Dear all,
I would like to know if anyone (with or without kids) would be interested in
sharing a room with me and possibly my one yr. old at Boca Raton Hotel at
ILCA conference. If interested, please e-mail me privately, thanks all.
Amy Ma, CLE
Redondo Beach, CA
Email: [log in to unmask]
=========================================================================
Date: Fri, 1 May 1998 16:05:08 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Bpalmerkc <[log in to unmask]>
Subject: Palmer - sorry for the odd figures in the last post
Mime-Version: 1.0
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I do not know why there was so much chatter in the last post - remove equal
signs and OAs and it should read better. The equal signs and number 93 and 94
were quotation marks. Typed in a word processor first and then pasted into
eMail program. Something didn't transfer well.
Brian Palmer
=========================================================================
Date: Fri, 1 May 1998 16:14:34 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Becky Krumwiede <[log in to unmask]>
Subject: Cleft palate booklet
MIME-Version: 1.0
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I went searching for a web site Kathy Dettwyler had referred to last May in
order to buy a booklet on breastfeeding and cleft palate. Apparently the
web site is newly up and running, and Jacalyn Miller asked if I would post
the URL for the group. It is for The Alberta Cleft Palate--Craniofacial
Foundation:
http://www.telusplanet.net/public/jgmiller/main.html
More info about this can be found in Kathy's original post of May 20, 1997,
with the subject Cleft Palate. The booklet sounds good, is cheap, and I
will be ordering it pronto.
Jacalyn also referred to another web site at http://www.widesmiles.org/
(WIDE SMILES: Cleft Lip and Palate Resource) that looks like it has a TON
of useful information.
Becky Krumwiede, RN, IBCLC, Appleton, Wisconsin
[log in to unmask] or [log in to unmask]
=========================================================================
Date: Fri, 1 May 1998 16:33:51 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: ANNOUNCING STUDY Expressing Breastmilk After Weaning
Mime-Version: 1.0
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Dr. Newman and I are still looking for participants for our study. If you can
forward this invitation to another list, please feel free to do so, and let me
know which ones.
Please notice that we have expanded the time period to include women who have
weaned within the last year and can still express breastmilk
.
Carol Brussel
VOLUNTEERS NEEDED
For a study to determine how long breastmilk can be expressed after weaning.
Women who expect to be finished breastfeeding their child within the next six
months are invited to respond.
Volunteers will be asked to answer questions about their breastfeeding
history, and to hand express breastmilk once a month until they are unable to
express milk for three months.
This study will be conducted by electronic mail by Dr. Jack Newman, M.D.,
F.R.C.P.C., and Carol Brussel. For further information contact Carol Brussel
at:
[log in to unmask]
=========================================================================
Date: Fri, 1 May 1998 15:54:58 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Lyla Wolfenstein <[log in to unmask]>
Subject: videos featuring african american women?
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
I just got a call from a woman (haven't spoken with her yet) asking if
there are any breastfeeding videos featuring african american women.
Anyone know of anything that fits the bill? I assume she is a health care
provider working with pregnant african american women . ..
Lyla W.
La Leche League Leader - Oakland/Berkeley
[log in to unmask]
=========================================================================
Date: Fri, 1 May 1998 19:22:50 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: CarolRNLC <[log in to unmask]>
Subject: Re: Red Lactnets
Mime-Version: 1.0
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Hi all,
I"m on AOL, but I get my Lactnet mail in individual posts instead of digest
form. Have seen no "red" Lactnets or any other color except plain ol' black
on white. Does the digest format have something to do with it?
Inquiring minds want to know....... ;-)
Carol in St. Louis, where the weather can't make up its mind...
=========================================================================
Date: Fri, 1 May 1998 19:06:05 +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: HIV and breast milk
Comments: To: Marty & Jeanette Panchula <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: quoted-printable
Hi Jeanette
I am also interested in this issue. You may remember a while back there =
were a couple of posts about a woman in Melbourne who is expecting her =
baby soon and is hiv+. She has been seeking information from all =
sources available to her to investigate the possibility of treating her =
milk to make it 'safe'.
Last week the woman called a round table meeting with the paediatrician, =
GP, her husband, and a couple of others including yours truly.=20
It was an interesting meeting. The woman had stacks of information from =
professional publications, an e-mail from a senior microbiologist, milk =
banking &c&c, telling her that heating milk to 62C for 30 minutes (or =
57, 58, 63, depending on which source) would destroy the virus. She had =
found a fancy bottle warmer that has a thermostat which could be set to =
a particular temperature. She planned to prepare milk ahead of time, =
one feed at a time. However the medical experts argued that it was =
impossible to be SURE that the milk was safe. There is no quick =
testing, and every sample could not be tested. The opinion of these =
medicos was clearly that they could in no way support the plan to heat =
treat breast milk in the home. The theoretical possibility of =
paediatric AIDS transmission in breastmilk completely outweighed the =
benefits. The statement that "as a parent I could not sleep at night =
with that sort of risk" was made.
A second line of the discussion was what to do if the baby is born =
positive. What would be recommended in that case? The opinion of our =
experts was that any continued exposure to the virus (in this case =
through breastfeeding, or even this 'risky' plan of heat treated milk) =
could compromise the baby's treatment. The analogy was drawn to hiv+ =
people who are advised to prevent ongoing exposure through unprotected =
sex, as the virus could change, and a further level of infection result. =
=20
I felt that I had little to offer this woman. I agree with her findings =
that there is a lot of confidence that hiv will be destroyed by heat. =
However I think it is partly defensive practice that makes it almost =
impossible for a person in the paediatrician's position to offer support =
to a plan for 'uncontrolled' kitchen pasteurisation of milk. If the =
baby became infected where would the 'blame' be put?=20
I wonder?
I will be interested in the collective wisdom of the lactnet family.
Joy Johnston
Midwife and lactation consultant=20
[log in to unmask]
www.webrider.net.au/~aitex/joy.htm
-----Original Message-----
From: Marty & Jeanette Panchula [SMTP:[log in to unmask]]
Sent: Thursday, April 30, 1998 7:36 PM
Subject: HIV and breast milk
One of the Pediatricians I work with is a specialist in Pediatric AIDS.
Due to all the talk about the situation in Zimbabwe, we are considering
creating a study on the treatment that expressed breast milk would need =
for
an HIV+ mom to be able to give her own milk to her baby.
