STOP SENDIND LACTNET... STOP I havew tried everything..NO lUCK STOP SENDING LACTNET.... P L E A S E On Sun, 24 Nov 1996 00:01:47 -0500 Automatic digest processor <[log in to unmask]> writes: > >------------------------------ > >Date: Sun, 24 Nov 1996 00:01:47 -0500 >Reply-To: Lactation Information and Discussion ><[log in to unmask]> >Sender: Lactation Information and Discussion ><[log in to unmask]> >From: Automatic digest processor <[log in to unmask]> >Subject: LACTNET Digest - 23 Nov 1996 >To: Recipients of LACTNET digests <[log in to unmask]> > >There are 16 messages totalling 369 lines in this issue. > >Topics of the day: > > 1. cross-nursing > 2. Mixing ABM and Breastmilk > 3. post discharge mother baby clinics > 4. EBM for jaundice > 5. lc help needed in Belgium > 6. Hepatitis C > 7. Neonatal Graves Disease > 8. recurrent mastitis (3) > 9. lead in breastmilk > 10. macho dad wants to buy formula for baby > 11. green stools > 12. Cross nursing > 13. lc needed in Belgium. > 14. Vigorous suctioning and a decrease in baby''s sucking > >To post to the subscribers of LACTNET, send your note to >[log in to unmask] >To change your subscription options as in those listed below, send >commands >in e-mail to: [log in to unmask] >Note that LISTSERV is a *computer program,* not a human, so don't add >punctu- >ation or words like "please." Here are some commonly-used *commands*: > To leave LACTNET, write: SIGNOFF LACTNET > To temporarily stop your subscription, write: SET LACTNET NOMAIL > For information on other commands, write: HELP > LACTNET WWW site: http://www.mcs.com/~auerbach/lactation.html > LACTNET archives on WWW: >http://library.ummed.edu/lsv/archives/lactnet.html > > > >------------------------------ > >Date: Sat, 23 Nov 1996 17:06:26 -0500 >From: "L. Jonathan Kramer, P.E." <[log in to unmask]> >Subject: Re: cross-nursing >MIME-Version: 1.0 >Content-Type: text/plain; charset="us-ascii" > >When we talk about cross-nursing, we should ask what the alternative >is. >If a mother can't nurse for some reason, I think cross-nursing is a >better >option than feeding donor or banked milk, since it satisfies the >baby's need >to suckle, and allows the nurser's breast to produce a specific immune >response when inoculated by the baby. Obviously, the mother needs to >be >confident of the health of the nurser, but I don't see this as >invalidating >it as >a resource. > >Christine Gauthier wrote: >> I always wondered what really is >>happening when a mother nurses non-twins. Does both babies get what >they >>need from the mom? Which baby controls the milk content? > >Milk content is controlled by time since the last delivery. If the >nurser has >been producing milk for months, her milk will be appropriate for an >older child. >For a neonate, this would not be optimal, but for a child more than a >month >old, it would make little difference. (The composition vs: time >graphs in >Riordan & Auerbach show composition essentially leveled off after 30 >days.) > >Jonathan > >------------------------------ > >Date: Sat, 23 Nov 1996 16:13:23 -0800 >From: Stephen Starr <[log in to unmask]> >Subject: Mixing ABM and Breastmilk >MIME-Version: 1.0 >Content-Type: text/plain; charset=us-ascii >Content-Transfer-Encoding: 7bit > >Sharon, I understood that you were not endorsing such claims, so I >hope I >did not offend you! I was reacting just to hearing that people are >still >making such claims. One of the reasons I did not get very far with >nursing my first adopted baby was that my sister-in-law had been told >at >LLL that even one bottle of formula would negate the benefits of >breastmilk so, when my body did not immediately respond with a huge >milk >supply, I gave up quite early. I did not learn until my second baby >how >much of a difference even a small amount of breastmilk could make. > >Now that it has been mentioned, I do remember hearing that mixing ABM >and >breastmilk together did something to the breastmilk. Since most >adopted >are supplemented at the breast, they do recieve the breastmilk and ABM >together. I really kind of doubt this claim. If it were true, I >don't >think it could be equally applied to every type of ABM, since there >are >so many. > >I too have wondered about the lactoferrin. One Meade Johnson rep once >told