I have been using bee products (pollen, propolis, royal jelly) for some time
now and have seen no adverse effects. I believe that it behaves in the
system like a food supplement. There are many enzymes & minerals found in
it that are not readily available in large quantities in most of the food we
eat. Many people find an increase in energy and a stronger immune system are
some of the benefits of using the products. I've been very happy with it and
my breastfed babies have not shown any negative effects.
Lana Hergott
=========================================================================
Date: Tue, 21 Apr 1998 08:25:10 +0930
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Stephen David <[log in to unmask]>
Subject: Re: article in nurses lounge
MIME-Version: 1.0
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I agree with Jay. The article was probably put there by someone who is
feeling threatened by the 'new' (HA!) breastfeeding culture. Just take
it down. When I lived near a big supermarket who frequently had
'specials' on formula, I have been know to take all the 'special'
labels off the front of the shelves. Call me a zealot - fine by me.
Replace the article with Dr Jack's "How to tell if your health
professional is not supportive of breastfeeding" or the WABA
information or some of coach Smith's articles, you get the idea.... go
for it. If you put a new one there each week, someone may even read
them and become more informed.
Good Luck,
Querida
Querida David
Alyangula, NT. Australia
NMAA Counsellor, Editor 'Upfront'
NT Publications review team
Email: [log in to unmask]
=========================================================================
Date: Mon, 20 Apr 1998 19:49:57 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Victor <[log in to unmask]>
Subject: Meredith Small on FreshAire
Comments: To: [log in to unmask], [log in to unmask]
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Dear Everyone,
Meredith Small, pediatric anthropologist, is on FreshAire (on the radio) -
a talk show, promoting her new book "Our Babies, Ourselves"
She's wonderful! Makes me want to go out and get hold of a copy of this book.
Pro-breastfeeding, pro-family bed, and pro-attachment parenting and proud
of it!
There is probably a web site where you can here the interview. I think is
through PRI -Public Radio International. Very worthwhile.
Alicia, LLLL in the Bluegrass (Lexington, KY)
aka Post Poster and AS for Kentucky
and academic nomad
mailto:[log in to unmask]
=========================================================================
Date: Mon, 20 Apr 1998 19:51:35 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: newman <[log in to unmask]>
Subject: adrenal exhaustion
Comments: cc: cjg <[log in to unmask]>
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What on earth is adrenal exhaustion? I don't believe there is such a
diagnosis. I also don't believe that producing milk is tiring.
Taking care of children is tiring. Breastfeeding can be tiring. But
producing milk is no more tiring than producing insulin.
I would encourage her to nurse her baby and blame the fatigue on
something else.
Jack Newman, MD, FRCPC
=========================================================================
Date: Mon, 20 Apr 1998 20:09:06 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: CBrussel <[log in to unmask]>
Subject: conferences and travel thereunto
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today's local paper had a tip about a website where you can make a "bid" to
buy cheap airfare. it might be a good possibility for cheap rates to boca and
other locations. <A HREF="http://www.priceline.com/">PriceLine.com</A> is the
address (www.priceline.com) and it explains itself very clearly.
also, i know someone in the area near to boca who would make an excellent
babyminder/babysitter during the conference (older teen with babysitting
experience). i haven't talked to her yet about summer plans, but if anyone is
looking for some help while at the conference, please email me privately.
helen's report on the "cloned breast" is awfully ironic considering the
amazing amount of breast destruction surgery that goes on all the time
everywhere.
carol b.
=========================================================================
Date: Mon, 20 Apr 1998 20:08:47 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: T Pitman <[log in to unmask]>
Subject: article in nurses' lounge
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Okay, you guys are right. I should have torn down the "breastfeeding is too
tough and women are too evolved" article. I have printed out some of Dr.
Jack's articles and plan to sneak in and replace the offending article as
soon as I get a chance. Thanks!
=========================================================================
Date: Mon, 20 Apr 1998 17:21:14 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Catherine Watson Genna, IBCLC" <[log in to unmask]>
Subject: Re: speaking of allergies....
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Linda,
Ameda Egnell/Hollister makes a soft silicone insert for the pump shell,
called a flexishield. Perhaps inserting a flexishield into the breast
cup would allow this mom to pump without the dermatitis. They do fit in
Medela kits as well, but are a little long for Medela's nipple tunnel
which can necessitate tipping the kit periodically to allow the milk to
drain into the bottle. They work perfectly in the Ameda kits.
Hollister's 800 number in USA is 800 323-4060.
--
Catherine Watson Genna, IBCLC New York City mailto:[log in to unmask]
=========================================================================
Date: Mon, 20 Apr 1998 17:29:49 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Catherine Watson Genna, IBCLC" <[log in to unmask]>
Subject: Re: Speaking of allergies
MIME-Version: 1.0
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Pamela,
You are absolutely correct about thrush making skin "friable" (unusually
delicate).
--
Catherine Watson Genna, IBCLC New York City mailto:[log in to unmask]
=========================================================================
Date: Mon, 20 Apr 1998 20:23:33 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Lee-Ann Halbert <[log in to unmask]>
Subject: school experiment (long)
MIME-Version: 1.0
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Now that I'm nomail, it seems I have more posts...go figure. Anyway, my
10 year-old, fourth grade daughter is requesting some of your collective
wisdom. It's science experiment time again, and she'd like to do a
breastfeeding/breastmilk related experiment (okay, there was a small
suggestion from me). Anyway, to make it understandable, she has
developed a practical scenario that fourth graders can "relate" to:
three different babies are going to a shopping mall to spend a long day
with their parents/caregivers doing holiday shopping. My daughter would
like to culture the fluids fed to each of the babies during the time they
are out. Baby number 1 is a breastfed baby at the mall with his/her mom.
Therefore, the fluid to be cultured is freshly expressed breastmilk.
Baby 2 is out with the caregiver, and receives previously frozen
breastmilk in a bottle. Baby 3 is with her parents, and receives formula
that was mixed up at home, and brought to the mall. These hypothetical
babies will need to eat approximately 2 1/2 hours after reaching the
mall, and again 3 hours later (none of the babies are newborn). My
daughter has come up with 7 fluids to be cultured: one of freshly
expressed milk, one of previously expressed breastmilk thawed for 2 1/
hours, another after 5 1/2 hours (the first 2 1/ hours plus the next 3
hours), and a third that has milk left after drinking from the bottle
after the initial 2 1/ hours, and left to be fed after the 3 hours
period. Then, she will culture formula based on the same time schedule.
So, my questions are...does this sound like independent variables have
been controlled for? Do you have any simple suggestions to modify
(improve) this design? And, most importantly, is there anyone in the
Southern NJ area who has access to a lab where these fluids can be
cultured and later read? Also, a source of breastmilk is needed, but I
could probably find someone.
Thank you for reading this post...any and all help is appreciated. If
you have ideas, please email me privately, as I'm nomail, until I catch
up on my digests (they do build up).
Lee-Ann
=========================================================================
Date: Mon, 20 Apr 1998 21:02:41 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: BPhipps441 <[log in to unmask]>
Subject: Unsupportive employers
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I work at a WIC office, and had a mom come in today who's husband has left her
leaving mom high and dry and in need of employment fast. She was offered a
job at Walmart, and was told that it was not recommended she pump at work - in
other words, if you pump, you can't work here. Mom, needing a job badly, felt
she had to bow to the employer's request and get supplement for her baby. She
was very upset. She told her employer that she wanted to pump so that she
would not have to call in sick as much due to her infant's possible illnesses,
but this was not successful.
