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-----Original Message-----
From: Herzog, Kathryn D [mailto:[log in to unmask]]
Sent: Monday, March 13, 2006 10:36 AM
To: Adrian Capote (E-mail); Aimee and Fitz (E-mail); Amy (E-mail); Artie
Ray (E-mail); Big John (E-mail); Bill (E-mail); Christine Dehner
(E-mail); Dad (E-mail); Jenn Herzog (E-mail); Jimi Herzog (E-mail);
Katie (E-mail); Kekoa (E-mail); Kelly (E-mail); Laura (E-mail); Marianne
(E-mail); Rachel (E-mail); Sis Blanchard (E-mail)
Subject: FW: Jury Duty scam
FYI
_____
From: Debbie Evans
Sent: Thursday, March 09, 2006 9:13 AM
To: BRECSBS; Lois Cook
Subject: FW: Jury Duty scam
Check out the con below. Hopefully this won't happen to any of us.
Debbie
_____
Most of us take those summonses for jury duty seriously, but enough
people skip out on their civic duty, that a new and ominous kind of scam
has surfaced. Fall for it and your identity could be stolen, reports
CBS News.
In this con, someone calls pretending to be a court official who
threateningly says a warrant has been issued for your arrest because you
didn't show up for jury duty. The caller claims to be a jury
coordinator. If you protest that you never received a summons for jury
duty, the scammer asks you for your Social al Security number and date
of birth so he or she can verify the information and cancel the arrest
warrant. Sometimes they even ask for credit card numbers. Give out any
of this information and bingo! Your identity just got stolen. The scam
has been reported so far in 11 states, including Oklahoma , Illinois ,
and Colorado . This (scam) is particularly insidious because they use
intimidation over the phone to try and bully people into giving
information by pretending they're with the court system.
The FBI and the federal court system have issued nationwide alerts on
their websites, warning consumers about the fraud. Check it out here:
http://www.fbi.gov/pressrel/pressrel05/092805.htm
http://www.snopes.com/crime/fraud/juryduty.asp
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------=_NextPart_000_567e_c00_5b54--
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Date: Sat, 18 Mar 2006 14:59:25 +0000
Reply-To: Lactation Information and Discussion
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From: laurie wheeler <[log in to unmask]>
Subject: apologies for forward
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So sorry for sending a forward w/ attachment. It was meant for Larry, not
Lactnet, which are right next to each other in my contacts list. Apologies.
Laurie Wheeler, IBCLC, MN, RN
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Date: Sat, 18 Mar 2006 10:24:55 -0500
Reply-To: Lactation Information and Discussion
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From: =?windows-1252?Q?Leslie_Cree?= <[log in to unmask]>
Subject: "extended" breastfeeding
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Dear Marianna,
Welcome to the list and good luck. I, too, am preparing to take the exam.=
=20
There is information out there about extended breastfeeding, but mostly i=
t=20
is aimed at mother support and establishing that nursing past one or two=20=
is a normal thing to do. For science, you can look for studies done by K.=
=20
Dettweiler. They do not speak about US children and mothers specifically,=
=20
but it is a good place to start to establish the biological norm/necessit=
y=20
of breastfeeding past two years old. I nursed my daughter until she was 6=
=20
1/2 and my son until 4 1/2 (over three years tandem). You are welcome to=
=20
email me and pick my brain. I know of one person currently researching=20=
this area, but I think it is for a book, not a scientific study. If you=20=
like, I will put you in touch with her. You can also read some of the=20
parenting books by Dr. Sears and check out attachment parenting websites.=
=20
They are proponents of child-led weaning and have documented positive=20
behavioral outcomes in children who are allowed to wean when they are=20
ready, rather than forced into it too early in their development. I hope=20=
this information helps you.
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Date: Sat, 18 Mar 2006 07:59:51 -0800
Reply-To: Lactation Information and Discussion
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From: Jeanette Panchula <[log in to unmask]>
Subject: FW: The WHO "normal" NOT "breastfeeding" charts to be released
4/27!
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Lee,
My comments on "normal" not "breastfeeding" are NOT W . H . O . 's but my
own...trying to "Weissingerize" the charts - they were made with
exclusively breastfed babies in many different countries and cultures - so
that the argument that these were made with one ethnicity is eliminated.
They were also done in locations that were totally "food safe" - in other
words, these mothers and babies had no risk of malnutrition due to lack of
food. In the US it was done in affluent Davis, California - home of the
University of California at Davis.
My point on this "normal" charts is that it is what ALL babies should be
compared to - not just breastfed babies - if formula-fed babies gain weight
faster than these charts - this is a PROBLEM - because the NORM are these
charts.
Kay Dewey from UC Davis was the lead investigator here, and is in Geneva
now and will be preparing presentations to answer questions (which we HOPE
will come from reporters) on the differences in the two charts.
As none of us have seen it we may be assuming incorrectly that they will be
very different - but as a mother and grandmother of breastfed children whose
pediatricians always said our babies were small weight for height (too
light for their height) , I think that the 12 month point will be very
telling - that the old charts were trying to get children to gain too fast -
especially in the second 6 months. Perhaps one of the sources of current
obesity problems!
You are totally right in wanting to market them. Great idea about giving
out the charts for WBW - imagine that they are "breaking the code" every
time they use a [formula company] grid, so we would be following the theme
of the week AND distributing new information.
Jeanette Panchula, BSW, RN, PHN, IBCLC
California, USA
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Date: Sat, 18 Mar 2006 13:49:55 EST
Reply-To: Lactation Information and Discussion
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From: "Leanne Jewell, Rnc, Lcce, Facce" <[log in to unmask]>
Subject: Re: LACTNET Digest - 17 Mar 2006 (#2006-335)
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This response is for Royce and Trisha. Things are not always black and
white in OB.
As a LDRP nurse who labored and delivered many a trial of labor baby and
helped initiate breastfeeding, one needs to understand the conflict of having a
cesarean delivery versus a vaginal delivery with a repair of an
episioproctatomy type incision aka, repair of a 4th degree laceration (it extends through
the muscles into the rectal area and may eventually heal with a fistula or
other perianal issues.
Maternal pain in cesarean deliveries can be controlled with the addition of
Duramorph after the surgery and the use of Percocet and other analgesics.
Yes, this type of Mom has problems getting up and down, but our gal with the 4th
degree maybe so uncomfortable for weeks with the swelling in her perineum
and bum as well as the healing of the sutures. This poor lady will be given
Sitz baths that often promote further edema, Tucks, Epifoam and Anusol
preparations that are only topical. Her well meaning family members will encourage
soft poofy cushions under her tender tush that add increased pressure on the
suture repair. She will be taking Ibuprofen and Percocet or Tylenol #3 for
pain and then she will need to add stool softners or mineral oil to prevent
constipation. She will not sit pretty for more than a few minutes and so
breastfeeding will definitely be VERY UNCOMFORTABLE (not shouting). She will be
listing to one side and may try breastfeeding on her side, but she will have
far greater discomfort than a cesarean.
I am not a fan of elective cesareans but if she has had difficulties in
previous deliveries then this may be the solution for an easier healing and
better breastfeeding experience.
I work with a young woman who had such an experience with her first child;
she elected for a cesarean for her second delivery and breastfed longer and
more comfortably.
This young mother needs to consider her choices and options very carefully
and speak to more than one caregiver to very this other doctor's suggestion.
I see docs who embrace the elective section as quick and easy for
themselves,but they will not be doing the healing or breastfeeding.
Nice day in Miami.
