Pharmacists, Docs and others knowledgable about anticonvulsants:
I have a mom who was put on Tegretol/Carbamazepine a few days ago and she's
really having a tough time. The drug is AAP approved and Hales' lists the
side effects as sedation, nausea, resp depression, tach, vomiting, diarrhea,
and blood dyscrasia (I have to admit that I don't know what this last one
is). She appears to be having nearly all the side effects and wants to know
when "she'll get used to the drug." The doc gave no info except that it's
compatible with bf and the pharmacist said to take it with food to reduce
nausea. She needs this drug, yet finds the side effects so bad that she
can't care for her children (including a bf infant). The infant seems to be
somewhat sedated as well (which might be a good thing right now). Anyone
have experience with this? Suggestions or knowledge as to how long it takes
to get acclimated to the drug?
Chris Hafner-Eaton, PhD, MPH, IBCLC, CHES
HSR & Educational Consultant email: [log in to unmask]
=========================================================================
Date: Wed, 17 Feb 1999 13:23:46 -0600
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: Interesting article about diabetes
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In the February 1999 issue of "Shape Presents Fit Pregnancy" (a
health/diet/exercise-type magazine) is a little blurb titled "Diabetes Alert."
"Just a few years ago, breastfeeding moms received an OK from the Food and
Drug Administration to take the 'mini-pill,' a progestin-only oral
contraceptive that doesn't interfere with milk production. But research
conducted at the University of Southern California School of Medicine in Los
Angeles and reported in the Journal of the American Medical Association now
warns that for certain women, taking the mini-pill while breastfeeding may
increase the risk of chronic, non-inuslin-dependent diabetes. The study of
more than 900 Latinas found that those who'd been diagnosed with gestational
diabetes and then took mini-pills while breastfeeding had an almost
threefold risk of developing type II diabetes within a year, compared with
those who used different contraception."
Just thought this was interesting . . . . another reason not to take the
mini-pill while breastfeeding, even if the FDA does claim it doesn't affect
milk supply.
Kathy Dettwyler
=========================================================================
Date: Wed, 17 Feb 1999 14:42:10 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Claudia Globerger R.N." <[log in to unmask]>
Subject: Re: formula and surgery
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Do we know that the formula in those bottles are sterile? I have looked over
the flats of formula and the bottles and nowhere does it mention that the
contents are sterile, or even a "sterility guarenteed unless seal is broken".
Is this a loophole or an oversite? Claudia Globerger RN IBCLC Gurnee, IL
=========================================================================
Date: Wed, 17 Feb 1999 14:44:46 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Nikki Lee <[log in to unmask]>
Subject: Teaching a basic breastfeeding class
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Dear Everybody:
Last night I tried a new teaching technique in the last class of a childbirth
series. First, I presented formula feeding: how to do it well, and safely
based on research and the work of some good people who have shared on LACTNET,
Jan and Pat, you know who you are and THANKS.
It took a while and people were surprised. They wondered why they hadn't
heard those things before, such as keeping track of the lot numbers. We spent
an hour discussing formula feeding in a calm, research-based way. In my heart
was the sincere desire to communicate the importance of doing it well, with
optimum safety for the baby. When I mentioned that unused formula needs to be
thrown away after 1/2 hour, some folks were surprised. A woman, mother of 3
said "Oh yes, in the hospital they throw it away all the time after it has
been open 1/2 hour" which was great validation. I also showed a bottle
feeding video, which told folks to sit the baby up at a 90 degree angle while
the man in the film was bottle feeding his baby who was lying down on a
pillow! That got a chuckle out of the class. It became obvious, after a while,
that bottle feeding correctly is very time consuming and difficult. And
everyone had stories about babies not tolerating any formula well, and bad
smells and expense.
So the second hour was the breastfeeding class....which flowed very easily
out of the first hour. Breastfeeding speaks for itself, and when it is
contrasted with the alternative, there is no need to underline the
differences. The questions were all terrific; a lot of ground was covered.
The class response was open and interested and thoughtful. It was fun for me
to teach the class like this. Just presenting the truth about the mechanics
of bottle feeding, and all the ways to minimize the risks felt honest and I
sure hope it helps motivate people to at least begin breastfeeding. Warmly,
Nikki Lee
=========================================================================
Date: Wed, 17 Feb 1999 19:53:04 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: heather <[log in to unmask]>
Subject: getting rid of formula
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I have said this before and I am even starting to bore myself, but truly,
the *only* ethical way of getting rid of this formula is to send it back to
the makers (getting them to pay the postage).
Anything else - charitable donation, whatever - is a contravention of the
WHO code which protects *all* mothers and babies, breast or ABM feeding,
from commercial marketing.
Giving it to somewhere charitable gives the ABM manufacturers brownie
points in someone's eyes, and a free advertisement. I include the cat and
dog shelter in this, as well - sorry if it sounds purist.
I was not aware that the Red Cross took ABM from the public and I am
surprised if this is the case - if they do (to ship abroad) the only
ethical way for them to do it is to send it in *unbranded cans* maybe with
the Red Cross logo, and to guard against it reaching the black market where
it is *dangerous* to babies' health and to bf.
I would be surprised if the US major relief organisations work differently
from ours, here, where they specifically exclude formula milk from their
appeals to the public, because it is so difficult for them to distribute it
ethically. I gather they negotiate gifts of unbranded formula, and then
make sure it goes to genuine sources, and they have to work hard to ensure
it stays away from the black market.
As regards hostels for homeless mothers and babies - yes, of course they
need to eat, but there are better ways of ensuring this safely than giving
formula. Why should homeless mothers be less protected by the WHO code than
mothers anywhere else? Give money, give food, give clothing, but not
formula.
Heather Welford Neil
NCT bfc Newcastle upon Tyne
=========================================================================
Date: Wed, 17 Feb 1999 15:08:19 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Karen Hoffman <[log in to unmask]>
Subject: herpes and L-Lysine
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It is my understanding that mom taking L-Lysine will not prevent baby
from contracting the herpes virus if contact with an open lesion occurs
during BF. In addition from what I understand, L-Lysine only helps to
control outbreaks in a person who already has the herpes virus and will
not prevent a person from contracting the virus. Please correct me if
I'm incorrect.
Karen Hoffman (NMN
counselor in PA)
=========================================================================
Date: Wed, 17 Feb 1999 12:19:06 -0800
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: Flebitis...
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Hi All,
Remember my client who had the gall bladder surgery? Well, she now has a
nasty case of flebitis on her hand (where she had the IV) and has a lot of
pain and discomfort in her hand. She went to a new Dr (her Dr was not
available) and when he saw she was BF her baby he told her that he was going
to put her on an antibiotic (mom doesn't remember what it was) for it but
since she was BF he wasn't going to because it would kill her baby! She was
flabbergasted! She asked him to say it again in case she hadn't heard him
right and he he said the same thing! He also told her that she needed a
blood thinner to help with the flebitis, he suggested Aspirin, but she is
concerned about Reyes syndrome or some yucky side effect of aspirin with the
baby (3.5 mo old).
So, asisde that she isn't on this antibiotic that will kill her baby (:D)
what can she do to safely take care of this flebitis? (and why would she
need an antibiotic for this anyway? Oh, and if it would kill the baby
through the breastmilk, they why would anyone want to take it in the first
place???)
Jay
shaking her head with a chuckle this morning...
Jay Simpson, CLE
Sacramento, California, West Coast, USA
Mailto: [log in to unmask] for Lactnet Book Raffle Information!
=========================================================================
Date: Wed, 17 Feb 1999 15:35:47 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Karen Hoffman <[log in to unmask]>
Subject: use for formula
Comments: To: Johanna Berger <[log in to unmask]>
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In response to ..."Sorry to be so disagreeable about this but...homeless
women have NO safe place to mix ABM, carry it or store it."
At the birth center where my daughter was born they take the formula out
of the discharge packs and donate it to the local food bank (and then
give the moms
the little diaper bag it came in). Just because there are moms out
there who chose not to breast feed doesn't mean that their children
should be hungry.
Also sorry to be so disagreeable.
Karen Hoffman (NMN counselor
in PA)
=========================================================================
Date: Wed, 17 Feb 1999 14:41:56 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Maurenne Griese, RNC" <[log in to unmask]>
Subject: References for Using Reglan to Increase Milk Supply
Mime-Version: 1.0
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The San Diego County Breastfeeding Coalition has a professional information
sheet on using Reglan (Metoclopromide) to Increase Maternal Milk Supply
with numerous references at www.breastfeeding.org/professi.htm
There is a lot of good information on this website for families and
professionals.
Maurenne Griese, RNC, BSN, CCE, CBE
Manhattan, KS USA
=========================================================================
Date: Wed, 17 Feb 1999 12:44:35 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Chris Hafner-Eaton <[log in to unmask]>
Subject: hives--use Apis
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charset="iso-8859-1"
Apis is a great homeopathic remedy for hives. Hylands has a blend readily
available.
Chris Hafner-Eaton, PhD, MPH, IBCLC, CHES
HSR & Educational Consultant email: [log in to unmask]
=========================================================================
Date: Wed, 17 Feb 1999 15:55:24 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Esther Wiles <[log in to unmask]>
Subject: Cartoons and Calenders
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I am looking for the artist by the name of "Neil", that does the
breastfeeding cartoons and calenders, would appreciate an e-mail address
or any ideas on how to go about locating.
Thanks in advance.
Esther from Michigan, where the husband is resting up from his first
heart attack.
=========================================================================
Date: Wed, 17 Feb 1999 16:10:41 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Nice, Frank" <[log in to unmask]>
Subject: Tegretol/Carbamazepine
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It would be helpful to know what dose of carbamazepine that the mother is taking
and what SPECIFIC side-effects she is experiencing.
Hopefully the side-effects do not include blood dyscrasia, tachycardia, and
respiratory depression. They , of course, would be very serious.
That leaves sedation which should end after about a week of therapy.
That also leaves nausea, vomitting, and diarrhea. If these are side-effects,
the mother should be put on another anticonvulsant if these side-effects persist
for a few days.
Frank J. Nice, DPA, CPHP
=========================================================================
Date: Wed, 17 Feb 1999 12:49:43 PST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Dana Haas <[log in to unmask]>
Subject: breast injury
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I had a very interesting case while doing pre-registration for birth
yesterday. The woman was telling me that she had a high pain tolerance.
She went on to illustrate by telling me that she was bitten by a horse
in 1995 - her whole breast was in the beast's mouth. The breast turned
black and she was in incredible pain. She told no one for at least a
week about the incident because the same day there was a death in the
family and she did not want to trouble them further. She was in another
country at the time and did not seek medical help until (I can't
remember how much) later. She had surgery to remove some scar tissue.
Apparently, there has been nerve damage to the breast but not the nipple
area. The surgeon has told her that she should be able to breast feed
without problems with supply. I imagine that there will be a greater
probability with pain associated with increased size and some
engorgement and possibly let-down? Any advice to help us when she has
her baby? She didn't think she would need pain meds in labour. I am
willing to give her the benefit of the doubt!!!
Dana Haas R.N. IBCLC Kitchener, Ontario
______________________________________________________
Get Your Private, Free Email at http://www.hotmail.com
=========================================================================
Date: Wed, 17 Feb 1999 13:07:04 PST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Dana Haas <[log in to unmask]>
Subject: celiac's disease
Mime-Version: 1.0
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A mom phoned me last evening asking about formula and the best way to
wean her baby. She has had a frustrating go of it and I give her credit
for BF'dg this long (baby born Thanksgiving, Canadian, that
is...October). She has had ongoing problems with yeast due to a
susceptibility for same d/t celiac's disease. She has never been to a
specialist for her celiac's (I suggested that she find one) but has been
to conferences etc to find out as much as she can. She has gone the
route of GV and Diflucan for very painful yeast...these have helped.
However, because her diet is fairly restricted to start with, and she
has tried to cut out yeast enhancing foods from her diet, she is now
suffering from "cement-like" stools. She is eating grains, brown rice
and flax seed and lots of vegetables. Sounds like a fairly decent supply
of fibre but it has not helped. She also drinks about 6 litres of water
a day. Also taking acidophyllus (spelling?)The yeast problem is only
partly gone as she still has some reddish spots on the nipples. We
corrected latch problem already and she has been to see Dr. Jack and
will call him again. She also has bowel fissures now due to hard
stooling. She was wondering if the hormones involved with breastfeeding
could be affecting her digestion and absorption of water. Her baby is
nursing about 6-8 times per day and milk supply is diminishing. I asked
her to persevere until she had seen the good Dr. Jack and until I had
sought advice from Lactnet. I was wondering if anyone knows the systemic
effects of breastfeeding on this friend's celiac problem. She seems to
have no end in sight to pain from top to bottom. Wanting to help.....
Dana Haas R.N. IBCLC
______________________________________________________
Get Your Private, Free Email at http://www.hotmail.com
=========================================================================
Date: Wed, 17 Feb 1999 16:23:14 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Tracy Kirschner, La Leche League Leader & Doctor of"
<[log in to unmask]>
Subject: Anti-anxiety Drugs
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I loaned out my Tom Hale book. I need info on a drug called adavan or adavin.
The mom was unsure of the spelling. Her doctor wants to switch because he
says Xanax wears off after awhile. Is this drug safe to take while
breastfeeding? If not, what might be some other options?