So - any suggestions on the different "home treatment" possibilities =
which
would make the milk safe? I realize that there is a shortage of fuel in
some areas of the world which would make boiling a difficult if not
impossible treatment. What about reflector ovens?
Just asking you to brainstorm e-mailing directly to me - and we'll see
where this goes!
Jeanette Panchula, BSW, RN, IBCLC, LLLL
[log in to unmask]
Project Director - Proyecto Lacta - Puerto Rico
http://netdial.caribe.net/~prlacta/
Lactancia Materna '98 - La Mejor Inversion
=========================================================================
Date: Fri, 1 May 1998 16:47:07 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "A. Montgomery" <[log in to unmask]>
Subject: Nursing Mother's companion excerpt
In-Reply-To: <[log in to unmask]>
MIME-Version: 1.0
Content-Type: TEXT/PLAIN; charset=US-ASCII
My understanding--and this is only hearsay--is that Ms. Huggins did NOT
consent to this and was not happy about it; the publisher gave permission.
--
Anne Montgomery, M.D., I.B.C.L.C.
[log in to unmask]
St.Peter Hospital Family Practice Residency
Olympia, WA
=========================================================================
Date: Fri, 1 May 1998 19:48:54 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: FentonLLL <[log in to unmask]>
Subject: Psychedelic Posts
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
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In a message dated 98-04-30 19:30:23 EDT, you write:
<< Hi All,
Is anyone but me getting a red backround with their digests???? It isn't
all of them, but they are VERY hard to read! I already wear bifocals, I can't
handle psychadelic Lactnet!!!!!! Denise Hewson RN IBCLC Katy, Tx ( feeling
old after signing up at the gym today!!! and I don't even start till
tomorrow!!!) :) :) :)
>>
Several posters need to turn off their HTML coding on their E-Mail.
This causes the red digests. You'll know you are guilty if your personal
posting appears on a red digest and includes two copies of your post with the
second one
having lots of symbols, etc. added into the text of the post.
If anyone gets a red digest and wants to fix it rather than strain their eyes
reading it,
just use the "copy" feature and "paste" it to a new E-Mail addressed to
yourself.
Then go to Colored Background feature on your E-Mail and change the color to
white.
=========================================================================
Date: Fri, 1 May 1998 20:51:26 -0300
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Denise Arcoverde <[log in to unmask]>
Subject: News on the WABA and WBW website
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Content-Type: text/plain; charset="iso-8859-1"
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Dear friends,
I'm glad to welcome you to see the new informations in our WABA - World
Alliance for Breastfeeding Action website: http://www.elogica.com.br/waba
At our site you will find:
1. What is WABA=20
WABA structure
Addresses
2. World Breastfeeding Week
International report on the WBW '97
Action Folder'98 (English, Spanish and Portuguese)
Fact Sheet'98 (English, Spanish, Portuguese, Italian, French, Swedish)
WBW posters'98 (English, Spanish, Chinese, French and Portuguese)
Building an Action Plan
Ideas for Action
Documents on the WBW '98 theme
Guestbook
WBW Clip Arts
3. Breastfeeding Rights of Working Women=20
ILO Campaign
WABA Activity Sheet:
Maternity Legislation: Protecting women's rights to breastfeed=20
WABA Action Folder:
Mother-Friendly Workplace Initiative Action Folder=20
WABA Brochure:
5 Steps Towards a People=96Friendly Workplace (English)=20
Comment devenir un lieu de travail ami des employes (French)=20
Pasos a tomar para lugares de trabajo amigos de la gente (Spanish)=20
4. The Global Participatory Action Research
5. Breastfeeding is an ecological act! (Eletronic booklet - animated gifs)
6. WABA Breastfeeding Global Forum'96
Lots of pictures and texts on the Bangkok Forum
7. The Lactational Amenorrhea Method=20
What is LAM?=20
The Lactational Amenorrhea Method (LAM)=20
When is LAM no Longer Effective?=20
Family Planning for the Breastfeeding Woman=20
Breastfeeding Habits that Improve LAM=20
Frequently Asked Questions (FAQs) about LAM=20
8. Breastfeeding Virtual Cards
We're waiting for your visit!
Best regards,
Denise Arcoverde
WBW Coordinator
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D
Email: [log in to unmask]
Origem: http://www.elogica.com.br/aleitamento
WABA: http://www.elogica.com.br/waba
IBFAN: http://www.elogica.com.br/aleitamento/ibfan.htm
Personal Site: http://www.geocities.com/HotSprings/Spa/3176
TelFax: 55.81.4327701
=========================================================================
Date: Sat, 2 May 1998 02:07:55 +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: Becky's abscess - long reply
Comments: cc: [log in to unmask]
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Becky, thank you for your very long, informative post on your breast abscess
case. There is so little in the literature on this subject, and it is such
a distressing situation, that I really appreciate the time you took to give
us an excellent description of what happened, and when, and particularly of
what you noted during the surgery.
I suppose I have worked with about ten moms who were eventually diagnosed
with abscess. What was interesting for me was how long it took in the case
you describe for the diagnosis of an abscess to be made and for a decision
to be made to drain it - 27 days from the time when the mom first felt the
"cold" symptoms to the time that the surgeon decided it *was* an abscess.
You also mention "hindsight" - I find too that *in retrospect* an abscess
just progresses and you can "see" what was happening, but at the time it all
seems very unclear and everyone keeps hoping that this is "just" mastitis.
In the cases I have worked with it seems to take about three weeks - in the
end it is *such* a relief when someone FINALLY decides to *do* something
about it. Furthermore there is not always fever or severe pain, at least in
the beginning, and this can confuse everyone.
Your case follows my observation too in that the mom first noticed the
symptoms on 4/1 but no-one followed this up until 4/7 - this is six days and
it seems that the very first days are crucial - was the mom given
information on 4/1 on the urgent need to keep the breast very well drained?
I'm convinced that the potential for abscess occurs within 3 - 4 days of the
first symptoms - if mastitis is "left" at that time then what follows is
simply a domino effect, it gradually becomes worse and worse. Interesting
that this does not happen with every mastitis of course, but the ones that
progress to abscess usually show *with hindsight* that the breast was not
well drained, or that antibiotics were late in being prescribed (although
this doesn't apply in your case). Amoxicillin is the antibiotic which is
usually prescribed for mastitis here, but it seems to me that a prescription
for an antibiotic is not sufficient to prevent an escalation, the mother
needs information on drainage *right at the beginning* and follow-up, daily
if necessary, to ensure that this is happening.
