Hi,
I am selling my pregnancy, birth, parenting and breastfeeding books if
anyone is interested. The books are being sold through Amazon auction with
the titles and links listed on
http://www.monarch-design.com/baby/books4.html Most of the books are under
$10 with many under $5. Feel free to e-mail me if you have any questions.
Sincerely,
Tammi
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Date: Sat, 11 Sep 1999 10:58:06 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
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From: [log in to unmask]
Subject: Re: Women who want to feed human milk but not breastfeed
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Veronica brings up a very real and important issue.
<< I have had a few mothers recently who did not want to breastfeed from the
breast. Of course, I know the benefits and I *always* try to promote
BREASTfeeding, but, I have had the occasional mom who just doesn't feel
comfortable with it. . . . Regardless, I feel it's very important for me to
reach out to these mothers on their comfort level We all know that any
breastmilk is better than none at all. You'd be surprised the mothers who
tell me they have NO (emphatically stated) intention of breastfeeding, then
change their mind when I ask them if they've ever considered pumping their
milk and giving it in a bottle (and luckily some then do take baby to the
breast). . . I feel it's VERY important to be in touch with the mother's
needs as well as the baby's. >>
Some women were reared with a great deal of physical isolation and aren't
comfortable -- to put it mildly -- with the degree of closeness required to
breastfeed. Some have internalized the separation they experienced when
small as a value. They have difficulty tolerating more than brief periods of
intimate contact. And yet they may want to breastfeed because their head
tells them it is best.
I've heard mothers tell stories of childhoods devoid of basic warmth. As I
watch them learning to love their babies I think they are making meals from
an empty pantry. And I've seen miracles -- mothers who give their babies
what they never had and, in so doing, heal their own 'inner child.'
A mother who is making milk for her baby has the benefits of prolactin even
if she is giving her milk through the media of pump and bottle. This would
seem to be a significant benefit.
As a child in the 40's, I heard it said that "If you hold your baby when you
feed him, you'll give him the same benefit of closeness as if you were
breastfeeding." --A fine falsehood but at that time the traditions of
mothering at the breast were still enough alive that most women had some idea
what it meant. Today we have women becoming mothers who have no idea what
the standard should be. Maternal intimacy was lost over two or three
generations and, in some cases, it may take two or three generations to
regain it, if it is regained at all.
Research done over the past generation has demonstrated the physical benefits
of human milk. I suggest that the task of the next generation is to deal
with the relational or emotional aspects of breastfeeding and that this will
be a more difficult task. How does one scientifically prove an emotional
benefit? If the fact that human milk is superior to artificial alternatives
makes some people very defensive, what will be their reaction to the
assertion that the love is different too?
Alice Martino
accredited volunteer with a major support group
in central New York State
mailto:[log in to unmask]
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Date: Sat, 11 Sep 1999 11:03:25 -0400
Reply-To: Lactation Information and Discussion
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Sender: Lactation Information and Discussion
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From: "Kathy Amell, LVN, TBE" <[log in to unmask]>
Subject: Delayed Let Down
Hello Lactnetters,
My name is Kathy Amell, I'm an LVN, TBE, Lamaze Breastfeeding Support
Specialist and IBCLC hopeful. I've been lurking for almost 2 years and
have come across something I couldn't locate in the archives. 1st time mom
of 34 wk preemie 9 yrs SP breast augmentation. Mom used a hosp grade pump
while baby in NICU and has been nursing since d/c and trying to eliminate
bottle feeds with moderate success. What's interfering is that now, 18
days PP she is having delayed let down. The baby will latch and suckle
well (have seen this myself +suck/swallow when we saw each other last
weekend). He will latch and suckle but mom isn't detecting swallows.
She's fearful that he's expending too much energy so will unlatch and give
EBM or ABM in a---t bottle. Anywhere from 15 min to hr later she lets down
and "gets soaked". ??? She denies decreased nipple sensitivity. She is
calling her surgeon with this ? and I will call later today. Any
thoughts?
TIA
Kathy Amell
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Date: Sat, 11 Sep 1999 11:44:58 -0400
Reply-To: Lactation Information and Discussion
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From: Pam Easterday <[log in to unmask]>
Subject: tongue tie recovery
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Carol asked why the mom (of the tongue-tied fellow) wouldn't use breast
compression. She is afraid of causing more plugs by pressing in much while
milk is flowing. He could not handle the SNS at the breast. Mother doesn't
feel her letdowns. When the one LC tried the SNS at the breast, he was
choking from the overflow. Thanks for all help. Pam Easterday
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Date: Sat, 11 Sep 1999 12:05:04 EDT
Reply-To: Lactation Information and Discussion
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From: "Pam Hendrix, RN, IBCLC, ICCE" <[log in to unmask]>
Subject: Psychiatrist and breastfeeding
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I have a mom who is nursing fine but is having anxiety problems. She has a
17mo old at home (not nursing thatbaby) and she is nursing her newborn
without problems. Her OB put her on 25 mg of Zoloft which is not helping.
Her internal med Dr. wants her to see a Psychiatrist so she can get "proper
treatment for the anxiety". She has been calling me to make sure the meds,
thus far, have been okay for nursing. We talked about T. Hale's book and I
read her exerpts on dosages,etc. She was hoping this would help to empower
her when she went to the Psychiatrist.
Well......when he started his lecture on how she would have to stop nursing
and she needed to throw out her Dr. Sears attachment parenting baloney, she
nearly had a break down. She shared the information we discussed with this
Dr. and he told her I was misinformed and that who ever wrote such a book was
misinformed. Hmmmmm..... (Unfortunately, she left this message on my machine
and when I returned the call she was not at home. I will catch up with her on
Monday. I did leave her a message telling her I would do what I could to
help her find a different approach)
Anyone know a GOOD Psychiatrist in the Ft. Lauderdale area (she lives in the
Pembroke Pines area), maybe north Miami area?
Thanks! Pam Hendrix, RN, IBCLC, ICCE
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Date: Sat, 11 Sep 1999 13:03:04 EDT
Reply-To: Lactation Information and Discussion
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From: "Judie M. Zersen, LLLL., IBCLC.,CLE., AAHCC." <[log in to unmask]>
Subject: Baby XX Large Tongue
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Hi everybody,
I have a mother whose baby was born with a very very large tongue. It
hangs down past the lower lip considerably.
The baby is now 9 months old and had been able to nurse very well since
birth. My question is when a baby can close his mouth with his tongue
inside is extremely rarely. Like once every few hours, maybe.
I have never seen anything close to this with all the babies I have seen
in over 30 years in LLL and as an LC for 14 years.
My feeling is it will effect his eating, speaking, and his social life.
They have run tests on him for retardation with no significant results.
It has been suggested by their Doctor they could shorten his tongue with
surgery and the parents opted to not have it done, thinking it may get
better. Like maybe he will learn to keep it in his mouth.
However, the tongue has grown significantly since birth. So as the baby
grows, so also the tongue. My thinking is the sooner the better for
surgery. ( in regards to size of incision, speach, eating, and the sight
of it is very unsocial and uncomfortable for people.
I suggested she start interviewing specialist and become informed and
make a plan for what they will do. Not to rush in with a decision but to
learn as much as they can about it.
Does anyone out their know of an awesome contact for the unusual
circumstance like this. Who, where, and when would you tackle a very
sensitive and delicate problem like this?
The parents are highly educated, have some means, extremely loving and
strong. This maybe the not the best place for help but this is where I
relate. Please offer something privately or publically.
Judie Zersen LLLL IBCLC
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Date: Sat, 11 Sep 1999 13:07:55 EDT
Reply-To: Lactation Information and Discussion
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From: [log in to unmask]
Subject: Lactation amenorrhea and nutritional status; G Palmer
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Amy wrote:
<< I think we are SO well nourished, our bodies feel they could support
another preg/lact cycle. My personal longest amenorrhea was 7 months after
my second, who was born 15 months after my first, and I was tandem nursing --
and it wasn't fair!!! And it is frustrating to constantly be saying "yes, I
co-slept, no paci, no bottles, etc, etc, etc" >>
In THE POLITICS OF BREASTFEEDING (1993) Gabrielle Palmer wrote of an
experiment done in Keneba, The Gambia (the little nation shaped like a finger
sticking into Senegal, West Africa), "One of their projects was to supplement
lactating women's diet to see if this would increase their milk supply. The
women do extremely hard agricultural work on a much lower energy diet than
western women eat and are either pregnant or lactating for most of their
adult lives. The supplement did not appear to make any significant
difference to their milk output as measured by the baby's intake, and on the
whole the researchers had to conclude that food intake did not influence milk
supply. What did happen was that after taking the dietary supplement, the
mothers' prolactin levels went down and some of them ovulated." page 122.
Palmer's notes reference Prentice, A M et al, 'Dietary supplementation of
Gambian nursing mothers and lactational performance', LANCET, ii, 1980, pp
886 - 8.
So, what happens if a western woman maintains a no more than adequate weight
and exercises daily. Is she less likely to experience an early return of
menstruation than women who eat more and/or are less active?
Do women using LAM for family planning try to maintain a certain weight
and/or keep up physical activity?