Waiting on a "cool snap" to take us down to 70's
Leanne Jewell RNC, IBCLC, LCCE. FACCE
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Date: Sat, 18 Mar 2006 17:20:49 -0500
Reply-To: Lactation Information and Discussion
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From: Pat Young <[log in to unmask]>
Subject: Re: Fenugreek
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But giving the baby fenugreek tea is a lot different than what comes via
breastmilk, don't you think? Pat in SNJ
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Date: Sat, 18 Mar 2006 20:01:10 -0500
Reply-To: Lactation Information and Discussion
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From: =?windows-1252?Q?Marianna_Holland?= <[log in to unmask]>
Subject: Prolonged nursing
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I have received so many great responses. Thank you to all. I should=20
clarify that by "prolonged" I meant 2 or 3 years, or even beyond. I would=
=20
like to find some kind of research that might quantify the advantages. I=20=
am also a nursing mom, and would like to be able to show others research=20=
to help build up evidence-based practice.
~Thank you again for all your help.
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Date: Sun, 19 Mar 2006 12:08:39 +0800
Reply-To: Lactation Information and Discussion
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From: Del Smith <[log in to unmask]>
Subject: Re: Prolonged nursing
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Hi everyone,
I've just joined here (logic tells me I don't have time but will have to use
the delete button a lot more efficiently). I'm a volunteer breastfeeding
counsellor with the Australian Breastfeeding Association and have also begun
along the exciting road to the IBCLC exam. Many people have recommended
Lactnet to me over many years.
I am also an experienced longer term breastfeeder!! 3 12/ years with #1 and
5 years with #2. A discussion of longer term breastfeeding needs to be
considered from other angles of outcomes not just for the child and not just
for health - eg for mother, the community, economy, etc.
On the topic of breastfeeding beyond 1, 2, 3 years you may like to look at
Kate Mortensen's 2002 HOT TOPIC article now available FREE on the ABA
website http://www.breastfeeding.asn.au/bfinfo/sustained.html It has
references of research etc worth looking at if you are aiming to have
"evidence" for colleagues. Well done, every bit helps.
There is sure to be more recent research., books and presentations
available - perhaps others can suggest these.
regards,
Del
*~*~*~*~*~*~*~*~*~**~*~*~*~*~*~*~*~*~**~*~*~*~*~*~*~*~*~*
Del Smith
Group Leader and Breastfeeding Counsellor
Australian Breastfeeding Association www.breastfeeding.asn.au
----- Original Message -----
From: "Marianna Holland" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, March 19, 2006 9:01 AM
Subject: Prolonged nursing
I have received so many great responses. Thank you to all. I should
clarify that by "prolonged" I meant 2 or 3 years, or even beyond. I would
like to find some kind of research that might quantify the advantages. I
am also a nursing mom, and would like to be able to show others research
to help build up evidence-based practice.
~Thank you again for all your help.
***********************************************
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Date: Sun, 19 Mar 2006 00:44:33 -0500
Reply-To: Lactation Information and Discussion
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From: =?windows-1252?Q?Debra_Ray?= <[log in to unmask]>
Subject: Re: Breastmilk testing
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That is interesting. I think what would have happened in our place is jus=
t=20
as bad. They'd have put those kids on formula - no questions asked. I=20
agree though - the time, energy and expense would have been better spent=20=
on getting those babes nursing, getting mom's milk in quick and evaluatin=
g=20
why they were sent home feeding poorly. Why is that the first thing docs=
=20
seem to throw out as being "the problem" is nursing? Guess that's the 64=
=20
million dollar question in our profession. Deb
Debra Ray, RNC, IBCLC
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Date: Sun, 19 Mar 2006 00:49:34 -0500
Reply-To: Lactation Information and Discussion
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From: =?windows-1252?Q?Debra_Ray?= <[log in to unmask]>
Subject: Re: Call for presenters: conference on motherhood
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Naomi, could you resend the link or send it to me privately? I couldn't=20=
get this one to work. Thanks! Deb
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Date: Sun, 19 Mar 2006 00:59:35 -0500
Reply-To: Lactation Information and Discussion
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From: =?windows-1252?Q?Debra_Ray?= <[log in to unmask]>
Subject: Re: FW: The WHO "normal" NOT "breastfeeding" charts to be
released 4/27!
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Jeanette, I'm so glad this is coming! I too have a totally nursing=20
grandchild who is being reweighed in a few weeks. "Small for height" at 1=
2=20
months. I'm not stressed about it, but my daughter has a court date=20
coming up and we are afraid the father will bring this up. Moreover - jus=
t=20
one more way that nursing moms get "dinged" and have doubts placed in=20
their minds. Please keep me posted - we'd like to have these available in=
=20
our area. Debra Ray, RNC, IBCLC, Frankfort KY
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Date: Sun, 19 Mar 2006 17:26:22 +1100
Reply-To: Lactation Information and Discussion
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From: Karleen Gribble <[log in to unmask]>
Subject: Re: "Prolonged" breastfeeding
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Hi There,
There is some research that looks at the health impact of breastfeeding
beyond 1 year and yes, some studies have found that children who have been
weaned are more likely to be sick (and in a developing country context, more
likely to die). There has also found to be an impact on cognitive
development. The research looking at the health of mothers is quite
significant, especially when it comes to breast cancer and hip fracture,
women up to halve their risk of breast cancer by breastfeeding each of their
children for 2 years or more, women reduce their risk of hip fracture by 2/3
by breastfeeding each child for >1year.
As to other effects, I'm in the process of writing up my study of the
experiences of women and children of breastfeeding beyond 2 years...107
women, 114 children in the study. It's going to take me a while to get it
all done but I am picking away at it! I have already presented some of the
results in Australia and will be talking about the study at the NZLCA in
Christchurch in May! The study asked the children what they thought about
breastfeeding, as far as I am aware this is the first time that the opinion
of the actual breastfeeders has been considered.
Karleen Gribble
Australia
We know that nursing up to a year really helps mom and baby i=
> n=20
> so many ways. But how does it affect older children and moms? I was=20
> unable to find any studies in the US on the topic. Women here must=20
> be "closet nursing," or noone has decided to research it yet?
> Has anyone come across research that shows how prolonged breastfeeding=
> =20
> affects kids and their parents? I have only heard anecdotal evidence=20
> about this subject. I would love to hear what is happening in research=20=
>
> abroad as well.
>
> I can't wait to hear what you have to say. Thanks,=20
> A hopeful nursing student.=20
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Date: Sun, 19 Mar 2006 16:41:49 +1000
Reply-To: Lactation Information and Discussion
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From: Camilla McCauley <[log in to unmask]>
Subject: WHO Child Growth Standards
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Hi
This is the address to access further information about the soon to be
launched WHO Child Growth Standards.
<http://www.who.int/childgrowth/en> www.who.int/childgrowth/en
Kind Regards
Camilla McCauley IBCLC
Brisbane, Australia
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Date: Sun, 19 Mar 2006 10:03:54 +0200
Reply-To: Lactation Information and Discussion
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From: Wendy Blumfield <[log in to unmask]>
Subject: Fw: prolonged breastfeeding
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----- Original Message -----
From: Wendy Blumfield
I was very interested in the article from the Australian Breastfeeding Association and would really appreciate any other sources for the following problem. I have permission to post this.
A client is visiting me this week because she needs to present these findings on the benefits of prolonged breastfeeding to a family court.
She and her husband are in process of divorce. They have two older children who were breastfed until 3 and she is still feeding her youngest who is now two.
Although the toddler eats a healthy age-appropriate diet, he is still very happy to breastfeed a few times a day - when he is tired, waking up at night, coming home from the day-care centre etc.
The family court are negotiating visitation rights for the father on the basis of two nights a week and alternate weekends which sounds very fair. The last thing I want to do is to interfere in this.
However the mother fears that the divorce which is already a traumatic change in the child`s life makes it even more important that she continues breastfeeding longer to provide that stability. I also feel that the father`s rights are important and that his involvement in the children also provides stability.
This is something they have to sort out between them but she has asked me to provide evidence that it is beneficial physically and emotionally for the toddler to continue being breastfed.