I think the fact that she got so sick when the dicloxacillin was started was
just a coincidence, the abscess was already there by that time, and I don't
see how the fenugreek could have made any difference.
What is really nice, in the midst of such a distressing scenario, is how you
were able to "manage" lactation before and after the surgery, and how
receptive the surgeon was - this sounds like a text-book ideal for how to
manage lactation during a breast abscess. I have found when the abscess is
situated under the areola that lactation seems to be badly affected even
after healing takes place and the mom may elect to continue unilateral
breastfeeding on the unaffected breast. However I have one at the moment
who is still pumping on the affected breast, four months after surgery,
obtaining about 10 ml EBM each time, bless her. The baby cannot often be
persuaded to nurse from the affected breast because the "flow" is so slow -
but mom perseveres in coaxing him.
Thank you Becky for sharing this case with us. My regrets, everyone, for
the long reply - this was too rare an opportunity to compare notes to miss!
Pamela Morrison IBCLC, Zimbabwe
=========================================================================
Date: Fri, 1 May 1998 20:04:28 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Your name here <[log in to unmask]>
Organization: Erol's Internet User
Subject: Any Suggestions?
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
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Hello Experts,
I am an RN and an LC new to private practice. I will be seeing a women
whose baby is 7 days old. Born via c-section. Baby has only latched
according to mom one time for one minute. Baby is recieving bottles of
infant formula. Mom experienced engorgement on day 3 post-partum, and
now states breasts feel pre-pregnant. She has only pumped occasionally
with a hand pump. What would be the best route to take? An SNS?
Offering the breast at each feed and then using an alternate feeding
method, while mom pumps to build supply? A combination of these? Any
suggestions would be appreciated. Thank-you.
=========================================================================
Date: Fri, 1 May 1998 20:28:18 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: DAVISRNCLC <[log in to unmask]>
Subject: Huggins' reprints
Mime-Version: 1.0
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This may have been discussed on Lactnet before, and I think Kathleen Huggins
is lurking out there on Lactnet. But I wanted to speak to the issue of Mead-
Johnson using a reprint of her book.
I read (where?) an open letter Kathleen wrote addressing this issue sometime
back. Kathleen had/has no control over the reprint made available to Mead-
Johnson and has taken a lot of heat from LC's and others over this. If she
could do something, she would.
Publishing is a difficult business and contracts are complicated. Even with
the best literary agent or lawyer you can't always get what you would like
because the publisher won't agree.
Be glad they've included a coupon for the book (although it might impact her
royalties--I hope not) at least parent will be guided to GOOD information on
breastfeeding.
Let's not start the debate again.
Marie Davis, RN, IBCLC
PS the Publisher is Harvard Press
=========================================================================
Date: Fri, 1 May 1998 20:28:24 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: DAVISRNCLC <[log in to unmask]>
Subject: RAcially diverse slides
Mime-Version: 1.0
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I want to call our letter writing Lactnuts to action. Has anyone, besides me,
ever noticed that the infant care and breastfeeding slides from Childbirth
Graphics all look like blond, fair skinned babies and moms. There are a few
racially diverse drawings but the photos are mostly white kids. What makes my
classes laugh is the slide showing Lanugo. Right, you can barely see it
because the kid is blond.
Marie
=========================================================================
Date: Fri, 1 May 1998 20:28:21 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: DAVISRNCLC <[log in to unmask]>
Subject: Pediatrics latest issue
Mime-Version: 1.0
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Received the latest table of contents for pediatrics today:
Pediatrics issue 101 (5)
Electronic Contents:
Articles
Control of Hyperbilirubinemia in Glucose-6-Phosphate
Dehydrogenase-deficient Newborns Using an Inhibitor of Bilirubin
Production, Sn-Mesoporphyrin
Timos Valaes, George S. Drummond, Attallah Kappas
Pediatrics 1998 101 (5): p. e1
http://www.pediatrics.org/cgi/content/abstract/101/5/e1
Effects of Exposure to Alcohol in Mother's Milk on Infant Sleep
Julie A. Mennella, Carolyn J. Gerrish
Pediatrics 1998 101 (5): p. e2
http://www.pediatrics.org/cgi/content/abstract/101/5/e2
Increasing Breastfeeding Rates to Reduce Infant Illness at the
Community Level
Anne L. Wright, Mark Bauer, Audrey Naylor, Emily
Sutcliffe, Larry Clark
Pediatrics 1998 101 (5): p. 837-844
http://www.pediatrics.org/cgi/content/abstract/101/5/837
Print contents
Counseling the Adolescent About Pregnancy Options
Committee on Adolescence
Pediatrics 1998 101 (5): p. 938
Marie Davis
=========================================================================
Date: Fri, 1 May 1998 17:57:16 +0100
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Lisa Marasco IBCLC <[log in to unmask]>
Subject: Re: Racially diverse slides
Mime-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
> Has anyone, besides me,
>ever noticed that the infant care and breastfeeding slides from Childbirth
>Graphics all look like blond, fair skinned babies and moms. There are a few
>racially diverse drawings but the photos are mostly white kids. What makes my
>classes laugh is the slide showing Lanugo. Right, you can barely see it
>because the kid is blond.
Yup-- I use the infant care slides and I've been dinged in class
evaluations for lack of racial diversity. I really, *really* wish they
would rectify this, as choices in materials are limited.
Lisa Marasco, BA, IBCLC
=========================================================================
Date: Fri, 1 May 1998 21:21:56 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: SusanDebra <[log in to unmask]>
Subject: references for # of wet diapers
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit
A friend not on lactnet has asked me to post for her. She would like to know
if anyone has references for what is the normal wetting pattern for newborns.
She is writing hospital policies and would like to have references to back
them up.