Alice Martino,
accredited volunteer with major support group
in central New York State
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Date: Sat, 11 Sep 1999 13:12:53 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: [log in to unmask]
Subject: Thanks for the information
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I would like to say thank you to all of the people who responded to my
request for information about the use of towels and heavy breasts both by
private email and posting to Lactnet. The mom I worked with was leaning
over baby and bringing the breast up to meet baby's mouth, and probably
caused damage that way (rather than with the towel which I thought was the
problem since this was the 2nd case in a week that I saw with sore nipples
when a towel was being used...coincidence I suppose). After removing the
towel, I worked with her to have her bring baby to the breast in its natural
position and to sit back comfortably. She was doing much better by the next
day. She had a blister on her right nipple which had broken and she had much
relief. She did call me this morning telling me that the nipple that had the
blister is now bleeding slightly when she pumps. She is using a manual pump
on the highest setting. I suggested she lower and not to pump quite so
vigorously, figuring it might be a broken capillary. I also told her to seek
her provider's help if it gets worse or doesn't improve within a day or 2,
but that it is safe to continue breastfeeding in the meantime. She was
concerned about baby getting her blood in his milk. Any other helpful
insights you have would be appreciated.
Thanks again,
Veronica Scott,
Breastfeeding Peer Counselor Coordinator, WIC
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Date: Sat, 11 Sep 1999 19:14:17 +0200
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: Sharron Bransburg- Zabary <[log in to unmask]>
Subject: increase of let-downs during pregnency
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Hi,
This is My first time here so I'd like to introduce my self.
My name is Sharron Bransburg-Zabary. I'm the proud mother of 18m BFed
Yoav, and I'm also at the 10th week of my second pregnancy.
As for the professional record, I'm about to become LLL, and just got my
ICEC degree (Israeli course for LC's guided by Susan Nachman
Srebnik (IBCLC)).
In the rest of time I'm trying to finish my Ph.D in Biochemistry.
I have a personal question. During this pregnancy the frequency of
let-downs increased to about 100%. While before the pregnancy I had only 2
a day (out of 6-8 BFings per 24h) for the last 10m. I got my period when
Yoav was 3m old, while I exclusivly BFed him (up to 6m). Could the reason
for the increased amount of let-downs be higher levels of Oxytocin, which
increased so early in the pregnancy? Does it says something about the risk
of BFing during this pregnency?
TIA, and happy new year (Shana Tuva)
-- Sharron Bransburg Zabary
--Sharron.
Sharron Bransburg-Zabary
E-mail: [log in to unmask]
Tel: 972-3-6409824
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THE LASER LABORATORY FOR FAST REACTIONS IN BIOCHEMISTRY
DEPARTMENT OF BIOCHEMISTRY, TEL AVIV UNIVERSITY. 69978
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ISRAEL
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Date: Sat, 11 Sep 1999 13:28:26 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: Susan Keith-Hergert <[log in to unmask]>
Subject: Re: Lactation amenorrhea and nutritional status; G Palmer
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I can only respond to this from personal experience but I think it is worth
mentioning. After the birth of my second, I was following a Diet Workshop diet
and exercising regularly and losing quite a bit of weight. I had no periods for
two years!!! It was wonderful. I didn't get quite such a break with my other
two...but I wasn't dieting to that extent with them either.
Susan
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Date: Sat, 11 Sep 1999 14:01:00 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: [log in to unmask]
Subject: Re: option of pumping ebm vs direct bf
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I wonder if the mother of the five week old aggressive non-nurser (mom is
pumping and bottle feeding but wants baby back to breast) has tried a nipple
shield? It might be a "middle step" for the baby to get the plastic/hard
bottle-type nipple that he is used to while mom gets the satisfaction and
confidence-raiser of having her baby actually feeding at the breast. I
worked with, counselled, and befriended a mom whose baby nursed *only* with a
nipple shield for over FIVE months. One day when mom tried the bare breast,
as she did gently and lovingly each and every day for those five months, baby
accepted it and never again nursed with the shield. He is now a wonderfully
bouncy eight month old on the verge of walking; his mother rebounded from a
very rough start to breastfeeding and mothering and has grown in more ways
than I think that even she could have imagined.
I hope this helps. I am not usually a big fan of the nipple shield
(particularly after seeing what my friend went through for five months!) but
maybe it would help transition this baby.
Lisa Jones, LLLL in Wellington FL
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Date: Sat, 11 Sep 1999 13:00:15 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Kathy Dettwyler <[log in to unmask]>
Subject: Hunters gatherers
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>"The degree of inhibition associated with breastfeeding
>has decreased remarkably since the time of hunter/gatherers
Just have to point out that TODAY is still the time of hunter/gatherers.
There are many hunting and gathering populations/cultures still alive and
practicing hunting and gathering as a way of life in the world today. There
are also many people who augment their staple food supply with hunting and
gathering, including many Americans who fish at the local
pond/lake/seashore, gather wild dewberries or grapes, dandelion greens, hunt
deer or wild hogs, etc. etc. etc. The days of hunters and gatherers are not
"lost in the misty past" -- they are now.
Kathy Dettwyler
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Date: Sat, 11 Sep 1999 13:00:17 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Kathy Dettwyler <[log in to unmask]>
Subject: large tongue
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Children with Down Syndrome have small mouths, and so often have tongues
that "don't fit" easily in their mouths. They can be taught quite easily to
keep their tongue retracted and their mouth closed. It isn't that hard to
teach a mentally retarded child to do this, so it should be easier to teach
a child of "normal" intelligence. As far as the tongue hanging out making
other people uncomfortable -- what I have to say about that is not printable
on LactNet. A polite version would be "Mind your own effing business."
Kathy Dettwyler
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Date: Sat, 11 Sep 1999 14:12:13 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Kathleen Bruce <[log in to unmask]>
Subject: sale of items
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Hi. Lactnet is not the place to sell items such as books, etc. If you have
questions, please email me privately. Or, refer to the welcome note.
Thank you.
Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont
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Date: Sat, 11 Sep 1999 14:17:39 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: [log in to unmask]
Subject: large tongue
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Dear Friends:
Judi spoke about a baby with a large tongue that is growing. In my new
copy of Clinical Lactation: A Visual Guide by Auerbach and Riordan, there is
a picture of a baby with hemangioma of the tongue, which looks painful and is
described as a benign vascular tumor of the tongue. The comment is made that
if untreated, it "may interfere with ability to feed by causing increasing
obstruction." And I know of another syndrome where a large tongue is part of
the clinical picture; again, surgery is recommended.
Would the parents see an ENT, or a pediatric surgeon? Sometimes a clinic
at a medical school will have a pediatrician on staff who has been around a
long time and seen a lot. Warmly, Nikki Lee
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Date: Sat, 11 Sep 1999 13:17:09 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Megan & David Schmidt <[log in to unmask]>
Subject: Badge Holders
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Dear List,
I am an RN in a large hospital's L/D department. Several of the L/D
nurses and almost all of the Nursery nurses have started wearing badge
holders (necklace with a clip) that were given out by a formula
company. I have voiced my concerns regarding these items, to no avail.
I would like to find a source for badge holders promoting
breastfeeding. I have heard that Hollister and Medela have put out
badge holders, but I was hoping for one with a pro-breastfeeding
message, not just a company name.
Any sources would be much appreciated.
Megan Schmidt, RN, IBCLC
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Date: Sat, 11 Sep 1999 14:25:08 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: Susan Keith-Hergert <[log in to unmask]>
Subject: Re: Hunters gatherers
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The days of hunters and gatherers are not
"lost in the misty past" -- they are now.
An interesting point...Lawrence was referring to the work of Diaz when she made
that statement about 'the days of hunter/gatherers'. (p.660, Breastfeeding: a
guide for the Medical Profession."
Susan
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Date: Sat, 11 Sep 1999 15:01:43 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Alice Ernest <[log in to unmask]>
Subject: Re: LLLL in Raleigh/Durham, NC
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Looking for a LLLL in the Raleigh area for a wonder Golden Strip Group Member
who is moving to Raleigh soon. Please email me privately.
:) Alice Ernest, LLLL, IBCLC
Simpsonville, SC
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Date: Sat, 11 Sep 1999 15:05:19 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: G Hertz <[log in to unmask]>
Subject: fox guarding henhouse
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I was more than a little concerned to hear that a ABM company was putting
out a spiral bound book on BF for physicians. The materials I as a
resident have received lately have been awful - right down to the poor
undernourished waif on the cover [the baby on the formula book is fat 'n'
happy].
Could someone who knows which ABM company it is please email me privately -
I'd like to investigate further.
It seems a lot like the fox guarding the henhouse to me.