The supervisor/manager was a woman too!! No doubt she either has never had
children or has had a very unsuccessful experience of her own. This made me
so furious that I couldn't even see straight today. I feel like calling the
store and screaming at someone (of course, I won't be doing that!) - I really
do feel like calling the management of this supposedly family friendly company
and telling her a thing or two, but I'm fearful of hurting this mom's chances
at keeping a job right now. What would you all do?
Sometimes I feel like I spin my wheels all too often!
Brenda Phipps, BS, IBCLC
=========================================================================
Date: Mon, 20 Apr 1998 18:33:12 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Lorry L Watkins <[log in to unmask]>
Subject: adoption and breast feeding
Hello to all,
I know there are volumes of discussion on this topic but the archives and
I just don't seem to see eye to eye on searches. I keep getting "no
match". So if anyone has the time and energy to e-mail me privately I'd
really be in your debt !!!!!
I'm an RN,CBE with a hospital based practice, Mostly critical care of
newborns. We have a baby born prematurely (around 32 weeks) with
adoptive parents interested in breast feeding. The only info I have on
hand is a very rigid protocol including hormone patches ect. and of
course the info in BAB 97. This mom is not interested in hormones and
not thrilled with reglan at this time either. She began pumping with a
M* classic and a double kit last week and is doing as much skin to skin
as time and babes status allow. Any other thoughts? The other part of
this issue we've discussed is the use of a supplemental feeder. Again I
have very limited experience with these (our whole department is hospital
based people). Could someone post a pros and cons list comparing the
S-N-S with the lact-aid systems for me?? I do have full internet access
at work, are there web sites I should access to download info for these
parents??
Thank-you so much in advance. I have learned sooooo much from all of you
and share my learning as often as I can.
[log in to unmask]
Lorry in Denver where the spring weather is still changing
in 15 minute cycles!!!!
_____________________________________________________________________
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=========================================================================
Date: Mon, 20 Apr 1998 20:18:33 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Foretich <[log in to unmask]>
Subject: engorgement
MIME-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
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One of the lactation specialist for WIC in Mississippi has been working
with a client all day trying to relieve severe engorgment. Her baby was
born Friday and she didn't attempt breastfeeding until yesterday. (Hadn't
planned on breastfeeding until her milk came in and she was in alot of pain
and decided to let the baby nurse.) The LS has tried, cabbage, ice, warm
compresses, massage, and the use of an electric breastpump .... nothing ...
just some clear looking thick fluid on the end of the nipple and still very
tight breasts. The mom has gotten in a warm shower, had the LS massage
her back and place warm compresses between her shoulders while warm
compresses, massage and using an electric pump .... still nothing. Baby
attempts to latch, but pulls away in frustration. What else is there to
do? The mom is home so there is no opportunity for a pitocin injection.
Thanks for you help. camille foretich, IBCLC
=========================================================================
Date: Mon, 20 Apr 1998 15:25:33 -1000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Gloria Buoncristiano-Thai <[log in to unmask]>
Subject: Updates
I want to thank those again who responded to my queries last month.
Updates aren't very encouraging unfortunately.
First, Mom who was hospitalized with otitis media was finally given
"permission" to fly home and "immediately report" to the doctor upon
arrival! She was still pumping and dumping. UGH!
The mom with baby who hadn't gained in two months switched to abm. I
referred her to the nurse at the military hospital who is working with
breastfeeding moms. Mom was taken off fenugreek and blessed thistle and
put on reglan. Hospital staff are not comfortable with herbs. Reglan
took awhile to increase supply. After mom was taken off reglan, her
supply dropped. That is that! Clinic could do no more---don't know what
problem is. I talked with mom, she just wants to go with abm now and
comfort nurse. I praised her for her efforts and how great baby was able
to get breastmilk for about 4 months.
I am irritated at the course of action taken by the clinic, but it's as I
would expect. I am always hesitant in referring moms there, but when
they need more help then I can give, not much choice.
Thanks.
Aloha,
Gloria Thai LLLLeader Hawai'i
_____________________________________________________________________
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=========================================================================
Date: Mon, 20 Apr 1998 23:32:33 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Anne Merewood <[log in to unmask]>
Subject: discharge packs
Mime-Version: 1.0
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This is a big issue for our hospital also. Although we give free (but paid
for by us) formula to bottle feeding Moms on discharge, we do not give the
bags or the formula company blurbs. We are working hard on creating a
discharge pack which we are trying to have donated by local companies e.g.
the regional supermarket chain, containing items like diapers, bibs, baby
cream, juice for Mom - anything not related to bottle feeding products.
This is taking forever though.... anyone know whether any of the
non-formula companies - eg diaper cos. - do freebie gift packs? Our
hospital is inner city and our Moms are not well off. They really want
discharge packs (according to the nurses at least) because the more upscale
hospitals across town give them out (formula bags of course!) and our moms
"feel discriminated against" if they don't get them. I know, I know.... but
little things seems to mean a lot to some people.....
Anne Merewood
=========================================================================
Date: Mon, 20 Apr 1998 21:00:00 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: V_DERR_PNP <[log in to unmask]>
Subject: Clicking Sucking sounds?
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Greetings from sunny & warm southern California,
I am looking for your thoughts on a minor problem. Baby is 6 weeks old
and has been totally breastfed with no problems until about a week ago when
she started to make this sucking clicking sound while nursing. It starts
off fairly loud and then after ten minutes or so it will get quieter but
does not go away. Baby latches perfectly. Mother is not sore and nipples
look normal. Baby is gaining very well and has a very superior (fathers
words) stool and urine pattern. Mother does have loads of milk and if baby
is taken off before she is finished the milk will squirt across the room
and not stop until mother pushes into breast with her hand. I suggested
pumping prior to feeding to see if that helps and I promised I would ask my
fellow lacnutters what they thought of the situation. It doesn't seem to
be a problem for mother or baby at this point but I would appreciate your
thoughts.
Vivian Derr, NP
=========================================================================
Date: Mon, 20 Apr 1998 21:44:27 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Rick & Linda Rochon <[log in to unmask]>
Subject: Re: Mother w/diarrhea
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I found it very interesting that you noted a the effect of
oxytocin on bowels. 20+ years ago at the birth of my 3rd child,
I was given too much pitocin, this was in the days with the
tablets dissolving by your gums. I was induced for Dr
convenience. They kept shoving those tablets in my mouth, then I
needed to push, which they yelled at me about, on 3rd push, baby
was born in the bed. They immediatly had me spit out the
pitocin. I had the worst diarrhea with cramping when I nursed
for almost 2 weeks after the birth. I have always believed that
it was because of overdose of pitocin. The diarrhea cleared up
and nursing continued fine. Hopefully this mom can stick it
out. It will be worth it.
Is my theory possible? I'd be interested to know.
Linda
=========================================================================
Date: Mon, 20 Apr 1998 23:54:25 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Mary A. Banaszewski" <[log in to unmask]>
Subject: How has Lactnet been useful to you?
Comments: To: Kathleen Bruce <[log in to unmask]>
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Oh Kathleen, you have no idea. First, I just wish I could go to the ILCA
conference, but am so busy preparing for the exam in July, my first
grandchild (also in July), as well as trying to earn a living, I not only
cannot attend, I seldom have the time to respond to many of the Lactnet
postings that I find so applicable in my situation.