Thank you,
Tracy Kirschner, LLL Leader
Boulder, CO
=========================================================================
Date: Wed, 17 Feb 1999 17:11:35 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cathy Bargar <[log in to unmask]>
Subject: donating ABM
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Unsolicited, unwanted ABM rec'd in the mail: while I agree (on the one hand)
with those who feel that the stuff isn't fit for human consumption, this is
an area where I think it's better to get off of our own BFing platform and
donate it where it will improve somebody's life. We BF advocates know how
inferior to mother's milk it is, and we would like to see those least
fortunate among us at least starting out their babies with the blessings of
breastmilk, but given that many of the women who would benefit from the free
formula have already decided not to BF, isn't it better to think of their
babies at least getting ABM - in preference to, say, soda or root beer, or
even "regular" cows' milk? I've seen many women come in to WIC with their
babies getting bottles of all kinds of stuff (all of them worse than ABM)
when their formula supply has run out.
Johanna, you make a good point about clean water and safe storage for ABM
being a problem for homeless women. BUT many of these women that I have
known have problems that make breastfeeding not a good option for them
either - AIDS/HIV, mental illness requiring medications that aren't so great
for nursing babies (Lithium comes to mind, as well as some of the heavy-duty
antipsychotics), alcoholism and frequent continuing use of "street drugs",
are all frequently-encountered conditions among these women. Much as it
pains me to say it, I think that many women are making the right decision
for themselves when they go with formula-feeding - they know more about
their lives than we do. And the lack of infant formula doesn't improve the
risk factors in these women's lives; there are just some for whom
breastfeeding will not be a viable option, and making formula less available
doesn't add anything positive to their lives or their babies'.
I'm thinking of one young mom I worked with - 15 yrs. old, homeless, staying
at the shelter with her new baby, "breastfeeding". Her public health nurse
brought her to me when baby was just a couple of days old, *not* thriving -
mom was not allowed to hang out in the shelter with the baby during the day,
and was not able to find places where she felt comfortable nsg., SO BABY
WASN'T GETTING FED REGULARLY. Mom thought lack of wet diapers was a good
thing, since diaper changes were difficult & diapers cost money. I worked
with her to come up with a list of places she could nurse.(I even went with
her to show her a little spot in the public library that I had always
thought would be a good place to nurse if you were downtown.) A few days
later I came in to a big ruckus - the baby was in the hospital, under
custody of Dep't of Social Svcs. and very ill; turns out she had taken the
baby with her to visit her boyfriend in jail (where the baby was exposed to
meningitis, in the crowded waiting room), and then the next day had gone out
late at night (for drugs) and just left the baby unattended in the shelter.
No formula, no tidy little bottles of expressed breastmilk, absolutely
nothing for the baby to be fed. Scary, isn't it?! We all would have been
much happier if the shelter had had a supply of formula on hand, and I
learned my lesson - from then on, extra formula that came our way at WIC
went to the shelter and the many food pantries around the county; we also
donated a regular supply to the teen parenting program, since planning ahead
was often not a strong suit for these young moms.
Remember Rule #1: FEED THE BABY!
cATHY bARGAR, rn, ibclc iTHACA ny
=========================================================================
Date: Wed, 17 Feb 1999 17:30:52 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Presutti, Lenard" <[log in to unmask]>
Subject: Re: herpes and L-Lysine
Comments: To: Karen Hoffman <[log in to unmask]>
MIME-Version: 1.0
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You are correct. It may shorten the course of the out break but it will
not prevent the infant from getting infected if there is contact with
the virus on the mom's breast.
Len Presutti, DO
>----------
>From: Karen Hoffman[SMTP:[log in to unmask]]
>Sent: Wednesday, February 17, 1999 3:08 PM
>Subject: herpes and L-Lysine
>
>It is my understanding that mom taking L-Lysine will not prevent baby
>from contracting the herpes virus if contact with an open lesion occurs
>during BF. In addition from what I understand, L-Lysine only helps to
>control outbreaks in a person who already has the herpes virus and will
>not prevent a person from contracting the virus. Please correct me if
>I'm incorrect.
> Karen Hoffman (NMN
>counselor in PA)
>
>
=========================================================================
Date: Wed, 17 Feb 1999 17:44:17 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: donating formula
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oh, heather, heather, heather,
you should leave the purity of newcastle upon tyne and see the shameless
television news promos whenever there is a disaster somewhere in the world,
because they of course show endless footage of helpful americans bringing
things to donate, and they make suggestions of what to bring to donate, and
FORMULA is always mentioned, donated, and featured in photos of piles of
donations. items for children are always stressed, because the pity factor of
children in need is a powerful motivator.
it would be NICE if some group knew of these things and considered them.
carol brussel IBCLC
=========================================================================
Date: Wed, 17 Feb 1999 22:45:20 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: heather <[log in to unmask]>
Subject: where to send the 'free' formula
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
I take Cathy's point about some women in desperate situations who don't bf
or who don't bf successfully do need ABM.
My point is that this *should not* come as branded gifts from well-meaning
kind-hearted individuals.
Why?
1. This is a political issue - non-bf mothers of babies at risk who cannot
afford to buy formula should be entitled to discounted formula from the
public purse...as of right. Well-meaning gifts from kind people cannot be
relied on.
2. This sort of marketing - sending unsolicited free gifts - is not allowed
under the internationally-agreed WHO code. Diverting the gifts does not
challenge the flouting of this code.
3. You give kudos and warm glow to ABM manufacturers. They do not need, or
deserve it.
4. Mothers in desperate situations are as entitled as anyone else to choose
which formula brand they use for their babies - on the basis of a
health/nutrition choice, not on the basis of which brand a kind person gave
them, or which brand they happen to have noticed, or which brand happens to
have been kicking around the hostel. Remember, the WHO code is about
protecting all mothers and babies, no matter how they are fed.
And the clincher - it is *not* free!!! Someone is paying for this free
formula, and it is consumers - poor mothers included. They subsidise this
strategy in the retail price they pay.
Heather Welford Neil
NCT bfc Newcastle upon Tyne UK
=========================================================================
Date: Wed, 17 Feb 1999 17:52:14 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: seeing doctors
Mime-Version: 1.0
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<< She has never been to a
specialist for her celiac's (I suggested that she find one) but has been
to conferences etc to find out as much as she can >>
you know me, i hardly ever quote, but this really begins to frighten me, this
avoidance of medical help. i know, not all doctors are the god-like creatures
like some we are accustomed to meeting on lactnet, but still. get a diagnosis,
for heaven's sake (good advice, Dana, but she should get a real diagnosis
before you start advising her).
carol brussel IBCLC
=========================================================================
Date: Wed, 17 Feb 1999 17:53:05 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: Re: formula use in surgery
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I asked one of our surgeons recently why he had called for a bottle of abm to
be sent to the OR. He said that he prefers this to dye when checking for
bladder leaks. If there is a leak, the abm doesn't stain all of the tissues &
it is easier to repair.
Laura Hart, RN, BSN, IBCLC
Winter Park FL near Orlando & Disney World & all the other attractions
=========================================================================
Date: Wed, 17 Feb 1999 17:53:42 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: lithium
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cathy, lithium and breastfeeding are not incompatible. it *is* possible.
carol brussel IBCLC
=========================================================================
Date: Wed, 17 Feb 1999 16:52:49 -0600
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: Citation for interesting article about diabetes
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
LactNetter Lenard Presutti found the specific reference to the article on
breastfeeding, the mini-pill, and diabetes:
Journal of the American Medical Association, August 12, 1998 Vol. 280,No 6 p
533-538.
Kathy Dettwyler
=========================================================================
Date: Wed, 17 Feb 1999 18:34:06 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cindy Curtis <[log in to unmask]>
Organization: Benefits of Breastfeeding
Subject: Re: formula in the mail
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
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I thought baby formula was BAD for cats, made them sick???
Cindy
--
Cindy Curtis,RN,IBCLC
Virginia,USA
mailto:[log in to unmask]
Benefits of Breastfeeding Page http://www.erols.com/cindyrn
=========================================================================
Date: Wed, 17 Feb 1999 19:00:40 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Paula M. R. Hart" <[log in to unmask]>
Subject: What I did with the formula
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First of all, thank you to everyone for all of the input. I think I am
taking ideas from several people, so I won't be able to single out with
whom I agree. The reason I asked your opinion is that in the past (third
baby), I have donated it to shelters and similar places, always looking for
a promise that it would not be given to anyone pregnant still or
breastfeeding. No one was ever willing to commit to that. I didn't remove
labels then because I frankly did not know what WHO is.
I donated it to Pet Helpers today without labels, just the instructions cut
out and taped on. Of course, the lady in charge was getting all nostalgic
about formula feeding her children. I almost threw up. It did, however,
give me a wonderful opportunity to explain my situation to her and what I
was doing. I don't know if I made a difference in how she views formula
marketing now, but I at least made a dent.
I wish I had not opened the packages, so that I could have just sent them
back to the manufacturer, but the outside of the box had no evidence of
whom it was from. I will be lodging a complaint with the FTC tomorrow. I
am certain that I unwittingly signed myself up at my first prenatal visit.
I naively believed the OB nurse who said that I was signing up for a
prenatal magazine only. I specifically voiced my objection to free formula
in the mail. I do have a visit on Thursday, and the doctor is definitely
going to get it both barrels from me. Even if the magazine is the actual
culprit, the OB nurse should not be telling patients that formula companies
will not get the name if they will in the end.
Anyway, thanks for all the help. Hopefully, by the fourth baby I will be
employed in this field, and know more about what really goes on out there.
Paula Hart
Charleston, SC
=========================================================================
Date: Wed, 17 Feb 1999 19:27:40 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: Re: What the heck is with YMCA? (way off the breastfeeding tract
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My first daughter took a baby swimming class at the YMCA. The class ended
right before the business men came for their lunch time swim. For the sake of
efficiency the men didn't wear bathing suits.
To get out of the woman's locker room we needed to walk through the pool area
with the men swimming ( or just diving in)
We young mothers got to see much more then we wanted to and a lot less the
anyone would see in a breastfeeding situation.
Ruth Solomon
=========================================================================
Date: Wed, 17 Feb 1999 19:27:07 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Ann Perry <[log in to unmask]>
Subject: Re: Hepatitis C
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Hi Lecha,
I'm confussed some by your post. Are you saying that the mom who's milk had
Hep C should not have been breastfeeding? It is ok to breastfeed with Hep C.
Check it in "A Review fo the Medical Benefits and Contraindications to
Breastfeeding in the United States", by Dr.Ruth Lawrence. Available through
the U.S. Deptof Health and Human Services.
Ann Perry RN IBCLC
Boston,Mass
=========================================================================
Date: Wed, 17 Feb 1999 18:35:35 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cindy Curtis <[log in to unmask]>
Organization: Benefits of Breastfeeding
Subject: Re: New use for formula
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This has been done for years and years at many many places with no
untoward effects. I don't personally agree with it but it is still done.
We just had a big discussion of this on the Perinatal OB nurse listserv.
Cindy
--
Cindy Curtis,RN,IBCLC
Virginia,USA
mailto:[log in to unmask]
Benefits of Breastfeeding Page http://www.erols.com/cindyrn
=========================================================================
Date: Wed, 17 Feb 1999 19:45:02 -0500
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: carbamazepine
Comments: To: Chris Hafner-Eaton <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
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There are all sorts of alternatives to carbamazepine if she's taking them
for seizures.
Jack Newman, MD, FRCPC
=========================================================================
Date: Wed, 17 Feb 1999 19:47:59 -0500
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: phlebitis
Comments: To: [log in to unmask]
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No need for antibiotics for phlebitis. A superficial phlebitis from an
intravenous can be treated with ibuprofen, just fine. If this doctor really
said that about the antibiotic, I would give him/her wide berth.
Jack Newman, MD, FRCPC
=========================================================================
Date: Wed, 17 Feb 1999 19:44:23 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Johanna Berger <[log in to unmask]>
Subject: formula use
Karen wrote:
"At the birth center where my daughter was born they take the formula
out
of the discharge packs and donate it to the local food bank (and then
give the moms
the little diaper bag it came in). Just because there are moms out
there who chose not to breast feed doesn't mean that their children
should be hungry."
They should NOT be giving out any discharge packs no matter what they
take out of them. This is a violation of the Code, they should be
reported to their professional organization, and the hospital ethics
board! I guess the moms who take them provide free advertising for the
ABM co.
Again, any woman in the US who needs to visit a food shelf, should
qualify for WIC. Also, homeless women and children in the US face the
same conditions many women and children in Third World countries face.
It is not safe to provide ABM for these children. Thank you Heather for
saying it so eloquently.
Johanna Berger, LSW
Breastfeeding Counselor
Bala Cynwyd, PA
=========================================================================
Date: Wed, 17 Feb 1999 19:26:09 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: G Hertz <[log in to unmask]>
Subject: Re: donating ABM
Comments: To: Cathy Bargar <[log in to unmask]>
MIME-Version: 1.0
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Cathy wrote:
isn't it better to think of their
babies at least getting ABM - in preference to, say, soda or root beer, or
even "regular" cows' milk? I've seen many women come in to WIC with their
babies getting bottles of all kinds of stuff (all of them worse than ABM)
when their formula supply has run out.
I've been following this thread with interest and have to agree with what
Cathy said. I see babies getting all sorts of stuff in their bottles
"after the formula runs out". Sometimes it's the cause of the visit to the
doctor in the first place. I've gone from thinking it was an odd case here
and there to realizing it's some people's end of month reality.