me that he recommended that breastfed babies who were >supplemented >with formula be given the lo-iron version, to avoid interferrence with >the absorption of iron from breastmilk. That made sense to me. I >have >mostly used either low-iron milk-based ABM, or made a formula based on >raw goat milk, which is not high in iron, but the only one of my >children >that has ever been anemic was the one who'd had surgery three times >and >was quite anemic by the time I got her. > >I am still looking for references to the research I spoke of. I know >that I have seen one that looked at otitis media and another that >looked >at NEC. I'll send them when I locate them! > >Thanks! > >Darillyn Starr > >------------------------------ > >Date: Sat, 23 Nov 1996 15:48:44 -0800 >From: "C. Ione Sims CNM/MSN/IBCLC" <[log in to unmask]> >Subject: post discharge mother baby clinics >MIME-Version: 1.0 >Content-Type: TEXT/PLAIN; charset=US-ASCII > >Dear cyber friends, > >I am looking for information on post discharge mother baby clinics. >How do >they work? Who staffs them? How do they sustain themselves financially >and >so on? I have been approached about the possibility of setting up >such a >clinic by someone but need more information. I am aware of the one at >Evergreen and am aware that it seems to have been very successful. I >will >try to contact someone from there. But the posting from Liz Cook made >me >wonder if others out there might have association or familiarity with >these type of clinics and might be able to provide me with info or >contacts with those working in such clinics. > >Please email me privately about this. I am NOMAIL for now on Lactnet >as I >am way behind on my mail and am in the process of starting a private >practice so am busier than ever at the moment. Thank you so much in >advance for any help. > >Ione Sims, CNM, ARNP, IBCLC >Community Nurse Midwife >[log in to unmask] > >------------------------------ > >Date: Sat, 23 Nov 1996 18:52:41 EST >From: Becky Krumwiede <[log in to unmask]> >Subject: Re: EBM for jaundice > >I read Katherine's post with interest and think she's on to something. > I don't >know that the bili has to be down to 10-12 to resume direct >breastfeeding but >would go more by baby's level of alertness. > >It always irritates me when I'm talking by phone to a mother whose >baby is >having serial bilirubins done because of high levels and the baby is >not being >weighed when in for the bili's. I run into some kids with bili's over >18 who >are good and alert, nursing up a storm and gaining weight--then you >know that >lack of intake is not influencing the bilirubin level. Then there are >others >with higher levels that are sleepier than the dickens that are not >feeding well, >not stooling well and not gaining weight. Those DEFINITELY benefit by >stuffing >them full of milk by whatever means is necessary, usually by bottle. >Ever try >to get sufficient amounts of milk into a lethargic jaundiced baby by >cup? Been >there, done that, not reasonable. > >I'd never really thought about it, but our temporarily bottle-fed >jaundiced >babies go back to the breast without a lot of trouble, also. Since >it's not >done with the alert kids, Katherine's explanation makes sense to >me--anecdotally, of course. :-) > >Becky Krumwiede, RN, IBCLC, hospital-based >Appleton, WI >[log in to unmask] or [log in to unmask] > >------------------------------ > >Date: Sat, 23 Nov 1996 17:59:05 -0600 >From: "Anne L. Varberg" <[log in to unmask]> >Subject: Re: lc help needed in Belgium > >Is this family using a hospital on the base or a Belgian hospital? If >a Belgian >hospital, it may be that the staff is Flemish speaking, not Dutch >(Nederlandse >(sp)), which may be important if you are looking for an appropriate >dictionaray >for translation purposes! If on base, well, if at SHAPE, hmm, maybe >the >hospital is staffed by the Dutch and not the US?? Don't know. I'd >love to hear >more about this! I lived in Brussels for 4 years during high school >and miss it >a lot! > >Anne in Mpls > >------------------------------ > >Date: Sat, 23 Nov 1996 16:07:36 -0800 >From: "Donna Zitzelberger BSN, CLE" <[log in to unmask]> >Subject: Hepatitis C >MIME-Version: 1.0 >Content-Type: text/plain; charset="us-ascii" > >Lacnetters, > > A