SET LACTNET NOMAIL. r that the WHO recommended a minimum of two years (that's called >skirting the question). And, I reminded her that (a) Amanda is HER baby, not >her mother-in-law's, and (b) the appropriate time for weaning is when both >she and Amanda are ready for it.... And, she went away, a happy, bf mother. > But, I don't think most women are ready for this -- and that is going to >take a major shift in our society's view of children, parenting, >relationships, commitment, birthing, breastfeeding, and the assumption that >physicians have all the answers to these issues. > >Being an LC requires some medical knowledge. It also requires a background >in many other disciplines -- psychology, sociology, counseling, parenting, >etc. etc. I don't think there is any one background that prepares one to >become an LC, though there are many that lend themselves beautifully to it. > The profession needs to have it's own field of study, just as other >professions do. At the moment, the educational system can't support it; >there aren't enough of us, or enough of us clamoring to get into the field. > And frankly, we are one profession that would like to work ourselves out of >a job. We don't want to have to be needed..... And, in an all perfect >world, we wouldn't be needed.... > >Enough for this morning.... > >Jan Barger > >------------------------------ > >Date: Thu, 28 Mar 1996 09:35:52 -0500 >From: pat Bull <[log in to unmask]> >Subject: BF and Corporations > >Alicia, > >An addition to your post on corporations and breastfeeding advantages- an >article that is available "Comparison of Maternal Absenteeism and Infant >Illness Rates Among Breast-feeding and Formula-feeding Women in Two >Corporations" by Rona Cohen, Marsha Mrtek, Rober Mrtek in "American Journal >of Health Promotion", Nov/Dec. 1995, Vol 10, No 2. Good stuff. E-mail me if >you would like a copy. > >Pat Bull,RN, IBCLC >The Breastfeeding Connection/Medela, Inc >Naperville, IL > >------------------------------ > >Date: Thu, 28 Mar 1996 09:00:34 -0600 >From: MaryAlice Phillips <[log in to unmask]> >Subject: chronic Hep.B > >Does anyone have a reference published after 1990 re: breastfeeding and mom >with chronic Hepatitis B? Mom is delivering at a military hospital in about >5 weeks and wants references. > >TIA, >Mary Alice Phillips > >------------------------------ > >Date: Thu, 28 Mar 1996 10:40:11 -0400 >From: P Wiggins <[log in to unmask]> >Subject: Soy formula > >Pat Bull and others, > >The New Zealand study said that a soy-formula fed baby gets 100 times the >amount of estrogen than a BF baby? The equivalent of several contraceptive >pills? > >What kind of major problems could this cause in the future of a child? Soy >formulas have always bothered me and 25% of formula fed infants are on it! >The components are too far removed from breast milk to even be comparable. >An IQ study on these children would be interesting.... I predict that soy >formula might very well be subject of the first lawsuit against formula >companies. What do you think? > >Pam Wiggins, IBCLC, Franklin, VA > >------------------------------ > >Date: Thu, 28 Mar 1996 17:45:40 +0200 >From: Lynn Enraght-Moony <[log in to unmask]> >Subject: WIC Proposals - please read! > >I have now actually been asked to submit a proposal to establish a non-profit >breastfeeding resource centre for training and peer counselling support! >Anyone able to send suggestions on proposals, PLEASE do so, as I need to >submit the proposal by April 15. I'd appreciate ANY info. URGENTLY. > >Thanks, Lynn >-- >Lynn Enraght-Moony [log in to unmask] >Phone: +27 11 782-4100 Fax: +27 11 888-1086 >Snail: P O Box 222, Auckland Park, Johannesburg, 2006, SOUTH AFRICA > >------------------------------ > >Date: Thu, 28 Mar 1996 10:43:11 -0500 >From: laura ehrenzeller <[log in to unmask]> >Subject: Health dept. > >Hi Pam, >I e-mailed you privately but I do feel that what you have to say about the >success of your health dept.'s bf program needs to be shared because we can >ALL benefit from your positive experience! I specifically am interested in >the 24 hour help line-is it volunteer or paid or combo of both? Where is >your health dept. and what is the size of the population that you serve? >Tell us more about the Community Advocacy Group-how did you advertise and >where did you glean such interest? Please tell all! I feel your experience >can be a great help to us all and may help us rejuvenate the excitement with >bf in our own health depts! > >Sincerely, >Laura H. Ehrenzeller > >------------------------------ > >Date: Thu, 28 Mar 1996 09:55:07 -0600 >From: Susan Horein <[log in to unmask]> >Subject: herpes I (simplex) on breast > >I am posting this for subscriber Ruth Sweet who is temporarily without a >computer. She requests a prompt response via email to [log in to unmask] >(in addition to posting replies). Thanks! > >Nursing child, 2.5 yrs old, male, with Herpes I (simplex) sore in mouth and >severe reaction (first time). Mother has developed a small lesion on her >breast which we believe needs treatment. What are recommended treatment >options? What are the consequences for future children? > > > >========================== >() Susan Horein () >() [log in to unmask] () >========================== > >------------------------------ > >Date: Thu, 28 Mar 1996 08:24:36 -0800 >From: Keith