Gail
Gail S. Hertz, MD, IBCLC
Resident, Dept. of Pediatrics
PSGHS Children's Hospital
Hershey PA
[log in to unmask]
=========================================================================
Date: Wed, 17 Feb 1999 20:20:40 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: The Breastfeeding Center of Maine <[log in to unmask]>
Subject: NEUTROPENIA/CHRONIC BR. INFECTION - LONG
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TIA for any light shed down this endless tunnel! My client has a Hx of
neutropenia, her WBC count is normally 2.5, rising to 3.5 with infection
(but not with her current breast infections). Baby was born 1/3/99, by day
4 one nipple had a superficial crack, pain bilaterally. By day 7 usual
interventions no help, superficial cracks now bilateral, severe pain,
pumping all feedings, using sore-nipple breast cups, redness under one
breast. Day 9 redness resolved but wounds deeper, start bacitracin, tries
baby to breast once a day or less. Day 15 mastitis (other breast), started
on keflex (PCN allergy). Day 18 baby to breast once (first time in 8 days)
fever gone but not redness or lumpiness, and wounds healing VERY slowly.
Contacted CNM for management review. Started on Ceclor over phone. Day 29
no improvement, saw OB. Milk culture (strep, e-coli). No wound culture (OB
says it will make no diff). On Vit. C, ecchinecea, bacitracin BID.
Hematologist and primary doc consulted. Told not to breastfeed baby RT
introduction of germs to wounds and compromised immune response, but keep
pumping, lansinoh to wounds, stop bacitracin. Started on keflex,
clindamycin, & neupogen to increase bone marrow response. Told to pump and
dump, in spite of info otherwise. Tearful, wants to breastfeed desperately.
No culture to infant's mouth. Day 40 admitted with fever, bilateral
mastitis. Now on Clindamycin, vancomycin, fortaz, diflucan, neupogen. Used
lidocaine oint. but one nipple blistered (?lidocaine), not using now.
Stopped breastcups, but can't tolerate clothing (or hold baby against
chest). Sent for large breastshields for pump. Lansinoh to wounds than
betadine, hydrogen peroxide soak before and after pumping. Nipples
edematous so ordered to lie flat 20 min. (?plus soak) prior to pumping, and
vary suction. Still throwing milk RT multiple drug combos. WHAT A MESS!
Bettina Pearson RN, IBCLC
=========================================================================
Date: Wed, 17 Feb 1999 20:53:19 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: The Breastfeeding Center of Maine <[log in to unmask]>
Subject: Fw: NEUTROPENIA/CHRONIC BR. INFECTION - LONG
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----------
> From: The Breastfeeding Center of Maine <[log in to unmask]>
> To: LACTNET @LIBRARY.UMMED.EDU
> Subject: NEUTROPENIA/CHRONIC BR. INFECTION - LONG
> Date: Wednesday, February 17, 1999 8:20 PM
>
> TIA for any light shed down this endless tunnel! My client has a Hx of
> neutropenia, her WBC count is normally 2.5, rising to 3.5 with infection
> (but not with her current breast infections). Baby was born 1/3/99, by
day
> 4 one nipple had a superficial crack, pain bilaterally. By day 7 usual
> interventions no help, superficial cracks now bilateral, severe pain,
> pumping all feedings, using sore-nipple breast cups, redness under one
> breast. Day 9 redness resolved but wounds deeper, start bacitracin, tries
> baby to breast once a day or less. Day 15 mastitis (other breast),
started
> on keflex (PCN allergy). Day 18 baby to breast once (first time in 8
days)
> fever gone but not redness or lumpiness, and wounds healing VERY slowly.
> Contacted CNM for management review. Started on Ceclor over phone. Day 29
> no improvement, saw OB. Milk culture (strep, e-coli). No wound culture
(OB
> says it will make no diff). On Vit. C, ecchinecea, bacitracin BID.
> Hematologist and primary doc consulted. Told not to breastfeed baby RT
> introduction of germs to wounds and compromised immune response, but keep
> pumping, lansinoh to wounds, stop bacitracin. Started on keflex,
> clindamycin, & neupogen to increase bone marrow response. Told to pump
and
> dump, in spite of info otherwise. Tearful, wants to breastfeed
desperately.
> No culture to infant's mouth. Day 40 admitted with fever, bilateral
> mastitis. Now on Clindamycin, vancomycin, fortaz, diflucan, neupogen.
Used
> lidocaine oint. but one nipple blistered (?lidocaine), not using now.
> Stopped breastcups, but can't tolerate clothing (or hold baby against
> chest). Sent for large breastshields for pump. Lansinoh to wounds than
> betadine, hydrogen peroxide soak before and after pumping. Nipples
> edematous so ordered to lie flat 20 min. (?plus soak) prior to pumping,
and
> vary suction. Still throwing milk RT multiple drug combos. WHAT A MESS!
> Bettina Pearson RN, IBCLC
=========================================================================
Date: Wed, 17 Feb 1999 20:54:43 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: Re: Homeless Shelters
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Heather:
I agree with Heather and wantd to add that this is an excellent place to
offer ones services... if you are so inclined.. these mother's need bf
assistance just like any other mother.
Patricia
=========================================================================
Date: Wed, 17 Feb 1999 20:54:44 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: Re: cartoons
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
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Esther:
the "Neil" you are looking for is Neil Matterson... He is from Australia.
.
=========================================================================
Date: Wed, 17 Feb 1999 21:03:08 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: The Breastfeeding Center of Maine <[log in to unmask]>
Subject: APOLOGY
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MY SINCERE APOLOGY ON DOUBLE SENDING LONG MESSAGE, My first attempt at
this, thought I did a typo, live and learn. Embarrassed - Bettina
=========================================================================
Date: Wed, 17 Feb 1999 21:23:06 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Karen Hoffman <[log in to unmask]>
Subject: formula donation
MIME-Version: 1.0
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Johanna wrote - ...
"Again, any woman in the US who needs to visit a food shelf, should
qualify for WIC. Also, homeless women and children in the US face the
same conditions many women and children in Third World countries face.
It is not safe to provide ABM for these children. Thank you Heather for
saying it so eloquently."
First of all there was no advertisement on the diaper bag they gave
out. Second of all, as much as I hate the idea of a baby sucking down
ABM from an AB (I'm still nursing 2 1/2 yr. daughter who has never had
ABM) you certainly can't expect women who have been giving there babies
ABM to magically start producing breast milk so that they no longer have
to buy ABM. Obviously until we can effectively get the message across
that BF is the preffered choice (which is why we all became counselors
and/or LCs) there are still hungry children out there who can use it.
Respectfully,
Karen Hoffman (NMN Counselor
in PA)
=========================================================================
Date: Wed, 17 Feb 1999 20:33:37 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Gingerich <[log in to unmask]>
Subject: Breastfeeding and Pacifiers
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
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Hello, my name is Andi Gingerich, and I am a Junior nursing student at the
University of North Dakota in Grand Forks. I have a question pertaining to
the use of pacifiers and successful breastfeeding. I am aware that
pacifiers
violate one of the Baby Friendly 10 steps, and I also have scanned the
archives
regarding this topic.
According to the study by Righard and Alade (1997), pacifiers should be
avoided in order to promote successful breastfeeding. They found that
infants who suck a pacifier two hours or more thought the day are less
likely to still be breastfeeding at the age of four months. Even those
mother-infant paris that were discharged with incorrect sucking technique
were still Breastfeeding at four months if not using pacifier.
Hill, P., Humenick, S., Brennan, M., and Woolley, D. (1997) found that
breastfeeding exclusively during the first few
weeks postpartum contributed to a higher success rate than those who let the
infant suck on something other than the breast, like the pacifier or bottle.
Victoria, C., Behague, D., Barros, F., Olinto, M., and Wiederpass, E.
(1997) found that pacifier users not only quit breastfeeding
earlier than non-pacifier users, but when they were breastfeeding they had
fewer daily breastfeeding's. It was also found that pacifiers had less
effect on infants whose mothers were more confident about nursing.
It was also noted that in order to help breastfeeding succeed,
there needs to be a support out there to help mothers deal with the
anxieties and challenges of breastfeeding as well as cutting down on
pacifier use.
After reading all this info, I am curious as to whether anyone out there had
found pacifier use a problem with successful long term breastfeeding? Also,
do your hospitals hand out pacifiers or ask parents preference to having one
or not? And last but not least, do they have numbers or people to call to
get help with any problems they may be facing. I really appreciate your
taking the time to read this and I encourage anyone to pass their thoughts
on to me. Thanks so much!
References:
Hill, P., Humenick, S., Brennan, M., and Woolley, D. (1997). Does early
supplementation affect long-term breastfeeding? Clinical Pediatrics, (36)6
pp. 345-350.
Righard, L., and Alade, M., (1997). Breastfeeding and the use of
pacifiers. Birth, (24)2, pp. 116-120.
Victoria, C., Behague, D., Barros, F., Olinto, M., and Wiederpass, E.
(1997). Pacifier use and short breastfeeding duration: cause, consequence,
or coincidence? Pediatrics (99)3 pp. 445-453.
=========================================================================
Date: Thu, 18 Feb 1999 14:00:01 +1100
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Amir <[log in to unmask]>
Subject: Re: Cartoons and Calenders - "Neil"
Comments: To: Esther Wiles <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit
<
I am looking for the artist by the name of "Neil", that does the
breastfeeding cartoons and calenders>
Hi Esther and everyone,
This is Neil Matterson, PO Box 415 Woodend, Vic 3442, Australia. I don't
know if he has email, perhaps another Aussie may know. (And I'm trying to
remember who I've lent my book of cartoons to!)
Lisa Amir
GP / IBCLC in Melbourne, Australia
=========================================================================
Date: Wed, 17 Feb 1999 19:06:10 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kate Hallberg <[log in to unmask]>
Subject: formula in the mail
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
I, too, got the cases of formula. Two of them, one complete with a
bottle and nipple. :-( I called the local food bank and they didn't
want it as they rarely give it out, and they often have to throw it
away because it is expired. So call your food bank first.
Other options are to milk feed a pumpkin- never done it, don't know
anything about it.
Safehouse for battered women and children- again, call first and also
bring copies of your business card and brochures, as often these moms
need help with parenting, and we all know that breastfeeding makes
parenting easier. (Holding the babies was so rewarding because they
needed it so much- gotta get back to that work someday.)
Compost it- I did that with the expired formula recieved at my first
hospital birth. Dogs like it sometimes. But they often like it after
composting too. :-)
==
Kate Hallberg, mom to Ursula (wow! 4) and Sage (almost 2)
http://www.cs.colorado.edu/~kolina
Does "I hope I've answered your questions" mean "Have I answered?"
http://www.geocities.com/Heartland/Ridge/8193/
_________________________________________________________
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Get your free @yahoo.com address at http://mail.yahoo.com
=========================================================================
Date: Wed, 17 Feb 1999 19:09:57 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kate Hallberg <[log in to unmask]>
Subject: formula in the mail
Comments: To: [log in to unmask]
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Sorry, Maureene- that doesn't work. The post office, at least in the
US, doesn't return bulk mail. They throw it away or donate it. When
I worked at the Boulder Safehouse we got lots of postal donations;
toothpaste, Harry and David fruit, sunblock samples.... I never saw
formula though so maybe not many cases go undelivered.
==
Kate Hallberg, mom to Ursula (wow! 4) and Sage (almost 2)
http://www.cs.colorado.edu/~kolina
Does "I hope I've answered your questions" mean "Have I answered?"
http://www.geocities.com/Heartland/Ridge/8193/
_________________________________________________________
DO YOU YAHOO!?
Get your free @yahoo.com address at http://mail.yahoo.com
=========================================================================
Date: Wed, 17 Feb 1999 19:17:01 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kate Hallberg <[log in to unmask]>
Subject: cup on table breast pain
Comments: cc: [log in to unmask]
MIME-Version: 1.0
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..The pains were getting so bad that she cannot lift her arm
comfortably over her head."
Could this be a pinched nerve with referred pain to this area? Maybe a
chiropractor would be the practioner to consult.
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
Just to jump in before Rob :-), osteopathic physicians are often a
great place to start. I love the work that DO's do for me and my
family, and often they are better covered by insurance. I have a
family practice D.O. who will often do these quick fix things for me,
with great results, instead of the long term care plan that
chiropractors usually try to get me to sign up for. I've also seen
chronic pain specialists who are D.O's who can fix me in a matter of
weeks. I love osteopathy, and love the philosophy behind it. I also
appreciate the fact that they are knowledgable about pharmacology and
can prescribe meds when necessary, although they often limit that.
Just a reminder that other practitioners do hands on body work, and
often do it a lot better, IME.
==
Kate Hallberg, mom to Ursula (wow! 4) and Sage (almost 2)
http://www.cs.colorado.edu/~kolina
Does "I hope I've answered your questions" mean "Have I answered?"
http://www.geocities.com/Heartland/Ridge/8193/
_________________________________________________________
DO YOU YAHOO!?
Get your free @yahoo.com address at http://mail.yahoo.com
=========================================================================
Date: Wed, 17 Feb 1999 22:01:33 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Hilary E. Black" <[log in to unmask]>
Subject: Craniosacral therapists in Braintree/Boston Area
MIME-Version: 1.0
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Does anyone know any craniosacral therapists in Boston/Braintree (south
of Boston) area or chiropractors that have this expertise to help a very
fussy and unhappy 4 week old recover from a very long, traumatic vacuum
birth? Also any current references about this treatment would be
helpful also. Thanks for all your help and guidance.