fellow lactnetter sent me the file on Hep C, since it has >been >recently discussed. Oops - that was the week I didn't read LACTNET - >Shame >on me :) > > Donna Zitzelberger, RN BSN IBCLC > >------------------------------ > >Date: Sat, 23 Nov 1996 19:19:32 -0500 >From: Jack Newman <[log in to unmask]> >Subject: Neonatal Graves Disease >MIME-Version: 1.0 >Content-Type: text/plain; charset=us-ascii >Content-Transfer-Encoding: 7bit > >There should be no reason why a baby with neonatal grave's disease >should not be able to breastfeed. The reasons suggested have a >certain >intellectual attractiveness, but are invalid. Breastfeeding is too >important to contraindicate for theoretical reasons. > >Jack Newman, MD, FRCPC > >------------------------------ > >Date: Sat, 23 Nov 1996 19:21:11 -0500 >From: Sarah Barnett <[log in to unmask]> >Subject: Re: recurrent mastitis >MIME-Version: 1.0 >Content-Type: TEXT/PLAIN; charset=US-ASCII > >This week I read an interesting article >"Mastitis: infection or inflamation?" >By Sally Inch and Chloe Fisher >The Practitioner, Aug. 1996 >The basic thesis of the article is that sometimes antibiotics seem to >work because of their strong anti-inflamatory effects. They feel that >the inflamatory problem is due to insufficient drainage of the breast. >Treatment is to correct the poor feeding procedures that cause >blockage >and inflamation. > >On another related note- telling a marathoner not to run is sort of >like >telling a mother to wean for a minor problem. As the wife of a >marathoner I know the emotional toll that not running takes. I would >certainly work on different bras before suggesting no running. > >Sarah Friend Barnett LLLL, IBCLC >Bronx (New York City), NY - [log in to unmask] >" You are not obliged to finish the task, > neither are you free to neglect it." R. Tarfon > >------------------------------ > >Date: Fri, 22 Nov 1996 13:45:12 PST >From: Pearl Shifer <[log in to unmask]> >Subject: Re: lead in breastmilk > >Last week I posted a request for information on lead in breastmilk, >but >received no response. >I knew that if I tried the search engine for lactnet, I would get >hundreds of responses to the word "lead" but not necessarily re: lead >the heavy metal. Sure enough, that's what happened; I got a message >that >there were 1500 posts with "lead"; only the first 100 are listed, and >the >word lead did not refer to the metal... >Please, if anyone has a reference, please post. Thanks. > >Pearl Shifer, IBCLC > >------------------------------ > >Date: Sat, 23 Nov 1996 19:26:57 PST >From: Pearl Shifer <[log in to unmask]> >Subject: Re: macho dad wants to buy formula for baby > >I overheard this at the clinic the other day; a pregnant mom was >chatting >with a friend, and said (proudly) that the baby's father doesn't want >her >to participate in the WIC program; HE wants to buy the baby's milk! >Folks, I almost fell out of my chair. I know I've read something like >this in some of the anthropological looks at infant feeding practices >across the world. Idon't remember which country or province this was >(certainly not in NYC!) where the father proved his paternity by >providing the infant with tinned milk. >Where are we going and where have we been??? > >Pearl Shifer, IBCLC > >------------------------------ > >Date: Sat, 23 Nov 1996 19:31:57 -0500 >From: Jack Newman <[log in to unmask]> >Subject: recurrent mastitis >MIME-Version: 1.0 >Content-Type: text/plain; charset=us-ascii >Content-Transfer-Encoding: 7bit > >I do not know why the mother cannot breastfeed while taking >Azythromycin. It has low oral bioavailability (37%) which is >decreased >when taken with food, which the baby obviously is. Furthermore, after >a >dose of 500 mg, the maximum serum concentration is 0.4 micrograms/ml. >I >do not have information about the milk:plasm ratio, but I would guess >it >is not higher than 1. > > Other antibiotics which this mother could take are clindamycin >and >ciproflaxin. Though ciproflaxin is generally thought to be >contraindicated during breastfeeding, the articular damage story does >not seem to have panned out, and that was the main reason there was >concern. There are few if any antibiotics which are incompatible with >breastfeeding. Do not the mothers not get to make an informed