Typically, I work alone. My head nurse is very well informed and tries to
keep current with breastfeeding issues, but she has so many other issues to
deal with in our small hospital....still she is a support system for me,
but no one can compare to the support and guidance I receive from Lactnet.
To be specific: the information I obtained on hydrogel dressings to treat
excoriated nipples has helped 3 women reestablish a breastfeeding
relationship that was very important to them. The information on fenugreek
and oatmeal has helped at least 10 women increase a faltering milk supply.
Dr. Jack's suggestions for breast compression have helped me help
innumerable women get reluctant nursers to be more interested and effective
breastfeeding babies.
These are only the few I can pull off the top of my head. I routinely feel
guilty for not posting a "thank you" to everyone on Lactnet for the
incredible amount of information and experience that is put forth here.
Without it, I surely would have given up this wonderful task by now.
I've decided to post this to the list (as well as a private email), to
finally give that general THANK YOU to all who contribute the valuable
information that Lactnet provides. A special thanks to you "Kathys" as
well, for providing the means to share this information. Warmly, Mary Anne
B.
Mary A. Banaszewski, RN, Lactation Specialist
On April 19th Kathleen Bruce wrote:
> How many people would be interested in attending a brief ( 1 hour?)
Lactnet
> meeting at the ILCA conference?
>
> Email to [log in to unmask]
>
> Many thanks. Kathleen
>
> PS Additionally, If anyone has a particular time/situation/incidence in
> which Lactnet has helped them solve a clinical problem, or helped them in
> any way professionally or personally, I would love to know about these,
> please, by private e-mail to me. Thanks.
>
> Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
=========================================================================
Date: Tue, 21 Apr 1998 00:21:41 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Mary A. Banaszewski" <[log in to unmask]>
Subject: Re: Vitamin E
Comments: To: Richard Weston <[log in to unmask]>
MIME-Version: 1.0
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Don't see how it could hurt, especially if echinacea is also included to
boost the immune system. Several years ago I was advised to take vitamin E
twice daily to diminish the symptoms of fibrocystic breast disease, it has
helped remarkably. So why wouldn't it help with mastitis?
Mary Anne B.
----------
From: Richard Weston <[log in to unmask]>
To:
Subject: Vitamin E
Date: Monday, April 20, 1998 2:04 PM
Does anyone have any information about Vitamin E and reduction in Mastitis?
I was recently heard that maternal ingestion of vitamin E might affect
mastitis....? Any help would be appreciated.
Richard Weston
Medela Inc.
----------
=========================================================================
Date: Mon, 20 Apr 1998 22:33:10 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Brian Murphy <[log in to unmask]>
Subject: Jerry Springer
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My husband (who works at a casino) said that a very inebriated male =
customer was saying that a recent episode of Jerry Springer had the =
discussion topic: men who drink their wives breast milk. The man thought =
it was disgusting, so of course my husband said the positives of breast =
milk. Unfortunately, my husband did not ask any further questions. He =
knows by now how nosy I am and how many questions I ask! There must be =
at least one "closet" Jerry Springer watcher on this list of 2000 who =
can share the events of the show. Can't imagine what kind of a fight =
would ensue over men drinking breastmilk, not enough to go around =
perhaps?
I also told my husband he should have told them how good breastmilk =
tastes and he should know...Patty Murphy
=========================================================================
Date: Mon, 20 Apr 1998 20:47:30 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Terriann Shell <[log in to unmask]>
Subject: engorgement
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Don't forget the "oldie but goodie" remedy of leaning forward and
soaking for about 4 minutes in a basin of warm, salted water, then
lifting up and very lightly stroking from body to nipple followed by
gentle hand expression or pumping. Sometimes gentle stretching of the
nipple helps to elicit MER but can only be done if comfortable for the
mother (skin not stretched too tight).
This has worked many times when the mother could not get anything out
with ANY other method. Not sure why it works so well for the mothers who
tried this but could be the warmth, gravity, nerve stimulation, salt
(osmosis?)
Terriann Shell
=========================================================================
Date: Mon, 20 Apr 1998 22:55:46 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathleen Salisbury <[log in to unmask]>
Subject: How long to keep thawed and warmed EBM?
Hi Wise People,
A fellow Leader of mine who does not subscribe to Lactnet has the
following question. She is having difficulty finding the answer to this
question. All the usual LLL resources aren't turning up much of
anything. I tried to search the Lactnet archives on the Web but the
server was down (????)...here's the question:
> A mother wants to know how long EBM is good if it has been not
>only thawed but warmed. Does she need to throw it out if baby has not
>sucked on the bottle? Yes I've already mentioned that nursing is
easier
>than expressing and giving it in a bottle. This is for the "occasional
>bottle while traveling" her words. I figured it is better to answer the
>question than to go off on some lecture about the ease of nursing, etc,
>etc. Any thought would be welcome as I have not found any concrete
answers
>in the BAB. Her main question seems to be on the fact the bottle has
not
>only been thawed but warmed as well.
Thanks in advance!
Kathleen Salisbury ([log in to unmask])
LLL of Port Orchard (WA, USA)
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=========================================================================
Date: Tue, 21 Apr 1998 08:41:39 +0200
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jean Ridler <[log in to unmask]>
Subject: Re: Clicking Sucking sounds?
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Hullo Vivian and all
Greetings from Cape Town. I am one of only three IBCLCs in this
beautiful city and have been lurking and learning here on Lactnet for a
few weeks.
>Baby is 6 weeks old and has been totally breastfed with no problems
until >about a week ago when she started to make this clicking sound
while nursing.
"If it ain't broke, don't fix it." I had this situation with a 3
month-old baby. Baby was gaining well, mother did not have sore nipples
- so left it. Baby is now 2 years old, still Bf, normal weight etc.
The clicking did eventually stop, but can't remember when as we did not
consider this to be a "problem" in this particular case.
Regards
Jean Ridler
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adr;dom: 4 Crinum Road;;Bloubergrant;7441;South Africa;;
email;internet: [log in to unmask]
tel;home: +27 21 5572032
note:
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=========================================================================
Date: Tue, 21 Apr 1998 15:06:27 +0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: brian deans <[log in to unmask]>
Subject: "Rebirthing Bath"
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Hello group. This is my first time on Lactnet. I am a Child Health
Nurse/IBCLC working in Perth Western Australia. I read Marcia Fodge's
article on rebirthing bathing and thought I would bring to everyone's
attention a video called "Mandy & Matt" made by Heather Harris of Melbourne
Aust. This is an excellent video that depicts the strategy of co-bathing
mother and babe to "recreate " the birth experience to promote optimal
attachment at the breast. I have found this technique quite efeective. I
don't have the details of the video at hand as I have loaned it to a
colleague,but will pass it on when available.
Allergic Mother?
I could use some help with a case I am struggling with at present. A
motivated mum, passionate to breastfeed her 2nd baby and managing extremely
well through all kinds of interference. With her first babe, she struggled
to feed her for so long, coping with a very stressed baby who exhibited
constant signs of pain. There was maximum intervention by all sorts of
"medical" people that resulted in weaning and surprise surprise, no
resulting improvement anyway. This mum was greatly disappointed and angry.