Thank You, Susan D. Niedzielski, CDN, IBCLC, upstate NY
=========================================================================
Date: Fri, 1 May 1998 21:35:26 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jparks1041 <[log in to unmask]>
Subject: poison ivy on breasts
Mime-Version: 1.0
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Here's one for the trivia books, if ever one is written about the oddest
queries to Lactnet:
Mom of 2.5 yr old recently camped and got poison ivy on body. Rash has spread
to breasts now and mom wonders if nursing is at all possible. She figures no
and has been withholding breastfeeding or contact with breast. Baby bf up
till today, when the rash spread to chest on mom. Baby is not infected at
all. Any ideas/experience with this situation?
Mailto: [log in to unmask]
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Joy Berry-Parks
LLL, Central Arkansas
Attachment Parenting Group of AR
Anthropology Apprentice
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
"Childhood Decides."---Jean Paul Sartre
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
=========================================================================
Date: Fri, 1 May 1998 21:40:46 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: DAVISRNCLC <[log in to unmask]>
Subject: Joke in light of SC law defeat
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
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Today from *cyber cheese*
A woman was walking down the street with her blouse open and her right
breast hanging out. A cop was approaching from about a block away, thinking
to himself, "Boy, my eyes must be going. It looks like that woman is hanging
out of her blouse." But, as he got closer, it became apparent that she really
was hanging out.
When the officer got face to face with the woman, he said, "Miss, are you
aware that I could cite you for indecent exposure?"
"Why, officer?" the woman asked.
"Well," said the officer, "Your right breast is hanging out of your blouse."
The woman quickly looked down and exclaimed, "Oh my goodness! I left the
baby on the bus!"
=========================================================================
Date: Fri, 1 May 1998 22:06:47 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: MMurphy856 <[log in to unmask]>
Subject: Subject: FTT, Reflux, & Low hemoglobin(hgb)
Mime-Version: 1.0
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Poor weight gain is a concern, but why stop breast milk. Thickened feeds are
not the only way to treat. Would need more info to answer intelligently, but
most babies who have reflux do not lose weight.
I would not be satisfied that they have found the cause yet. Also it doesn't
explain the drop in hemoglobin, unless he also has a GI bleed.
Reflux is not an absorption problem, more of a volume/calorie problem.
(usually just a laundry problem). ABM instead of breast milk would be just
substituting one fluid for another. Only advantage is that it can be measured
more easily. Using expressed breast milk, or test weights(if you have the
proper equipment) could overcome that advantage.
=========================================================================
Date: Fri, 1 May 1998 21:44:10 -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: blocked ducts/mastitis/abscess
Hi all,
A mother complains of 3 lumps in one breast, one is on top of breast, one
is at bottom of breast, and one is right under the nipple. This started
at 3 wks pp, and was mostly resolved, but returned now 6 wks pp. She is
being treated by her m.d. with abx for full-blown mastitis symptoms and
is hand expressing affected breast. Baby pulls off screaming when tries
to nurse on affected breast. Also it is very painful. She states her
Evenflo pump is too painful to use. She was given my home phone no. by
someone at a hosp where she gave birth and where I used to work and she
called me tonite thinking about weaning (and my husband didn't remember
to give me the message til 8 pm!). I asked some questions, the baby is
thriving and no sore nipples and so I don't think it is a latch problem
causing the poor drainage. I gave her advice about how to manage the
blocked ducts/mastitis for now, acutely. I will check on her by phone
tomorrow. My question, does the description of the location of the lumps,
especially the one right under the nipple, sound like abscess? Just got
me thinking due to the recent posts.
Laurie Wheeler, RN, MN, IBCLC
Today spent the day listening to Molly Pessl, at our LLCA annual conf.
She has done some great things at Evergreen and made all our local
hospitals here look bad!!!
_____________________________________________________________________
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: Fri, 1 May 1998 22:47:21 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: PABD IBCLC <[log in to unmask]>
Subject: Re: HIV
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Joy:
I think one also must look a t these professionals view on breastmilk vs
formula...
Patricia
=========================================================================
Date: Fri, 1 May 1998 22:47:20 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: PABD IBCLC <[log in to unmask]>
Subject: Re: HIV
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Joy:
first and formost I think that it is mom's decision NOT the physicians...
My recollection is that HIV is infact a VERY VERY fragile virus. There is one
study that showed that when put into pumped milk it was gone before they had a
chance to look for it.
I am also uncomfortable with the physician's implicatation that mom can not
"safely" or effectively home heat treat.
I would quess that many on this list have a one time or another been
involved in careing for someone and haveing a "professional" treat them like
they were an imbicle..
{ I appologize if this steps on anyones toes... I have recently had such an
experience and am still feeling rather sensitive about this}
It is her baby if she wants to do this... I would support her in any way I
could.
Patricia
=========================================================================
Date: Fri, 1 May 1998 23:15:38 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Becky Krumwiede <[log in to unmask]>
Subject: Re: Dr. Jain's video on frenotomy
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<<It is NOT a randomized, controlled trial - just an anectdotal series of
infants. It did not prove anything>>
I don't believe she ever indicates this video is anything but an
illustration of how tongue-tie impacts on the infant's ability to
breastfeed, and demonstrates how to do a simple frenotomy (clip the
membrane under the tongue). The reason I've found it helpful in educating
some of the docs I deal with is because most of them don't have a clue
about exactly how a baby breastfeeds so can't fathom why a tongue-tie might
be a problem. I assume any MD's who are interested in breastfeeding enough
to belong to the Academy of Breastfeeding Medicine have a better
understanding of the process. I think it would be a pity to stop
facilitating breastfeeding in tongue-tied babies until we have a
randomized, controlled trial.
Becky Krumwiede, RN, IBCLC, Appleton, Wisconsin
[log in to unmask] or [log in to unmask]
=========================================================================
Date: Fri, 1 May 1998 23:37:57 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Steve and Deby Wells <[log in to unmask]>
Subject: mom of twins
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Hello,
I want to share this story with my wise lactnet friends for your thoughts or
assistance. An out-of-state friend called me this evening in tears after
reading a newspaper article of a 31 yr old mother of twins in her area. The
babies were delivered April 17 or so by caesarean birth. She returned to
the ER 5 days later with complications. They wanted to admit her but she
had no one to care for her babies. A social worker was called and lead mom
to believe that the babies would be returned soon. She soon discovered that
she would not get her breastfed babies back until after going to court to
prove she was a fit mother. Her 14 day old babies are now in the state
foster system and in a long process to regain custody.