Hilary Black RN BSN LLL Leader
___________________________________________________________________
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/getjuno.html
or call Juno at (800) 654-JUNO [654-5866]
=========================================================================
Date: Wed, 17 Feb 1999 22:31:16 -0500
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: Bettina
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Bettina,
Has anyone ever thought of thrush in this mother?
Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont
mailto:[log in to unmask]
LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
=========================================================================
Date: Wed, 17 Feb 1999 22:36:59 -0500
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: Bettina
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
PS. Candida can cause repeated mastitis in mothers, according to many
references. If so, the antibiotics she is taking could likely be
exacerbating things. ACKKKKKKKKk
Kathleen
Bettina,
Has anyone ever thought of thrush in this mother?
Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont
mailto:[log in to unmask]
LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
=========================================================================
Date: Wed, 17 Feb 1999 19:38:45 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kate Hallberg <[log in to unmask]>
Subject: ativan
Comments: To: [log in to unmask]
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Lorazepam.
Uses- anti anxiety, sedative
AAP- effect on nursing infants is unknown but may be of concern.
benzodiazepine from the Valium famiuly. Frequently used prenatally
and presurgically as sedative. In one prenatal study- produced a high
rate of depressed respiration, hypothermia and feeding problems in
newborns. secreted drug for up to 11 days postpartum. different 1979
study, infants were unaffected following prenatal use. Plasma levels
in infants were = to mothers; rate of metabolism slow but also =. No
untoward effects noted in any of the infants. skip milk levels, but
"It would appear from these studies that the amount of drug secreted
into milk would be clinically insignificant under most conditions."
paraphrased of course.
alternatives- midazolam
Pediatric concerns: none reported via milk, but observe for sedation.
Increased sedation when used with morphine, EtOH, CNS depressants, MOA
inhibitors, loxapine and tricyclics.
end of Hale. I used Valium for a root canal when my elder was a year
or so old, and eating solids. I noted no sedation.
If you need more info, I guess you'll have to ask someone else. :-D
==
Kate Hallberg, mom to Ursula (wow! 4) and Sage (almost 2)
http://www.cs.colorado.edu/~kolina
Does "I hope I've answered your questions" mean "Have I answered?"
http://www.geocities.com/Heartland/Ridge/8193/
_________________________________________________________
DO YOU YAHOO!?
Get your free @yahoo.com address at http://mail.yahoo.com
=========================================================================
Date: Mon, 27 Dec 1999 21:39:47 -0900
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Sulman Family <[log in to unmask]>
Subject: Onset of menarche and breastmilk
Naomi,
In addition to the N.Y. Times report by Natalie Angier (May 24, 1994, p.
B5) mentioned already, here is a blurb about the research from a newsletter
called Weizmann NOW, from the fall of 1994:
"A group of Weizmann researchers made front page news with mother's milk.
They showed that in lactating laboratory animals, the mammary gland
produces a peptide hormone crucial to regulating development of the human
brain and sex organs. In human milk, the GnRH peptide also occurs in high
concentrations. 'Mother's milk should not be regarded as a mere source of
nutrition, but as a major stimulator of developmental physiology,' said
Prof. Yitzchak Koch (Stevenson Chair), Department of Hormone Research, who
headed the multidisciplinary team."
The research was done at the Weizmann Institute, Rehovoth, Israel. You
might be able to learn more from them.
Anne Altshuler, RN, MS, IBCLC and LLL leader in Madison, Wisconsin
mailto:[log in to unmask]
=========================================================================
Date: Mon, 27 Dec 1999 21:40:09 -0900
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Sulman Family <[log in to unmask]>
Subject: How long to store human milk at room temperature
Rob,
La Leche League has a new handout titled, "Storing Human Milk." It is
available as a tear-off sheet in pads of 50, and would make a good patient
handout. It is dated December 1998. It discusses appropriate containers
for milk storage, where and how long to store the milk (at room temperature
is 10 hours), and how to properly warm the milk for use. You can order it
from LLLI by calling 1-800-LA LECHE and asking for tear-sheet # 4692.
Anne Altshuler, RN, MS, IBCLC and LLL leader in Madison, Wisconsin
mailto:[log in to unmask]
=========================================================================
Date: Wed, 17 Feb 1999 19:32:43 PST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Dana Haas <[log in to unmask]>
Subject: specialist and celiac's
Mime-Version: 1.0
Content-type: text/plain
Carol,
She has been diagnosed by her family doctor but I am talking about
someone who has a special interest in celiac patients and their unique
needs. Not all family practice physicians are familiar with the ins and
outs of this condition.
Also, a correction on how many litres of fluid she drinks per day. It is
only 4. Still a very good amount (about 16 cups for those of you not
familiar with metric).
Dana Haas R.N. IBCLC
______________________________________________________
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=========================================================================
Date: Wed, 17 Feb 1999 22:21:29 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: Re: herpes and L-Lysine
MIME-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
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As far as I know L-Lysine will only make the person with herpes more
comfortable and may prevent further outbreaks if taken regularily. I'm
sorry if I was misunderstood. In no way did I mean it could protect the
baby from contacting herpes from an open lesion on the breast/nipple. It
would be prudent to not expose the baby in such an obvivous way.
However our family experience has been that we all eventually contracted
herpes, the path is unknown to me but probably involves intimate
contact that goes on in families, kissing etc. Some of us seem to be
more prone to outbreaks (actually female/male differences). Maybe that
means women have more stress :-) Sincerely, Pat in SNJ
=========================================================================
Date: Wed, 17 Feb 1999 22:02:04 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jill Lund <[log in to unmask]>
Subject: State Policy & Code
MIME-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
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I know Texas has an infant feeding statement which supports the Code, and
we are using it in our breastfeeding task force to try to get something
similar in Missouri. I would like to know which states currently have a
statement which supports the code, and if you don't, are you working on
that? TIA
Jill Lund, RD, MS
St. Louis, Missouri WIC, USA
[log in to unmask]
=========================================================================
Date: Wed, 17 Feb 1999 21:56:06 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jill Lund <[log in to unmask]>
Subject: Shelters & Formula
MIME-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
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Shelters in St. Louis have running H20 & refrig. so ABM can be mixed. I
need to put warning labels on client returned formula before I give it to
our pediatric clinic. Formula feeding pts. have a right to know about the
risks & hazards of formula.
Promote human milk banks so one day banked human milk is a real option for
cases where mother's milk is not being used. Why can't WIC give vouchers
to the human milk bank? We could if we had enough banks.
Moms who are feeding inappropriate foods in bottles need education. Money
ran out? Not good enough. The baby is the ultimate priority in the family
-- teach those values.
If you have a client who is leaving a baby alone without food - breast or
bottle fed to go buy drugs, it sounds like neglect & needs to be reported.
We are lucky to have a clinic social worker.
Jill Lund, RD, MS
St. Louis, Missouri WIC, USA
"Loving Support Makes Breastfeeding Work"
=========================================================================
Date: Wed, 17 Feb 1999 23:16:56 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Barbara Whitehead, IBCLC" <[log in to unmask]>
Subject: New Rant
Mime-Version: 1.0
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Just had a call from a Mom who is having trouble nursing ( or rather is not
nursing)because the nurse at the hospital ( not an IBCLC) told her the baby
was having trouble putting his tongue down. The baby had bottles of formula
for low blood sugar on day one and two. The Mom said she was told that she
couldn't use the nipples that she brought from home ( Av**t) because those
nipples were against hospital policy to use-that she had to use the hospital
nipples. Which are the regular kind that milk just pours out of. What kind of
policy is that? I hope this Mom is confused and the hospital isn't really
endorsing and marketing this one kind of nipple. Anyway, the mom is wanting to
rent a pump so she can pump and put in bottles for the baby. I discussed
nipple confusion, overcoming that, longterm pumping, the effects of
childbirth meds on BFing ( mom had a spinal for a C sec), etc but I don't
think she got the picture. She wants the pump tomorrow when she goes home.
I am too tired to deal with this tonight. This is 6 nipple confused babies
here that I have counseled in 3 weeks.
Barbara Whitehead, IBCLC
Eastern NC ( always one step forward and two steps back)
=========================================================================
Date: Wed, 17 Feb 1999 23:26:00 -1200
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jean Geary <[log in to unmask]>
Subject: formula in the mail
In-Reply-To: <[log in to unmask]>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Here's an idea that Catherine Young of The Compleat Mother came up with a
few years ago. In Canada, letters sent to a Member of Parliament do not
require a stamp. Canadians who receive unsolicited formula in the mail can
send them to either their MP or the Minister of Health, House of Commons,
Ottawa, Ontario, K1A 0A6 with a note explaining their objections to the
practice. Would this work in other countries?
Jean Geary
Fundraiser, INFACT Canada
http://www.infactcanada.ca
=========================================================================
Date: Thu, 18 Feb 1999 15:25:37 +1100
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: L & A Bilcliff <[log in to unmask]>
Subject: Neil's Cartoons
MIME-Version: 1.0
Content-Type: multipart/alternative;
boundary="----=_NextPart_000_019D_01BE5B52.EF964080"
This is a multi-part message in MIME format.
------=_NextPart_000_019D_01BE5B52.EF964080
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charset="iso-8859-1"
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Hi!
You can find a selection of Neil's cartoons at the following sites. =
Unfortunately, there are no breastfeeding ones there. The sites also =
list contact details for Neil, which may be of some help.
http://www.mako.com.au/babymall/itsababy.htm
http://www.mako.com.au/babymall/wordsfromthewomb.htm
Hope this helps! =20
Andrea Bilcliff
(Student Midwife, Australia)
------=_NextPart_000_019D_01BE5B52.EF964080
Content-Type: text/html;
charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable
<!DOCTYPE HTML PUBLIC "-//W3C//DTD W3 HTML//EN">
<HTML>
<HEAD>
<META content=3Dtext/html;charset=3Diso-8859-1 =
http-equiv=3DContent-Type>
<META content=3D'"MSHTML 4.72.3110.7"' name=3DGENERATOR>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT color=3D#000000 size=3D2>Hi!</FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2></FONT> </DIV>
<DIV><FONT color=3D#000000 size=3D2>You can find a selection of Neil's =
cartoons at=20
the following sites. Unfortunately, there are no breastfeeding ones =
there. The=20
sites also list contact details for Neil, which may be of some=20
help.</FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2></FONT> </DIV>
<DIV><FONT color=3D#000000 size=3D2><A=20
href=3D"http://www.mako.com.au/babymall/itsababy.htm">http://www.mako.com=
.au/babymall/itsababy.htm</A></FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2></FONT> </DIV>
<DIV><FONT color=3D#000000 size=3D2><A=20
href=3D"http://www.mako.com.au/babymall/wordsfromthewomb.htm">http://www.=
mako.com.au/babymall/wordsfromthewomb.htm</A></FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2></FONT> </DIV>
<DIV><FONT color=3D#000000 size=3D2>Hope this helps! </FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2></FONT> </DIV>
<DIV><FONT color=3D#000000 size=3D2>Andrea Bilcliff</FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2>(Student Midwife,=20
Australia)</FONT></DIV></BODY></HTML>
------=_NextPart_000_019D_01BE5B52.EF964080--
=========================================================================
Date: Wed, 17 Feb 1999 23:53:55 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: William Shine <[log in to unmask]>
Subject: tegretol
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit
>From: "Nice, Frank" <[log in to unmask]>
>Subject: Tegretol/Carbamazepine
>>It would be helpful to know what dose of carbamazepine that the mother is taking
>and what SPECIFIC side-effects she is experiencing.
>Hopefully the side-effects do not include blood dyscrasia, tachycardia, and
>respiratory depression. They , of course, would be very serious.
>That leaves sedation which should end after about a week of therapy.
>That also leaves nausea, vomitting, and diarrhea. If these are side-effects,
>the mother should be put on another anticonvulsant if these side-effects persist
>for a few days.
>Frank J. Nice, DPA, CPHP
>I can only address this as a parent of a child who at 7 had a 6hr. status that ended in a coma and with her
on life support for 3 days. She is now 13 and taking Neurontin having gone through phenobarb, tegretol,
clonopin and depakote to get to this wonder drug. Katey displayed practically all the known side effects of
the drugs, so I sympathize with this mom. The ped neuro told us that once the tegretol reached its goal
dosage, it would take her about 2 weeks beyond that for her to be completely adjusted to it. She
then changed to depakote because the tegretol was not covering the seizures, the side effects were more than
annoying, and besides she became toxic when we switched from the chewable to non-chewable form.