Who said Solomon had an easy job?
Wendy Blumfield
NCT BFC
Israel Childbirth Education Centre
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Date: Sat, 18 Mar 2006 12:44:34 -0600
Reply-To: Lactation Information and Discussion
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From: Kathy Eng <[log in to unmask]>
Subject: becoming a lactation consultant
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I would like to suggest to all those interested in becoming a lactation
consultant, or even helping breastfeeding mothers on a different level,
please purchase and read THE BREASTFEEDING ANSWER BOOK as a starter
textbook. As you move up in knowledge, please purchase and read the
higher level textbooks. You can find these in many places, especially
the LLLI catalog under professional books. Hale's book is another "must
have."
Practical knowledge about how to do this job can be found in The
Lactation Consultant in Private Practice, even if one is working in a
hospital, there are still standards of practice that we all must follow.
Good information about the knowledge base an IBCLC needs is found on
www.iblce.org or www.ilca.org. Joining ILCA gives you the gift of
receiving the Journal of Human Lactation every other month and this will
help you keep up to date.
Kathy Eng, BSW, IBCLC
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Date: Sat, 18 Mar 2006 12:12:47 -0600
Reply-To: Lactation Information and Discussion
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From: Kathy Eng <[log in to unmask]>
Subject: Prolonged nursing
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The place to go to learn about long term nursing is La Leche League.
There might be something in their catalog, meaning book wise on nursing
past a year. I know their two magazines, NEW BEGINNINGS for mothers and
LEAVEN for Leaders have articles that consider nursing past a year as
normal. THE WOMANLY ART OF BREASTFEEDING has information on this, also
Dr. Sears' books will support it. Try the LLLI web site,
www.lalecheleague.org. Dr. Sears has a web site, too. Possibly the
Attachment Parenting movement has information like you are looking for.
But research wise, probably very very little.
Kathy Eng, BSW, IBCLC (Houston, TX)
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Date: Sun, 19 Mar 2006 12:16:14 +0200
Reply-To: Lactation Information and Discussion
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From: The Fogelmans <[log in to unmask]>
Subject: Re: How epidural drugs get into babies
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Hi Rachel,
Hello again from Israel.
First of all, thankyou for sending on my request to your friend. She got
back to me right away and did give me permission to quote her.
On a totally different subject. I was just rereading the following post
from you. I saved this to refer to while writing an article on getting off
to a good start while breastfeeding. This is the third article in a series
that I am writing for a local magazine. I am not very confident writing
about use of drugs during labor since its not something I understand so
well. (I just know that it is a bad thing) You wrote that drugs in the
maternal circulation CAN enter the baby's circulation. Does this mean that
they don't necessarily enter the baby's circulation? They only sometimes
do? If you have time, could you clarify this for me.
Thankyou very much,
Chayn
----- Original Message -----
From: "Rachel Myr" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, February 21, 2006 9:37 PM
Subject: How epidural drugs get into babies
> The epidural space is not a completely sequestered compartment in the
> mother's body. If it were, the epidural effects would be permanent. The
> drugs enter the maternal circulation and are metabolized, normally by the
> liver, and while in circulation can enter the fetal circulation as well.
> Some drugs are more rapidly metabolized than others, but all drugs are
> more
> rapidly metabolized by mother's liver than by the baby's. Any drugs still
> in the fetal circulation when the fetus turns into an infant with its own
> respiration and waste excretion, separate from mother's, will last as long
> as it takes for the baby to metabolize them.
> Also, some of the metabolites of analgesics are themselves analgesic in
> effect, and are longer lasting.
> Rachel Myr
> Kristiansand, Norway
>
> ***********************************************
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Date: Sun, 19 Mar 2006 22:00:50 +1100
Reply-To: Lactation Information and Discussion
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From: Karleen Gribble <[log in to unmask]>
Subject: Fw: prolonged breastfeeding
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Wendy,
I'm wondering what breastfeeding has to do with this?? Sounds like it would
be perfectly possible for the child to breastfeed while child is with her.
Who is saying that weaning is necessary or that it's not possible for a 2yo
to not breastfeed for a few days here or there??
Karleen Gribble
Australia
> A client is visiting me this week because she needs to present these
findings on the benefits of prolonged breastfeeding to a family court.
> The family court are negotiating visitation rights for the father on the
basis of two nights a week and alternate weekends which sounds very fair.
The last thing I want to do is to interfere in this.
> However the mother fears that the divorce which is already a traumatic
change in the child`s life makes it even more important that she continues
breastfeeding longer to provide that stability. I also feel that the
father`s rights are important and that his involvement in the children also
provides stability.
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Date: Sun, 19 Mar 2006 07:23:50 EST
Reply-To: Lactation Information and Discussion
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From: Nikki Lee <[log in to unmask]>
Subject: another way to use growth charts
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Dear Friends:
Whenever a mom brings her baby for a weight check at a birth center
where I work, or when I see a new mom in hospital, I record the weight on a
growth chart based on breastfed babies that I purchased from Health Education
Associates. That way, she has a record and she can bring it to her pediatrician
at the next visit and perhaps educate from the inside out.
Growth charts still need to be used sensibly. Some babies have to be at
the 2 percentile just as some have to be at the 98th!
warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct Faculty Union Institute and University
Film Reviews Editor, Journal of Human Lactation
www.breastfeedingalwaysbest.com
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Date: Sun, 19 Mar 2006 14:03:24 +0100
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From: Rachel Myr <[log in to unmask]>
Subject: The new WHO growth charts
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I am looking at the WHO website info at the URL Camilla McCauley so kindly
posted to the list, and under frequently asked questions there are only two.
When will the the new growth standards be released? And, will the standards
be applicable to all children?
The answer to the second question is, and I am quoting verbatim from the
website now,
The standards describe normal child growth from birth to five years under
optimal environmental conditions and can be applied to children everywhere,
regardless of ethnicity, socioeconomic status and type of feeding.
I gather from some of the posts in the last couple of days that there are
competing growth charts in use in the US. Correct me if I am mistaken.
Here, I expect the new charts to be put into use immediately. We have only
one kind of growth chart in use at the moment, and every child in the
country is tracked on them, through the well child care system. There are
no company logos on the growth charts nor on any of the forms used in the
health records in this system, but I have seen a wall calendar from a
manufacturer of baby food at my local well child clinic.
These charts do not purport to simply show how children grow on average.
Support was provided to mothers whose children were followed, to enable them
to breastfeed exclusively for 6 months, and the goal was to show how
children ought to grow under the best possible conditions. Instead of
children being compared to standards derived from a whole lot of haphazardly
nourished children, they will be compared to standards derived from ideal
normal nutrition, which starts with exclusive breastfeeding for 6 months.
I am hoping to learn about the different kinds of weaning foods that are
added in the different communitites in which data were gathered. Children
are supposed to get iron-fortified cereal here at 6 months. This is adhered
to without question by nearly all the families I know of, even recent
immigrants. Pretty much every product on the market has added sugar AND
powdered milk! Sort of like feeding them cake batter without the eggs. In
Denmark they get mashed potatoes first. I've heard that French children are
weaned right onto multiple course meals.
Rachel Myr
Kristiansand, Norway
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Date: Sun, 19 Mar 2006 15:48:29 +0200
Reply-To: Lactation Information and Discussion
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From: The Fogelmans <[log in to unmask]>
Subject: goofed again
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Hello Friends,
Once again I sent a letter to all of you that was only supposed to go to one of you - my letter to Rachel Myr about epidurals, though if anyone would like to answer my question I'd apprecaite it.
Someday I learn how to send my letters where they are supposed to go.