Now with baby number 2, she is determined not to allow herself to
get swept on to the round-a-bout of helpful interventions. This time around
the baby is gaining very nicely, however the same terrible distress is
evident in the baby and as a result the rest of the family. The last time I
saw this mum she was accompanied by her mum and I asked about her own
experiences. Guess what, she had 6 babies, breast fed them all, and every
one of them screamed for the first 6-9 months. There is a long list of
allergies within the family including this mum. Her family is very
supportive and her determination is even stronger since her last attempt to
sort things out had her going backwards and her confidence shaken.She went
to a day stay unit at a local Mothercraft facility and was told her baby was
being overfed (by an LC-shame!) and that they would help her to regulate
feedings. 9 days later she came back to my clinic and I'm sure you all know
what I'm going to say! The baby had stopped gaining and the stressed
behaviour had escalated.
I am attempting to contact Maureen Minchin in Melbourne who is very
conversant with this kind of case but would appreciate any input re accurate
history taking etc.
Bobbie Deans RN RM CHN IBCLC
=========================================================================
Date: Tue, 21 Apr 1998 09:34:37 +1000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Johnston <[log in to unmask]>
Subject: Re: Breastfeeding Babies Growth Chart
Comments: To: Lonilu <[log in to unmask]>
MIME-Version: 1.0
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Loni asked
<Does anyone know where I can get a growth chart for breastfeeding babies? All
the ones our nursery has seen refer to the bottlefeeding baby.>
The one I use is from a WHO Nutrition Unit publication (1994) *An evaluation of Infant growth*
The Working Group on infant growth prepared the material for a meeting Physical status: the use and interpretation of anthropometry.
Joy Johnston
=========================================================================
Date: Mon, 20 Apr 1998 23:55:22 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Diane Wiessinger <[log in to unmask]>
Subject: "panic" attack?
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>I had a mother who is breastfeeding her 2 day old
> infant. she stated that she would probably start giving ABM by 4th day
> because of "panic" attacks that start when "my milk comes in". With
> previous infant, on the 4th day, she experienced a let-down and it made
> her"feet have to get up and go".
Is it too simplistic to teach this mom how to walk and nurse (preferably
one-handed) at the same time, and *let* her get up and go? Maybe if she
could walk, cook, dust, whatever, while she was nursing, she could work
thru these early hormonal glitches that some of us seem prone to?
Diane Wiessinger, MS, IBCLC, LLLL Ithaca, NY
=========================================================================
Date: Tue, 21 Apr 1998 07:55:46 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cindy <[log in to unmask]>
Organization: http://www.erols.com/cindyrn/
Subject: Re: engorgement
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> The mom is home so there is no opportunity for a pitocin injection.
> Thanks for you help. camille foretich, IBCLC
How does a pitocin injection help with engorgement?
Cindy
--
^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^
Cindy Curtis , RN, IBCLC ~ Virginia , USA
ICQ # 412812 mailto:[log in to unmask]
Benefits of Breastfeeding Home Page http://www.erols.com/cindyrn
=========================================================================
Date: Tue, 21 Apr 1998 07:02:15 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathy Dettwyler <[log in to unmask]>
Subject: WHO growth charts
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>
><Does anyone know where I can get a growth chart for breastfeeding babies? All
>the ones our nursery has seen refer to the bottlefeeding baby.>
>
>The one I use is from a WHO Nutrition Unit publication (1994) *An
evaluation of Infant growth*
>The Working Group on infant growth prepared the material for a meeting
Physical status: the use and interpretation of anthropometry.
At the risk of sounding like a BROKEN RECORD -- the 1994 charts from "An
Evaluation of Infant Growth" are clearly labelled as NOT BEING APPROPRIATE
for the evaluation of breastfed babies growth. They are based on a little
tiny sample and are for preliminary RESEARCH PURPOSES ONLY
Katherine A. Dettwyler, Ph.D.
=========================================================================
Date: Tue, 21 Apr 1998 08:06:26 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Margery Forrest <[log in to unmask]>
Subject: Babysitting for the ILCA conference
In-Reply-To: <[log in to unmask]>
MIME-Version: 1.0
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Hi everyone,
I'm back from being nomail over spring break. Virginia was BEAUTIFUL!!!
I hadn't realized it has been 18 years since I saw spring in all of it's
glory.
If anyone is hesitating about going to the ILCA conference due to small
children, my daughter and friends (ages 13 and up) will be available to
babysit as needed. Please let me know PRIVATELY if you have need of
one. We live near Boca Raton.
Margie Forrest, in WPB, FL, where we're already using the air conditioning
=========================================================================
Date: Tue, 21 Apr 1998 07:07:44 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "L. Dale Snow and Marcella Snow" <[log in to unmask]>
Organization: Snow Family of Ruston, Louisiana
Subject: Re: Unsupportive employers
Comments: To: [log in to unmask]
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Dear Brenda,
For the Mom who may be denied employment because she has to pump, you could try
getting a note from the pediatrician saying that she must breastfeed her baby. A
local pediatrician in my town, now deceased, would do that occasionally.
By all means share this occurance with New York Representative Carolyn Maloney, who
is proposing a bill for passage in Congress to support breastfeeding by new morther
and encourage employers to support workplace lactation programs.
Best wishes,
Marcella Snow, BSN, RN, IBCLC
> Subject: Unsupportive employers
> Date: Mon, 20 Apr 1998 21:02:41 EDT
> From: BPhipps441 <[log in to unmask]>
>
> I work at a WIC office, and had a mom come in today who's husband has left her
> leaving mom high and dry and in need of employment fast. She was offered a
> job at Walmart, and was told that it was not recommended she pump at work - in
> other words, if you pump, you can't work here. Mom, needing a job badly, felt
> she had to bow to the employer's request and get supplement for her baby. She
> was very upset. She told her employer that she wanted to pump so that she
> would not have to call in sick as much due to her infant's possible illnesses,
> but this was not successful.
>
> The supervisor/manager was a woman too!! No doubt she either has never had
> children or has had a very unsuccessful experience of her own. This made me
> so furious that I couldn't even see straight today. I feel like calling the
> store and screaming at someone (of course, I won't be doing that!) - I really
> do feel like calling the management of this supposedly family friendly company
> and telling her a thing or two, but I'm fearful of hurting this mom's chances
> at keeping a job right now. What would you all do?
>
> Sometimes I feel like I spin my wheels all too often!
>
> Brenda Phipps, BS, IBCLC
>
=========================================================================
Date: Tue, 21 Apr 1998 13:18:39 +0100
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Mary Broadfoot <[log in to unmask]>
Subject: Re: Clicking Sucking sounds?
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Purely anecdotally, my feeling is that the noises reflect the baby's coping
strategy for a plentiful supply and fast MER. Agree with 'if it ain't
broke, don't fix it' view........
=========================================================================
Date: Tue, 21 Apr 1998 08:37:23 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: T Pitman <[log in to unmask]>
Subject: Clicking sounds
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When you describe the way the mother's milk sprays if baby comes off the
breast, it makes me wonder if the "clicking" sound is just the baby gulping
or even gasping a little to cope with the rapid milk flow. I know I've heard
other noisy nursers when the mother had a very strong let-down. But if
everything is going well, I wouldn't do anything about it.
=========================================================================
Date: Tue, 21 Apr 1998 06:23:04 PDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Doraine Bailey <[log in to unmask]>
Subject: Lisa Mo, where are you???