Much to our surprise, she spoke her first complete thought sentence shortly after dropping the tegretol. We
had no idea that she was in such a cloud on the tegretol. It was like she was fogged over. She was so much
more alert off of it. Her motor and cognitive skills were better. We thought that the lack of concentration
and response were a result mainly of the seizure and the ones that followed, and brain in recovery...ended up
a lot of it was because of the drugs, first phenobarb then the tegretol. Neurontin is used to cover the same
types of seizures and does not metabolize in the system. It excretes at the same amount as it goes in. There
are no behavior probs other than the normal that come with being 13. There are fewer seizures and their
intensity and postical stages are so minimal, they barely exist. It does mask most of the aura as it is part of
the seizure. Breakthroughs are a bit weird as they are not all there. Parke Davis makes Neurontin their toll
free is 1-800-223-0432. They should be able to tell you if Neurontin is safe for nursing moms to use. The
Epilepsy Foundation of America is a wonderful source of info. They can be reached, toll free 1-800-EFA-
1000. They also have a web site www.efa.org
~ Mary
>------------
>
=========================================================================
Date: Wed, 17 Feb 1999 14:40:57 +0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Joy Anderson <[log in to unmask]>
Subject: Re: formula in the mail
In-Reply-To: <[log in to unmask]>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
>The cat reference should be taken seriously! I took a huge box of "free"
>formula in the mail to the local animal shelter. I can't remember where I
>originally heard the idea, but it was a satisfying trip.
>
>Claire Eden
Is this recommended by vets? A *bovine* milk altered to approximate *human*
milk, then being fed to *felines*. How suitable is this?? Just curious.
******************************************************************
Joy Anderson B.Sc. Dip.Ed. Grad.Dip.Med.Tech. IBCLC
Nursing Mothers' Association of Australia Breastfeeding Counsellor
Perth, Western Australia. mailto:[log in to unmask]
******************************************************************
=========================================================================
Date: Wed, 17 Feb 1999 21:22:22 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Rhoda Taylor <[log in to unmask]>
Subject: instructions for childminder
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Does anyone have or know of a good handout to give to childcare
providers about caring for breastfed infants. We have a very high rate of
breastfeeding with many women returning to work during the first six months.
The childcare providers whether family members or daycare centres are
complaining that the children are only able to be consoled at the breast and
have no other way of calming. Has anyone developed a handout or do you have
suggestions that we could incorporate into one we develop locally.
Any and all suggestions appreciated. Thanks Rhoda
Rhoda Taylor, B.A., I.B.C.L.C., Vancouver Island, Canada
Help celebrate the 50th Anniversary of the Universal Declaration of Human
Rights.
Visit www.amnesty.ca
=========================================================================
Date: Thu, 18 Feb 1999 00:30:35 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Elisheva S. Urbas" <[log in to unmask]>
Subject: solids -- some babies need baby food
Comments: To: [log in to unmask]
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit
Hello Chris, I haven't written to you directly before but I do enjoy your
posts to Lactnet.
This morning you wrote:
"Personally, after buying all sorts of expensive organic baby food with my
first and having to give it away, I found that kids who are really ready for
solids don't need baby food."
In general -- for most babies -- I agree with this -- it was certainly true
with my first, who *never* was willing to eat any form of mush but became
enthusiastic about eating solids the day she discovered avocado.
However, my second taught me to remember how variable babies are. She *loved*
mush, even though she didn't start solids until close to 8 months, and for
quite a while she preferred mush to solids. She was in no hurry to move off
mush at a year, in fact. When -- believing exactly what Chris writes above
about kids who are ready for solids, and since oral trouble of course didn't
occur to me -- I moved her unilaterally to table foods around 12 months, she
became a very picky eater, prone to gagging.
Now at 2 and a quarter she is receiving speech therapy for phonemic trouble
which seems to have been caused by some muscle trouble in her mouth -- we
don't know exactly what kinds, since she clearly has less of it now, and she
nursed fine until a year and a half and drinks find from a cup both before
that and since. Her love of pureed food was clear many months before we
thought anything about her failure to speak intelligbly. It took me almost
another year to put all of this together.
Fortunately not to many babies have this kind of trouble. But since the ones
who do don't necessarily come with little signs on their jumpsuits, it does
remind me how important it is -- as always, my mantra -- to follow each baby's
own signals, and each mother's own instinct, rather than generalizing.
Warmly, Elisheva Urbas
[log in to unmask]
NYC
=========================================================================
Date: Thu, 18 Feb 1999 01:26:28 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Brigitte Hall, RNC, IBCLC" <[log in to unmask]>
Subject: Nifedipine and Breastfeeding
Mime-Version: 1.0
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I would like to know if anyone has any experience working with a mom who has
had to be put on a high dose of Nifedipine. I have read in MOTHER'S MILK AND
MEDICATIONS that Nifedipine is AAP approved for breastfeeding, and so there
was no concern when the mom was taking 30 mg once a day. However, since the
mother's BP has remained elevated, her doctor wants to change her dose to a 60
mg time-released capsule once a day indefinely. (Mom had a hx of hypertension
before becoming pregnant, during pregnancy, and she remains hypertensive 4
months post partum.) This mother is going to continue breastfeeding her 4
month old exclusively breastfeeding daughter unless there is evidence that it
is unsafe. Anyone have any information?
Thanks.
Brigitte Hall, RNC, IBCLC
Okinawa, Japan
=========================================================================
Date: Thu, 18 Feb 1999 01:56:39 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Sharon S Knorr <[log in to unmask]>
Subject: Re: breast injury
Comments: cc: [log in to unmask]
MIME-Version: 1.0
Content-Type: text/plain
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Dear Dana,
Well, first you can be thankful that the poor woman didn't lose her
breast as one did at a local racetrack a few years ago. This is why
biting of any kind should never be tolerated in a horse and should elicit
a swift and painful response to the horse by the bitee, IMHO. (I'm not
talking about prolonged beating or anything - the best, if you can bring
yourself to do it, is to bite the horse back, hard, on the muzzle).
Mostly, we've spoiled our horses disgracefully. Just a little aside to
any aspiring horse owners out there.
Back to lactation. This is kind of like you would work with a mom who
had previous breast surgery. Be optomistic and don't go looking for
trouble. Frequent nursing should be stressed both to prevent engorgement
and help bring in a good supply. Pretty basic stuff, but so important.
Pain meds are always an option if it comes to that. Good luck to this
mom. She is definitely the stoic type to go through what she did
already.
Warmly,
Sharon Knorr, BSMT, LLLL, IBCLC in Newark, New York (near Rochester)
mailto:[log in to unmask]
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=========================================================================
Date: Thu, 18 Feb 1999 02:47:49 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Sharon S Knorr <[log in to unmask]>
Subject: Re: Flebitis...
Comments: cc: [log in to unmask]
MIME-Version: 1.0
Content-Type: text/plain
Content-Transfer-Encoding: 7bit
Dear Jay,
Phlebitis can simply be an inflammation of the vein, often caused by the
various chemicals that are being introduced. It is not uncommon,
especially in smaller hand veins, to have some discomfort after the IV is
removed, especially if there has been some infiltration of the IV fluids
into the tissue near the vein. Painkillers such as demerol can cause a
lot of pain in the surrounding tissue if the IV is not well situated in a
larger, fast-flowing vein. There can also be bruising caused by the
initial insertion of the IV.
Unless there is a bacterial infection as well, I don't see a need for
antibiotics (pray tell, what would this doctor prescribe for the baby to
take if he were to fall ill to some bug?) As far as the aspirin is
concerned, are there actual clots obstructing blood flow through the arm?
And if there is obstruction, something stronger than aspirin would be
warranted - aspirin, I believe, acts on the platelets to make them less
"sticky" and taking it tends to prevents clots from forming in the first
place or from becoming larger once they do form. I don't think that
aspirin will dissolve an already well-formed clot.
She may get some relief by applying heat and/or cold packs to the area.
Advil or other NSAIDs may help with the inflammation and pain.
Warmly,
Sharon Knorr, BSMT, LLLL, IBCLC in Newark, New York (near Rochester)
mailto:[log in to unmask]
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Date: Thu, 18 Feb 1999 07:05:07 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Roni Chastain <[log in to unmask]>
Subject: Re: LACTNET Digest - 17 Feb 1999 - Special issue
Mime-Version: 1.0
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Good Morning,
Just to clarify something. I work in several homeless shelters as a visiting
nurse in Queens, New York (a boro of New York City). Most, if not all, of them
have a small kitchen for the families. A small refrigerator and a small stove
top. Many years ago they were staying in *hotels* without a refrigerator, but
it has been years since they converted those places. These women, many just
girls, don't have a clue about parenting, they have not been parented properly
and they just don't have the skills. We all learn from experience, and some
have grown up in the welfare system, and some have even grown up in the
homeless shelters. They certainly could use all the help, whether it be
formula, or instructions.
It has given me a whole new prospective on life, how much I have to be
grateful for, two healthy children and a home!
Roni Chastain, RN, LCCE, FACCE
Long Island, New York
<< Also, homeless women and children in the US face the
same conditions many women and children in Third World countries face.
It is not safe to provide ABM for these children. >>
=========================================================================
Date: Thu, 18 Feb 1999 06:05:59 -0600
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: Ultimate priorities
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
> Money ran out? Not good enough. The baby is the ultimate priority in the
family
>-- teach those values.
Not to sound too much like an anthropologist here -- but we need to remember
that putting the baby as the ultimate priority is not a value shared by
everyone, nor is there any basis for saying it *should* be. In addition to
not being the top priority for many homeless women (survival for themselves
is probably the top priority), the baby's needs are not the top priority for
a huge proportion of the middle and upper classes in the United States -- in
fact, almost everything is higher priority, including the mother's career,
the housework, her looks, her convenience, etc. So before we get all huffy
about teaching poor homeless women to put the baby first to match *our*
values, we should try teaching these values to the middle and upper classes.
Part of my grumpiness about this comes from a long and rewarding interview I
had yesterday with a health reporter from the LA Times, who told me about
all the mothers in Los Angeles who just couldn't juggle breastfeeding along
with all the other things they had to do -- they were just "wrecks" trying
to balance full-time work, social obligations, housecleaning, cooking,
laundry, AND breastfeeding a baby -- and I helped her to understand that the
underlying problem was lack of information about the importance of
breastfeeding to baby and mother's health, such that breastfeeding was
always allotted lowest priority. And she countered that even when mothers
KNOW the difference it makes to baby's health, some/many of them will
continue to put it in last place, because their lives revolve around their
jobs/social obligations/looks -- not their babies.
Kathy Dettwyler
=========================================================================
Date: Thu, 18 Feb 1999 07:24:57 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: Constipation in Breastfed Babies
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
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How many of you have experienced constipation in breastfed babies (exclusivley
breastfed)? Does anyone have any information in regards to the constipation
being due to some foods that the mother is eating? Have any of you ever run
into a situation like this where you did suggest that the mom change her diet
and by changing her diet it did clear up the constipation. Is there any
written documentation about constipation in a breastfed infant being due to
what the mom eats?
By the term constipation I am reffering to dry hard pellet like stools. I
would love to hear Dr. Jack Newman's feelings on this one.
Thanks,
Chris Tharion
LLL Ware, MA
=========================================================================
Date: Thu, 18 Feb 1999 12:50:32 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: heather <[log in to unmask]>
Subject: free formula
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Oh dear - I am starting to feel like the man who watered the worker's
beer....and like a broken record, too! ...*but* here goes: bf supporters,
lay or professional, come under the definition of 'health worker' in the
WHO code. It is a violation of the code for health workers to donate
samples of branded ABM. If we wish ABM manufacturers to abide by the code
in the West, then we should abide by it ourselves.
So, the dilemma: you meet a woman who is not bf, and her baby is hungry and
she has no money to buy formula. She may already have given the baby cola,
or worse.
In the UK we have a welfare foods scheme, where a poor mother can get free
formula in exchange for tokens, for the baby's first year. The scheme is
carefully monitored, to avoid its abuse by loan sharks (they take the
tokens in lieu of payment, get the ABM and sell it on to small corner
shops).
Here, a health worker (however defined) could probably give a desperate
mother a small, emergency pack of ABM. She'd then immediately make sure the
mother was signed up to the welfare foods scheme, which keeps her in touch
with a source of support and advice on her baby's health, and ensures she
can *continue* to feed her baby on non-cola stuff.
I would be surprised if this scheme is not replicated in the US and
elsewhere - ie free or discounted formula for those in need. I thought that
was how WIC worked. Put me right if I'm wrong - I am still unconvinced that
the only way to deal with desperate situations is to give away,
unmonitored, supplies of ABM.
Heather Welford Neil
NCT bfc Newcastle upon Tyne
=========================================================================
Date: Thu, 18 Feb 1999 08:22:21 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: Re: Ultimate priorities
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Dear Kathy, thanks for sounding like an anthropologist! I wasn't sure how
to respond to the comment
> > Money ran out? Not good enough. The baby is the ultimate priority in
the
> family -- teach those values.
Frankly it bothered me, as a HCP to inner city people (mainly small ones).
We just don't know what life is like - we haven't got a clue - out here in
suburbia. It is a whole different world and before we make statements like
the above we need to go there and find out what it REALLY is like!
I'd love to teach those values and the value of BF and the value of every
child, and lots of other values that I feel are important. I do it as best
I can, one mom at a time. Sincerely, Pat in SNJ
=========================================================================
Date: Thu, 18 Feb 1999 08:34:29 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: Re: J&J Growing Together
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Pediatric Institute of Johnson & Johnson is publishing booklets called the
Growing Together series. The second booklet, Growing Together 3 to 6 months,
has a section on separation (parent to leave baby with someone else) in which
it gives the following advice:
"One of the things you can do to help is to introduce bottled breast milk,
formula, or semisolid food. By doing this, Mom and her baby will each take a
step toward greater independence."
Pediatric Institute of Johnson & Johnson Consumer Companies, Inc.
1-877-565-5465
fax 1-877-565-3299
PO Box 2904
Clifton NJ 07015
Any comments?