Gail
Gail S. Hertz, MD, IBCLC
Resident, Dept. of Pediatrics
PSGHS Children's Hospital
Hershey PA
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Date: Sat, 11 Sep 1999 14:48:05 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Barbara Wilson-Clay <[log in to unmask]>
Subject: large tongue
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Pediatric Ear Nose and Throat specialists are the people who know a lot
about the correction of oral and nasal abnormalities. I worked with a baby
with abnormally small nasal passages last Fall. I noticed that the
breathing difficulties significantly were impairing baby's ability to bfeed
and referred back to pedi. She did not refer on to ENT, and I didn't know
that an ENT could have corrected this. When I ref. baby myself at 7 mo
because mother complained of sx which sounded like apnea, pedi ENT stated
that if he'd seen the nostril thing earlier he could have corrected it and
saved the bfg. We lost bfg (mom bottle fed pumped milk). You can only know
what you know when you know it, but I wish I'd known that a pedi ENT could
have surgically corrected the baby's prob. I would suggest this sort of
specialist to the parents of baby with abnormal tongue. Tongue protrusion
will create social probs. if nothing else.
Barbara Wilson-Clay, BSEd, IBCLC
Austin Lactation Associates, Austin, Texas
http://www.jump.net/~bwc/lactnews.html
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Date: Sat, 11 Sep 1999 16:44:29 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: "Pam Hendrix, RN, IBCLC, ICCE" <[log in to unmask]>
Subject: Baby xx large tongue
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I have a mom from my childbirth class, who is now back at work and still
nursing very well, who has a baby with a very large tongue. This tongue is
always hanging out. She said her Ped said it is of no concern what so ever.
The baby has been a champion nurser from the beginning. The baby is around 6
mo old now. I will be interested to hear from the Lactnuts as to whether
this typically presents a problem down the road. Look at Mick Jagar, what a
tongue that guy has! (He is a rock and roller for those of you who don't
know!). He seems to have done rather well with his large tongue!
Pam Hendrix, RN, IBCLC, ICCE
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Date: Sat, 11 Sep 1999 17:11:25 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: "Pam Hendrix, RN, IBCLC, ICCE" <[log in to unmask]>
Subject: Large breasts
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I always felt slighted about my flat chest, until I became an educator and
later an IBCLC. I still wish I had something! But I am no longer down in
the dumps about it! Those large breasts no longer look so appealing! I do
wish I could help some of these moms out by taking a little away from them.
My only problem was as the babies grew it was harder to lift them up to those
breasts!
My son (who is now 13) use to say "Mommy you have UP boobies, Aunt Ruffie
(Ruthie) you and Mimi have DOWN boobies!" (this is my same child who as a 4
year old in preschool was asked to name a word that started with 'U" and
replied "UTERUS"! His teacher was 9 mo pregnant and almost fell off of her
chair laughing as she tried to explain to the other kids, who had no clue!
At least these kids learned food is in the tummy not babies!)
Pam Hendrix, RN, IBCLC, ICCE
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Date: Sat, 11 Sep 1999 18:28:20 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: "Susan Hannum, RN,ICCE,IBCLC" <[log in to unmask]>
Subject: Tongue-tie help please!
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I've been off Lactnet for several months but am now back on, thankfully,
(computer crash, etc.) and am in desperate need of some help, support,
encouragement or whatever you can come up with!
Over the past 2 months I've counseled 2 Moms whose babies had significant
tongue-tie. They both had the same pediatrician and he does not believe this
EVER needs treatment. After long hours of research and searching Lactnet
archives, I have an impressive list of references on this subject, including
a personal reply from Dr. Jack Newman but the pediatrician has not budged,
even a little bit. He says most of my references are "lay literature". Now
he apparently tells his patients that I'm a fanatic and they should not
listen to my advice. I should add that I'm hospital based and have never
spoken to this Dr. directly, only phone messages and Faxes. I've requested a
meeting but no reply. These 2 babies are now formula-fed and I'm
discouraged. One reference I can't find is a transcript of the LLLI
physicians seminar(1991) that was apparently in a Medical Newsletter.
Allison Hazelbaker included this in her research and assessment tool but
repeated calls to LLLI have been unsuccessful in locating this. It
apparently included remarks from Dr. Lawrence Gartner and since he's been on
the AAP work group on Bf, I wanted to include that with my next
communication.
I'm certain many of you have had similar experiences and I could use some
encouragement from someone whose been there!! Also, please feel free to
E-Mail me privately if you'd like to use my exhaustive reference list!
TIA!!!
Susan Hannum, RN,ICCE,IBCLC
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Date: Sat, 11 Sep 1999 19:27:24 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Mari Douma <[log in to unmask]>
Subject: cranio-sacral treatment
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Just a brief note on CST. One of my colleagues (a DO) is particularly
skilled in this method of osteopathic manipulative medicine. She frequently
will work on newborns with BF/suck problems with excellent success. There
has been one case recently that I thought was impressive. The baby has
Turner's Syndrome and a poor suck. Mom was attempting feedings at breast but
usually had to supplement with non-breast options. I don't remember if this
was cup/finger or bottle feeding. Anyway, my colleague has done several
treatments for the baby and each time, the baby would nurse much better at
the breast. The last time we talked about the baby, she had 3 days solely at
the breast. Now, I have not kept up with this case and don't know what is
currently up, but I was impressed that with each treatment, the baby did so
much better. Thought you might be interested. CST DOES work!
Mari Douma, DO, FACOP, FAAP
Dept of Peds, Michigan State University
Lansing, MI
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Date: Sat, 11 Sep 1999 07:24:45 -0400
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: Bfing poems
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Share with us! Sincerely,Pat in SNJ
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Date: Sat, 11 Sep 1999 19:43:33 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: "Cindy Curtis, RN, IBCLC" <[log in to unmask]>
Subject: Re: Breastfeeding during pregnancy
Virginia
Thank you for replying to my post! You are the only one that did.. surely
someone out there knows of some reference to breastfeeding while pregnant
with a history of miscarriage?
Thanks again!
Cindy Curtis,RN,IBCLC
mailto:[log in to unmask]
http://www.erols.com/cindyrn
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Date: Sat, 11 Sep 1999 20:08:27 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Ann H McAdoo <[log in to unmask]>
Subject: Breast and REst house
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I am IN!!! I make fabulous soup and homemade bread. Wish I had been in
one of those with my kids. Nothing like mothering the mothers. nothing
like it in the world.
Ann H. McAdoo RN
Simsbury CT. USA
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Date: Sat, 11 Sep 1999 20:12:37 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Ann H McAdoo <[log in to unmask]>
Subject: towels
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I am moderatly breasted and had to use a rolled washcloth under the
breast when nursing my 2nd. He persistently curled his tongue up to the
roof of his mouth after a good latch. He was also one of those octupus
kids...with head, hands, and legs all going at once. This allowed me to
have both hands free to manage the whole thing. Only needed it for a
week or two until he stopped that tongue thing. I was soooooo sore until
we got this worked out. Ann H. Mcadoo RN
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Date: Sat, 11 Sep 1999 19:30:22 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: joy berry-parks <[log in to unmask]>
Subject: pat asked for a bf poem
Comments: To: Patrica Young <[log in to unmask]>
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ok bf is the punchline, you just have to read the setup first!
Pit Stop
You are asleep again
And I am amazed--as always--
At the miracle of energy transferred
From kinetic to potential.
Today you have seen, and done, and heard:
Peeling potatoes, iced-over pond,
Games of catch, books, three dogs,
Road work, and Mozart.
And those are but the things I steered you through.
How much else--
How many synapses, light bulbs lit,
Leaps of understanding, paradigms conceived
Did you have, silently, in wonder?
I do not know, but the sudden collapse of you
(Jumping-running-laughing-dancing)
Into stillness;
The wholly unhesitant acceptance of sleep
I saw just now, cheeks flushed,
Breath warm against me,
Mouth locked, in undeniable exhaustion,
At my breast,
Tells me--much.
--------------------------------------------
mailto: [log in to unmask]
Joy Berry-Parks
"Never doubt that a small group of dedicated, committed people can change
the world. In fact, it is the only thing which ever has." ---Margaret Mead
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Date: Sat, 11 Sep 1999 19:42:34 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: Megan & David Schmidt <[log in to unmask]>
Subject: Re: Breast and REst house
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Just an off the wall thought.....wouldn't it be nice if HOSPITALS treated
new families like this? Since most women DO give birth in hospitals, and
they seem to hang around there for a couple of days afterwards.....might was
well make the stay nice.
Megan
who left the hospital when baby was less than 8 hours old
Ann H McAdoo wrote:
> I am IN!!! I make fabulous soup and homemade bread. Wish I had been in
> one of those with my kids. Nothing like mothering the mothers. nothing
> like it in the world.
> Ann H. McAdoo RN
> Simsbury CT. USA
> ___________________________________________________________________
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>
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Date: Sat, 11 Sep 1999 20:47:11 EDT
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: Success! publisher info/UK
Comments: To: [log in to unmask]
Carolyn,
Re: my search for a copy of "The Physiology of Lactation" by T.B.
Mepham, the 1991 edition:
My cybersavvy daughter got on the internet at InFront Streets Online that
advertises itself as the leading Europena Internet Company. I think she
used one or more of the suggestions several of you have given to compare
around. She found a copy of the 1991 edition (I don't know if new or
used) for about $75. It's on order and should be here in about 3 weeks. I
thank you for your help.
This may not be the exact website, but it's where I am supposed to 'hit'
in the future to claim my rewards for ordering more books:
http://www.infront.co.uk/rewards.jhtml
Jean
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Date: Sat, 11 Sep 1999 21:27:23 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Kathleen Bruce <[log in to unmask]>
Subject: BF poems
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I wonder if someone might volunteer to compile breastfeeding poems...that
way, people can read and enjoy.