Content-Type: text/plain
Dear Lisa Mo:
I need to send you Kentucky information on HR3531, but I don't have your
email to ask you privately. Please email me your snail mail so I can
get this to you. Thanks so much!
(And thanks to all you Lactnetters for putting up with this request).
--Doraine Bailey
Secretary
Kentuckiana Lactation Improvement Coalition
______________________________________________________
Get Your Private, Free Email at http://www.hotmail.com
=========================================================================
Date: Tue, 21 Apr 1998 23:21:18 +1000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jan Cornfoot <[log in to unmask]>
Subject: Mandy & Matt 'rebirthing video'
MIME-Version: 1.0
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Anyone interested in further details on this video, please email me
privately.
Jan Cornfoot
=========================================================================
Date: Tue, 21 Apr 1998 08:37:43 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "[log in to unmask]" <[log in to unmask]>
Subject: Re: engorgement
In-Reply-To: <[log in to unmask]>
Mime-Version: 1.0
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Terriann writes:
>Don't forget the "oldie but goodie" remedy of leaning forward and
>soaking for about 4 minutes in a basin of warm, salted water, then
>lifting up and very lightly stroking from body to nipple followed by
>gentle hand expression or pumping.
I find that Epsom Salts works better than plain salt if someone will get it
from the drug store. It is located in the first aid section. It aids in
the reduction of the swelling. Of course, if there is no ES, then plain
salt is used.
I also use cabbage leaves fully surrounding the breast between attempts at
pumping or feeding, with leaves changed when wilted or at each feeding. I
recommend ibuprofen accompanying the cabbage leaves. 400mg loading dose,
then 200 every 4 hours.
Patricia Gima, IBCLC
Milwaukee
mailto:[log in to unmask]
=========================================================================
Date: Tue, 21 Apr 1998 10:04:00 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "J. Rachael Hamlet & Duncan L. Cooper" <[log in to unmask]>
Subject: Re: Breastfeeding Babies Growth Chart
Comments: cc: [log in to unmask]
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Joy Johnston wrote:
> The one I use is from a WHO Nutrition Unit publication (1994) *An
> evaluation of Infant growth* The Working Group on infant growth
> prepared the material for a meeting Physical status: the use and
> interpretation of anthropometry. Joy Johnston
I have posted the charts (with disclaimers about the charts being
research findings that are not for clinical use) on the web at
<www.clark.net/pub/activist/bfpage/growth.html>
J. Rachael Hamlet
Author, The Breastfeeding Advocacy Page
http://www.clark.net/pub/activist/bfpage/bfpage.html
=========================================================================
Date: Tue, 21 Apr 1998 09:06:32 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Judith S. Schreiber, Ph.D." <[log in to unmask]>
Subject: VOCs in breastmilk
Mime-Version: 1.0
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In response to Judy Fran's question about artist's materials, the very
short answer is yes, volatile chemicals which the woman works with are
likely to volatilize to air and be inhaled; detectable amounts may be
present in her milk. The longer answer, however, is that the benefits of
breastmilk almost always exceed the small risks associated with chemical
exposure via milk. Once inhaled, the amount that may be present in her
breastmilk depends on a number of factors including % absorbed after
inhalation, lipophilicity (how fat soluble), amount present in air,
metabolism and other maternal/chemical factors. There are several good
references available: Dr. Ruth Lawrence's Review of Medical Benefits and
Contraindications to Breastfeeding in the US (Oct '97), Jeff Fisher's
article to which you refer in your note (send me your address and I'll send
you a copy), and a chapter I wrote entitled Transport of Organic Chemicals
to Breast Milk: Tetrachloroethene Case Study, which is published in
Environmental Toxicology and Pharmacology of Human Development, Taylor and
Francis, Publ. (1997).
I doubt you will find much on the acrylates,in particular, as they are
difficult to analyze in air and other media. However, my assessment of the
risks of chemicals in milk compared to the benefits of breastfeeding
indicates that it is almost always beneficial to breastfeed the infant. Of
course, minimizing the mom and child's exposure to VOCs is also
recommended. The artist should take care to have adequate ventilation in
her work area to keep airborne levels low, and to work under a fume hood if
possible. Dermal contact should also be kept to a minimum. The child
should be kept away from the work area, if possible. Direct inhalation of
chemicals by the infant provides a much greater exposure (probably 95%)
compared to levels that the child would ingest in breastmilk from the mom.
Any lactnetters interested in these references should send me their address
and I'll send copies of requested info. You can correspond via lactnet
or send a personal note to me at [log in to unmask] Judy Schreiber,
Ph.D., New York State Dept of Health.
=========================================================================
Date: Tue, 21 Apr 1998 11:30:53 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: SANDYARN <[log in to unmask]>
Subject: Re: Unsupportive Employment
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In a message dated 98-04-21 00:08:36 EDT, you write:
<< She was offered a job at Walmart, and was told that it was not recommended
she pump at work - in other words, if you pump, you can't work here. Mom,
needing a job badly, felt she had to bow to the employer's request and get
supplement for her baby. She was very upset. She told her employer that she
wanted to pump so that she would not have to call in sick as much due to her
infant's possible illnesses, but this was not successful. >>
I had a case similar to this, and the mom was returning to her job at the
American Red Cross chapter, locally. They said IF she HAD to do THAT, the
only place was the bathroom (closet size, no outlet), and she couldn't be
tying it up very long! I so desperately wanted to call them, but the mom
wouldn't give consent--she was afraid of losing her job. I armed her with
info, but she said the message from her supervisor was clear--and non-
negotiable. (Good thing they run a blood bank & not a human milk bank!
Ugh!).
These examples are all the more reason we need to support Rep. Maloney's
bill, and inform employers WHY they need to support BF.
Sandy Arnold BS, IBCLC
Indiana
=========================================================================
Date: Tue, 21 Apr 1998 12:11:57 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: CBrussel <[log in to unmask]>
Subject: article in lounge
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never sneak. and put your name and number on them with a message saying, any
questions? call me. and put lactnet's address on there. see? another good use
for those cards.
carol b.
=========================================================================
Date: Tue, 21 Apr 1998 13:56:49 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: MunchknLLL <[log in to unmask]>
Subject: Pitocin for engorgement
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Hi all,
Cindy was wondering about the use of pitocin for engorgement. At least in
pigs, if the engorgement results from an inhibited MER, then pitocin will
help. In All Creatures Great and Small (chapter 38) by James Herriot, he
relates the story of Mr Worley's sow Marigold who had seemed to have no milk
for her litter. Mr Herriot noticed that Marigold had milk, but something
seemed to be interfering with the let-down. James injected 3cc's of pitocin
and Mr Worley pronounced it a miracle when James was almost immediately able
to spray Marigold's finest against the piggery wall.
Warmly,
Carol Kelley, LLLL
Taylors SC
=========================================================================
Date: Tue, 21 Apr 1998 11:06:24 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Janet Simpson <[log in to unmask]>
Subject: calling Denise Hewson
Mime-Version: 1.0
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Hi All,
Denise, just wanted to thank you for your angel mail! Tried to send
privately, but my note keeps bouncing.
You're great!
Hugs,
Jay
Jay Simpson, CLE
Sacramento, CA
"No Miracles performed here, just a lot of love and hard work."
LACTNET Quilt Raffle Check out the web page then e-mail me at
[log in to unmask] for where to send for your tickets!