Andrew MD
[log in to unmask]
=========================================================================
Date: Thu, 18 Feb 1999 09:12:46 -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: reducing nipple confusion
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>This is 6 nipple confused babies
>here that I have counseled in 3 weeks.
It sure seems to make a difference if moms are urged to have baby take the
*whole thing*, so that lips flange on the fat part rather than prissing on
the thin part. I've even had babies go on to take mom's very flat nipples
without batting an eye, after a week or so on a plain ordinary (hospital
type) teat, after mom made sure the baby had a nice big mouthful of teat.
With that big mouthful, though, I think the baby is less able to cut the
flow off at will, so I have them put frequent pauses in the feeding as well
- either taking the bottle right out or tipping baby and bottle so the milk
flows away from the teat, letting baby have a breather, then settling him
back in to the feed again.
Diane Wiessinger, MS, IBCLC Ithaca, NY
=========================================================================
Date: Thu, 18 Feb 1999 14:53:13 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: J Martin <[log in to unmask]>
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Hi,
I have a mom in need of some assistance in the Washington, DC area. Please
email me privately if you can help.
Thanks,
Jahaan Martin MEd, IBCLC
ABQ, NM USA
=========================================================================
Date: Thu, 18 Feb 1999 09:49:33 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: Hep A booster
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I've checked the archives under Hepatitis A vacines/boosters and it's coming
up empty. Need to know if it is safe for a mother of an 8 week old, 15
pound
baby to get her booster vacine for Hepatitis A. (Got first one last year
prior to
pregnancy)
Is this safe? I know a mom can nurse if she has Hep A.
Barbara Petzoldt, LLLL, Wic Peer Couns.
Fenton MO
=========================================================================
Date: Thu, 18 Feb 1999 10:02:27 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Tracy Kirschner, La Leche League Leader & Doctor of"
<[log in to unmask]>
Subject: Thanks on Ativan
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Thanks to everyone who responded to my Ativan post. BTW, the mom's therapist
thinks she should wean since she believes the mom's concern over drugs and
breastfeeding is the biggest contributor to her anxiety attacks! Oy, I just
don't get some people!
Tracy
=========================================================================
Date: Thu, 18 Feb 1999 10:36:55 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kermaline J Cotterman <[log in to unmask]>
Subject: Re: Childminder-a beautiful term
Rhoda Taylor, B.A., I.B.C.L.C., Vancouver Island, Canada
wrote:
Help celebrate the 50th Anniversary of the Universal Declaration of Human
Rights.
Visit www.amnesty.ca
Maybe this would be one way to help implement that declaration better in
the USA, to change our culture a bit by encouraging professionals to
start using that beautiful new term I had never heard before -
"Childminder" - instead of "Babysitter" ! It says it all, so eloquently.
On the other hand, as we were kindly reminded by Kathy Dettwyler, many of
us are conflicted about how best to manage our personal priorities, and
for whatever reasons, often make use of childminders while we tend to
other things.
A certain familiar pattern of infant massage, started by the parents and
conveyed to the childminders might help. And much as I hate to use the
term "mother substitute", a favorite "security blanket" or "fuzzy toy"
sprayed with mom's favorite cologne, even with an attached pacifier,
(horrors!), held close to the breast and to the infant's hands when
nursing from early on, seemed to bring some comfort to one of my little
ones when I was away.
A baby sling, scented the same way or even with Dad's familiar shaving
cologne, started early as a favorite method of going to sleep, might by
helpful. Do you suppose a soft hanky with the scent of mom's breast milk
and/ or underarm perspiration from that a.m. (a la Dr. Herbert Ratner's
lecture on "Armpitin" in the '60's) might be of any value? The limbic
system, seat of the emotional memory, lies very close to the olfactory
nerve.
I hope you share if you develop such an instruction sheet as you
described.
K. Jean Cotterman RNC, IIBCLC
___________________________________________________________________
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/getjuno.html
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=========================================================================
Date: Thu, 18 Feb 1999 10:49:04 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cathy Bargar <[log in to unmask]>
Subject: formula donation/WIC
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Johanna writes: "any woman in the US who needs to visit a food shelf, should
qualify for WIC."
You are right about that, Johanna! The problem is that many women who are in
the position of being homeless and in dire poverty still aren't aware that
this is the case. They are accustomed to programs where they have been
unable to get benefits without proof of permanent address (not the case with
WIC, by the way - and WIC has "food packages" specifically designed for
homeless families or those without refrigeration/cooking facilities - in the
case of formula, they would get ready-to-feed, and mom would get boxed or
canned milk for herself).
Many of these families are also "burned out" on programs like WIC - they
feel hassled there (too many questions), and almost all programs that
provide assistance EXCEPT shelters & food pantries require a lot of
documentation: address, proof of income, evidence of citizenship in some
cases, stuff that shows how they subsist, immunization records for the kids,
etc. These are the kinds of things that these families often have a great
deal of trouble keeping track of (it's hard to prove what you *don't* have),
especially when they live by staying with various people they know, or in a
car, or in an abandoned truck parked on someone's land, or from shelter to
shelter. Or they don't read very well, or don't speak much English. So they
don't KNOW they can get WIC, or they think it will be too much trouble, or
their husband/boyfriend won't "let" them - and he hits them so they're
afraid to go against his wishes.
Not pretty, not a "should" situation. So when you meet women like this, do
anything you can to help them get "hooked up"! If you can't do it yourself,
stay on that phone till you find the person who can take this woman to the
places she will be well-served! Soap-boxing here - sorry - this is my
"cause" in life, even more so than BFing!
Cathy Bargar, RN, IBCLC Ithaca NY
=========================================================================
Date: Thu, 18 Feb 1999 10:58:08 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: ABM
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What does ABM stand for?
Vickie
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Date: Thu, 18 Feb 1999 11:07:06 -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: new pump
Comments: To: [log in to unmask], [log in to unmask], [log in to unmask],
[log in to unmask], [log in to unmask], [log in to unmask],
[log in to unmask]
Mime-Version: 1.0
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What's been your experience with the Av*nt hand pump?
Diane Wiessinger, MS, IBCLC Ithaca, NY
=========================================================================
Date: Thu, 18 Feb 1999 11:07:09 -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: arnica
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When I asked about arnica for engorgment, a few days ago, I meant
*homeopathic* arnica. Someone (not an LC) had suggested it for severe
engorgement, saying it was helpful with bruising, but I'd never heard it
mentioned before. A couple private posters have thought it might be
helpful in severe cases - you know that oh-so-sad picture in R&A, of a
woman who look as if she's been inflated and beaten? Just wondered whether
anyone had ever tried it.
Diane Wiessinger, MS, IBCLC Ithaca, NY
=========================================================================
Date: Thu, 18 Feb 1999 11:25:44 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cathy Bargar <[log in to unmask]>
Subject: Re: Ultimate priorities
Comments: To: Kathy Dettwyler <[log in to unmask]>
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Thank you, Kathy D., for expressing so clearly and authoritatively a big
part of what I've been thrashing around about in this thread about giving
formula to shelters, etc.! I, not being an anthropologist (maybe in my next
lifetime!) or having any other credentials on this, have been wanting to say
exactly what you said, but felt too chicken to say it. Trying to avoid
generalizing, trying to not make sweeping statements about "homeless women",
trying to avoid having it be "them" (vs. "us"? - yuk!), etc. Sometimes
political correctness just gets in the way of clear expression (speaking for
myself only).
When I worked at the hospital, there was a mother that the nurses wanted to
"turn in" to Children's Protective Services for the SOLE reason that she
revealed that they didn't have a crib for the baby, they all slept togather
on the floor. I caused a big fluff-up by pointing out that the majority of
the people in the world, throughout history, have not necessarily slept
one-by-one in fancy beds - boy, you'd think I had advocated some really
scary radical notion! Hot-button issue!
Cathy Bargar, RN, IBCLC Ithaca NY
=========================================================================
Date: Thu, 18 Feb 1999 11:33:42 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cathy Bargar <[log in to unmask]>
Subject: Re: Constipation in Breastfed Babies
Comments: To: [log in to unmask]
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Re: constipation in BF babies-
I'm no Dr. Jack, but I've only seen this in young BF babies when mom hasn't
been nsg. frequently enough. Have seen dietary factors in mom cause *looser*
stools in baby, esp. with some herbal supplements - fenugreek being one, or
meds.(I've given up worrying about the stooling habits of older babies once
BF is well-established when everything else seems to be going OK - they do
all kinds of things in their diapers!)
Any other problems going on with the baby? How old is the baby? Has Cystic
Fibrosis been ruled out?
Cathy Bargar, RN, IBCLC
=========================================================================
Date: Thu, 18 Feb 1999 10:40:14 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Maurenne Griese, RNC" <[log in to unmask]>
Subject: What to do with free formula/pet shelters (long)
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Just the humble opinions of an animal lover... I am really enjoying
following everyone's comments on this topic. Here, here to Heather for
standing by her convictions.
Some of us think we should send it to food banks, pet shelters or mail it
back to the manufacturer. I just read a previous post from yesterday about
reporting receiving unwanted formula in the mail to the FTC. What is the
advantage of reporting this practice to the FTC (US Federal Trade
Commission)? I'm clueless-please enlighten me! If it will make an impact,
perhaps more of us should do this. I am happy to say I received no formula
this time around in the mail, but did receive formula at my OBs office at
my first prenatal visit, but that's another story.
As for sending it to pet shelters, I must disagree on this one. Some of
you know about the menagerie I have at home and my intimate realtionship
with a zoologist, also known as my DH. If a pig, cat or dog, for example,
is needing supplementation for whatever reason, we latch them onto another
lactating pig, cat or dog. We have even seen cross species wet nurses
work.
We have had puppies that are born small and very weak. Sometimes they are
unable to compete with littermates or suckle at their mother's teats. In
these cases, we've used a widget (a 10cc syringe with the end cut off) to
express milk from the mother and finger fed them. The size of syringe you
use depends on the size of the animal. We have Beagles and Australian
Shepards.
Some of you may have read James Herriot's 'Moses the Cat', where James
finds a kitten near death that is nourished and nurtured back to health at
the teats of a sow. IMHO, all animals (including humans) need the milk
from their species. Just think, in some non-Western cultures, wet nursing
is the norm. Mention wet nursing in Western cultures though and stones are
thrown at you.
Back to my point...I don't think infant formula (made from cows milk or
soybeans for humans) is appropriate for other mammals. We raise beef
cattle-they are nothing like humans, cats or dogs, other than the common
thread that they are mammals. Their diets aren't even close. Expressed
milk or species specific formula is more appropriate. Keep in mind though
that all of our animals are well cared for because we like them we want
them and in some cases are a good business venture. I am biased! My
situation is different from the animal shelter situation.
Again, just my humble opinion.
Maurenne in Manhattan, KS
Canine, feline, porcine and bovine midwife
...who is looking forward to calving season very soon and hoping the
weather will cooperate...
=========================================================================
Date: Thu, 18 Feb 1999 11:52:20 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: milk for the fetus
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Have any of you heard that during the last two months of pregnancy, if the
mother consumes dairy products, the fetus is sensitized to it? It is to be
avoided. (according to a pediatrician on a TV show which I did not see, but
an RD related to me). I wonder what was being thought...how it relates to a
mom who plans to give ABM? Why two months, why not 3 months, or 1.5 months,
etc? How arbitrary. What about breastfeeding? I never heard of this.
Anyone else have?
Linda Pincus, RN, IBCLC
=========================================================================
Date: Thu, 18 Feb 1999 12:01:30 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Lisa A. Enger" <[log in to unmask]>
Subject: Av**t hand pump
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Diane,
So glad you asked! I have also been wondering about this pump. Moms who have
used it are raving to me about it. They say it works just as well as the
electric, in fact one mom returned her rental after receiving the Av**t as a
gift. Got the same amount in the same amount of time. Not tiring, quiet. Very
gentle. A bit on the pricey side though, but if it works, a nice alternative
for those who can't get a rental for one reason or another. I am interested in
hearing what others have to say as I have been telling moms about it as an
option. I can say all have been impressed and no one was unable to get a
supply.
Lisa Enger RN BSN IBCLC
Boston, Ma
=========================================================================
Date: Thu, 18 Feb 1999 09:05:03 -0800
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: Re: J&J Gorwing together
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Hi ALl,
Andrew sent us:
"One of the things you can do to help is to introduce bottled breast milk,
formula, or semisolid food. By doing this, Mom and her baby will each take a
step toward greater independence."
Pediatric Institute of Johnson & Johnson Consumer Companies, Inc.
1-877-565-5465
fax 1-877-565-3299
PO Box 2904
Clifton NJ 07015
Any comments?
My comments:
Why must we force this early independence on our infants who are not ready
for independence for several years? When will society get a clue that this
is INAPPROPRIATE??? How many messed up kids on drugs, kids who have no
attachment skills, kids who are neglected, kids who are murderers, kids with
no morals ingrained in their brains, kids who don't know the difference
between right and wrong, kids who have kids, and kids who have no idea what
a normal parent child relationship is will we have to have before our
society (world) gets a clue that we are messing up and messing up big time?
How many more generations have to suffer before we finally figure out where
we went wrong and try to fix, praying that it is not too late?