I think this might be more appropriate than posting to the list...and more
permanently available?
Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont
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LACTNET Archives http://peach.ease.lsoft.com/archives/lactnet.html
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Date: Sat, 11 Sep 1999 22:17:23 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: "[log in to unmask]" <[log in to unmask]>
Subject: breast implants (twice) & 3 day old baby
Hi Lactnetters, I have been working for a day with a 3 day old baby whose
mom had silicone implants removed & replaced with saline implants. The baby
seemed hungry after nursing so today she pumped and expresses only drops of
colostrum. She has been supplementing 2 oz of abm after nursing 30-40 min
at a time. Today I helped improve his latch on, but don't hear audible
swallowing. I wish I had met her prenatally to investigate this further,
searched the archives and found varying reports of success, as well as
reading the LLL articles on implants. Tonight, she will pump after nursing
ad lib to try to increase supply since she has been supplementing.
Pediatrician is supportive as well as her husband. I'm not sure if she has
been producing colostrum except in small amounts. She wants to succeed and
plans to rent a pump to take home. It didn't help she is worried after
hearing about the mother who starved her infant, the case was in our area
this week. Any suggestions appreciated, will follow her closely. You may e-
mail me privately. I told her I would do some research on this.
[log in to unmask]
Ellen Mahony, RN, MS, LCCE, IBCLC
Greenwood Lake, NY
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Date: Sat, 11 Sep 1999 22:28:10 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: [log in to unmask]
Subject: Re: learning to love
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watch them learning to love their babies I think they are making meals from
an empty pantry. >>
Alice;
what lovely imagery/ thank you.
Patricia
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Date: Sat, 11 Sep 1999 21:48:36 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Diane Wiessinger <[log in to unmask]>
Subject: baby refuses to nurse
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Back again, this time after a memory crash apparently unrelated to my
previous virus. Yikes!
My favorite "aggressive non-nurser" was the little girl who held out for
about 5 weeks, perhaps due to deep suctioning at birth. Her father finally
sat her on his knee and said, "Look, Emily, the whole world sucks. There's
no reason you can't." A few days later, she started nursing. Basically,
though, her mom just kept offering, with and without a nipple shield. The
shield ended up being something of a transition tool, used here and there
for a couple days.
Then there was the mom who called after 4 weeks of struggle and
not-very-nutritive use of a shield, to tell me her cat died. I'd been
struggling right along with her, and just didn't think I could handle
helping her through a "death in the family" on top of everything else. "Oh,
and Bruce started nursing." Golly gee, why did she have to tell me about
the cat first?? But it seems she sat down in the bathroom and offered her
breast for the 900th time. He latched on... and that was that.
Diane Wiessinger, MS, IBCLC, LLLL Ithaca, NY
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Date: Sat, 11 Sep 1999 22:12:15 -0400
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: breastfeeding home
Comments: To: [log in to unmask]
Mime-version: 1.0
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Hey, we could call it a nursing home!
Diane Wiessinger, Ithaca, NY
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Date: Sat, 11 Sep 1999 22:32:20 -0400
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: supplementing diet
Mime-version: 1.0
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>>In THE POLITICS OF BREASTFEEDING (1993) Gabrielle Palmer wrote of an
experiment done in Keneba, The Gambia ... "One of their projects was to
supplement
lactating women's diet to see if this would increase their milk supply. The
women do extremely hard agricultural work on a much lower energy diet than
western women... The supplement did not appear to make any significant
difference to their milk output as measured by the baby's intake...
As a point of interest, this or a similar project intended to increase
lactating women's weight failed to do so to the extent expected. What they
found was that the extra food simply gave women the energy to work harder...
Diane Wiessinger, MS, IBCLC Ithaca, NY
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Date: Sat, 11 Sep 1999 19:32:25 -0700
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: Donna Hansen <[log in to unmask]>
Subject: Lactation amenorrhea and nutritional status
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<<So, what happens if a western woman maintains a no more than adequate
weight and exercises daily. Is she less likely to experience an early
return of menstruation than women who eat more and/or are less active?>>
Well, here's my sample size of one (two births, though). My weight has
always been on the low side of normal, I couldn't keep the weight on after
each birth (sorry!), I was exercising after each birth with soccer and
hockey mostly, babies both gained heaps, periods returned at about 18
months with the first (fertility actually, since I never did get a period)
and about 2 years with the second.
Donna Hansen
Burnaby, British Columbia
Canada
mailto:[log in to unmask]
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Date: Sat, 11 Sep 1999 22:44:10 -0700
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: Ann Calandro <[log in to unmask]>
Subject: ABM Article Washington Post
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http://www.washingtonpost.com/wp-srv/business/daily/sept99/formula11.htm#=
TOP
This is an article from the Washington Post about a new ABM company =
competing with the big two.
Ann Calandro, RNC,IBCLC
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Date: Sun, 12 Sep 1999 13:15:01 +1000
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: Karleen Gribble <[log in to unmask]>
Subject: Lactational infertility
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Re: Discussion of lactational infertility and early retern to 'fertility'
(remembering that return of periods and return of ovulation and return of a
sufficient luteal phase are all stages in the return to fertility and may
not occur at the one time).
Barbara Gross' work in Australia found that the number of chicken meals a
woman ate a week influenced how long it was before her fertility returned.
If I remember rightly, the more chicken she ate the earlier she was likely
to beome fertile.
Not sure what hormones they feed those chooks now. Might be worth finding
out.
Karleen Gribble
B.Rur.Sc, PhD
Australia
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Date: Sun, 12 Sep 1999 00:43:39 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
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From: Darlene A Breed <[log in to unmask]>
Subject: Re: towels
I just happened to think of another time that I use the receiving blanket
(or towel). When I am teaching a mom to feed twins at the same time.
Moms are always afraid to not support the breast. The blanket can
support the breast and mom feels more confident holding both babies.
Works real well.
Darlene Breed, BSN, RN, IBCLC
Worcester, MA (USA)
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Date: Sat, 11 Sep 1999 23:06:30 -0800
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Joan Edelstein <[log in to unmask]>
Subject: PARENTS MAY WANT TO REPLACE SOME BABY BOTTLES AND TEETHERS
MIME-Version: 1.0
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This month is Baby Safety Month and Consumer Reports online
(http://www.ConsumerReports.org/Special/Samples/Reports/9905bab0.ht) has
a a special report on bottles and teethers that could contain possibly
harmful chemicals. This report does not address breastfeeding but
certainly has useful information. They also have baby bottles to look
for, in case moms are planning to store breast milk. They don't address
the current pump or storage systems so it might be worthwhile to look
into those.
Joan
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Date: Sun, 12 Sep 1999 02:15:47 EDT
Reply-To: Lactation Information and Discussion
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From: [log in to unmask]
Subject: large tongue
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i have a new syndrome to propose, "lactnet syndrome," because after reading
about the baby with the large tongue last night, what should i see today but
a baby with a very large tongue! rather poor sucking action, hard to say what
is causing it because he has thrush, reflux, mother's milk supply is down,
easily distracted, etc., but i think the large tongue must be at least part
of it (so it seemed to me, but there are so many things going on it is hard
to say for sure other than a hunch).
are there any "reasons" for the tongue being overly large other than small
mouth size? poor motor control of the tongue causing it to seem large because
it is not controlled well? i like to think i can tell it is large and not
just low tone.
carol brussel IBCLC
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Date: Sun, 12 Sep 1999 02:17:10 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: [log in to unmask]
Subject: who is it?
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<< wonder Golden Strip Group Member >>
okay, inquiring minds MUST know what this means!
carol brussel IBCLC
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Date: Sun, 12 Sep 1999 02:26:54 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: [log in to unmask]
Subject: good advice from doctors
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a former client called me up today with a couple of questions (like, is it
okay for her 3 1/2 month old to only nurse four times in 24 hours, arggh and
ack). she mentioned in passing that the baby gets a bottle of formula every
day or two on the doctor's orders. why? i innocently asked. because, she
patiently explained, the doctor said this was "necessary, so the baby learns
to drink formula." i asked, well, why would the baby *need *to drink formula?
the mother got confused and said, well don't they have to sometime before
they are a year old? i just said, no, they don't. she then went on to ask me
about the angled bottles, which say "causes fewer ear infections" or
something like that. her worry is that, the bottle is supposed to make you
able to hold the baby more upright to take the bottle. she has been nursing
the baby flat because of back problems.
i really had to laugh at that one. i explained, the reason the bottle helps
prevent ear infections by keeping the baby more upright is not the position
so much as the food. i said "formula causes a much higher incidence of ear
infection, breast milk does not." she was very amazed. what do you bet this
doctor has never mentioned any of the hazards of ABM to any of these patients?
and another client i saw today has a doctor who, despite having bf three
children, pushes formula to fix a weight gain problem in a baby who has had
formula twice and both times vomited and refused to nurse for thirteen hours
after a very small dose. what ARE they thinking?
and before you remind me that these clients are probably misreporting what
they were told, didn't understand, didn't get it straight etc., i will point
out that if this is true then every single one of my clients is lying about
what they were told. yup, every single one.'the epidural won't affect your
baby." "the pacifier won't interfere with breastfeeding." "you don't want to
nurse more than every three hours for ten minutes per side." "your baby is
constipated." etc., etc., ad nauseam.
carol brussel IBCLC
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Date: Sun, 12 Sep 1999 02:32:05 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: [log in to unmask]
Subject: sayings to suit us
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i get this cool thing called 'a word a day' and it also has quotes, and i
think today's is particularly relevant to our work.