=========================================================================
Date: Tue, 21 Apr 1998 20:27:43 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Annelies Bon <[log in to unmask]>
Subject: chlorpromazine
In-Reply-To: <[log in to unmask]>
Mime-Version: 1.0
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chlorpromazine, is this reglan or domperidone? i'm having emailcontact with
a woman from Sweden who is wanting to nurse her soon to be adopted baby.
She heard about this drug and asks me what it is.
Annelies Bon
breastfeeding counsellor of the Dutch bf org "Borstvoeding Natuurlijk"
--
Annelies Bon http://utopia.knoware.nl/users/abon/bfbronnen.html
mother of Dirk 7yo, Tom 5yo, Pieter 2yo
mailto:[log in to unmask]
=========================================================================
Date: Tue, 21 Apr 1998 15:22:43 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cindy <[log in to unmask]>
Organization: http://www.erols.com/cindyrn/
Subject: Re: Pitocin for engorgement
Comments: cc: MunchknLLL <[log in to unmask]>
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Thanks for the explaniation, but is this practiced in humans?
Inquiring minds wnat to know ! Thanka again!
MunchknLLL wrote:
>
> Hi all,
>
> Cindy was wondering about the use of pitocin for engorgement. At least in
> pigs, if the engorgement results from an inhibited MER, then a shot of pitocin
> might help with the engorgement. In All Creatures Great and Small by James
> Herriot, he relates the story of Mr Worley's sow Marigold who seemed to have
> no milk for her litter. Mr Herriot gave Marigold an injection of pitocin when
> he noticed that Marigold had milk but something was interfering with the let-
> down. Mr Worley pronounced it a miracle when almosr immediately afterward
> James was able to spray Marigold's finest toward the piggery wall. The piglets
> caught right on and settled in for a long feed.
>
> Warmly,
> Carol Kelley, LLLL
> Taylors SC
--
^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^
Cindy Curtis , RN, IBCLC ~ Virginia , USA
ICQ # 412812 mailto:[log in to unmask]
Benefits of Breastfeeding Home Page http://www.erols.com/cindyrn
=========================================================================
Date: Tue, 21 Apr 1998 15:38:14 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Dr Julie Cold <[log in to unmask]>
Organization: Mercer University Southern School of Pharmacy
Subject: chlorpromazine
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> Hi Annelies,
Chlorpromazine is the generic name for the antipsychotic Thorazine (this is the brand
name in the United States).
Good luck with your mom,
Julie Cold Kissack, Pharm.D., Atlanta, GA
> ------------------------------------------------------------------------
>
> Subject: chlorpromazine
> Date: Tue, 21 Apr 1998 20:27:43 +0000
> From: Annelies Bon <[log in to unmask]>
>
> chlorpromazine, is this reglan or domperidone? i'm having emailcontact with
> a woman from Sweden who is wanting to nurse her soon to be adopted baby.
> She heard about this drug and asks me what it is.
>
> Annelies Bon
> breastfeeding counsellor of the Dutch bf org "Borstvoeding Natuurlijk"
>
> --
> Annelies Bon http://utopia.knoware.nl/users/abon/bfbronnen.html
> mother of Dirk 7yo, Tom 5yo, Pieter 2yo
> mailto:[log in to unmask]
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note: 3001 Mercer University Dr., Atlanta, GA 30341, office # 770 986-3208, pager # 404 225-2404, FAX 770 986-3384
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=========================================================================
Date: Wed, 4 Jul 1990 00:15:06 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: werrell <[log in to unmask]>
Subject: workplace exposure to asbestos
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Hello everyone,
I got a call from the big medical group here ( the first time) and am
trying to find the answer to a question for them. The patient is concerned
because her workplace, a restaurant, is undegoing renovations including
asbestos removal. She wants to know if there is any concern for her baby's
health. Common sense would assume that if the restaurant is being allowed
to stay open during the renovations that the health hazard would be small
and the risk of any chemicals in her milk would be very small. Does anyone
know specifically about asbestos exposure during lactation?
TIA,
Lori Werrell, BA, IBCLC
Leonardtown MD 20650
The outpatient lactation program I proposed for the local hospital starts
on Monday, wish me luck!!
=========================================================================
Date: Tue, 21 Apr 1998 16:33:50 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: newman <[log in to unmask]>
Subject: chlorpromazine
Comments: cc: Annelies Bon <[log in to unmask]>
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Chlorpromazine is a major tranquilizer and antipsychotic, the first of
this class, incidentally. It works to increase milk supply in the
same way as domperidone and metoclopramide. However, it has the
possibility of major side effects as well, and for that reason,
domperidone would be far better. Chlorpramazine is called Thorazine
in the US, Largactil in Canada.
Jack Newman, MD, FRCPC
=========================================================================
Date: Tue, 21 Apr 1998 22:46:13 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Annelies Bon <[log in to unmask]>
Subject: Re: chlorpromazine, is this reglan or domperidone?
Comments: cc: Karen Nelson <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
Mime-Version: 1.0
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My apologies, I should have looked further. I looked in Hale's MMM under
Reglan and Domperidone, bc I thougth it probably was another name for one
of these drugs. But I should have looked further. It's in Hale.
Chlorpromazine is a strong traquilizer, not real recommended for nursing
mothers. I wonder who told this women it is a galactagogue and a good drug
to induce lactation (the mother is adopting a baby).
Thanks Karen!
Annelies Bon
breastfeeding counsellor of the Dutch bf org "Borstvoeding Natuurlijk"
--
Annelies Bon http://utopia.knoware.nl/users/abon/bfbronnen.html
mother of Dirk 7yo, Tom 5yo, Pieter 2yo
mailto:[log in to unmask]
=========================================================================
Date: Tue, 21 Apr 1998 17:02:12 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Maurenne griese <[log in to unmask]>
Subject: HR3531 (Breastfeeding Bill)
Comments: To: lactivist <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
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I've received letters from both of our Senators in Kansas, Sam Brownback
and Pat Roberts. I haven't heard from my Congressman, Jim
Ryun. Both Senators Brownback and Roberts expressed their thanks in my
expressing my support of the bill. Both said it is still in the House
Committees on Education and Ways and Means (which I knew), but I feel like
I have planted the seed of support in their brains.
Maurenne Griese, RNC, BSN, CCE, CBE
Birth and Breastfeeding Resources http://www.childbirth.org/bbfr
Manhattan, KS USA
[log in to unmask]
=========================================================================
Date: Tue, 21 Apr 1998 17:17:28 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Karen <[log in to unmask]>
Subject: Multiple/Recurring Plugged Ducts
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
I hope someone can give me some pointers on this. It is a case where it
seems everything is being done right but these things just won't stop.
Here is some background:
- lumpiness covers about 1/3 - 1/2 of her breast usually starting at armpit
but sometimes on upper inside
- massages, applies heat/shower and has seen 2-3 strings of thick milk come
out as well as "pieces" of milk plugs
- lumps are painful enough to require mom take Tylenol and keep her from
sleeping well
- mom says breast feels like "hamburger patty" inside
- often feels as if fluid is backed up 2 inches above her breasts, very
painful swelling
- mom has been varying positions including upside down, side lying, cradle etc.
- this occurs on both sides alternately; just as she clears it up on one
side she gets it on the other
- has been a problem since baby was about 6-8 weeks, and he is 5 months now.