God Bless,
Chayn Fogelman IBCLC Israel
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Date: Sun, 19 Mar 2006 10:56:11 -0500
Reply-To: Lactation Information and Discussion
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From: =?ISO-8859-1?Q?Veronica_Tingzon?= <[log in to unmask]>
Subject: Unilateral engorgement at 5 weeks post-partum
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Hello Lactnetters,
I need your help. I have permission to post. Mom is 5 weeks post-partum.
Baby is going through a growth spurt. Mom is feeding from only one breast=
,
the right one. The left breast was fine until the initial engorgement.=20=
It swelled up, nothing came out no matter how much ice, massage, or pumpi=
ng
happened. The right breast, in turn, was free flowing. Her husband is a
doctor and is stumped with this. He ruled out gigantomastia, although, he=
is
not an expert.
Anyhow, she has gone on to breastfeed from the right side only since then=
.
After the initial engorgement, the left breast failed to produce almost
anything. Everything has been going fine until last night. She has been
feeding round the clock with her son's growth spurt. She woke up this
morning with severe engorgement in the right breast. She has tried icing,=
massaging and pumping to no releif. The milk is now not coming out and th=
e
engorgement is so severe and uncomfortable that it is even in her armpit =
and
in her back.
What to do? She has a call in to her ob/gyn, but it being Sunday and all.=
....
Her husband has no idea what is happening, and, as he is an anesthesiolog=
ist
, has never seen this before. She is very uncomfortable and freaking out
because she thinks the right breast will dry out just like the left one=20=
did when she went through the initial engorgement.
I thank you in advance for your wisdom, advice, and help.
Warmly,
Veronica Tingzon, IBCLC, RLC
Oceanside CA
www.theoriginalcomfortfood.com
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Date: Sun, 19 Mar 2006 08:21:54 -0800
Reply-To: Lactation Information and Discussion
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From: Jeanette Panchula <[log in to unmask]>
Subject: "Prolonged" breastfeeding
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As a La Leche League Leader in the early 80's we had so many "prolonged"
breastfeeders, that we created a parallel series of meetings to meet the
needs of those breastfeeding the older child - it was fun to do, and we
learned a LOT from these moms - we asked them to STILL COME to our regular
La Leche League group, as we needed them as role models for those who were
just starting out, but we felt we were not meeting their needs as their
questions were very different from "how to I position my baby?".
The first session was "what are the advantages of breastfeeding a
toddler/older child", the second on "overcoming difficulties of
breastfeeding a toddler/older child", the third was on dealing with a new
pregnancy, family dynamics, etc. and the fourth was on Nutrition and Weaning
(whether it was mother-led or child-led.
It was a great experience - I don't know if they were continued, as I moved
from the area to New Jersey...
Jeanette Panchula, BSW, RN, PHN, IBCLC
California, USA
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Date: Sun, 19 Mar 2006 18:04:17 +0100
Reply-To: Lactation Information and Discussion
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From: Rachel Myr <[log in to unmask]>
Subject: Nutritional importance of breastmilk in child's diet
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Thanks again to Camilla McCauley I found this document, freely accessible,
at the WHO website. It is called "Guiding principles for complementary
feeding of the breastfed child", written by Kathryn Dewey, and deals with
the breastfed child up to two years old. For anyone needing arguments in
discussions with the unenlightened who believe that breastmilk's properties
last for 6 months at most, after which the breastmilk becomes non-nutritious
at best and anti-nutritious at worst, this is the document you have been
waiting for.
http://whqlibdoc.who.int/paho/2004/a85622.pdf
I read the entire document without stopping, it was that good. Here's one
of the many gems: "Optimal complementary feeding depends not only on what is
fed, but also on how, when, where and by whom the child is fed." Beautiful
photos of breastfed children throughout make it a pleasure to look at too.
Rachel Myr
Kristiansand, Norway
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Date: Sun, 19 Mar 2006 22:47:46 +0100
Reply-To: Lactation Information and Discussion
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From: Lavinia Belli <[log in to unmask]>
Subject: Growth chart, the WHO study
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There is a very good video on the site -in English, French and Spanish- =
where the study=B4s methodology is presented. I really like the =
languange used and the fact that the charts will be used =
"prescriptively": This is the way a child with proper access to food =
SHOULD grow, where "proper access to food" means, breastfed as the =
golden standard....................finally.
...........here is the link to the video =
http://terrance.who.int/mediacentre/videos/who11621.wmv
Lavinia Belli, LLL, IBCLC
Norway
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Date: Sun, 19 Mar 2006 17:53:28 -0700
Reply-To: Lactation Information and Discussion
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From: Maureen Fjeld <[log in to unmask]>
Subject: WHO Growth Charts to be launched April 2006
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The standards will be launched on 27 April 2006 by the Queen of Norway.
The Web page provides considerable information on the new WHO Child =
Growth Standards http://www.who.int/childgrowth/en/.=20
As you will see the standards themselves are to be launched in April, =
and then you will be able to find them here, too.
Have fun exploring. For example, a very informative 29-minute =
documentary video - "A growth curve for the 21st century" - can be =
downloaded in English, French and Spanish by clicking on "The =
Multicentre Growth Reference Study" in the far left-hand column.
Maureen
Calgary, Alberta
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Date: Sun, 19 Mar 2006 19:58:48 -0500
Reply-To: Lactation Information and Discussion
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From: Karen Gromada <[log in to unmask]>
Subject: Re: "Prolonged" breastfeeding
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---- Marianna_Holland?= <[log in to unmask]> wrote:
> > I know that social perception, in the U.S., of nursing after one year pressures women to wean before then, even though WHO recommends nursing for longer. We know that nursing up to a year really helps mom and baby in so many ways. But how does it affect older children and moms?
Good luck with your studies. Here are some possible refs. Results related to research of other cultures may be applicable to infants in your/our culture. Dr. Jack Newman also has a fairly recent handout on this topic.
Bonyata K (2006). Breastfeeding benefits toddlers and young children...nutritionally, immunologically and psychologically. Available online: http://www.kellymom.com/bf/bfextended/ebf-benefits.html
Mandel D, Lubetzky R, Dollberg S, Barak S & Mimouni FB (2005). Fat and energy contents of expressed breast milk in prolonged lactation. Pediatrics, 116 (3), 432-435. Available online: http://pediatrics.aappublications.org/cgi/content/full/116/3/e432
Onyango AW, Receveur O & Esrey SA (2002). The contribution of breast milk to toddler diets in western Kenya. Bulletin of the World Health Organization, 80(4), 292-299. Available online: http://www.scielosp.org/pdf/bwho/v80n4/a06v80n4.pdf
Sayegh A, Dini EL, Holt RD & Bedi R (2005). Oral health, sociodemographic factors, dietary and oral hygiene practices in Jordanian children. Journal of Dentistry, 33(5), 379-388.
Stuart-Macadem P & Dettwyler KA (Eds.) (1995). Breastfeeding: Biocultural perspectives. NYC: Aldine de Gruyter, Inc.
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Date: Sun, 19 Mar 2006 20:33:44 -0500
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From: "Christine Erland RN.IBCLC" <[log in to unmask]>
Subject: Looking for Lactation Consultant
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I have a friend moving to the Czech Republic. She is pregnant
for the first time after 14 years of marriage, and really wants to
Breastfeed. Does anyone know of a Lactation Consultant in or
near Prague? Thanks . Chris Erland RN IBCLC
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Date: Sun, 19 Mar 2006 20:07:16 -0600
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From: David Sulman and Anne Altshuler <[log in to unmask]>
Subject: Extended Breastfeeding and Custody/Visitation Issues
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Wendy asked about a situation with a nursing 2 year old and visitation
issues.
A helpful resource on this issue can be found on the a Leche League web site
in the writings of the late Liz Baldwin, a lawyer who specialized in
breastfeeding issues.
Go to http://www.lalecheleague.org/LawMain.html
Scroll down to "Breastfeeding and Family Law" and also to "Extended
Breastfeeding."