Better is the enemy of good. -Voltaire, French Philosopher (1694-1778)
carol brussel IBCLC
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Date: Sun, 12 Sep 1999 06:18:36 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Wendy <[log in to unmask]>
Subject: Re: ABM Article Washington Post
In-Reply-To: <[log in to unmask]>
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This article was fascinating! I am sure that the big two formula companies
are VERY worried about this kind of competition.
My bet is that they are so concerned about this, that they will be
spending their marketing efforts trying to SAVE their market share rather
than increase it.
So we can sneak right in there and increase those breastfeeding rates, and
they won't even notice.. ;-)
It will be interesting to see how this plays out.
Warmly,
Wendy Goldenthal
Owner, Nursing Mother Supplies
Devon, PA
>http://www.washingtonpost.com/wp-srv/business/daily/sept99/formula11.htm#=
>TOP
>
>This is an article from the Washington Post about a new ABM company =
>competing with the big two.
>
>Ann Calandro, RNC,IBCLC
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Date: Sun, 12 Sep 1999 13:50:09 +0200
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Rachel e-mail <[log in to unmask]>
Subject: Lactation amenorrhea method of family planning
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As the posts I have seen on this topic have not mentioned criteria for =
LAM, I am sharing this. I apologize if it duplicates previous postings =
which I may have missed.
We are now, as official health policy in Norway, telling women that if =
the following three criteria are met, they are as likely to become =
pregnant as if they had an IUD in place. Note that ALL THREE criteria =
must be met. As soon as ONE is not met, the whole deal is considered to =
be off and the chance of conception unknown. Note too, that women can =
become pregnant with IUDs.
1. baby is entirely nourished by breastfeeding, including night feed(s)
2. baby is under 6 months old
3. menses have not resumed (definition: any bleeding occurring more than =
14 days after cessation of bloody lochia =3D menstruation)
I find this information to be clear, unequivocal, and easy to remember. =
The criteria are unambiguous, allowing mother to pose simple Y/N =
questions to herself to determine whether she fits into the group able =
to enjoy some measure of contraceptive benefit from BF. It is still up =
to each woman to decide what use she will make of this info.
Rachel Myr
on my way to a last home visit to a 19 y/o whose first baby was born at =
home a week ago and who is now in danger of being flooded out of the =
house by rivers of milk, which began early on the second postpartum day. =
Life can be wonderful!
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Date: Sat, 11 Sep 1999 19:47:56 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: Re: newsletter
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Dear Marie, I forgot to tell you that I got the newsletter one day last
week, probably Tues or Wed. It is great. I like the info you provide!
Do you give out sample copies of old ones for conf to promote subs? If so
I am doing a 2 day conf here in NJ Oct 6-7(30) we have a LaCTo meeting Oct
4 (10). I'll let you know of any other dates as they come along.
I had gotten BSC when it first came out and it is essentially an ad for
their future programs. I resented paying for that! Georgetown gp usually
has 1-2 pages of a good article and then rest is adv. but at least they
mail it for free :-) Yours is refreshingly different, keeping people
up-to-date on items in the lit and resources etc. I wanted to know where
to get that Clinics in Peri and now I have an address. Sincerely, Pat in
SNJ
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Date: Sun, 12 Sep 1999 08:22:08 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: [log in to unmask]
Subject: Re: newsletter
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Interested in your news letter.
I'm a Hospital Based RN, IBCLC in Albany New York.
Kathleen Harrison-Otto
310 Beaver Dam Road
Voorheesville, New York
12186 (e-mail [log in to unmask]
Thanks.
Do you need any other info?
Kathy
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Date: Sun, 12 Sep 1999 08:34:43 EDT
Reply-To: Lactation Information and Discussion
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From: [log in to unmask]
Subject: Formula Company Badge Holders
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Megan informed us of the badge holders that a formula company has given to
nurses. You may wish to let the following people in your institution know
about this and ask if it is ethical to advertise products to patients. The
ethics committee, the president/ceo of the hospital, human services (to see
if employees have signed a form related to conduct and the marketing of
products to patients). I would also ask the hospital attorney if the hospital
or nurse is liable for poor outcomes or damages if the mothers who see these
badge holders feed formula to their babies. Check your hospital's vendor
policy to see if the vendor has violated it with this tactic.
Then we could also start wearing badge holders advertising Tupperware,
cosmetics, and all sorts of other things that nurses could sell on the side.
Maybe the nurses could have a van parked outside with their wares so that
when they discharge mothers, the mothers can go to the van and buy things
they do not need. All under the guise of "my nurse said it was good." Too bad
some nurses are so easily swayed with trinkets to become unpaid marketing
reps. Are they so gullible that they cannot see how they are being used? See
if any of the mothers would write and complain.
Please send me a sample of this badge and any other book, etc that the
formula companies are handing out. I am still gathering examples of the
massive amounts of materials that the formula companies are pouring into
marketing. I need these for the report card on the State of the Code-USA that
I am compiling.
Marsha Walker, RN, IBCLC
254 Conant Rd
Weston, MA 02493
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Date: Sun, 12 Sep 1999 08:39:07 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: [log in to unmask]
Subject: a few replies
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Morning Everyone (if you're reading this at a later point, feel free to
substitute!),
Diane, just wanted to say, THANKS for the laugh! Loved the Daddy's comment
about the whole world sucking!!! Also, I have a friend who tells me all
about when her pets die also (mind you, I know how tragic this can be for a
person, but she has more pets than I can count and I haven't lived near her
in years, so I have NO CLUE of which animal she's talking about most
times...I can't keep track!). As for calling the home a Nursing home...
Cute! <g>
One other thought, someone mentioned Mick Jagger's tongue, how about Gene
Simmons! (Not a big fan, so if I misspelled his name, may the gods of rock
and roll forgive me). I heard recently on the radio that women go crazy over
his tongue... never thought about it that way...... hmmmmm
Good way to start off a Sunday morning... with a laugh! Enjoy your day all :)
Veronica Scott,
Breastfeeding Peer Counselor, WIC
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Date: Sun, 12 Sep 1999 08:18:29 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Jeanne Mitchell <[log in to unmask]>
Subject: Badge Holders and Long Distance Cards
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In May, I was talking to a group of nurses and WIC staff about formula
promotional items. A group of nurses showed me a long-distance card
that a formula marketing rep had given to all the nurses recently. It
was good for 10 minutes. I asked them to place a value on the 10
minutes. At 10cents per minutes, plus maybe 10 cents for the card, the
marketing rep maintained his status as a "really nice guy" for a grand
total of $1.10.
Another incident that truly appalled me happened during registration of
a 3-day course. One of the nurses was just gushing about being grateful
that she could attend. She told us that their formula rep was "so
supportive of breastfeeding" that he had paid their registration to
attend the course! Now, as I'm the person who collects registration
fees, I can state for certain that we received no check from a marketing
company. He must have reimbursed them.
I have seen a lot of badge holders in Texas. One hospital took care of
that problem by making their own. There are hundreds of companies that
print these promotional items - pens, coffee mugs, badge holders,
t-shirts, etc. Why not have an exchange program at your hospital?
You'll collect their marketing paraphenalia in exchange for something
that has your hospital's name on it?
--
Jeanne Mitchell, Austin, TX
http://www.flash.net/~xanth/home.htm
mailto:[log in to unmask]
"You can tell the quality of a person by how
they treat people they don't need." My Dad
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Date: Sun, 12 Sep 1999 09:29:10 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: Becky Flora <[log in to unmask]>
Subject: need LC or LLLL in Laredo, TX ASAP
Hi,
I am working with a mom on-line and need to refer her locally to someone
near Laredo, TX for slow weight gain in baby. Please reply privately to my
email.
Thank you,
Becky Flora
Kingsport, TN
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Date: Sun, 12 Sep 1999 10:19:00 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: [log in to unmask]
Subject: Investigating Alleged Hazards in Plastic Bottles
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Before you 'buy' the idea of harmful chemicals in plastics, you may want to
investigate the other side of the debate. Check out this issue on
<www.junkscience.com>
There can be money and power in creating a scare. Remember the lack of
science behind the silicone implant fiasco that frightened numerous women,
destroyed a product and a company and enriched a number of lawyers. Remember
the fraudulent science implicating high power lines. Keep your guard up.