Jay
very tired, cranky, and sick of all this forced independence...My mother
asked me when I was going to wean PJ the other day (he has been BF all over
the place, and, quite frankly, driving me nuts, but that is part of
parenting...anyway, I asked her why she had such a problem with my
continuing to give PJ what he obviously needed. The conversation got heated
and I got out of it. Why force our babies to grow up any faster than they
have to??? I just don't get it.
Jay Simpson, CLE
Sacramento, California, West Coast, USA
Mailto: [log in to unmask] for Lactnet Book Raffle Information!
=========================================================================
Date: Thu, 18 Feb 1999 17:15:07 GMT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: magda <[log in to unmask]>
Organization: BfN The Breastfeeding Network
Subject: formula donations
I have been reading the posts on this topic with interest.
If you are standing next to the woman, of course you respond as best you can
immediately. However, the next priority should be to insititute proceedures
that ensure that next time it is not *again* treated as a
'one-off' and you/the worker has to respond as best she can, but that there is a
clear agreed way the agency will handle the situation.
There have been posts with specific info for the US situation with regard to
hooking up to the systems, e.g. WIC, already available.
Baby Milk Action had a paper some years ago, and which I discover is about to
come
out in a new format, "Infant Feeding In Emergency Situations". I remember the
paper (lets not get on the subject of my files -- that thread has died away!)
being very useful and certainly one you could send to a local branch of an
organisation of the Red Cross, etc, if they solicit for formula donations.
As Heather points out, each of us as a health worker (whether paid or voluntary)
has specific obligations laid out in the WHO Code and subsequent WHA
regulations. IBFAN publish a booklet, which is regularly revised "A Health
Workers' Guide to The Code".
Also, remember, the Code is actually the WHO/*UNICEF* Code. UNICEF are an
organisation set up to work for the rights and welfare of all children, but, as
I understand it, their existence and ethos were informed by the needs of
children in refugee situations. Thus, if they felt the need to commit their
resources to the Code, we should tread carefully lest we inadvertently or
vertently (as it were) undermine the goals they are working toward.
Magda Sachs
Area Contact, Baby Milk Action
Breastfeeding Supporter, Breastfeeding Network, UK
=========================================================================
Date: Thu, 18 Feb 1999 17:26:40 GMT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: magda <[log in to unmask]>
Organization: BfN The Breastfeeding Network
Subject: childminders and breast fed babies
I am sitting here at the computer surrounded by stacks of leaflets doing a
leaflet audit and I *happen* to have to hand a sheet -- double-sided -- from
NMAA (sold in the UK by ABM -- which in this context means the Association of
Breastfeeding Mothers, one of the four UK lay bf organisations):
"A care-giver's guide to the breastfed baby"
Don't know if this is available via the NMAA website or if anyone in the US
supplies their material. Their email address: [log in to unmask]
Magda Sachs
Breastfeeding Supporter
The Breastfeeding Network, UK
=========================================================================
Date: Thu, 18 Feb 1999 12:34:36 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cindy Neary RN <[log in to unmask]>
Subject: Re: Ativan
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Tracy,
I think the drug you are talking about is Ativan. It is commonly used
anti-anxiety sedative. drug. Hale quotes several studies but sums it up as:
No reported problems via breastmilk but observe for sedation.
Cindy Neary RN
=========================================================================
Date: Thu, 18 Feb 1999 12:36:40 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cindy Neary RN <[log in to unmask]>
Subject: Re: formula sterility
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I missed part of this discussion, but the formula used in hospital that is in
small ready-to-serve bottles and needs no dilution or mixing is sterile. We
use it all the time in surgery to check for bladder leaks. I would not
guarntee sterility of any formula bought in a grocery store especially if it
requires mixing or stirring.
Cindy Neary RN
=========================================================================
Date: Thu, 18 Feb 1999 09:38:30 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Chris Hafner-Eaton <[log in to unmask]>
Subject: Re: solids -- some babies need baby food
Comments: To: [log in to unmask]
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 7bit
Elisheva Urbas:
Thanks for the alternative perspective. I'm currently introducing solids to
a baby who also loves mush, but we've been able to avoid commercial baby
food entirely. The historical and anthro evidence (Kathy D any comment?) is
interesting in this area. In some cultures, the norm is to pre-chew the
baby's food (table food) and spit it out. I know this is unpallatable to
many of us and certainly is unacceptable in the US outside one's home.
Every once in a while, I catch myself doing this in front of someone--to my
great embarrassment.
Chris Hafner-Eaton, PhD, MPH, IBCLC, CHES
HSR & Educational Consultant email: [log in to unmask]
>
=========================================================================
Date: Thu, 18 Feb 1999 12:41:50 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Nice, Frank" <[log in to unmask]>
Subject: ABM!!!
MIME-Version: 1.0
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As was discussed a while back, I did not know what in the world ABM was.
I kept wondering why everyone was talking about Abnormal Bowel Movements.
I assume it still means Artificial Breast Milk.
Frank J. Nice, DPA, CPHP
=========================================================================
Date: Thu, 18 Feb 1999 12:39:41 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Ilene Fabisch, BrocktonWIC" <[log in to unmask]>
Subject: How to make a policy recommendation to hospital?
A nurse from a local hospital with two part time LC's on staff plus other
OB nurses that are IBCLC called to ask me to come to the hospital to
issue an electric pump to a mom that wanted to nurse but whose baby was
in special care due to pneumonia from meconium. When I arrived I was
warmly greeted and taken to the mom who was nursing her baby in the
special care nursery. The baby was latching beautifully and had a nice
nursing session. I explained the pump to the mom through an interpreter
who is also a peer counselor. It is so nice when things fall together so
well. The peer counselor she met will keep in touch with her and help
with any problems she might encounter. I must say I was amazed at the
instant repoire when someone shares the native language. I never would
have been able to help this mom the way the peer counselor did. Even if
I was able to deliver the same information it would not have been
recieved the same way.
Here is the problem: when I commented to the nurse that it would be
nice if the baby could get the expressed milk in something other than a
bottle so that the baby would not "forget" how to properly latch she said
that they have no policy in place and that the LC's on staff have tried.
She would like me to try coming from the patient satisfaction angle as
that is what the hospital will listen to. She feels WIC could play a
major role in getting some sort of policy established. I was hesitant to
act before because I did not want to "step on toes" of the LC's that are
employed there, but now I have their blessing! I am on a mission and I'm
hard to stop when I get this way but I need suggestions! Thanks ahead of
time to all you wise lactnuts!
Ilene Fabisch, IBCLC, LLLL
WIC Bfing Coordinator
Brockton, MA
___________________________________________________________________
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=========================================================================
Date: Thu, 18 Feb 1999 12:51:49 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cindy Neary RN <[log in to unmask]>
Subject: Re: phlebitis
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I haven't seen anyone else mention this for the mom with phlebitis. Warm
moist heat (dip a wash cloth in warm water ring it out, apply to arm and cover
with saran wrap or aluminum foil and then wrap in a towel for insulation) 4x a
day for about 15 minutes often decreases pain from phlebitis and speeds
resolution.
Another home remedy would be to soak the hand/arm in a warm epson salt
solution 4X day. Just follow the directions on the box. You can get this at
most large grocery stores/pharmacies.
Cindy Neary RN
=========================================================================
Date: Thu, 18 Feb 1999 09:53:35 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Chris Hafner-Eaton <[log in to unmask]>
Subject: formula for compost
Comments: To: Kate Hallberg <[log in to unmask]>
MIME-Version: 1.0
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I just have to add this use for ABM...compost. Believe it or not, it
doesn't rain where I live in Oregon during the months of July-Sept, so I've
used ABM mailed to me to wet down my compost pile. Once I tried it on my
closed system of red worms (my indoor composter) and IT KILLED THEM. It
doesn't seem to have any effect other than wetting on the outdoor compost
pile. 'Thought you'd all appreciate this novel use. Of course, it's not as
direct as my former co-Leader's approach (punch holes in them and send them
back postage due).
Chris Hafner-Eaton, PhD, MPH, IBCLC, CHES
HSR & Educational Consultant email: [log in to unmask]
>
=========================================================================
Date: Thu, 18 Feb 1999 09:58:32 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Chris Hafner-Eaton <[log in to unmask]>
Subject: nipple confusion
Comments: To: "Barbara Whitehead, IBCLC" <[log in to unmask]>
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Barbara: I can relate to your frustration over multiple nipple confused
babies. We've made <some> progress in this by suggesting to the hospital
that IF they MUST supplement (in their holy opinion), then try using a
Haberman. This was after I unsuccessfully campaigned for cup feeding. The
Haberman seems to be more in line with their practices and seems to have
made a difference.
Chris Hafner-Eaton, PhD, MPH, IBCLC, CHES
HSR & Educational Consultant email: [log in to unmask]
>
=========================================================================
Date: Thu, 18 Feb 1999 10:13:18 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Chris Hafner-Eaton <[log in to unmask]>
Subject: Re: Ultimate priorities
Comments: To: Kathy Dettwyler <[log in to unmask]>
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Kathy: You have a right to be grumpy. I'm not saying everyone has to make
the choice I made to jump out of a tenure track (or the ability to if they
are a single parent), but I lived in LA before moving to Oregon. And, I
must say that there are plenty of choices that these people make every
single day that would reduce their stress and cost of living. IF women
viewed each choice (including whether to have their protein come from
combining less expensive non-meat sources, or whether to wear nylons) in
their lives, they would discover that it's not just the big purchases such
as cars and houses (although those DO make a difference) that mean two
people MUST work f/t to make ends meet. Then there's the whole issue of how
big the dust balls can get before we name them pets (we have lots of pets).
It amazes me how many women don't nurse while laying down or who don't
realize that pumping takes longer than nursing for many women (Once he was a
year and I thought I HAD to work, these were the reasons I worked from home
4 out of 5 days and had my son brought to me to nurse on day 5). Before I
go into a full-blown, scrambled rant, I'll stop.
Chris Hafner-Eaton, PhD, MPH, IBCLC, CHES
HSR & Educational Consultant email: [log in to unmask]
--- >
=========================================================================
Date: Thu, 18 Feb 1999 10:37:03 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Kathleen G. Auerbach" <[log in to unmask]>
Subject: formula use when it was not sought
Mime-Version: 1.0
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The posts about what to do with formula that arrives unannounced on one's
doorstep poses an ethical dilemma for some who do not feel it should be
donated to anyone group or individual. I had this problem as a new mother
(and wife of an MD). Without being asked, I received three cases (all from
different companies).
I contacted the local Visiting Nurses group (they did visits to all new
mothers in our county at no cost to them). I offered the formula to them
(I had no use for it, obviously) and INSISTED they reserve it ONLY for
those mothers who could not afford to buy it and had opted to not
breastfeed. My contact there at her next visit to me said that is what
they did.
HOWEVER, I agree with the posters who feel that such donation implies that
formula is ok to give to babies. I am not sure I would ever offer it to a
vet hospital, since those non-human babies need THEIR species-specific milk
and forms of it are already available in cans as kitten replacement milk,
etc.
I now opt for sending it back COD--which means the recipient (persons who
sent it in the first place) have to pay the postage on it.
Finally, I have a question for the docs on this list. I, for one, am VERY
allergic to bovine products, particularly cow milk. (I can eat some hard
cheeses without a reaction). If I were under anesthesia and someone used
sterile cow milk in my body in an organ OTHER than my stomach or bowels,
would I NOT have a reaction? Cow milk gives me terrible diarrhea. I would
hate to think that I could be unconscious and inadvertently exposed to a
substance that causes such a violent reaction when taken orally. Please
advise (privately, if you prefer).
mailto:[log in to unmask]
"We are all faced with a series of great opportunities brilliantly
disguised as impossible situations."
Kathleen G. Auerbach,PhD, IBCLC (Ferndale, WA USA) [log in to unmask]
WEB PAGE: http://www.telcomplus.net/kga/lactation.htm
LACTNET archives http://library.ummed.edu/lsv/archives/lactnet.html
=========================================================================
Date: Thu, 18 Feb 1999 18:30:41 GMT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: magda <[log in to unmask]>
Organization: BfN The Breastfeeding Network
Subject: formula for kitten
In the early 1970's a neighbour found a dead female cat in his cellar with a
live kitten, only a few days (?) old by her side. I took Felix in and
hand-reared him on formula from an eyedropper.
At the time, this seemed the only option available to us (I was 14).
Later in life, Felix became epileptic -- very rare in cats, the vet told us (not
so rare in dogs). He also had some kind of sodium deficiency disorder, which
involved my mother (who by then had taken Felix on as I had gone off to
University) lugging cases of special cat food home on the bus and feeding all
the cats on it as Felix would go for the ordinary, cheap food, if it were
available. BTW he craved salt and you only had to rustle a crisp packet to find
Felix, quivering, at your side.
I have always linked, in my mind, his health with his early feeding history --
although I know this may be spurious, and, of course, as we knew no feeding
queens, we at least offered Felix life.
Magda Sachs
Breastfeeding Supporter, BfN, UK
=========================================================================
Date: Thu, 18 Feb 1999 18:23:47 GMT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: magda <[log in to unmask]>
Organization: BfN The Breastfeeding Network
Subject: formula donations -- further thought
At times in the past the formula companies have used the clauses of the
WHO/UNICEF Code as justification for practices such as donations on a huge scale
to hospitals especially in the developing world. Indeed, reading the Marketing
Week story recently on Nestle, you might have noticed that Nestle stopped
donations to hospitals in China as recently as 1994.