You will find some good articles there. Liz worked with many families in
situations such as you describe, and has some very wise and helpful
suggestions for dealing with the courts in these situations.
Other books you might like to get are "How Weaning Happens" by Diane Bengson
and "Mothering Your Nursing Toddler" by Norma Jane Bumgarner, also available
through La Leche League.
Anne Altshuler, RN, MS, IBCLC and LLL Leader in Madison, WI, uSA
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Date: Mon, 20 Mar 2006 00:05:03 -0500
Reply-To: Lactation Information and Discussion
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From: Kermaline Cotterman <[log in to unmask]>
Subject: Leakage from piercing
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Debbie writes:
<I concur. I have never worked with a mother with pierced nipples that
had any milk supply issue except leaking. It is not like periareolar
surgeries that cut along the diameter of the areolar tissue, but a pierce
straight
through one side of the areola to the other.>
Which tunnels right into and through the lactiferous sinus area, or
subareolar
ducts, if you prefer the label, and punctures one or more of them, creatin=
g
a "surgical sinus-pathway" to the outside! The more leakage that occurs,
the more milk mother nature figures the baby is consuming, and so the more
that is produced! I once had an email discussion with a mother about such
a severe case. I am unable to find it in the lactnet archives, so I guess i=
t
must have been a private conversaion.
Jean
**************
K. Jean Cotterman RNC, IBCLC
Dayton, Ohio USA
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Date: Sun, 19 Mar 2006 23:00:16 -0800
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From: gonneke van veldhuizen <[log in to unmask]>
Subject: Re: "Prolonged" breastfeeding
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Jeanette Panchula <[log in to unmask]> wrote:
As a La Leche League Leader in the early 80's we had so many "prolonged"
breastfeeders, that we created a parallel series of meetings to meet the
needs of those breastfeeding the older child
***
In the Netherlands Area we still have several groups offering toddler meetings. I don't think they are as structured in themes as you describe, though.
Warmly greeting,
Gonneke,
IBCLC, LLLL, MOM in southern Netherlands
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Date: Sun, 19 Mar 2006 23:08:58 -0800
Reply-To: Lactation Information and Discussion
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From: gonneke van veldhuizen <[log in to unmask]>
Subject: Re: Unilateral engorgement at 5 weeks post-partum
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This (both the inital left side as in the current right side) sounds to my lay ears as water engorgement, not milk engorgement. She could try lymphe massage instead of breastfeeding massage. Lymphemassage goes in the opposite directions, following the lymphe pathways. Goal is to encourage fluids to move through the lymphesystem so it can be excreted via the normal routes.
Lymphe massage is done with two hands and firm (but not pauinfull) pressure towards the chestwall, the armpit and the neck.
Warmly greeting,
Gonneke,
IBCLC, LLLL, MOM
in southern Netherlands
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Date: Mon, 20 Mar 2006 08:36:47 EST
Reply-To: Lactation Information and Discussion
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I have testified both in court and in judges's chambers with families who
are trying to reach these types of issues. The best thing for the mother to do
is to write up an plan in which she shows that she is trying to reach an
agreement that is best for the baby and will attempt to meet the dad's and
baby's need for each other. It doesn't have to include overnight visits at first.
If they are living in the same town, maybe the dad would like to pick up the
baby when he gets off work, have dinner, playtime, bathtime, change the baby
into pajamas, and take him home for bedtime. Then have the baby for
alternating weekend days, holidays, etc and slowly work into longer periods and finally
overnight as the baby grows. The judge will appreciate the fact the mother
is flexible and will to meet dad's needs while ensuring the child's
developmental stage of independence is being acknowledged. Emphasize the fact that the
baby will be growing into overnight visits by the time he is 3-4 years old.
Mom may need to be willing to give up some holidays, so she can show how
willing she is to be flexible and include Dad in the baby's life.
Mom also needs to document ( through medical records, day care records,etc)
how much dad has been involved in this baby's life. Has dad taken off work to
go to the ped, drop off and pick up baby from day care, changed dipers,
bathed baby, taken baby in stroller, sling, etc? Does dad know what brand diapers
the baby wears, what tupe wipe, what is his favortie bath soap, favorite
foods, books, toys ? Those types of fact will show whether this is truly a father
wanting to remain in his child's life or just a power play.
These types of issues are never the "best' for baby but one parent has to be
willing to be the mature, responsible one looking out for the best interest
of the child. Mom can still breastfeed while she is with baby, and on weekend
days, maybe she can drive to dad's house, sit in the car and nurse one time
each day.
Her attorney also needs to ask the father's attorney to write a plan to
ensure the development of the baby is acknowledged, and breastfeeding is
protected until the baby is developmentally ready to be a bit more independent of
mom. Then compare the plans and work from there.
Barbara Whitehead, BS, IBCLC, RLC
eastern NC
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Date: Mon, 20 Mar 2006 10:13:30 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: =?windows-1252?Q?Katherine_Lilleskov?= <[log in to unmask]>
Subject: refrigerator to freezer time period
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Hi all,
I had a question from one of my mom's which I also have wondered about=
=20
myself. It seems so simple and yet I can't find any research on it. I=20
searched the LN archives and the only discussions I could find were old=20=
and with conflicting opinions. The question is: How long can breast milk=20=
be kept in the refrigerator before it is frozen? (Assuming a healthy term=
=20
infant) I do understand that bacterial counts in human milk have been see=
n=20
to drop in some samples, but am not totally reassured that the "use or=20=
freeze by" date should be 5-7 days. Has anyone seen any research on this?=
=20
Thanks
Kathy Lilleskov RN IBCLC
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Date: Mon, 20 Mar 2006 10:13:35 -0500
Reply-To: Lactation Information and Discussion
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From: Leslie Ashton <[log in to unmask]>
Organization: home
Subject: RNAO BFI resolution in Ontario
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Hi all,
Just wanted to bring you up-to-date with the BFI Resolution being =
brought to RNAO by CNIG, CHNIG and PedNIG at the AGM Friday April 28th.
The resolution and backgrounder were reviewed by the RNAO Resolution =
Committee mid-February and revisions were made in consultation with the =
committee. RNAO members will be receiving the resolutions but the =
backgrounder goes only to voting delegates.
CNIG developed a 1-page Summary of BFI based on the WHO/UNICEF and the =
Community Plan posted on the BCC website. The backgrounder was limited =
to one page - and we feel this specific info will be important to inform =
RNAO members about what BFI is in a concrete way.
These documents are now available for dissemination to your local =
networks, in addition to the excellent support letters from OPHA and BCC =
which will be helpful.
We are recommending that each of our IG executive members and any other =
RNAO member (some of you?) contact the RNAO chapter in their region and =
try to attend a meeting in March or April before the AGM. Chapter =
voting delegates will be directed by the discussion and input from their =
local executive and members. =20
Sending/bringing the Backgrounder (which only voting delegates will =
receive) and the BFI Summary and even the letters of support would be =
helpful. While we expect that most RNAO members are supportive of =
breastfeeding -- we are quite sure most will know little about what BFI =
is (the core of the resolution). =20
People may well be concerned about the process itself and what it means =
to organizations and citizens to have this implemented. It will be very =
helpful to know what questions or concerns will be raised at the AGM =
before the vote - please send us back any feedback you receive along =
these lines to better assist us with addressing these issues prior to =
the AGM.
We have developed a sample letter or e-mail that you can adapt to reach =
voting delegates and others. Please edit this to use locally and =
disseminate it to your local networks.
Members of the OBC and BCC will be at the AGM. This will be very =
helpful to provide informed and direct responses to technical questions =
about BFI but also for members to see the "face and voice" of the =
organizations named in the resolution.
The AGM will be at the Sheraton Parkway in Richmond Hill, Ontario. All =
attendees need to register beforehand (see www.rnao.org) for details.