Alice Martino
in Central New York State
mailto:[log in to unmask]
<< This month is Baby Safety Month and Consumer Reports online
(http://www.ConsumerReports.org/Special/Samples/Reports/9905bab0.ht) has
a a special report on bottles and teethers that could contain possibly
harmful chemicals. This report does not address breastfeeding but
certainly has useful information. They also have baby bottles to look
for, in case moms are planning to store breast milk. They don't address
the current pump or storage systems so it might be worthwhile to look
into those. >>
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Date: Sun, 12 Sep 1999 14:49:45 +0100
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: Jamie Smith <[log in to unmask]>
Subject: lactational amenorrhea
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Mandy O'Reilly asked on Friday:
>Okay so the women mentioned have resumed menses. I wonder if they have
>actually started ovulating? Possibly this is the difference. An interesting
>adjunct to this is the Billings method of cervical mucous assessment to detect
>fertility. Does the return of menses imply full fertility in the breastfeeding
>women?
I teach the sympto-thermal method of natural family planning, so I can't speak
conclusively about the Billings method. But here's a little information, at
least: a normal mucus patch is highly suggestive of ovulation but does not
confirm it. But a basal body temperature chart which shows a sustained upward
thermal shift of at least four-tenths of a degree Fahrenheit indicates that
ovulation has occurred.
Some women's bodies seem to go full steam ahead into normal fertility after a
time of lactational amenorrhea; for many, though, there's a transition time.
There may be one or more anovulatory cycles, followed by one or more cycles
with infertile ovulations (ovulation followed by a luteal phase of five days or
less allows for conception but almost certainly not implantation), followed by
cycles with a gradually diminishing proliferative phase and a gradually
lengthening luteal phase, until the pattern returns to normal.
So the answer, unhelpfully, is yes and no. Couples who wish to avoid pregnancy
must assume that the presence of mucus means fertility has returned; couples
who wish to become pregnant again need to keep in mind that it may take some
time.
Jamie Smith
LLLL and NFP teacher in Edinburgh
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Date: Sun, 12 Sep 1999 10:23:35 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: Clayton and Anne Nans <[log in to unmask]>
Subject: LAM AND BREASTFEEDING MULTIPLES?
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>
> 1. baby is entirely nourished by breastfeeding, including night feed(s)
> 2. baby is under 6 months old
> 3. menses have not resumed (definition: any bleeding occurring more than
=
> 14 days after cessation of bloody lochia =3D menstruation)
I have never seen any research on this for women breastfeeding multiples,
and I'm curious. Most mothers of triplets or more do some supplementation
with ABM, but they still usually produce more than 70 ounces a day. Is the
protection from fertility based on exclusive breastfeeding, or amount of
milk produced by the mother?
Anne Nans, RN, IBCLC hopeful
Woodbridge, VA
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Date: Sun, 12 Sep 1999 07:40:37 PDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: laurie wheeler <[log in to unmask]>
Subject: tongue-tie
Comments: To: [log in to unmask]
Mime-Version: 1.0
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Susan
If possible I would like your ref list re tongue-tie. Can you email it?
Also, I would let up on working on the pedi but I would focus on working on
the parents. For example, if some of the refs are stories, testimonials from
moms who bf well after clipping, you could give this to the parents. Also
see if you can find out if there are ENTs, even dentists who will do the
clipping and keep a list for referrals. The best thing to convince the pedi
is a mom who went elsewhere for the clipping and then returned to the pedi
to tell him all about their success. Caution: clipping does not always
miraculously work to fix the bf, so don't set it up to the parents that it
will.
Laurie Wheeler, RN, MN, IBCLC
Violet Louisiana, s.e. USA
mailto:[log in to unmask]
______________________________________________________
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Date: Sun, 12 Sep 1999 07:54:39 PDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: laurie wheeler <[log in to unmask]>
Subject: breast implants and milk production
Comments: To: [log in to unmask]
Mime-Version: 1.0
Content-Type: text/plain; format=flowed
Ellen
Be sure to consider the reason for the implants. For example, I think most
women want them to enlarge already "adequate" breasts. Some women get them
b/c they may actually have "insufficient glandular tissue" i.e. this mom may
be a "primary lactation failure." Just a possiblility.
However, in any case, you would still recommend everything re optimal bf
practices to maximize her chances of success.
Laurie Wheeler, RN, MN, IBCLC
Violet Louisiana, s.e. USA
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Date: Sun, 12 Sep 1999 11:30:35 EDT
Reply-To: Lactation Information and Discussion
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From: Julie Wood <[log in to unmask]>
Subject: Re: LACTNET Digest - 11 Sep 1999 to 12 Sep 1999 - Special issue
(#199...
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Date: Sun, 12 Sep 1999 11:40:14 EDT
Reply-To: Lactation Information and Discussion
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From: Julie Wood <[log in to unmask]>
Subject: Re: Help for the Large Breasted
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As a well endowed breastfeeding mom (I have gone from a DD cup pre pregnancy
to an I cup), I have another suggestion to offer--a recliner chair. I lean
back ever so slighty--enough to elevate the nipple a bit and allow gravity to
support the breast some. I also have had good luck with a nursing bra with
an infrastructure similar to a sling. I didn't have either of these with my
first child and my breastfeeding experience was much more difficult. Things
are going great at 9 months with my son. A simple but effective suggestion
(at least for me!).
Best regards,
Julie Wood
Vacationing in Florida where I was happy to see a "nursing room" at Disney
World, but disappointed to see it sponsored by Carnation Infant Formulas. I
nursed at Country Bear Jamboree instead :)
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Date: Sun, 12 Sep 1999 10:39:53 -0500
Reply-To: Lactation Information and Discussion
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From: Kathy Dettwyler <[log in to unmask]>
Subject: Breast and Rest House
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I make cinnamon buns. AND I clean toilets.
Kathy Dettwyler
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Date: Sat, 11 Sep 1999 14:38:55 -0400
Reply-To: Lactation Information and Discussion
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From: Cathy Bargar <[log in to unmask]>
Subject: Re: Laurie's Dream Cottage
Comments: To: laurie wheeler <[log in to unmask]>
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<I have often envisioned a home for bf mothers. Maybe I will open one. Kinda
like a bed and breakfast. Birth your baby and then come here for the first
few days. All the mommies in one big cozy room with lots of beds, fresh
flowers, and smells of good food cooking and served to you while you mother
your babies. And the bf helpers just lolling about helping a little here and
there - and tasting the soup.>
That's long been my dream, too! And I bet lots of others of us here as well.
Of course, I don't want to actually be the one to get it started - I just
want it to be there, run by women I trust, for all those moms that need it!
Heard a thing on CNN a few months back about a place sort of like this (only
more like a hotel, less like a cozy little house) in Korea (I think). But it
was awful - they promoted the whole thing as a place for the moms to let the
nurses (or whatever the caregivers were) take care of the babies so the moms
could "rest" and "pamper themselves". They showed the babies all being
bottle fed in the nsy while the moms were watching TV & "resting" sociably
with each other. Apparently it's wildly popular. The story was making a big
deal of how the mothers loved not having to bother feeding their babies.
YIKES! *Not* part of my dream!
Cathy Bargar RN, IBCLC Ithaca NY
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Date: Sat, 11 Sep 1999 14:42:11 -0400
Reply-To: Lactation Information and Discussion
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From: Cathy Bargar <[log in to unmask]>
Subject: Re: domperidone
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Carol - So what do your clients do to get domperidone prescribed - go to
Canada or something?
Cathy B.
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Date: Sun, 12 Sep 1999 11:38:09 -0400
Reply-To: Lactation Information and Discussion
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From: Cathy Bargar <[log in to unmask]>
Subject: Re: non-latching babies
Comments: To: Barbara Wilson-Clay <[log in to unmask]>
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<No wrestling anyone into submission...They can't nurse at first anyway, or
they'd have BEEN nursing.>
Barbara - You've just summed up my approach and philosophy very neatly! And
I think this principle of non-struggling is absolutely key for babies (and
especially moms!) who are having a rough time at first. I myself am one of
the most relexively contrary souls you would ever know, as is one of my twin
daughters, and I've learned this the hard way. (Mostly I've learned it from
babies and their mothers, in fact!)
The only thing I would add to your 3 "rules" is abundant support for mom
(and any other family members you can get your hands on). I have almost
limitless trust that, once you've ruled out and corrected the things that
are "wrong", babies WILL come to the breast, unless the mother has been so
distressed and jerked about that *she* withdraws from the process in some
way.
As my therapist used to say, "Trust the Process". Breastfeeding and all that
flows from it is an inherently trustworthy part of life. I TOTALLY trust
babies (even more than moms), because ultimately they are driven by
powerfully evolved survival needs. When it isn't working, something is
wrong, whether or not we know what it is. For me, that's the bottom line. I
think that we have a really awe-inspiring opportunity to help women learn
this as we work with them through barriers to this experience of nsg. the
way it's meant to be.
Cathy Bargar RN< IBCLC Ithaca NY
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Date: Sun, 12 Sep 1999 11:46:01 -0400
Reply-To: Lactation Information and Discussion
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From: G Hertz <[log in to unmask]>
Subject: good(?) advice from doctors
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CB writes: "What are they thinking?"
