I am a new subscriber to Lactnet, and would appreciate a private message from someone explaining EZZO, also. I must've missed it before. Thanks. Jean ---------- From: Lactation Information and Discussion on behalf of Automatic digest processor Sent: Sunday, December 24, 1995 11:00 PM To: Recipients of LACTNET digests Subject: LACTNET Digest - 23 Dec 1995 to 24 Dec 1995 There are 8 messages totalling 249 lines in this issue. Topics of the day: 1. AOL problems. 2. Japanese info 3. delayed puberty 4. peace to all 5. EZZO 6. MERRY CHRISTMAS ALL 7. Flat nipples; help for hospital staff (long) 8. Web Page ---------------------------------------------------------------------- Date: Sun, 24 Dec 1995 09:35:10 -0500 From: Kathleen Bruce <[log in to unmask]> Subject: AOL problems. Jill, thanks for writing about AOL problems. Somehow, your mail should be able to be downloaded smoothly, and without grief. There are many aolers on Lactnet...and I sure that someone can email you privately about how to get this to be a less annoying problem. Hope that AOL can fix you up...and have a Happy Holiday everyone! Kathleen ----------------------------------------------------------------- Kathleen B. Bruce, BSN, IBCLC, LLL Leader Co-Owner Lactnet, LLLOL, Corgi-L E-mail lists LACTNET WWW site: http://www.mcs.com/~auerbach/lactation.html Remember: Jesus was a breastfeed ( on cue.) child.....!! Happy Holidays and Warm Wishes to you from the Bruces! ----------------------------------------------------------------- ------------------------------ Date: Sun, 24 Dec 1995 09:45:05 -0500 From: Jan Barger <[log in to unmask]> Subject: Re: Japanese info Nicki, There is a wonderful book out in Japanese, unfortuantely I can't give you the name of it -- but I do have a copy. Has great pictures and cartoons, and judging from what I can tell, the information is accurate. You can get it at a Japanese bookstore (there's one in Arlington Heights) where Bob picked up a copy for me. Demonstrates Japanese br. massage an all. If anyone speaks Japanese, I could fax/mail a copy of the cover of the book and if we got it translated into English, then we could tell our Japanese moms what book to purchase. Can't give it to them obviously, but we could suggest one that would be culturally appropriate for them, and as I said, it looks good. Jan B. ------------------------------ Date: Sun, 24 Dec 1995 09:34:52 -0800 From: Keith Palmer <[log in to unmask]> Subject: delayed puberty Good morning and one shopping day left. Tough cuz I just started YESTERDAY!! RE: breastfeeding, hormones, delayed puberty Been following these posts with interest. Have noticed that my two oldest ( boy=15 1/2 yrs and girl 13 11/12yrs ) are slow in maturing. No facial hair/voice changes/etc with son although he is tall (5' 10"). Some beginning signs of maturation on daughter but no period yet. All this is fine with me as life with teens is hard enough. Just as soon take it as slow as possible. #3 is 11 5/6 yrs and a bit faster in maturation altho nursed him longest?? True individuals. So. I'm hoping those with more information will continue to post. Also posted earlier that I would "research" Buddhism and breastfeeding. Have found a book by Jon Blofeld on "Kuan Yin". She would be something like the equivalent of a "most high Angel" or even another presentation of the Buddha. She represents Compassion; freely given, always, without reservation and in abundance. Her "temples" are usually near water and are frequented by all especially women. She is associated with fecundity and children in general. Will update as I read further, if people are interested. I must add, tho, that I am a beginner zen student and limited to my own level of understanding. Thank You Christine Palmer, Mill Valley CA ------------------------------ Date: Sun, 24 Dec 1995 22:19:50 -0500 From: Kathleen Bruce <[log in to unmask]> Subject: peace to all To my friends on Lactnet, May the peace of the season fill you and remain with you and yours for the New Year. Happy Holidays! Kathleen ----------------------------------------------------------------- Kathleen B. Bruce, BSN, IBCLC, LLL Leader Co-Owner Lactnet, LLLOL, Corgi-L E-mail lists LACTNET WWW site: http://www.mcs.com/~auerbach/lactation.html Remember: Jesus was a breastfeed ( on cue.) child.....!! Happy Holidays and Warm Wishes to you from the Bruces! ----------------------------------------------------------------- ------------------------------ Date: Sun, 24 Dec 1995 22:09:25 -0500 From: Jeffrey Fouche <[log in to unmask]> Subject: EZZO Pardon my ignorance, but will someone e-mail me privately and explain just what this EZZO stuff is all about!! Thanks! ~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^* Jeffrey S. Fouche, RN, BSN Assistant Director of Maternal/Child Services Breastfeeding Educator Barrow Medical Center Winder, GA [log in to unmask] Check out my Web Page: http://members.gnn.com/jsfouche/index.html Higher intelligence begins with breastfeeding! *~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~ ------------------------------ Date: Sun, 24 Dec 1995 22:14:36 -0500 From: pat Bull <[log in to unmask]> Subject: MERRY CHRISTMAS ALL To all you NETTERS!!!!!!!! Thinking about you all from cold Chicago this Christmas Eve night. I am grateful tonight for the lords creation of cabbage. I continue to "wear" cabbage to prevent my right eye from swelling shut along with the right side of my brain expanding beyong the skull. The celebration of the birth of Jesus is almost here, I think we all have our blessings. Take care all!!!!!!!!!! and talk to you again