choice, >even if there is some concern about the antibiotic (or any drug for >that >matter?). > > When mothers get recurrent mastitis, hard on the heels of a >previous >mastitis, without complete resolution, think breast abscess, which >would >present with a tender mass in the breast. The diagnosis is made by >aspiration of the mass. Treatment is by incision and drainage, and >breastfeeding does not have to stop. > > The mother undoubtedly has a yeast component to her problems. > >Hope this helps. > >Jack Newman, MD, FRCPC > >------------------------------ > >Date: Sat, 23 Nov 1996 19:35:54 -0500 >From: Jack Newman <[log in to unmask]> >Subject: green stools >MIME-Version: 1.0 >Content-Type: text/plain; charset=us-ascii >Content-Transfer-Encoding: 7bit > >I am responding to the question of the woman in Belgium whose baby has >green stools. My answer is "so what?" If the baby is thriving, and >is >a content, happy baby, why should anyone worry about green stools. >Why >would anyone admit the baby to the hospital, never mind do unnecessary >tests? > > This is not an infrequent problem. We treat the stools, we >treat the >test. We should treat the baby, not the stools. Tell the mother to >put >on sun glasses, and she won't see the colour of the baby's stools. >And >go back to breastfeeding. > >Jack Newman, MD, FRCPC > >------------------------------ > >Date: Sun, 24 Nov 1996 10:00:44 +0800 >From: Joy Anderson <[log in to unmask]> >Subject: Re: Cross nursing >MIME-Version: 1.0 >Content-Type: text/plain; charset="us-ascii" > >It seems that cross nursing is more common, even in Western countries, >than >most people realise. A couple of years back, there was a request in >the >NMAA Newsletter for letters from Members who had 'wet nursed' another >mother's baby, and it amazed me the number of replies that were >received. >It seems that, in Australia at least, it goes on, but normally no-one >talks >about it because it is not culturally (or socially) 'acceptable'. > >Joy Anderson IBCLC, NMAA Breastfeeding Counsellor >Perth, Western Australia >[log in to unmask] > >------------------------------ > >Date: Sat, 23 Nov 1996 21:02:22 -0500 >From: "Michele Riggs, LLL Leader" <[log in to unmask]> >Subject: Re: lc needed in Belgium. > >Hi ALL! >I'm a LLL Leader and private practice LC in South Carolina and soon >will be >traveling to France (specifically Clermont-Ferrond). I have relatives >in >Belgium that I will be visiting, but I won't be there until the mid >part of >February. I realize this mother needs help now, but I would be glad >to get >in touch with her if that's what she would like. Let me know if I can >help. > You can EMail me at LCMichele @aol.com. > >Michele Riggs BA, LLL, IBCLC. > >------------------------------ > >Date: Sat, 23 Nov 1996 21:55:07 -0500 >From: "Kathleen Bodden, RN, BScN, IBCLC" <[log in to unmask]> >Subject: Vigorous suctioning and a decrease in baby''s sucking > >Hi, First time for me to post! I'm a IBCLC working casually in two >clinics. > I have four boys, and all of them were breastfed. I would like to >know if >there is a reference that suggests vigorous suctioning of the infant >after >birth affects the baby's suck. I saw a baby today who was born at 4 >am the >day before and didn't suck effectively till about 2100 hours that >night. The >case room nurse had charted that the infant was mucusy and had been >suctioned >vigorously for large amounts on two occassions. Mom had an epidural. >I >remember hearing this mentioned at conferences, but I'm looking for a >reference that I can show to the resident on the postpartum floor. >Thanks. > >------------------------------ > >Date: Sat, 23 Nov 1996 21:18:32 -0600 >From: "Patricia Gima, IBCLC" <[log in to unmask]> >Subject: recurrent mastitis >MIME-Version: 1.0 >Content-Type: text/plain; charset="us-ascii" > >The massage therapists that I have talked to (women) say that any >nursing >mother is given a small pillow or rolled-up towel to put under the >breasts >because they all said that lying on lactating breasts while back work >is >being done can cause damage to breast tissue. I worked with a mother >who >had infections after two massages that were soooo painful to her >breasts. > >Patricia Gima, IBCLC >Milwaukee > >-------------------------------- >