My friend asked what I could do to help this mother. I am at a loss, but I
said I would post this on Lactnet to see if anyone out there has some
suggestions or can actually do something for this mom.
The article is at:
http://www.accessatlanta.com/news/1998/05/01/mother_full.html
Thanks,
Deby
=========================================================================
Date: Fri, 1 May 1998 22:25:24 -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: Cute story of the day...
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Here in Alaska, we are working on passing a breastfeeding bill plus our
Senator is a co-sponsor on the National Bill. A few editorials appeared
in the local paper but this one takes the cake! Please note that the
woman did NOT say they breastfed "discretely".
What's the breast-feeding (sic) fuss? (Editorial)
Anchorage Daily News, 4-27-98
"I am 80 years old, and I wonder what the world is coming to when a law
needs to be passed to allow a woman to breast-feed her baby in public.
When I was growing up, nearly all women, especially those in rural areas,
breast-fed their babies. Mothers took their babies everywhere, and when
they were hungry, they exposed their breast and fed them. Many times I
have seen babies breast-fed in church while the minister delivered a
sermon. This was accepted as a way of life.
I remember going to an auction on a neighbor's farm. It was summertime,
and a few of us were sitting on a porch. A mother was breast-feeding her
baby. She had large breasts. A man sitting on a bench beside me looked
at the mother feeding her baby and turned to me and remarked in a low
voice, "She sets a good table."
Elsie Hill, Palmer (AK)"
=========================================================================
Date: Sat, 2 May 1998 20:55:30 +1100
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Lisa Amir <[log in to unmask]>
Subject: blocked ducts/mastitis/abscess
Comments: cc: [log in to unmask], [log in to unmask]
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<A mother complains of 3 lumps in one breast, one is on top of breast, one is
at bottom of breast, and one is right under the nipple. This started at 3 wks
pp, and was mostly resolved, but returned now 6 wks pp.>
Laurie, yes these could be abscesses. I've said before that it usually takes
2-3 weeks after the initial mastitis for an abscess to form. And it is easy for
the doctor to order a diagnostic ultrasound to give you the answer one way or
the other.
<In hindsight, I'm thinking maybe the "cold" she had on 4/1 was really a
breast infection, (obvious portal of entry from the badly cracked nipple
earlier) and the painless lump shortly after was the abcess starting?
Should we have seen this coming? She cultured out penicillin-resistant
staph, so the infection would have been resistant to the amoxicillin,
right? >
Becky, yes I would think this severe abscess had been forming for several
weeks. And the antibiotic for mastitis should always be one that treats
penicillin-resistant staph, ie dicloxacillin or cephalexin, not amoxycillin.
Also, a pre-op ultrasound would have told the surgeon what to expect.
Lisa Amir
GP / IBCLC in Melbourne, Australia, who wishes that we knew as much about human
mastitis as the vets know about bovine mastitis.
=========================================================================
Date: Sat, 2 May 1998 09:56:52 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Anne Grider <[log in to unmask]>
Subject: Re: mom of twins
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I am happy to report that the governor of Georgia got involved in this case
and the babies are home with their mother!
Anne Grider, LLLL, IBCLC
----------
> From: Steve and Deby Wells <[log in to unmask]>
> To: [log in to unmask]
> Subject: mom of twins
> Date: Friday, May 01, 1998 11:37 PM
>
> Hello,
> I want to share this story with my wise lactnet friends for your thoughts
or
> assistance. An out-of-state friend called me this evening in tears after
> reading a newspaper article of a 31 yr old mother of twins in her area.
The
> babies were delivered April 17 or so by caesarean birth. She returned to
> the ER 5 days later with complications. They wanted to admit her but she
> had no one to care for her babies. A social worker was called and lead
mom
> to believe that the babies would be returned soon. She soon discovered
that
> she would not get her breastfed babies back until after going to court to
> prove she was a fit mother. Her 14 day old babies are now in the state
> foster system and in a long process to regain custody.
>
> My friend asked what I could do to help this mother. I am at a loss, but
I
> said I would post this on Lactnet to see if anyone out there has some
> suggestions or can actually do something for this mom.
>
> The article is at:
>
> http://www.accessatlanta.com/news/1998/05/01/mother_full.html
>
> Thanks,
> Deby
=========================================================================
Date: Sat, 2 May 1998 10:37:09 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Mary Renard <[log in to unmask]>
Subject: poison ivy on breast
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Poison ivy rash is a contact dermatitis caused by a direct contact with the
oils from the plant. If the mother got oil on her hands, clothes, the
family dog, etc., then she could very well have inadvertently spread the oil
to her breasts. That's important to note - poison ivy "spreads" from the
*oil* not the *rash.* The rash does not spread from contact points to
non-contact points and poison ivy can't be spread to another person via the
rash. *But* if the *oil* is still on the mother's skin then it could rub
off onto another's skin, e.g. baby's mouth. And the oil is extremely
persistent and hard to clean off.
She needs to wash really well. Plain ol' soap & water is OK. There is also
a fabulous product called Tecnu that neutralizes the oil of poison ivy and
helps minimize the skin eruptions. It's non-toxic although sorry, I don't
remember what it's made of. It's available in drug stores. The rash may
very well make it too uncomfortable for mother to nurse.
She might also consider cortisone cream for this one. Poison ivy is the pits.
Mary Renard
who is, regretfully, an expert on poison ivy
Mary Riley Renard, RN, BSN, IBCLC
CERP/Recertification Coordinator
International Board of Lactation Consultant Examiners
P O Box 2348
Falls Church VA 22042-0348 USA
Tele 703-560-7330
Fax 703-560-7332
email <[log in to unmask]>
=========================================================================
Date: Sat, 2 May 1998 10:58:42 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Sylvia J Boyd <[log in to unmask]>
Subject: nipple spasms
Comments: To: [log in to unmask]
Try searching for Raynoud's phenomenon (don't know if I spelled it
correctly). Mom needs to keep nipples warm - warm compresses. One of my
moms started wearing more to bed at night so she wouldn't get chilled
nursing baby.
Warmly,
Sylvia Boyd, CLE, PT, ACCE
mailto:[log in to unmask]
_____________________________________________________________________
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: Sat, 2 May 1998 11:21:12 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: LACRESCTR <[log in to unmask]>
Subject: hydrogel
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I wanted to share our experience the use of hydrogel dressings (Clearsite) for
sore nipples. After reading the article in JHL, we used the dsg technique in
8 clients with a range of nipple damage including yeast. They all complied
with the instructions for use. Unfortunately, the results were not impressive.