We will stay in touch as we get closer to the date. Thanks for your =
practical and moral support on this. =20
You may also contact us directly at [log in to unmask] with feedback =
and/or to request any or all of the attachments outlined above.=20
If you would like to share this message with others, please do so.=20
Leslie Ashton, RN, BSc Policy & Political Action Network Officer
Nancy E. Watters RN, BScN, MScN President
Childbirth Nurses Interest Group - RNAO
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Date: Mon, 20 Mar 2006 11:36:17 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Kermaline Cotterman <[log in to unmask]>
Subject: Karleens's new article
Comments: cc: [log in to unmask]
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Karleen writes:
<The new open access International Breastfeeding Journal is up and running
and I'm very pleased that a review paper of mine that I wrote to answer the
question "Why on earth would you breastfeed an adopted child?" is included.
http://www.internationalbreastfeedingjournal.com I've wanted to write this
article for an long time and I hope it helps adoption and lactation
professionals to develop a greater understanding
of adoptive breastfeeding.>
Karleen, I am deeply impressed and moved by your article, and I recommend i=
t
to anyone who wants a more in-depth understanding of the emotiional
importance of breastfeeding in general, as well as particularly in adoptive
situations. Your references are stellar in supporting your conclusions.
I plan to supply a copy to each of my local adoption agencies to advance
their understanding of how breastfeeding may fit into adoption locally.
I am familiar with the general tone of your article because of my experienc=
e
35 years ago, after being biological parents 5 times, we adopted our sixth
child via closed adoption at the age of one month. I assumed that what I
knew about the physiology of breastfeeding would make it a simple task to
begin breastfeeding our very young baby because I was still nursing my 2 1/=
2
year old. Not so.
My experiences as an adoptive mother were very humbling, and remain so to
this day. As a maternal child health professional, at that time, I belonged
to our local adoption coalition, purportedly for the sake of improving
adoption awareness both in the general public, in people who were members o=
f
an adoption triad, and in the legislature in the importance of establishing
open adoption in our state.
I can see now that the group also served as an emotiional support group for
me. Our educational projects and excellent speakers and their books provide=
d
many then-new theories about the adoption triad that helped me to understan=
d
what was going on (and continues to this day to go on) in our own lives, an=
d
in the lives of so many other human beings.
I encourage all Lactnetters to read and make Karleen's article widely
available. I believe it has tremendous significance in our troubled world b=
y
offering a deeper understanding of the all-important process of emotional
attachment.
I even find that a simple statement on the growth of the practice
of adoptive nursiing can "prop up" the faltering confidence of a biological
mother in a non-breastfeeding friendly culture when she is having trouble
with establishing a supply and a breastfeeding relationship with her baby. =
I
try to let them know simply that the breasts of many adoptive mothers the
world over are demonstrating how dynamic the human female breast really is
in nurturing. This often inspires confidence in their own ability to
breastfeed, whether it be exclusively or partially.
Jean
****************
K. Jean Cotterman RNC, IBCLC
Dayton, OH USA
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Date: Mon, 20 Mar 2006 11:46:10 -0500
Reply-To: Lactation Information and Discussion
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From: Kathleen Bruce <[log in to unmask]>
Subject: Congratulations on the new journal
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This is the introductory letter regarding the new online breastfeeding
journal. Congratulations to those working on this. It is fantastic. I urge
you all to take a look. It is really marvelous, this piece of work.
http://www.internationalbreastfeedingjournal.com
Kathleen
Kathleen Bruce RN IBCLC
Independent consultant:
Lactation Resources of Vermont, Medela, Inc. Listowner Lactnet listserv
[log in to unmask]
Archives: http://peach.ease.lsoft.com/archives/lactnet.html
Editorial
.
International Breastfeeding Journal: Introducing a new journal
Lisa H Amir
International Breastfeeding Journal 2006, 1:1 doi:10.1186/1746-4358-1-1
Published 9 March 2006
Abstract (provisional)
International Breastfeeding Journal is a new open access peer-reviewed
journal with a multidisciplinary focus. The aim of International
Breastfeeding Journal is to contribute to understanding all aspects of
breastfeeding. Breastfeeding is recognized as an important public health
issue with enormous social and economic implications. In order to help women
breastfeed successfully there is a need to understand both the physiology of
lactation and the social and cultural context within which breastfeeding
occurs. International Breastfeeding Journal invites manuscripts from around
the world which address all of these aspects, including the impediments to
breastfeeding, the health effects of not breastfeeding for infants and their
mothers, and the management of breastfeeding problems.
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Date: Mon, 20 Mar 2006 11:46:15 -0500
Reply-To: Lactation Information and Discussion
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From: Karen Gromada <[log in to unmask]>
Subject: Re: Custody issues
Comments: cc: LACTNET automatic digest system <[log in to unmask]>
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---- Barbara Whitehead <[log in to unmask]> wrote:
> I have testified both in court and in judges's chambers with families who
> are trying to reach these types of issues. The best thing for the mother to do
> is to write up an plan in which she shows that she is trying to reach an
> agreement that is best for the baby and will attempt to meet the dad's and
> baby's need for each other... >>
Just want to second Barbara's recommendations. I've had similar experiences as an expert witness and agree completely with her.
A bit off-topic re: BF -- IMHO, the child shouldn't have to pack up and go to their different parent's homes. Too bad parents can't set up a single stable home for their child(ren) and then the allegedly more mature, adult parents pack and move back and forth re: "visitation." I get sick when I hear stories of all children must go through to have time with both parents.
Karen
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Date: Mon, 20 Mar 2006 12:57:14 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Mary Kay Smith <[log in to unmask]>
Subject: Breastfeeding Training for Med Students and Residents
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Several years ago, I remember reading something from Rebecca Saenz, MD
about the training sessions she does for med students. Is she still on
Lactnet? Did I get this from an ILCA conference? Can anyone else shed
some light on ideas for this?
Mary Kay Smith, RN, IBCLC
Canton MI USA
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Date: Mon, 20 Mar 2006 10:35:39 -0800
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Susan Johnson <[log in to unmask]>
Subject: "Prolonged" breastfeeding
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As with many things and many folks, longterm nursers
are hidden until you look in the right place.
I've been leading monthly discussions for mothers
nursing longterm since Jan 1993 through La Leche
League of Salt Lake. I see many mothers and children
nursing past 4, past 6, past 8. Twice so far
attendance has been close to 50 at a meeting. I
rarely meet closet nursers since, well, if they're
talking to me, there's no closet!
I think the biggest issue is with language, the tool
that opens and closes minds. I've yet to come up with
a great term for what these families are doing but
they'll tell you they're simply nursing -- and that
other families are prematurely weaning.
One of the many explanations for the lack of research
in this area is that the most important reasons to
nurse are the most difficult to measure.
Susan Johnson MFA, IBCLC
Salt Lake City, Utah USA
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Date: Mon, 20 Mar 2006 15:09:42 -0500
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<[log in to unmask]>
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From: =?windows-1252?Q?Karen_Nielsen?= <[log in to unmask]>
Subject: Re: Initiation of BF in a 43 yr old nullip
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Here is the protocols put forth by Newman and Goldfarb that may be helpfu=
l.
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Date: Mon, 20 Mar 2006 16:47:05 EST
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Judy Le Van Fram <[log in to unmask]>
Subject: International Breastfeeding Journal
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In a message dated 3/20/2006 11:39:22 A.M. Eastern Standard Time,
[log in to unmask] writes:
<The new open access International Breastfeeding Journal is up and running
I went to the site and it looks great. Any guidance on how to fill in the
required fields for title and organization, if one is "just" a private practice
IBCLC?
