Rnc, Mn, Ibclc
>
>------------------------------
>
>Date:    Sun, 7 Jul 1996 17:43:28 -0500
>From:    R LOCKYER <[log in to unmask]>
>Subject: Fwd: Lactivist: pesticides and breastmilk
>
>-- [ From: Regina Lockyer * EMC.Ver #2.10P ] --
>
>
>------- FORWARD, Original message follows -------
>
>> Date: Sunday, 07-Jul-96 12:11 PM
>>
>> From: M Kirsch                 \ Internet:    ([log in to unmask])
>> To:   Regina Lockyer           \ PRODIGY:     (EGNF87A)
>>
>> Subject: Lactivist: pesticides and breastmilk
>>
>> IN this morning's Phila. Inquirer (the major paper around here) there
>was
>> an article about children and pesticides.  In a bold caption it said
>that
>> pesticides were found everywhere--"even in mother's milk."  Then a
>caption
>> under a picture of a baby being fed solids was that a study showed
>that
>> formula contained less pesticides than cows' milk (this always
>confuses me
>> since formula is made from cows' milk).  Assuming that these facts
>are
>> true, the juxtaposition of the captions, plus the lack of comparison
>> between pesticides in breastmilk, gives the impression that ABM is
>better.
>>  Anyway, does anyone have any stats they could give me before I write
>a
>> letter.
>>
>> I wanted to post to Lactnet, but all my mail was deleted this morning
>> including instructions on how to post there.
>>
>> I meant to say above that there was no comparison between breastmilk
>and
>> ABM.
>>
>> Thanks in advance if anyone can help me.  My LLL materials didn't
>have
>> anything.
>>
>> Melissa K., mom to KEvin and Sean
>>
>>
>>
>
>------- FORWARD, End of original message -------
>
>------------------------------
>
>Date:    Sun, 7 Jul 1996 20:03:14 -0400
>From:    "Pardee Hinson, MPH, IBCLC" <[log in to unmask]>
>Subject: herpes and BF
>
>I just received a call from one of our midwives regarding a mother who is
>concerned about transmitting herpes to her infant through BF.  The mother
>has no
>active lesions at present.  (She has a genital outbreak about 2X per year.)
>Even though there are no lesions or any symptoms of any starting, she is
>concerned that her husband's having had oral contact with her vaginal area
>followed by oral contact with her breat could infect her breastfeeding infant.
>She is upset and using previously stored frozen milk until she decides what to
>do.  I can find no reference to transmitting in absence of lesion.
>
>Has anyone heard of herpes transmission in this manner?
>
>Thanks!
>
>Pardee Hinson, MPH, IBCLC
>Charlotte, NC
>[log in to unmask]
>
>------------------------------
>
>Date:    Sun, 7 Jul 1996 20:18:52 -0400
>From:    "Melissa J. Cosser" <[log in to unmask]>
>Subject: Fwd: Renewal of your subscription to the LACTNET list
>
>CONFIRM LACTNET
>---------------------
>Forwarded message:
>From:   [log in to unmask] (L-Soft list server at UMASS Medical Center
>Library (1.8b))
>To:     [log in to unmask] (Melissa J. Cosser)
>Date: 96-06-25 02:44:22 EDT
>
>Thu, 7 Feb 2036 01:56:54
>
>Your subscription to the LACTNET list is  due for renewal. If you wish to
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>-------------------------------------------------------------------------
>// JOB
>CONFIRM LACTNET
>// EOJ
>
>------------------------------
>
>End of LACTNET Digest - 6 Jul 1996 to 7 Jul 1996 - Special issue
>****************************************************************
>

Janice M. Riordan EdD, RN
Associate Professor of Nursing
Wichita State University
316-682-0744
Fax 316-682-0749

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