Initially, the cool feeling of the dsg. was nice but after that all the
client's opinions were that they felt it did not help at all. I know this is
a small sample group.
When I worked in home care, we used these dsgs frequently yet they stayed on
the client's skin undisturbed for about a week so granualtion could occur.
I'm not quite sure what to think. Needless to say, we were a bit disappointed
and have stopped using them at this time.
Maria Parlapiano RN, IBCLC
the Lactation Resource Center, inc. in Chatham NJ
[log in to unmask]
=========================================================================
Date: Sat, 2 May 1998 11:33:42 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Steve and Deby Wells <[log in to unmask]>
Subject: twins returned to mom
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To update you on the mother of twins who unknowingly lost custody while she
was being treated for complications from a caesarian birth about 5 days
postpartum. The governor received 38 calls from concerned citizens
requesting an investigation into the matter. My friend says that a Judge
signed papers on Friday giving custody back to mom and mom and babies were
reunited. Mom is happy. The article I read on the web states that her
hearing has been moved up from Thursday of next week to Monday. This
article also tells how women who wanted to help her and were concerned about
her being able to continue nursing had purchased an electric pump for her
from a pharmacy. :)
The article is at:
http://www.accessatlanta.com/news/1998/05/02/investigation.html
Deby
=========================================================================
Date: Sat, 2 May 1998 11:53:42 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Nleeguitar <[log in to unmask]>
Subject: cochrane data base
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Hi Everybody:
I am debataing with myself about purchasing the Cochrane library, which
includes the Cochrane Database of Systematic Reviews, the database of
Abstracts of Reviews of Effectiveness, and the Cochrane Controlled Trials
Register. I am looking for opinions to help me decide if it would be worth it
to spend the money.
If there is anyone who has experience with the Cochrane Library, would they
please email me privately? Thank you.
Sincerely, Nikki Lee <[log in to unmask]>
=========================================================================
Date: Sat, 2 May 1998 10:57:28 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Barbara Wilson-Clay,BSE,IBCLC" <[log in to unmask]>
Subject: abscess
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I appreciated Becky's long, detailed post about the internal distruction
caused by delayed tx of breast abscess. The conservative approach is to
perform ultrasound visualization (and perhaps needle biopsy) on any lump
which fails to resolve by standard tx within a fairly short time. By a short
time, I would say 48 hours. Because if it is a case of mastitis, bed rest,
draining the breast, and initiation of antibiotic tx should demonstrate some
relief of sx almost immed. BTW, The surgeon I work with told me that about
25% of the breast abscesses he sees do not immed. present with fever.
When an abscess forms, the body is walling off an area to try to contain
infection. However, if it is infected (rather than a cyst filled with
sterile material, ie, a galactocele, which is filled with milk,) the
material inside the walled off area continues to reproduce bacteria and to
grow. Sooner or later it will burst and do a lot of damage. If it is close
to the surface, it may burst to the surface, drain there and resolve. Deep,
internal abscesses really pose more of a problem with sepsis and distruction
of tissue. Thank you, Becky, for the graphic description of the distruction
to the ductal system. I hope that is a cautionary image we all retain.
The problem in the early management of a woman who presents with sx which
may be mastitis, or may be abscess, is that if the abscess walls off,
antibiotic can't reach the infection and do nothing really to help the
woman. I think that we need much more detailed instruction on the etiology
of abscess, and more specifics on recommendations for all members of the
health care team, including physicians who may not be well trained or
experienced in diseases of the lactating breast. I wish that some of the
physicians on lactnet who are expert in this area would give us a lesson.
This, to me, is one of those areas when real expertise is important if we
are adequately to protect consumers. Here is a situation where, in spite of
the best intentions, appropriate tx was delayed to the point where the
woman's future lactational capacity has probably been damaged in that
breast. I compliment Becky on doing so much to advocate for this patient,
and on the open-mindedness of the surgeon, who was so willing to listen.
Barbara
Barbara Wilson-Clay, BS, IBCLC
Private Practice, Austin, Texas
Owner, Lactnews On-Line Conference Page
http://moontower.com/bwc/lactnews.html
=========================================================================
Date: Sat, 2 May 1998 10:57:30 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Barbara Wilson-Clay,BSE,IBCLC" <[log in to unmask]>
Subject: poison ivy on breasts
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I have worked with a woman in this situation, and Kay Hoover has as well,
because she has a neat slide of it. I had the mother wear a tee shirt with
a small hole cut out for her nipples. It is ok to take those cortisone 5
day packs with descending doses of steroid to reduce inflammation while
nursing. Mother can use topicals to reduce itching, take oatmeal baths etc.
If she gets it on the nipples, use nipple shields.
Barbara
Barbara Wilson-Clay, BS, IBCLC
Private Practice, Austin, Texas
Owner, Lactnews On-Line Conference Page
http://moontower.com/bwc/lactnews.html
=========================================================================
Date: Sat, 2 May 1998 11:59:09 -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: poison ivy on breasts
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Poicion ivy is not spread from person to person, but only from plant to
person, I would say that if she can tolerate it, then its ok and not to
worry about baby getting it.....
--
^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^*^
Cindy Curtis , RN, IBCLC ~ Virginia , USA
ICQ # 412812 mailto:[log in to unmask]
Benefits of Breastfeeding Home Page http://www.erols.com/cindyrn
=========================================================================
Date: Sat, 2 May 1998 12:28:53 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: HIV and breast milk
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dear joy et al,
(latin for you all). what this mother should do has been puzzling me since you
posted about this situation. what an incredible woman! this won't be the last
time we see this problem anyway. so here goes for my theoretical solution:
mother pumps milk after birth, heat treats it, and freezes it. baby is fed
with donated milk. mother's milk is randomly tested to see if the heat
treatment is working.
i do not recall at what age they decide that a baby who is born testing
positive is actually negative (at what age does the baby's "true" HIV status
become obvious?).
i seem to recall this takes quite a while. by the time the baby's true status
is known, the results of the testing of the mother's heat treated milk would
be available, and tell whether or not this sort of treatment is working. i
agree that HIV is considered a fragile virus, and my milk bank friends tell me
that it is easier to kill than some of the other potential viruses.
no formula needed, anyway. and women are constantly performing delicate
sterilization/pasteurization - type activities in their home kitchens, where
precise monitoring of temperatures are needed to avoid contamination and so
forth - it is called home canning. yes, accidents can happen, but there are
other ways in which this mother could accidentally infect this baby, far
fetched though they may be.
so now i realize i had better study up on more of those little details about
HIV such as what IS the age of seroconversion etc.
carol b.