Thanks,
Judy
Judy LeVan Fram, PT, IBCLC, LLLL, Brooklyn, NY, USA
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Date: Tue, 21 Mar 2006 06:32:44 +0000
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Camille Edmunds <[log in to unmask]>
Subject: Raynaud's ? and pinched nipples
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I need help as I am at a brick wall. I have been working with a mom who came to me 10 days postpartum,about the begining of Feb. with stage 3 nipple trauma, very low milk supply, and baby not gaining weight. We have gotten baby's weight up with at first finger feeding and bottles as he was so slow finger feeding, mom's milk supply is back and can pump 3 to 4 ounces a time, nipples are finally healed took a very long time. She is still reporting pain with pumping. The only way mom can nurse is with a shield, otherwise it is too painful. I thought at first it was due to the severe nipple trauma.With the shield, baby sucks 3 to 4 times before a swallow. On the breast the baby sucks 1 to 2 times and swallows. He has been to the kinesiologist and jaw was adjusted, mom noticed that the baby could open his mouth wider after the visit, but he still pinches her breast. There is no frenulum to cut and no one here knows anything about posterior tongue tie. No matter what latch is used after about 3 to 4 sucks it hurts mom. I feel that we are stuck in that when SNS is stopped and mom uses the nipple shield baby loses weight, if nipple shield is not used nipples are tramatized. We have tried pulling down on chin ( something I do not like to do) when baby nurses but still a slight pain. My question is that we are fairly sure that Mom has Raynauds and we have just started to treat ( nipples hurt after pumping, nipples blanched after pumping, nipples sore after feeding with shield, going into the cold hurts her nipples even when she is dressed and she needs to wear a vest to keep her nipples warm.), would this contibute to a lack of elasticity of her nipples and the baby not able to keep the nipple pulled to the back of his mouth. I have not had such a difficult case for years!! Tonight dad yelled at me as he wants Mom to stop and she does not want to, and it is my fault because I am encouraging her--- that is a first for me after 20 years of consulting.
Thank God for this forum.
Camille
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Date: Tue, 21 Mar 2006 21:26:45 +1100
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Karleen Gribble <[log in to unmask]>
Subject: Re: Karleens's new article
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Thanks so much Jean.
I do think that we need to have a greater appreciation for the =
non-nutritional aspects of breastfeeding, adoptive breastfeeding just =
provides a model forlooking at the impact that breastfeeding can have. =
Looking at the extreme circumstances (like we learn from kangaroo care =
with premmies) helps us to understand the more subtle manifestations in =
"normal" situations. I think we are going to learn more and more how =
breastfeeding can assist vulnerable dyads like in cases of adoption but =
also where there is intergenerational relationship trauma for eg.=20
On the subject of adoptive breastfeeding. I still have the older =
adoptive breastfeeding study running...it's been over 4 years now that =
Darillyn and I have been collecting surveys and it would be lovely to =
finish that this year so if any of you have contact with women who have =
attempted to breastfeed a child 4 months or older at placement (whether =
successfully or not) please pass on my email address to them, I would =
love more participants in the study.
Karleen Gribble
Australia
PS. off topic here but I know we have a lot of midwives on the list that =
might be interested in the slideshow on brachial plexus injury at =
http://www.injurednewborn.com/bpivideo/manyfaces.wmv, my daughter has a =
moderately severe BPI.
----- Original Message -----=20
From: Kermaline Cotterman=20
To: Lactnet, Messages=20
Cc: [log in to unmask] ; [log in to unmask]
Sent: Tuesday, March 21, 2006 3:36 AM
Subject: Karleens's new article
Karleen, I am deeply impressed and moved by your article, and I =
recommend it to anyone who wants a more in-depth understanding of the =
emotiional importance of breastfeeding in general, as well as =
particularly in adoptive situations. Your references are stellar in =
supporting your conclusions.=20
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Date: Tue, 21 Mar 2006 08:06:34 -0500
Reply-To: Lactation Information and Discussion
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From: Jennifer Leaird <[log in to unmask]>
Subject: tongue tie 6 week old
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I'm working with a mom and baby who is 6 weeks old and tongue tied. The
baby has been to see an ENT and yes it is tight. He will only clip the
tongue under a general anesthetic. Dad is nervous about this as the the
baby is gaining leaps and bounds. The baby is having trouble staying on the
breast and is hurting mom. Mom just wants it done right away. I know
baby's that have been cliped without an anesthetic in the hospital before
discharge. I have known baby's that were cliped without within a few weeks.
My question is: At what age must it be done under a general anesthetic?
She has called other doc's in the area and they will only do it under a
general, this is without even seeing the baby, so I don't think it is a case
of needing anything more than a snip.
BTW my 13 year tongue tied son would like to be cliped and all these guys
want to do it under a general also, for $500 plus the cost of the hospital.
They will do my tongue for a mere $500 in the office though.
Jeni Leaird, IBCLC, LLLeader
W. Lafayette, IN
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Date: Tue, 21 Mar 2006 13:35:59 -0500
Reply-To: Lactation Information and Discussion
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From: =?windows-1252?Q?Vanessa_Zimprich?=
<[log in to unmask]>
Subject: breastfeeding in the workplace
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Hi. My name is Vanessa. I am a junior nursing student at the University=
=20
of North Dakota. This semester I am taking a childbearing/maternal healt=
h=20
class. I joined this listserv to gain a new experience and to learn more=
=20
about the current issues in breastfeeding.
=09My goal is to someday be an OB nurse, and breastfeeding is an area=20
that I have a special passion about. I have recently come to realize how=
=20
important it is for a breastfeeding mother to have her employers=92 suppo=
rt=20
in order to have a successful breastfeeding experience. I have done some=
=20
research about this subject.
=09A study was done by Ortiz, McGilligan, and Kelly (2004) to explore=20
the success of breastfeeding in working mothers who are enrolled in an=20=
employer-sponsored lactation program. These companies that employed the=20=
mothers provided education, private rooms for pumping, electric pumps, an=
d=20
insulated tote bags for the mothers. In this study, 97.5% of these=20
mothers left the hospital breastfeeding. At six months, 57.8% were still=
=20
breastfeeding, and at 1 year, 18.2% were (Ortiz, McGilligan, and Kelly).
=09Another study was done by Witters-Green (2003). This study=20
interviewed fourteen employers concerning their policies, attitudes, and=20=
beliefs regarding breastfeeding by their employees. Of these fourteen=20=
employers, none could name ways in which an employer/place of employment=20=
would benefit from a mother continuing to breastfeed her child after=20
returning to work (Witters-Green, 2003). Also, none of these employment=20=
sites had a policy about breastfeeding.
=09Brown, Poag, and Kasprzycki (2001) conducted an interview of large=20
and small employers regarding their attitudes and policies on=20
breastfeeding. In this study, ever participant recognized that breast=20=
milk is higher quality than formula, yet none of these companies had a=20=
breastfeeding policy. They simply handled the situations when they=20
presented themselves.
=09My biggest question is what is your experience with breastfeeding=20
policies in the workplace? Does your agency have a policy on=20
breastfeeding?
Thanks you,
Vanessa, SN
Brown, C., Poag, S., and Kasprzycki, C. (2001). J Hum Lact, 17(1), 39-46=
.
Ortiz, J., McGilligan, K., and Kelly, P. (2004). Duration of breast milk=
=20
expression among working mothers enrolled in an employer-
sponsored lactation program. Pediatric Nursing, 30(2), 111-119.
Witters-Green, R. (2003). Increasing breastfeeding rates in working=20
=09
=09Mothers. Journal of Collaborative Family HealthCare, 21(4), 415-
=09433.
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Date: Tue, 21 Mar 2006 12:11:40 -0700
Reply-To: Lactation Information and Discussion
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From: Brenda Phipps <[log in to unmask]>
Subject: Green milk, green stools
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Lots of info in the archives on green milk, but not exactly related to th=
e question I have.