- mom must sleep on her back; side sleeping makes them come back faster
- moms must vigorously massage during feeds and in the shower etc.
- already wearing loose bras/clothing, usually removes shirt to avoid
bunching up
- mom's fluid intake is at least 60 oz a day, usually closer to 100 oz
- mom is on asthma meds: TheoDur 300mg 2x/day, Ventolin inhaler as needed,
and Azmacort inhaler 6 puffs 2x/day. (any connection to this? she was
wondering if asthma/mucus is a factor?)
(Interesting note, mom has started drinking one Coke a day since April 15
and says coincidentally (or not?) the lumps have gone down and she hasn't
had a problem with any getting hard/painful - What could be going on with
this? I would think coke/caffeine would make it worse if fibrocystic
breasts were part of this??)
Anyway sorry for the length, but does anyone have any suggestions? These
keep happening over and over and over. I did suggest lecithin, as
mentioned in the BAB but she is waiting to see if her one Coke a day theory
holds. (??)
Thanks in advance for any info!!!
Still in no-mail land so private CCs appreciated! (sorry!)
______________________________________
Karen
La Leche League Leader - Pesnacola, FL
mailto:[log in to unmask]
http://www.geocities.com/Heartland/2351
_______________________________________
=========================================================================
Date: Wed, 22 Apr 1998 00:57:45 +0200
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Pamela Morrison IBCLC <[log in to unmask]>
Subject: Chlorpromazine and generic names
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Annelies wrote, "chlorpromazine, is this reglan or domperidone?"
Chlorpromazine is the generic name for Largactil or Amazin; Reglan is the
brand name for metoclopramide; domperidone is the generic name for Motilium.
Confusing, isn't it? With all the different brand names that are used in
different countries, IMHO it would be nice if we could improve comms by
using generic names if we know them (perhaps in brackets after the Brand
name?)
Regarding the use of chlorpromazine as a galactogogue, there is quite a good
discussion on pp 412-3 of the Second Edition of "Breastfeeding, a Guide for
the Medical Profession" (sorry! I don't have the latest edition). However I
worked with a mom a couple of years ago who was diagnosed with puerperal
psychosis at 8 days post-partum. She was hospitalized and given extremely
large doses of IM chlorpromazine as a sedative. Whether the chlorpromazine
was a cause or not I don't know, but within 24 hours there was complete
lactation failure, one of the most dramatic things I have ever seen.
Consequently I would distrust the reliability of chlorpromazine to induce
lactation. In Zimbabwe sulpiride is used successfully to enhance/induce
lactation.
Pamela Morrison IBCLC, Zimbabwe
=========================================================================
Date: Wed, 22 Apr 1998 11:54:13 +1100
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Lisa Boisvert-Mackenzie <[log in to unmask]>
Subject: giftpacks
Comments: To: [log in to unmask]
Mime-version: 1.0
Content-type: text/plain; charset="us-ascii"
How about a foot stool and rocking chair for every nursing mother!
In the realm of practicality, the topic of postpartum freebies for clients
just came up on the midwife list. Here are some of the suggestions:
coupon for free issue of MOTHERING magazine
LLL has some super simple handouts
LLL meeting times/contact people
sample nursing pads from:
Johnson & Johnson
Consumer Products Inc
600 Industrial Ave
Paramus, NJ 07652-9688
or milk diapers from ? (I don't know who makes them but they are out there)
Free cotton diaper or coupon from local diaper service (in San Francisco,
the local diaper service has a newsletter)
Take out menus/coupons from local restaurants that prepare healthy foods to
go
Lovely birth certificate with foot printer (can be designed on computer or
available rom Cascade Birth supplies 1.800.443.9942
Wedela offers free samples 1.800.289.1969 of gentle non minerqal oil baby
care products
Lanisoh
Astroglide has free tubes of lubricating gel 1.800.325.56.95
Reality Condoms for women
Motherwear booklet/catalogue they have a 1.800. number
Local Natural Family Planning Educator card/brochure
knit baby caps from a local women's group/hospital group
Good luck!
Lisa Boisvert-Mackenzie, Midwife
East Caroline Islands, Pacific Ocean
[log in to unmask]
=========================================================================
Date: Tue, 21 Apr 1998 19:41:55 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Laurie L. Wheeler" <[log in to unmask]>
Subject: Re engorgement
You could check archives for info on the herbal remedy called rescue
remedy. Pat Gima has posted on this before about its use to facilitate
letdown I believe.
Laurie Wheeler, RN, MN, IBCLC
Louisiana Breastfeeding MediaWatch
Violet Louisiana USA
_____________________________________________________________________
You don't need to buy Internet access to use free Internet e-mail.
Get completely free e-mail from Juno at http://www.juno.com
Or call Juno at (800) 654-JUNO [654-5866]
=========================================================================
Date: Tue, 21 Apr 1998 21:24:55 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Rene R Fisher <[log in to unmask]>
Subject: hospital vent
MIME-Version: 1.0
Content-Transfer-Encoding: quoted-printable
Content-Type: text/plain; charset=ISO-8859-1
Hi all, I'm a league leader and a faithful lerker for months. bu=
t
now I have something I want to vent about. A mom called me who had her
baby at 9AM. Baby is 37 weeks and 6.5 lbs. Before delivery mom had mild=
flu. when the baby was born they took it to the nursery and told mom she=
could have no contact with the baby because she was contagious. She was
upset and wanted a pump to get things started. She was told she couldn'=
t
have the electric (M----a) pump because she would contaminate it!! At 8p=
m
they brought her a hand pump, with no instructions on what to do. She
called me in tears at 9pm, still not allowed to see her baby. I know thi=
s
mom from her previous breastfeeding experience and she calmed down after =
we
talked. She again asked, for the electric pump and this time she was to=
ld
that they didn't have all the parts. I offered to drive there and give h=
er
the parts if she could get the pump(all mine are out), but she couldn't. =
I
had her pump with the manual, I explained how long to pump and what to
expect and then told her about breast massage. I called this morning t=
o
speak with her and she said they were bringing in the baby, 28 hours afte=
r
the birth. He latched on great and nursed for an hour, thank goodness. =
But what is wrong with this picture? There was noone there to help her an=
d
give her the correct information and support. I spoke with her again and=
everything is working out well but she is still resentful about what
happened. OK, I feel better now that I've told everyone. =
I am taking the exam this year, just received my letter of appova=
l,
I am very excited but nervious. I'm going back to studying as soon as I
send this. thanks for listening.
Rene Fisher LLLL, DA
Middletown, NY
Mother of Reanna, Cyra, and Jerren
=========================================================================
Date: Tue, 21 Apr 1998 20:21:44 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "[log in to unmask]" <[log in to unmask]>
Subject: Re: Multiple/Recurring Plugged Ducts
In-Reply-To: <l0311070eb162d80361aa@[208.143.93.23]>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
>- mom's fluid intake is at least 60 oz a day, usually closer to 100 oz
>- mom is on asthma meds:
>(Interesting note, mom has started drinking one Coke a day since April 15
>and says coincidentally (or not?) the lumps have gone down and she hasn't
>had a problem with any getting hard/painful - What could be going on with
>this?
Why is she drinking so much water? Perhaps the Coke with the caffeine in
it is causing urination, which is ridding her of the excess liquid.