=========================================================================
Date: Sat, 2 May 1998 11:51:24 -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: poison ivy
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Poison ivy can spread from person to person if the person who came in
contact with the oil from the plant spreads the oil to anything else --
which they often do. This includes the bed sheets, bath towels, faucet
handles, clothes, etc., as well as direct person-to-person skin contact.
The oil is very persistent and long-lasting on clothes. One hint for relief
from the pain and itching is to run extremely hot water over the affected
body part -- as hot as you can stand, or slightly hotter. This obviously
may not work well for breasts, but just as a general hint. It's great on
feet, legs, arms, etc. It feels good while you are doing it, and then the
itching seems to go away for several hours. There are also now
over-the-counter cremes that create a skin barrier between you and poison
ivy oil. The mom might want to get that and put it on her child (everywhere
externally) to reduce the risk that oil from the mother's hands or clothes
or other body parts might be transferred to the daughter.
Kathy D., wife of someone who gets terrible poison ivy rashes
=========================================================================
Date: Sat, 2 May 1998 13:09:23 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: MMurphy856 <[log in to unmask]>
Subject: poison ivy on breasts
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The rash of poison ivy is an allergic response to the oils of the plant (or
other members of the Rhus family). Once the oils are washed off, the rash is
not contagious.
It seems to spread because the timing of the rash depends upon the
sensitivity of the skin and the amount of oil from the plant.
There would be no risk to the infant. Mom would have to watch out for signs of
secondary infection which may be increased because the baby may rub off the
damaged skin as she nurses.
=========================================================================
Date: Sat, 2 May 1998 15:26:28 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Barb <[log in to unmask]>
Subject: Poison Ivy
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Once the mom has washed thoroughly to remove any of the poison ivy plant
secretions from her skin and clothing, she can breastfeed. Her
continuing to break-out in a rash is her own body's immune system
over-reacting to the exposure. The baby will not "catch" poison ivy
from her rash, only from any plant residue on her skin or clothing.
Barb Berges BS, RN, IBCLC
Rochester, New York
=========================================================================
Date: Sat, 2 May 1998 18:00:32 -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: blocked ducts/mastitis/abscess
Comments: To: [log in to unmask]
Thanks, Lisa, for the reply. Today I called her and she is no better,
even worse. The MD saw her yesterday and is treating with a cephalosporin
(I don't remember which). But today (24 hrs on abx) she still has 102 -
103 fever, and says breast is very painful, red, swollen, and she can
express no milk. Yesterday I gave her some advice including bedrest,
ibuprofen q4, frequent draining of breast. She is calling back the dr.
asap. I have recommended r/o abscess. She is supposed to call me back. I
feel that if this was anywhere else on her body (e.g. her hand or foot)
she would be on IV meds at least. To Maria, I did recommend massage and
use of warm water soaks in basin. I also thought of oversupply due to the
reaction of the baby pulling off screaming from the breast. I think she
may have an abscess. Unfortunately, she finally gets my ph. no. at this
late stage of the game, when I'm sure I could have been more help if she
had reached me with the initial lumps at 3 wks p.p. ( 3 wks ago). She
also confesses (without my even asking) that she has been "doing too
much" running around, shopping, etc.
Laurie Wheeler, RN, MN, IBCLC
Louisiana Breastfeeding MediaWatch
Violet Louisiana USA
_____________________________________________________________________
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=========================================================================
Date: Fri, 1 May 1998 15:26:39 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Alexandra Williams <[log in to unmask]>
Subject: Miriam Labbok
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Does anyone know where Dr. Miriam Labbok is currently working and doing
research? Johns Hopkins or Georgetown? Please email me privately.
Alexandra Williams, LLLL
[log in to unmask]
=========================================================================
Date: Sat, 2 May 1998 20:21:04 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: JBarr48030 <[log in to unmask]>
Subject: Re: Discharge Gifts
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I am a little behind on my posts so please forgive yet what I imagine will be
yet another comment on this subject.
IMHO, it seems that the ABM companies have looked deep into the new parent's
psyche. In giving the ABM feeding mother a "gift," making her feel "special,"
it might create the illusion that if a "gift" were not given to the
Breastfeeding mother might she feel deprived, rejected or set apart from her
peers? "Penalized for breastfeeding?" They then come up with the
"Breastfeeding Discharge Pack" -- same bag, just no ABM (or maybe just a
little -- just in case...). Of course the bag is plastered with the Company's
name and all the various brands of ABM they manufacture. Coupons for all the
"gagets" that interfere with breastfeeding are quite intact. And then there
is that cute little rabbit...
If funds or items were appropriated through donation, grants... (no strings
attached) for the purpose of giving breastfeeding mothers a discharge gift, a
gift that complemented not sabotaged the breastfeeding relationship, they
would possibly feel even more "special." I personally would rather come home
with a coupon for dinner from a local eatery, a knit cap or a rattle, than a
can of ready-to-feed. Then again, ABM has never darked in my doorway. Oh,
well, it did dark but I gave it to my "just in case" ABM feeding sister-in-
law. That was 16 years ago. If it were today, I would have tossed it.
I agree that a "gift" to the new parents is unnecessary and a little
rediculous because they are bringing home the best gift of all! Competing
with the ABM companies is not a comforting thought (and dollar for dollar
impossible) but we pretty much do it every day. If gift packs are going to be
given out, I would like to see one that does NOT come from the ABM companies
but from the community. Would this be a concept acceptable to the hospitals?
How would the ABM companies deal with this "invasion?" We won't know until we
try (although I can make a pretty good guess :(
Linda Barrett, IBCLC, LLLL
=========================================================================
Date: Sat, 2 May 1998 19:22:42 -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: Formula Gift Packs
MIME-Version: 1.0
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Our hospital is planning to discontinue distributing formula gift packs in
our continued quest to become the first BFH in Kansas. Of course, we
expect some backlash from parents and nurses. We're planning to begin to
pay for our formula also, which really shouldn't be much since we have a
75% BF initiation rate anyway. Our physicians (OB,FP, and Peds) all
support it. Any tips on dealing with this for those of you who have done
this before?