1. They have 10 minutes to address all the issues coming up
2. They fall back on what the formula companies suggest because it's all
they know [or all they've heard lately]
3. Breastfeeding is an awful lot of hassle because they don't see the
patients that it works well for [those kids are usually too healthy to be
in for any thing but well checks]
3A. They also think that only infants breastfeed because seldom do the
moms volunteer that they are nursing their toddlers for fear that they'll
be told to stop
4. They don't know how to recognize simple breastfeeding problems because
they were never taught how
5. They don't know how to solve simple breastfeeding problems even if they
can recognize them
6. They see a referral to a Lactation expert as a last resort if they don't
have one incorporated into their practice
7. They see lactation people as an indistinct group because they don't know
what the initials mean
8. They think in all this that they ARE being supportive of breastfeeding.
Gail [continually searching for ways to teach her peers about
breastfeeding]
Gail S. Hertz, MD, IBCLC
Resident, Dept. of Pediatrics
PSGHS Children's Hospital
Hershey PA
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Date: Sun, 12 Sep 1999 10:54:32 -0500
Reply-To: Lactation Information and Discussion
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From: joy berry-parks <[log in to unmask]>
Subject: Re: sayings to suit us
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carol wrote: <<i get this cool thing called 'a word a day' and it also has
quotes, and i
think today's is particularly relevant to our work.
Better is the enemy of good. -Voltaire, French Philosopher (1694-1778)>>
After reading Carol's last post re: the bad advice doctor's give
breastfeeding
moms, and feeling like it's "us against them" in the war for correct
information,
I am reminded of my favorite Voltaire quote:
I have only ever made one prayer to God, and a short one:
Oh, Lord,make my enemies ridiculous. And he granted it.
Joy Berry-Parks
"Never doubt that a small group of dedicated, committed people can change
the world. In fact, it is the only thing which ever has." ---Margaret Mead
mailto: [log in to unmask]
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Date: Sun, 12 Sep 1999 15:58:56 +0000
Reply-To: Lactation Information and Discussion
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From: Heidi Streufert <[log in to unmask]>
Subject: Re: Investigating Alleged Hazards in Plastic Bottles
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On Sun, 12 Sep 1999 [log in to unmask] wrote:
> Before you 'buy' the idea of harmful chemicals in plastics, you may want to
> investigate the other side of the debate. Check out this issue on
> <www.junkscience.com>
I went to this site and found several related articles. The most *recent*
of which doesn't seem to claim that it is 'junk science' at all. It notes
that several studies in the US and overseas have shown similar findings
regarding the leaching of bisphenol-A. I'm a little confused as to what
that site is really saying.
<http://www.junkscience.com/may99/phaseout.htm>
I recommend a certain brand of bottle for milk storage (and I use them
myself) so I have an inquiry in to the manufacturer to find out what
material is used in their manufacture.
I'd be interested in what others are recommending for breast milk storage
as I know that some of the fats and antibodies have been shown to adhere
to glass baby bottles.
Thanks for the heads up!
Heidi Streufert
Gaithersburg, MD
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Date: Sun, 12 Sep 1999 12:44:39 -0400
Reply-To: Lactation Information and Discussion
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From: "Sherry Sherba BSN Student, Breastfeeding Counsellor"
<[log in to unmask]>
Subject: mini-pill and fussy baby
Good Day All;
I'm new to lactnet and I just wanted to say how much I enjoy it. I am a BSN student and breastfeeding counsellor and it's a great way to learn alternatives to a textbook!!! Anyways I have a question that I have not had much luck in finding the answer. Has anyone heard of the mini-pill causing EXTREAME fussiness in breastfed baby. Baby is eight mon. Milk supply has NOT decreased; other foods have been ruled out; when stop taking the pill baby is fine. I'm desperate for some answers!!! Please feel free to e-mail me privately.
Thank-you all
Sherry Sherba
Prince George, Canada
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Date: Sun, 12 Sep 1999 12:41:45 -0500
Reply-To: Lactation Information and Discussion
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From: Connie Chiavario <[log in to unmask]>
Subject: Re: Working with Large-Breasted Women
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I had a mother that I worked with who had extremely large breasts. She was
quite obese and often didn't wear a bra because of having trouble finding
something to fit.
Anyway, I did use the rolled up towels under her breasts and also had good
luck by getting her in a recliner and reclining back so that her breasts
wouldn't roll under--her nipples would end up totally south or in her lap.
This was a case that was one of the most challenging I have ever worked
with. Small baby, mom with huge breasts and nipples. We had her pump,
finger feed, and worked with latch on and finally--at the age of three
weeks, the baby decided to latch on and nurse! She then nursed him
exclusively for three weeks and decided to quit. Talk about disappointment
and hard work! She quit because her husband and father told her that he
wasn't getting enough, etc. He gained well the entire time and we logged
his wet diapers, x per day of nursing, and she rented a scale.
All was going well. Anyway, she thanked me for all my help and told me that
she wanted to get pregnant again ASAP. I guess it was her baby, her choice
even though I didn't understand her choice. She told me that she would like
to try nursing her next baby...............and here I had thought we had
really *tried*. Go figure!
````````````````````````````````````````````````````````````````````````````
````````````````
Connie Chiavario
Area Coordinator of Leaders
La Leche League of Illinois
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Date: Sun, 12 Sep 1999 14:22:52 -0400
Reply-To: Lactation Information and Discussion
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From: Paul and Kathy Koch <[log in to unmask]>
Subject: Re: breastfeeding home
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>Hey, we could call it a nursing home!
My son already thinks these exist. A couple of years ago (I think he was 6
at the time), we were driving in the car and talking about food donations as
a way to help those in need. Andrew mentioned that on Nickelodeon (a TV
station devoted to children's programming) the kids in the "Big Help" (a
station-sponsored community service project) danced in "breastfeeding
houses". I had no clue as to what he was talking about...just exactly what
is a "breastfeeding house" and why would kids be dancing in them?
It took a few minutes before it dawned on me...NURSING HOMES!! These kids
were dancing in nursing homes and my son decided that it just had to be
breastfeeding related.
This same child brought me a balloon today so I could show a mother how the
breast pump she was about to rent worked.
Kathy
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Kathy Koch, BSEd, IBCLC
Great Mills, MD
mailto:[log in to unmask]
"Children in a family are like flowers in a bouquet: there's always one
determined to face in an opposite direction from the way the arranger
desires."- Marcelene Cox
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Date: Sun, 12 Sep 1999 20:54:34 +0200
Reply-To: Lactation Information and Discussion
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From: Renate Rietveld IBCLC <[log in to unmask]>
Subject: Re: Tongue-tie help please!
Comments: cc: [log in to unmask]
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Hi there,
Maybe viewing the Dr. Evelyn Jain video on tongue-tie would help in this
circumstances. The only problem than would be....How to convince this man
to watch this video?
Good luck,
Renate Rietveld, IBCLC
Rijswijk, The Netherlands.
> Over the past 2 months I've counseled 2 Moms whose babies had significant
>tongue-tie. They both had the same pediatrician and he does not believe this
>EVER needs treatment.
--------------------------------------------------------------
Renate Rietveld, IBCLC
E-mail : [log in to unmask]
Homepage: http://www.casema.net/~rietveld/index.htm
--------------------------------------------------------------
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Date: Sun, 12 Sep 1999 14:41:54 -0500
Reply-To: Lactation Information and Discussion
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From: Cathy Liles <[log in to unmask]>
Subject: Tongue hanging out
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A baby with poor muscle tone in the mouth and/or a muscle weakness disease
may have a tongue that hangs or sticks out and also a baby who is trying to
protect an airway may find better airflow with an extended tongue. Cathy
Liles
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Date: Sun, 12 Sep 1999 20:56:11 +0100
Reply-To: Lactation Information and Discussion
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From: heather <[log in to unmask]>
Subject: Re: Frequency of bf = increased antibodies?
In-Reply-To: <[log in to unmask]>
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Jan - really interesting question.
I guess the work done on the way immunity is conferred on the baby via
breast milk easily supports the notion that the *quicker* you get the milk
into the baby after exposure to some sort of pathogen, the better.
The way I understand it, it is a far more dynamic, beautifully-responsive,
tailor-made process than the way Rachel described it - that is, the mother
has the same amount of antibodies to give per day.
I wish I had refs to hand for this, but it is all bound to be in the big
texts on bf.
This is how I understand it, and how I have heard it described on several
occasions when I have heard Professor Howie from Dundee speak on this very
topic:
the mother's system responds to a bug of any sort by making antibodies (in
the lungs, and in the stomach, primarily, which is the first 'stopping off'
place for bugs which are normally breathed in or eaten) , which then travel
through her system and become available to the milk, which then gets into
the baby. I think I am right in saying that this process happens literally
within minutes of exposure. Prof. Howies answered a question about this at
a recent talk by saying 'instantly'/
So, if the mother sits next to someone on a bus who sneezes all over her
and her baby, for example, then waits three hours (or whatever) to feed the
baby because the baby is on a feeding schedule...well, this cannot be as
good as feeding the baby sooner.