Patricia Gima, IBCLC
Milwaukee
mailto:[log in to unmask]
=========================================================================
Date: Tue, 21 Apr 1998 20:00:00 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jerry and Mary Grace Lanese <[log in to unmask]>
Subject: Normal BF frquency days one and two
MIME-version: 1.0
Content-type: MULTIPART/ALTERNATIVE;
BOUNDARY="Boundary_(ID_PgYKh54R3VQtwMw09vTKjg)"
This is a multi-part message in MIME format.
--Boundary_(ID_PgYKh54R3VQtwMw09vTKjg)
Content-type: text/plain; charset=iso-8859-1
Content-transfer-encoding: 7BIT
I am looking for any articles that document the frequncy of breastfeedings on the first and second day of life in normal, full term infants whose mothers were not medicated. Hope some one can be of help.
Thanks,
Mary Grace Lanese
--Boundary_(ID_PgYKh54R3VQtwMw09vTKjg)
Content-type: text/html; charset=iso-8859-1
Content-transfer-encoding: 7BIT
<!DOCTYPE HTML PUBLIC "-//W3C//DTD W3 HTML//EN">
<HTML>
<HEAD>
<META content=text/html;charset=iso-8859-1 http-equiv=Content-Type>
<META content='"MSHTML 4.71.2016.0"' name=GENERATOR>
</HEAD>
<BODY bgColor=#ffffff>
<DIV><FONT color=#000000 size=2>I am looking for any articles that document the
frequncy of breastfeedings on the first and second day of life in normal, full
term infants whose mothers were not medicated. Hope some one can be of
help.</FONT></DIV>
<DIV><FONT color=#000000 size=2>Thanks,</FONT></DIV>
<DIV><FONT color=#000000 size=2>Mary Grace
Lanese </FONT></DIV></BODY></HTML>
--Boundary_(ID_PgYKh54R3VQtwMw09vTKjg)--
=========================================================================
Date: Tue, 21 Apr 1998 21:33:45 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Pearl Shifer <[log in to unmask]>
Subject: Re: discharge packs
Can't you remove the formula from the bags and give them the bags with
some of your donated stuff ?
I don't think the moms would care, they pretty much want the bag,
although the current ones arent that pretty. The aqua ones were much
nicer....
Pearl Shifer, IBCLC
_____________________________________________________________________
You don't need to buy Internet access to use free Internet e-mail.
Get completely free e-mail from Juno at http://www.juno.com
Or call Juno at (800) 654-JUNO [654-5866]
=========================================================================
Date: Tue, 21 Apr 1998 20:45:13 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathleen Bruce <[log in to unmask]>
Subject: notes about Lactnet to me personally
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Please..do not send the "what I find useful about Lactnet " notes to the
list. Send them, if you would, to me personally, via email. I am collecting
people's responses to use in a talk I am going to give, and I have been very
appreciative of the responses so far, but do not wish to clutter the list
with this.
Many thanks. K
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
mailto:[log in to unmask]
LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
Emily's Mothering Project- http://together.net/~kbruce/proj.html
For LACTNET quilt raffle: http://together.net/~kbruce/kbblact.html
=========================================================================
Date: Tue, 21 Apr 1998 22:00:32 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: MunchknLLL <[log in to unmask]>
Subject: Pitocin for engorgement in women?
Comments: To: [log in to unmask]
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
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Cindy and all,
Cindy, you wanted to know if pitocin was ever used for engorgement in people.
It is not recommended in the BAB, but Ruth Lawrence does mention using
Syntocinon nasal spray in BF: A guide for the Medical Profession (p 252) as an
aid for an inhibited MER when all other measures fail. Dr Lawrence does not
suggest Syntocinon for engorgement though. Has anyone on Lactnet ever used
Syntocinon when the mom is really engorged and the milk just won't let down?
Wondering too,
Carol Kelley, LLLL
Taylors SC
=========================================================================
Date: Tue, 21 Apr 1998 21:02:55 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathleen Bruce <[log in to unmask]>
Subject: gift packs
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
I may be in the minority, but I find the idea of giftpaks superfluous. Where
else does one go in a hospital and get a gift? What do they give to people
on orthopedics? A bottle of calcium pills? It seems so ridiculous to me
when I really stop and think about it. Is there any other
department/specialty in a hospital where a patient who leaves gets a present
or gift?
How did this precedent get set to begin with?
Sigh.
Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
mailto:[log in to unmask]
LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
Emily's Mothering Project- http://together.net/~kbruce/proj.html
For LACTNET quilt raffle: http://together.net/~kbruce/kbblact.html
=========================================================================
Date: Tue, 21 Apr 1998 22:29:40 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: newman <[log in to unmask]>
Subject: asbestos
Comments: cc: werrell <[log in to unmask]>
MIME-Version: 1.0
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Asbestos fibers would be much to be to get into the blood stream or
into the milk. But don't assume that the fact that the restaurant is
remaining open means there is no danger to staff or patrons. Profit
always comes first.
Jack Newman, MD, FRCPC
=========================================================================
Date: Tue, 21 Apr 1998 22:33:20 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: newman <[log in to unmask]>
Subject: chlorpromazine
Comments: cc: Annelies Bon <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
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Chlorpromazine *is* a good galactologue, and could be used to induced
lactation. We used it in South Africa all the time to increase milk
production and it worked very well, in small doses (compared to doses
used for psychosis). The babies did not appear to be adversely
affected. But the risk of adverse side effects in the mother is
considerable, but still does not occur in the majority. And since
there are other, better and safer drugs, why use it for this reason?
Jack Newman, MD, FRCPC
=========================================================================
Date: Tue, 21 Apr 1998 22:57:39 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Anne Merewood <[log in to unmask]>
Subject: difficult patients
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Friends.. when you get a patient who is totally misinformed (read, the vast
majority of my patients) how do you handle it? I am not talking little
details here. I am talking total ignorance.
NICU Mom says her milk supply will be just fine thanks, because she is
engorged and look how much milk she has! No need to pump at home! Why, her
baby only weighs 2lb! SHe has enough milk for a month! [Two weeks later,
'milk dried up']
Or using a breast pump gave her aunt breast cancer. Or she intends to feed
baby mashed potato by bottle at 3 months (these are all real cases and not
unusual).
Do you come over all professional and try to impress her with your
knowledge? Or do you try gentle persuasion and counseling? I fear most of
my patients need a bash on the head, not gentle persuasion.
Sometimes I am at a complete loss. Suggestions?
Anne MErewood
=========================================================================
Date: Tue, 21 Apr 1998 23:50:49 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: LuvMySarah <[log in to unmask]>
Subject: A question to tax your brains!
Mime-Version: 1.0
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I have a question for this large, brilliant group! Has anyone ever heard of a
1 year old having an eating disorder, or a psychological problem with putting
anything (accept mom or a bottle containing mushed up food) in his mouth??? Im
beginning to think one of these is my little boy's problem! Now that I think
about it, he doesn't just refuse to put food in his mouth! He never chews on
anything! even when he is teething! He has never taken a paci, never used any
of the chew type teether toys, Im getting really nervous and even more
worried! Could my nursing him have something to do with this??? I know this
isn't a forum for personal questions, but you all are the most supportive amd
knowledgable group of people I know!!!!!! His weight has gone down steadily
from the 50% to now barely the 5th..He has ahd a bunch of labs and all were
fine. Please E Mail me privately..
Thank You all!
Kathy Rehmert, RN
Worried mom right now!