TIA
Maurenne Griese, RNC, BSN, CCE, CBE
Birth and Breastfeeding Resources http://www.childbirth.org/bbfr
Manhattan, KS USA
[log in to unmask]
=========================================================================
Date: Sat, 2 May 1998 20:45:18 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Roni Chas <[log in to unmask]>
Subject: Re: HIV Information
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Greetings Everyone,
I just received my latest AWHONN news digest with the following information
about HIV. I just thought I would share this with my friends at Lactnet.
Roni Chastain
**Mother-to-child HIV transmission **
A recent study concludes that pregnant women who are infected with HIV
should avoid undergoing amniocentesis and other invasive antenatal
procedures due to the risk HIV transmission to fetuses from the
procedures. Researchers at the London School of Hygiene and Tropical
Medicine studied 434 children born to HIV-infected women to collect
data; 69 of the children became infected with HIV. The study found
that the children of women who had undergone amniocentesis during their
third trimester of pregnancy were significantly more likely to contract
HIV than others. Other factors found to be associated with
mother-to-child HIV transmission included: black race, negative Rhesus
blood group status, breastfeeding, and premature birth. The study is in
the journal AIDS (1998;12:513-520).
=========================================================================
Date: Sun, 3 May 1998 23:13:17 +1000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jenni James <[log in to unmask]>
Subject: Re: Arun Nair's post
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Dear Peggy
I opened Aruns post and have word 6.0. you will find the first half is just
compu speak then comes the text. did you look down the pages? what I did
was 'page down' for awhile and there it was, I then got rid of a whole lot
of the junk by highlighting it and deleting then increased the font by
highlighting and upping the font size then printed it out. give it a try -
interestingly Kathleen B. it did come through as an attachment
warm regards
jenni
RN RM IBCLC in private practice and mother to Daniel, Alicia, Michael,
Ashley, Leighton & Kathryn
[log in to unmask]
"Learning is ever in the freshness of its youth, even for the old
----------
> From: litthome <[log in to unmask]>
> To:
> Subject: Arun Nair's post
> Date: Friday, May 01, 1998 6:38
>
> Can someone tell me how to open her post in a readable form? When I
> clicked on it all I got was computer lingo. I do have MS Word but have
> never used it. Any help? Also, did anyone else get a special digest
> yesterday that was just a blank gray screen? I am not the most
> computer-wise person in the world, but trying to learn. TIA!!!
>
> Peggy Litt
>
=========================================================================
Date: Sat, 2 May 1998 20:35:28 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cathy Liles <[log in to unmask]>
Subject: poison ivy on breasts
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Speaking (unfortunately) from personal experience- poison ivy on the breasts
and nipples is no joy jump! Therer is no contraindication for breastfeeding
once the breasts have been washed well with soap and water, chances are the
baby won't have a reaction unless s/he has previous exposure to poison ivy,
but the exposure from breastfeeding on a breast with the oil may sensitize
him/her for the next exposure. Topical/oral steroids are generally
considered compatible with breastfeeding, comfort measures such as oatmeal
soaks help some. A tincture of time is necessary, it is amazing how long
this rash can last! It took over 2 weeks of severe discomfort to resolve. It
is itchy and painful. OK- how does one get poison ivy on the breasts- I
suppose rolling naked in the woods might do it, but so will pulling up dead
vines in the winter and then touching your breast to nurse without washing
your hands well- when you are working hard in the yard and your toddler just
needs a sip, it doesn't make sense to go all the way into the house. I will
say that it is not as painful as primary herpes on the breast nor as
shingles, but more so that hand foot and mouth disease, exzema and yeast. :)
Cathy Liles
=========================================================================
Date: Sat, 2 May 1998 22:30:51 -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: poison ivy
Mime-Version: 1.0
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I think I posted this here before - a friend of mine contracted the poison
ivy rash from her nursing toddler. The child himself must have had some
kind of immunity because he was not broken out, but Mom was mystified for a
long period over the angry rashes that appeared on her upper chest and
breasts after nursing her 3 year old (who of course had been playing in
their wooded yard and was then snuggling up against Mom and rubbing little
fingers into her chest). She related it to the BF and actually weaned for a
couple of weeks, because it was so painful, till the toddler got sick and
resumed nursing. Again the rash appeared, this time around Mom's neck. Then
they discovered the poison ivy patch, killed it, and the rash never came back.
Anne Merewood
=========================================================================
Date: Sat, 2 May 1998 23:14:02 EDT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: VictoriaJ <[log in to unmask]>
Subject: Cute story and milk supply
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The story of the 80 year old lady wondering what all the fuss is about reminds
me that my mother, also age 80, finds it strange that I am so involved with
lactation education, going to meetings, giving talks, etc. She says of
breastfeeding, "You just do it. You don't need classes, just put the baby to
the breast." I wish life were still that simple.
Two and half weeks ago, I participated in the birthing process of a close
relative. She stayed on her feet to the very end. No epidural, no IV, no
continuous monitoring. The baby immediately knew where her "table" was. Two
days later at home mother had to pump 5 ounces from each breast to relieve
engorgement. Her milk supply is wonderful! How many times do we
obstetricians interfere with milk supply by our "routine" practices?.
......Victoria Nichols Johnson, MD
In a message dated 05~02~98 10:30:25 A, you wrote:
"I am 80 years old, and I wonder what the world is coming to when a law
needs to be passed to allow a woman to breast-feed her baby in public.
When I was growing up, nearly all women, especially those in rural areas,
breast-fed their babies. Mothers took their babies everywhere, and when
they were hungry, they exposed their breast and fed them. Many times I
have seen babies breast-fed in church while the minister delivered a
sermon. This was accepted as a way of life.
I remember going to an auction on a neighbor's farm. It was summertime,
and a few of us were sitting on a porch. A mother was breast-feeding her
baby. She had large breasts. A man sitting on a bench beside me looked
at the mother feeding her baby and turned to me and remarked in a low
voice, "She sets a good table."
Elsie Hill, Palmer (AK)"