soon. Love, Pat Bull, RN, IBCLC/The Breastfeeding Connection ------------------------------ Date: Sun, 24 Dec 1995 22:38:47 -0500 From: "Becky Engel, RN, IBCLC" <[log in to unmask]> Subject: Flat nipples; help for hospital staff (long) Shirley, I was just thinking of writing a note to Lactnet about a mom with flat nipples. It is related to your case because I needed to offer interventions for other staff nurses. Although I am the lactation consultant, my primary job is as a staff nurse. I am budgeted for 8 hours a week for strictly lactation consultant time. I live close to the hospital and go in for short periods of time. I also frequently receive calls at home. This week, we had a mother with very large, soft breasts and flat, soft, small, inverted nipples. The baby was small and, due to maternal antibodies, was jaundiced. We work 12 hour shifts. At 7 a.m., the nurse reported that the baby couldn't latch on. She had tried to use a breast pump to pull the nipple out, but didn't have good results. The nurse had finally used a nipple shield and got the baby to latch on and reported that she nursed well. The phrase, nursed well, always makes me ill at ease. I've been charting the phrase, audible swallow, and have done short inservices and provided articles, but change is slow. The mother-baby pair were part of my assignment for the shift. Colostrum could easily be hand-expressed. However, the colostrum just sort of pooled in a little dimple of the mom's breast. The baby would latch onto the breast, but her mouth was far too small to compress the collection ducts. When the baby sucked on the silicon nipple shield, she did not stimulate the breast enough to obtain any colostrum. The baby sucked effectively enough at breast to obtain a supplement through a supplementing device. Since the mother's breasts could not be effectively stimulated by the baby, we ended up by having the mom put the baby to breast, then cup feed, and use an electric pump. When the mom developed a better milk ejection reflex, the baby received some milk at breast, but I expect that supplementation (preferably with mom's milk) will be necessary for awhile. (The jaundice makes adequate intake expecially important). I gave the mother my telephone numbers and will also follow up by calling her. (I gave her other resources, also) Now I'll finally put in my general recommendations to nursing staff. First, get the baby awake. Unwrap the kid, hold her upright. I tell moms that babies are sometimes like those dolls that open their eyes when you hold them up, and close them when they are lying down. Tell the baby (and mom) that babies eat better when their eyes are open. Show the mom how to stimulate the baby's lower lip to open the mouth and stick out the tongue. I also usually unwrap the blanket and try skin-to-skin contact of mom and baby. Next, get the mom in a comfortable, supported position. A lot of nurses don't think about using bedspreads as armrests for the mom. For a baby that doesn't stay on the breast, the football, crosshold, or sidelying positions allow the mother to keep the baby close, because there is more support of the head. One caution about the football or cross-hold is to avoid touching the occipital area (back) of the head. If the mother's hand is at the base of the head (top of the neck), she has good support, but won't be stimulating the baby to push away. Also, if it has been a traumatic delivery, the baby's occipital area may be tender and bruised. The most effective ways I have found to get nipples out are the use of a breast pump (we usually use a hand pump) or to make a "nipple puller" from a syringe (as illustrated in an article in an issue of the Journal of Human Lactation (that issue is at the hospital. Let me know if you haven't seen it and I'll find the reference). An even more important point is that most babies can latch onto flat nipples. I remind nurses and moms that they are BREASTfeeding, not nipplefeeding. The main problem in the hospital is that the baby won't wake up. People concentrate on the fact that mom's nipples don't look and feel like the rubber ones that can be forced into a baby's mouth. After the baby's mouth is open and the tongue is extended, make sure the baby is held close and the lips are everted. I do a lot of "flipping the lips" and gently pulling downward on the chin. If the baby has been sucking on a rubber nipple, it is quite possible that the lips are tucked in and the tongue is bunched up so that the baby is pushing the breast out of the mouth. It's nice to hear that the hospital nurses are interested enough to ask for suggestions. A big part of consulting for me is to praise the mother and praise the nurses. It can be so frustrating to get breastfeeding established and so nice when people can be persistent enough to get things working. That's enough writing. My husband wants the computer. Becky ------------------------------ Date: Sun, 24 Dec 1995 23:45:36 -0500 From: Jeffrey Fouche <[log in to unmask]> Subject: Web Page My Breastfeeding Web Page is at http://members.gnn.com/jsfouche/breastfeeding.html ~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^* Jeffrey S. Fouche, RN, BSN Assistant Director of Maternal/Child Services Breastfeeding Educator Barrow Medical Center Winder, GA [log in to unmask] Web Page: http://members.gnn.com/jsfouche/breastfeeding.html Higher intelligence begins with breastfeeding! *~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~^*~ ------------------------------ End of LACTNET Digest - 23 Dec 1995 to 24 Dec 1995 **************************************************