I am working with a mom whose baby was hospitalized and received 10 days =
of antibiotics at 4 months of age for viral pneumonia. Shortly after this=
hospitalization, the baby began having diahrreah - has had it off and on=
for 2 months now, and constantly over the last 3 weeks. Unfortunately, d=
ue to this diahrreah, the baby had a huge workup at yet another 24-hour h=
ospital stay last week. During the lab workup, blood was found in the sto=
ol, and a sonogram ruled out any colon problems.=20
The Dr has put the mother on an elimination diet. She does not eat dairy,=
citrus, soy, coffee, and has tried to eliminate wheat (but says she is h=
aving a hard time completely eliminating the wheat).=20
Baby has been on probiotics for 3 weeks. Mom says that she began seeing t=
he stools turn green in color a few days ago, so she pumped her milk and =
found that her milk is green too! She says she was taking a new vitamin, =
but discontinued it one week ago, prior to seeing that her milk is green.=
She denies any consumption of green food in the last 24 hours.
Mom nurses throughly on one side at each feeding, and does not feel she h=
as oversupply, so I don't think this green stool and/or diahrreah is rela=
ted to foremilk/hindmilk issues.
I'd like to know if anyone knows if there is a connection between the gre=
en milk and green stools, and if I am missing something here that I could=
communicate to the physician. I know this is all rather complicated, but=
any feedback someone out there has for me in this situation would be mos=
t appreciated!
Thanks,
Brenda Phipps, BS, IBCLC
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Date: Tue, 21 Mar 2006 16:35:59 -0500
Reply-To: Lactation Information and Discussion
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From: Heidi Wilenius <[log in to unmask]>
Subject: Formaldehyde Exposure
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Dear Lactnetters -
I spoke with a mom on the phone (permission granted to post) who works in a
dialysis center 23 hrs/week (3 days). Her baby is 5 months old, and she
pumps in a conference room about 40 ft from the dialysis room. She is
concerned about the strong odors/vapors from the formaldehyde.
I looked this up in Hale and in the lactnet archives. While it is clear tha=
t
"mild to minimal" exposure is considered safe, I can not find a guideline
for what determines "mild to minimal." The only other posts I could find on
lactnet were either significantly less exposure (8 hrs/ wk) or significantl=
y
more (spilled formaldehyde).
The mom was quite clear that if it poses a risk to her baby she will find
another position; although she does not want to do this unnecessarily.
Any and all advice would be most appreciated.
Thank You.
Heidi Wilenius
Counselor, Family Breastfeeding Association
Trenton, NJ USA
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Date: Wed, 22 Mar 2006 00:56:05 +0200
Reply-To: Lactation Information and Discussion
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From: Wendy Blumfield <[log in to unmask]>
Subject: Fw: prolonged breastfeeding
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----- Original Message -----
From: Wendy Blumfield
Thanks to all of you who sent me links to research and comments for my client on prolonged breastfeeding. She has to negotiate with her husband in a family court this week on visitation. While trying to reinforce the importance of achieving a win-win situation so that the children will not be separated from either parent, there did seem to be a consensus that while the toddler is breastfeeding, it would be better for the father to have quality time with him during the day and not at night when he is more dependent on being with his mother.
Sometimes it is difficult to separate the role of breastfeeding counsellor from other family issues because I feel that if she can appear flexible and co-operative in the family court it will benefit her and the children while assuring the father that his rights are being considered fairly.
So thanks to all who sent me such valuable material and comments
Wendy Blumfield
NCT-BFC
Israel Childbirth Education Centre
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Date: Wed, 22 Mar 2006 12:09:58 +1100
Reply-To: Lactation Information and Discussion
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From: Nina Berry <[log in to unmask]>
Subject: Nestle Boycott and the Body Shop
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Hi all
It seems that IBFAN may add the body shop to the nestle boycott list, if a
proposed takeover goes ahead.
http://www.babymilkaction.org/press/press17march06.html
Let them know what you think
Nina Berry BA/Bed(Hons) Dip Arts(Phil)
Breastfeeding Counsellor
PhD Candidate
Centre for Health Behaviour and Communication Research
Faculty of Health
University of Wollongong - Australia
"Ethical Issues in the marketing of 'Toddler Milks'"
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Date: Tue, 21 Mar 2006 20:30:17 EST
Reply-To: Lactation Information and Discussion
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From: "Shannon Rittenhouse, LLL Leader" <[log in to unmask]>
Subject: Re: Green milk, green stools
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Personally, I've seen mothers have green milk after consuming foods and
beverages with large amounts of purple or red food dye. Baby also has green
stools, they are a different color green than we see with dairy allergy.
Brighter, sort of.
Examples of foods that might contain large enough amounts of these foods:
birthday cake with colored icing, gatorade or similar products, koolaid, some
soft drinks, some candies, jello. I'm sure there are plenty of others out
there.
Maybe the mother is consuming one or more of these?
Shannon Rittenhouse
LLL Leader
Registered Home Daycare Provider (who has cared for many breastfed infants,
and seen lots of different colors of milk!)
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Date: Tue, 21 Mar 2006 20:36:07 -0500
Reply-To: Lactation Information and Discussion
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From: =?windows-1252?Q?Rachel_Pfab?= <[log in to unmask]>
Subject: 6 week old tongue tie
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Perhaps it is time to try a new MD or Pediatric dentist. A child that ag=
e=20
does not need to go under general anest. Dentists perform a frenotomy in=
=20
their offices on adults all of the time with a local or nothing at all.=20=
=20
Clipping a tongue tie is really very simple. MDs think nothing of a=20
circumsion, but make a frenotmy seem like major surgery! There is not=20=
much nerve innervation under the tongue and if done correctly shouldn't=20=
bleed except for a drop.
Rachel Pfab RN, IBCLC
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Date: Tue, 21 Mar 2006 22:07:10 EST
Reply-To: Lactation Information and Discussion
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From: Chris Betzold <[log in to unmask]>
Subject: green stools with blood
Comments: cc: [log in to unmask]
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Try mom on Pancrease MT4 2 with meals and one with snacks bid. Chris
In a message dated 3/21/2006 5:11:13 PM Pacific Standard Time,
[log in to unmask] writes:
Christine Betzold NP IBCLC MSN
www.theBFclinic.com
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Date: Tue, 21 Mar 2006 22:08:29 EST
Reply-To: Lactation Information and Discussion
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From: Nikki Lee <[log in to unmask]>
Subject: mystery client.
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In a message dated 3/21/2006 8:11:13 PM Eastern Standard Time,
[log in to unmask] writes:
feel that we are stuck in that when SNS is stopped and mom uses the nipple
shield baby loses weight,
Dear Friends:
I am puzzled by a woman that can now pump 3-4 ounces a time, yet is
using a SNS.
I am willing to admit to missing the obvious here. Can someone please
point it out to me?
Omigosh.........you don't deserve to be yelled at. But the poor man must
be going nuts to with all this misery.
warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct Faculty Union Institute and University
Film Reviews Editor, Journal of Human Lactation
www.breastfeedingalwaysbest.com
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Date: Tue, 21 Mar 2006 22:34:26 -0500
Reply-To: Lactation Information and Discussion
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From: Ann Calandro <[log in to unmask]>
Subject: Leakage from piercing
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A few years ago I worked with a teenage mom who had barbell type pierced
nipples. The barbells were placed through the base of the nipples, and were
very thick. She removed the barbells after her baby was born in order to
breastfeed. However, there was a great deal of scar tissue blocking the base
of her nipples, and milk could not flow. She became severely engorged. We
did everything, cold packs, cabbage, massage, but no milk could escape past
the scarring. I have not seen this since then, but it is one case where
nipple piercing precluded successful breastfeeding.
Ann Calandro, RNC, IBCLC
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