Palmer <[log in to unmask]> >Subject: tox screens > >I would like to hear about the tox screen/brstfdg policies in other >hospitals, especially those with high rate of drug use in their client >populations. > >Some staff members (LCs included) have been reexamining our guidelines for >tox screening and breastfeeding. Obviously, if a mother states she has >recently taken drugs, they are not allowed to breastfeed (in the hospital >where we can see them anyway). An ocassional mother will request to >pump/dump. This is done very rarely but it has happened with clear >guidelines for breastfeeding and follow-up after many sessions with social >services. > >Usually --- A mother with a drug history within one year of her delivery >has a tox screen upon admission. Also anyone with late prenatal care or >history of no shows for visits. The pediatricians are supposed to be >notified for orders for tox screens on the babies. Social service visits >the mom postpartum. Usually the results of tox screens drawn in >labor/delivery on the mother are back by discharge. The babies' screens >are usually pending but discharge is usually based upon mom's negative >screen. > >A positive screen on mom requires Child Protective Agency get involved with >more assessment. If the baby's screen is positive, the baby is put in >foster care. Much counseling and follow-up is done but I don't too much >about that because I just work in patient. > >This is how it is SUPPOSED to go. Sometimes the MD overlooks the drug >history or forgets to ask the questions regarding last use. Sometimes the >admitting nurse reads the history and does catch-up. Sometimes mom's tox >screen is drawn and sent but the baby is overlooked. Sometimes it doesn't >come to anyone's attention until the discharging PNP reads the history. >Then ensues uproar, of course. > >I don't know if this is a subject of interest to many on lactnet. Post by >private e-mail. > >Thank you, >Christine Palmer, Mill Valley CA > >------------------------------ > >Date: Thu, 28 Mar 1996 12:13:49 -0500 >From: "Judi Lauwers, BA, IBCLC" <[log in to unmask]> >Subject: Re: Breastfeeding after blood transfusion > >Dear Lactnetters, > >Here's a question that has me stumped. I'm hoping someone out there may have >some advice. > >A mom delivered twins, one vaginally and one by emergency cesarean. The mom >coded for four hours. She ended up receiving 19 units of blood. She is now >recovering and wants to breastfeed. The LC called me and asked if there >would be any concern about the safety of the blood, since there was so many >units. She called Tom Hale and agrees with you, Tom, that if proper >precautions are taken regarding Hepatitis B there shouldn't be any concern. I >told her I would certainly defer to your judgment on such an issue. She was >hoping to get a few additional opinions before advising that the mother >breastfeed. She has a concern about HIV as well. > >The mom is being cared for at St. Joseph's Health Care System in Albuquerque. > They are anxious to get feedback on this as quickly as possible. Please >e-mail them directly at: [log in to unmask] > >Thank you! > >Judi Lauwers >Breastfeeding Support Consultants > >------------------------------ > >Date: Thu, 28 Mar 1996 12:29:00 -0500 >From: Margery Wilson <[log in to unmask]> >Subject: tox screens -Reply > >I recall a presentation by Health Education Associates a few >years back (c. 1990?) where a study was presented that >indicated drug use and alcohol use affected 15% of our >maternal populations--across all class boundaries. (Cites >anyone?) This is something that I have pondered over the >years and which I think deserves more >discussion/awareness. > >I work in a population primarily of college educated, upper >middle class (and above) where *everybody knows* there is >no need to carefully question women prenatally. I recall that >the above mentioned study found that superficial questioning >(e.g., "Do you drink alcohol?") is not effective -- many women >who consume significant amounts of alcohol may believe >they don't, since they may perceive beer or wine as >innocuous or may have the sense that a "few" drinks per day >are within "normal" limits. If it is true that 15% of my >population is using drugs or alcohol I can assure you that >that 15% is going unscreened. For this population, ordering a >tox screen would likely cause a ruckus! > >One of my patients told me she had her first baby at a >hospital in Dublin where the maternity ward was sponsored >by the Guinness brewery. Moms were provided with free >beer. Anyone practicing in Dublin? Is this still the case? >(Has beer beat out the free abm? :-D ) I once had a physician >question my advice to a patient that 4 oz of wine per day was >"ok" (I never told her that -- thank heavens I documented the >data I shared with her!) The physician figured even 4 oz per >day was not ok for bf mom; others have no opinion/guidelines >at all. > >I will follow with interest the postings from those of you who >work in hospital settings where there is more awareness. >Also, I would welcome discussion in this forum of the >significance of drug use across our populations. > >Margery Wilson, IBCLC >probably an ostrich on this topic > >------------------------------ > >End of LACTNET Digest - 28 Mar 1996 - Special issue >*************************************************** > >