As this action has become so politicised and scrutinised, it means that, should
we want to support the Code in action as well as in intention, we need to tread
carefully.
Magda Sachs
Breastfeeding Supporter, BfN
Baby Milk Action Area Contact
UK
=========================================================================
Date: Thu, 18 Feb 1999 13:36:37 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Melissa St.Clair" <[log in to unmask]>
Subject: Constipation in Breastfed Babies
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Hello everyone,
This is my first post to the list and I would like to make a comment regarding
constipation in breastfed babies. My own child had this problem starting at
about five months of age when she was still exclusively breastfed. We later
found out that she is gluten intolerant. I had been off of dairy for several
months before the constipation started, so I know dairy was not a factor.
After a couple months of constipation, her stools became very loose and stayed
that way even after she started eating solids. In addition to problems with
her stools, she also had skin rashes, irritability, sleeplessness, lots of
gas, and spit up/vomited all the time. Ironically, her growth rate was always
good.
Hope this helps. I will be interested to hear what the outcome is.
Melissa St.Clair
WIC Peer Counselor
Bryan, TX
=========================================================================
Date: Thu, 18 Feb 1999 13:51:29 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: [log in to unmask]
Subject: nipple confusion
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i, too, like chris, have asked to use a haberman for supplementing in a
hospital that had no policy for any other method of feeding, and the hospital
LC (an IBCLC, too, i might add) was absolutely astonished at this idea. she
thought the idea of the bottle was to make the feeding fast and easy for the
mom. she said "but habermans are only used for babies with cleft palates that
can't nurse!" i severely bit my tongue to avoid saying, well, if they can take
a haberman, why CAN'T they nurse, and persevered with getting the haberman
used. no deal. they didn't even have them in that hospital. the father went
out and bought one (unfortunately, even though the parents were beginning to
wise up, breastfeeding was already totally ruined in this case).
however, i do think that using the haberman imparts several important lessons
to mothers and babies alike, one of them being that "yes, feedings can take
this long" when comparing time at the breast with the time needed to feed
slowly with the haberman.
carol brussel IBCLC
=========================================================================
Date: Thu, 18 Feb 1999 13:54:35 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Melissa St.Clair" <[log in to unmask]>
Subject: Celiac Disease
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Regarding the mom with celiac disease, I wondered if she has ever had her
thyroid evaluated. My understanding is that thyroid problems are somewhat
common in celiac disease. A thyroid that isn't functioning properly can
certainly lead to problems with constipation. Just a thought. Sounds like
she needs a good evaluation by her M.D.
Melissa St.Clair
WIC Peer Counselor
Bryan, TX
=========================================================================
Date: Thu, 18 Feb 1999 20:03:34 +0100
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Nathalie ROQUES <[log in to unmask]>
Subject: Japanese artwork about dioxin in 1998
Mime-Version: 1.0
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Could someone send me a copy of the Japanese artwork (july 1998) "Lots of
Love, but Lots of Poison" suggesting the transfer through breastfeeding of
dioxin from the mother to her child ? (format JPG, GIF, TIF,....).
Thanks very much.
Nathalie Roques.
Lyon, France.
=========================================================================
Date: Thu, 18 Feb 1999 14:14:07 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Jan Barger RN, IBCLC" <[log in to unmask]>
Subject: Av*nt hand pump
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Lisa asks,
<< Moms who have
used it are raving to me about it. They say it works just as well as the
electric, in fact one mom returned her rental after receiving the Av**t as a
gift. Got the same amount in the same amount of time. Not tiring, quiet. Very
gentle. A bit on the pricey side though, but if it works, a nice alternative
for those who can't get a rental for one reason or another. I am interested
in
hearing what others have to say as I have been telling moms about it as an
option. I can say all have been impressed and no one was unable to get a
supply. >>
My experiences with it have been very positive as well. I test marketed five
of them for the company, all except one on moms that had rental pumps of mine.
All of them said they liked the Av*nt as well, if not better. I do NOT
recommend them for moms who have to pump more than once or twice a day; do not
recommend them for initial pumping to bring milk in if baby in NICU, for
severe sore nipples or engorgement. Otherwise, they seem to be terrific. Had
one mom that said she has never had any luck with any pump (5th baby) try one
(money back guarantee on this one -- figured if she brought it back I would
use it as a demo) and said if it didn't work for her, I'd take it back -- she
didn't even have to pay for it until she decided (yup, I also trusted the
mom). She bought it 3 days later. It worked. Another mom said, when trying
to decide if she would do better with a rental electric pump, and I said that
I thought for her purposes that this one would work just fine and she didn't
need to spend the extra money, that it WAS nice to be able to get up and
answer the phone, or empty the dishwasher and continue pumping. Hey -- a
concept that had NOT occurred to me before!!
Jan Barger, RN, MA, IBCLC
Wheaton, IL
=========================================================================
Date: Thu, 18 Feb 1999 11:19:50 PST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: lyn scazafabo <[log in to unmask]>
Subject: storage of breastmilk,glass,plastic,or bags?
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Is there new info regarding Breastmilk needing to be stored in Glass
bottles rather than freezer bags? We currently use Egnell storage bags
in NICU for convenience because of storage space issue. I undrstood that
these bags were different than a bag like platex which really shoundnt
be used.
Lyn Scazafabo RN IBCLC
Camden,NJ ( across from Phila,Pa)
where it is cold and dreary
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=========================================================================
Date: Thu, 18 Feb 1999 11:23:25 PST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: lyn scazafabo <[log in to unmask]>
Subject: Haberman feeders
Mime-Version: 1.0
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Can you please share your experience with Haberman feeders for babies
with cleft palate? Does anyone have expeience with any cleft palate
babies nursing for nutrition and doing well? Im not talking about small
clefts or lips only. Any documaentation I can share with our "cleft
team"?
Lyn Scazafabo RN, IBCLC
Camden,NJ
______________________________________________________
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=========================================================================
Date: Thu, 18 Feb 1999 15:52:28 +0100
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Marilyn Norton <[log in to unmask]>
Subject: donations to food banks
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While I can see the point of standing behind the code, I do feel that there
is a legitimate use for ABM in these shelters. What about sending a letter
to the formula company letting them know that their formula was passed onto
to the shelter ?
=========================================================================
Date: Thu, 18 Feb 1999 21:09:00 +0100
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "A. Bon" <[log in to unmask]>
Subject: ABM donations
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I agree with those who say that some babies are just hungry and need ABM
when they are not breastfed, and that ABM donations may be necessary.
I also agree with Heather that it should be in line with the WHO code.
Unicef of course has meet this dilemma too. Unicef has developed a protocol
for emergency situations, that handles this issue. It says that ABM
donations can be done, only when some guidelines are followed. These
guidelines include among others:
*anonimous donations, this means, blind packages. No brand names, etcetera.
*good instrcutiosn on the use of ABM;
*it should be accompagnied with a strong bf support program.
this program has been done in Bosnia, during the war, and it resulted in
enormous increased bf rates.
Annelies Bon
bf counsellor of the Dutch bf organisation VBN
=========================================================================
Date: Thu, 18 Feb 1999 15:12:24 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: jk <[log in to unmask]>
Subject: Reply to Pacifiers and Breastfeeding
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Before I had any children of my own, I was a "purist", as well as a =
breastfeeding advocate. I "knew" I would never give my children sugar, =
no chemicals in their environment, and not only would I be a full time =
stay at home mom, I would breastfeed forever and never, ever leave my =
babies with a sitter, etc.etc. Now, 13 years, 8 pregnancies, 5 =
children, and an IBCLC career later, I have had to realize parenthood, =
including breastfeeding, isn't always perfect. I used pacifiers with =
first 4...not sure why, except they were all, and still are, very oral =
kids. #4 nursed 3+ yrs., slept with us, everything...and used a =
pacifier the whole time. #5 never has used one, still nursing. The =
main goal is to encourage and support mom's breastfeeding, and help her =
reach her goals. Sometimes moms are so tired of a baby who is nursing =
"all the time", that without a pac., they will wean completely. Or moms =
who must return to work or school and caregiver uses one to calm baby =
between feeds. I wish it was a perfect breastfeeding world...(of =
course, then most of us would be out of work!) I still do not like =
pacifiers, especially first few weeks. But my exp. has been that some =
infants have stronger sucking needs than others, and moms have different =
tolerance thresholds. Most of the time, I can help my moms avoid =
pac.....they are not usually conducive to BF, and they are terribly hard =
to keep track of and keep clean! But it's imp. not to make moms feel =
they are doing less than best for their babies if they use them while =
breastfeeding, and for many moms I've seen, they are ready to switch to =
ABM because they've been told " absolutely no pacifiers with =
breastfeeding". I'll get off my soapbox...
Jennifer Kneuss, LSW, IBCLC
mother of 5 and tired of dreary Ohio winter :) =20
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charset="iso-8859-1"
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<!DOCTYPE HTML PUBLIC "-//W3C//DTD W3 HTML//EN">
<HTML>
<HEAD>
<META content=3Dtext/html;charset=3Diso-8859-1 =
http-equiv=3DContent-Type>
<META content=3D'"MSHTML 4.72.3110.7"' name=3DGENERATOR>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT color=3D#000000 size=3D2>Before I had any children of my own, =
I was a=20
"purist", as well as a breastfeeding advocate. I=20
"knew" I would never give my children sugar, no chemicals in =
their=20
environment, and not only would I be a full time stay at home mom, I =
would=20
breastfeed forever and never, ever leave my babies with a sitter, =
etc.etc. =20
Now, 13 years, 8 pregnancies, 5 children, and an IBCLC career later, I =
have had=20
to realize parenthood, including breastfeeding, isn't always =
perfect. I=20
used pacifiers with first 4...not sure why, except they were all, and =
still are,=20
very oral kids. #4 nursed 3+ yrs., slept with us, everything...and =
used a=20
pacifier the whole time. #5 never has used one, still =
nursing. The=20
main goal is to encourage and support mom's breastfeeding, and help her =
reach=20
her goals. Sometimes moms are so tired of a baby who is nursing =
"all=20
the time", that without a pac., they will wean completely. Or =
moms=20
who must return to work or school and caregiver uses one to calm baby =
between=20
feeds. I wish it was a perfect breastfeeding world...(of course, =
then most=20
of us would be out of work!) I still do not like pacifiers, especially =
first few=20
weeks. But my exp. has been that some infants have stronger =
sucking needs=20
than others, and moms have different tolerance thresholds. Most of =
the=20
time, I can help my moms avoid pac.....they are not usually conducive to =
BF, and=20
they are terribly hard to keep track of and keep clean! But it's =
imp. not=20
to make moms feel they are doing less than best for their babies if they =
use=20
them while breastfeeding, and for many moms I've seen, they are ready to =
switch=20
to ABM because they've been told " absolutely no pacifiers with=20
breastfeeding". I'll get off my soapbox...</FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2></FONT> </DIV>
<DIV><FONT color=3D#000000 size=3D2>Jennifer Kneuss, LSW, =
IBCLC</FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2>mother of 5 and tired of dreary Ohio =
winter=20
:) </FONT></DIV></BODY></HTML>
------=_NextPart_000_00C6_01BE5B51.170A9280--
=========================================================================
Date: Thu, 18 Feb 1999 20:22:57 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: heather <[log in to unmask]>
Subject: formula donations
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Kathy A. says:
'HOWEVER, I agree with the posters who feel that such donation implies that
formula is ok to give to babies. '
No, Kathy, this is *not* why I (and others) think donation is inappropriate
- not at all!
It's not a judgement on the quality of formula, or whether it is ok, or not
ok, to give to babies.
It is not appropriate to *market* the formula in this way - that is all.
All mothers - poor, rich, homeless, whatever - have the right to make
choices unimpaired by marketing tactics.
And as health workers, we should abide by the WHO code.
That means no donations, diverted, or not.
Heather Welford Neil
NCT bfc Newcastle upon Tyne UK
=========================================================================
Date: Thu, 18 Feb 1999 15:18:25 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: jk <[log in to unmask]>
Subject: Bf handouts for childcare workers
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Check with State of Ohio, Ohio Dept. of Health WIC program... they have =
great training materials for childcare providers. Ann Twiggs is contact =
person.
Jennifer Kneuss, LSW,IBCLC
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<DIV><FONT color=3D#000000 size=3D2>Check with State of Ohio, Ohio Dept. =
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WIC program... they have great training materials for childcare =
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Ann Twiggs is contact person.</FONT></DIV>
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<DIV><FONT color=3D#000000 size=3D2>Jennifer Kneuss,=20
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Date: Thu, 18 Feb 1999 14:31:06 -0600
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: Gerber baby food ads/table-foods
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I don't have the ad in front of me, as it is at the photo shop being made
into a slide, but from one of the February 1999 parenting magazines (either
"Parenting" or "Parents" or perhaps both) -- comes an ad from Gerber food
starring "Dr. Quinn" (TV actress). The basic message is that some babies
are started on "table foods" too early, when they should still be getting
commercial baby mush, and that leads them to be deficient in zinc, and
several other minerals or vitamins. The tag line is "Shouldn't your baby
STILL be a Gerber baby." I think they recommend commercial baby food until
18 months. They list "table foods" as including pasta and French fries.
As though no one in the US eats meats (ha) or vegetables or fruits. Trying
to increase their market share and re-convinvce everyone that babies need
specially prepared, commercial baby foods, instead of just eating what the
family eats!