Heather Welford Neil
NCT bfc Newcastle upon Tyne UK
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Date: Sun, 12 Sep 1999 22:35:10 +0200
Reply-To: Lactation Information and Discussion
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From: Pamela Morrison IBCLC <[log in to unmask]>
Subject: Australian BF stats needed
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Calling Australian LCs: I need some information on Australian breastfeeding
statistics, different population groups living in Australia and whether they
breastfeed or not, proportions of high-income groups, underprivileged
groups, rates of exclusive/partial breastfeeding etc. The information can
be researched (demographic surveys) or anecdotal, or just your personal
impressions. Thanks if you can help, please email me privately and I will
send more details of the kind of info I am looking for.
Pamela Morrison IBCLC, Zimbabwe
mailto:[log in to unmask]
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Date: Sun, 12 Sep 1999 16:41:30 EDT
Reply-To: Lactation Information and Discussion
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From: [log in to unmask]
Subject: Re: Breast reduction Surgery
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Pat,
If I didn't know better, I would think you would have been describing my
family. My daughter was 17 when she had breast reduction surgery (after
seeing me have mine at 37). After much discussion with our plastic surgeon
(whose wife had breastfed 2 children after augmentation), she decided to
have the surgery. He did his best to disrupt as few milk ducts as possible
and perserve nipple sensitivity but there is no guarentee. She is now 22 and
in college......no babies yet. Only time will tell. I had prepared her as
well as possible but the final decision was left to her. At this point, she
is very glad she did it. Her backaches have stopped and she is finally able
to be seen as the intelligent young woman that she is.
BTW, I have 2 more large breasted daughters who have not made the same
decision.
Debi RN CCE IBCLC
Columbus, GA
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Date: Sun, 12 Sep 1999 17:16:56 -0400
Reply-To: Lactation Information and Discussion
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From: Mandy O'Reilly <[log in to unmask]>
Subject: Lactational amenohorrea
Jamie
Thanks for the interesting post. Has anyone done any studies using either
Billings or the Thermal method to ascertain what percentage of lactating
women who have a return of menses in the first six months actually are
having full ovulatory cycles?
Regards
Mandy O'Reilly
RN/RM
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Date: Mon, 13 Sep 1999 11:13:29 +1200
Reply-To: Lactation Information and Discussion
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From: Barneveld <[log in to unmask]>
Subject: Breastfeeding with implants;pacifier and bottle warning
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I have had several mothers nurse with implants, or nurse aftre having =
implants removed with no more or less difficulties than other women =
(considering they are a bit less confident to start with) In terms of a =
possible underlying insufficency, one of my closest friends had a =
reconstruction of a breast 20 years ago due ot a congenital absence of =
breast structure that included some nipple repositioning. Her first baby =
(now 14) she comped with ABM as her supply just didn't seem to get to =
100% - she guestimates rachel got about 60% of her nutritional needs. =
Second baby had a few comps in the early days but was fully breastfed =
from then on, Baby 3 -the reconstructed side was her favorite. Although =
this is possible because the other side was making more of the milk =
supply and had a rapider flow and she liked to comfort suck. We were in =
different cities but the LC who saw her between 1 & 2 (one of NZ's =
first) and I theorised that the first birth and feeding may have helped =
recanalize and help get things working for baby 2. This was in the days =
when full electric pumps were hard to come by for the average mother and =
overcomong some health professional nervousness was also an issue. So =
even if she doesn't get a full supply going its worth the perserverance =
in terms of the next baby. in fact i have actaully found sharing this =
story from that perspective - lets do as good as we can this time and =
see how it goes; its an investment for the furture can take some of the =
pressure off a mother in terms of the intenseness of her baby's current =
need. As for the bottle warning if this is the same story that was =
doing the rounds on the parent boards a few weeks back invovling =
chemical leakage the conditions of chemical leakage were so extreme =
(boiling milk for twenty minutes from memory) that would never happen =
under normal usuage. Particularly as EBM is usually heated by warming =
gently not MW there seemed limited relevance and created alot of panic. =
But it took a lot of looking to find out how the test was done as =
opposed to the scary results. Sonja LLLL Lower Hutt NZ
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Date: Sun, 12 Sep 1999 19:16:40 EDT
Reply-To: Lactation Information and Discussion
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From: [log in to unmask]
Subject: Samuel's weaning
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Yesterday at Rosh haShana services, the rabbi was summarizing the Haftarah
portion (one of the standard BIble readings for the day) before the reading
of it - the one on Hannah and the birth of Samuel. Hannah was barren and, in
praying to God for a child, she promised that if she had a son, she would
consecrate him to God, giving him to the temple to be a priest. After Samuel
was born, she said she would give him up only after he was weaned. And the
rabbi added "That would be about 5 or 6 years". I was so pleased to hear him
say that, even though there were a few incredulous noises from members of the
congregation! Miriam Levitt RN, IBCLC
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Date: Sun, 12 Sep 1999 19:16:42 EDT
Reply-To: Lactation Information and Discussion
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From: [log in to unmask]
Subject: intermittant breast pain
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I would like some input on a call I got. I wasn't able to see the mom, but
talked to her extensively. She has a 13-week old baby who has been
breastfeeding well from the beginning. The mom, though, experiences an
occasional severe, burning pain in her left breast starting around 10 minutes
after nursing and lasting 30 minutes to an hour. It only happens very
occasionally and unpredictably - she says anywhere from every 3-4 days to
every 10 days. She does not identify anything different about the nursings
when it happens. She states that it started when the baby was a few weeks
old. At first it seemed that it was mostly in the early morning when she was
fuller, but now it seems it can be any time. She feels like it's in the
ducts and experiences it as radiating around her breast through all the
ducts. She has no risk factors for yeast and no blanching of her nipple.
She has tried heat and cold and nothing seems to relieve it. She has also
tried homeopathic remedies.
One thing that is likely to be related is that she reports having a white
blister-like spot on her left nipple. However, she says the pain started
before the blister appeared. I think nevertheless there could have been a
plugged duct under the nipple that did not appear as a blister immediately.
So I have recommended she see if her doctor will open it. The other thing of
note is that she says she has noticed that her baby makes "louder noises"
when she nurses than other babies she sees. I would have to see a feeding to
assess this, but if the baby is doing something in her sucking that's causing
some sort of trauma, it could be referred pain from that. Still, it seems
less likely since it's totally on one side.
What is really puzzling is the sporadic nature of the pain. She gave me
permission to post this and I told her I would let her know if anyone had any
interesting ideas. TIA. Miriam Levitt RN, IBCLC
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Date: Sun, 12 Sep 1999 07:29:18 -0400
Reply-To: Lactation Information and Discussion
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From: Patrica Young <[log in to unmask]>
Subject: Re: Clinical Issues in Lactation
Comments: To: [log in to unmask]
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Dear All, I am so sorry that I inadvertently sent a private communication
to Lactnet. I guess we all fall victim to e-mail errors at one time or
another, but I am very sorry that you all got my mistake inflicted on you.
Sincerely, Pat in SNJ
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Date: Sun, 12 Sep 1999 07:46:46 -0400
Reply-To: Lactation Information and Discussion
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From: Patrica Young <[log in to unmask]>
Subject: Re: Clinical Issues in Lactation
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Dear All, I would also like to mention that I haven't seen this newsletter
in over one year and the management wrote me to assure me that the balance
has changed to mostly lactation type news with just very brief mentions of
conf. info. Again, I am sorry for my error in mis-mailing. Sincerely, Pat
in SNJ
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Date: Sun, 12 Sep 1999 17:34:25 -0700
Reply-To: Lactation Information and Discussion
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From: "Melinda Hoskins, MS, RN" <[log in to unmask]>
Subject: Re: Badge Holders
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Megan--
I'm not real clear in my thoughts on this, but I believe it was the
Arizona LC group which had badge holders for sale at ILCA this last
month. They read "Mother's Milk A loving Solution", and have the heart
logo which is formed from a mother and child. You might look into
having some made and sell as a fund raiser for some project.
Does someone else remember these?
Melinda
Megan & David Schmidt wrote:
>
> Dear List,
>
> I am an RN in a large hospital's L/D department. Several of the L/D
> nurses and almost all of the Nursery nurses have started wearing badge
> holders (necklace with a clip) that were given out by a formula
> company. I have voiced my concerns regarding these items, to no avail.
>
> I would like to find a source for badge holders promoting
> breastfeeding. I have heard that Hollister and Medela have put out
> badge holders, but I was hoping for one with a pro-breastfeeding
> message, not just a company name.
>
> Any sources would be much appreciated.
>
> Megan Schmidt, RN, IBCLC
>
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Date: Mon, 13 Sep 1999 10:15:22 +1000
Reply-To: Lactation Information and Discussion
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From: Virginia G Thorley <[log in to unmask]>
Subject: Breast & rest home
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I've held off commenting on this one, but Cathy Barger's posting =
about the after-care home in (I think) Korea has spurred me. It =
certainly depends on the underlying ideology of the home.
After-care homes have existed for many years in a number of =
Australian states, and some have been better than others. In the days =
when the 4-hourly schedule was inviolate and the "no night feeds" =
enforced, the well-intentioned aims of helping Mums improve their =
breastfeeding met with less than success - except, of course, for those =
Mums with bigger breast storage capacities who could get by with fewer =
feeds, or where the home reduced the interval between feeds (though =
still maintaining a schedule). Rigid schedules and test weighings at =
every feed meant that babies were topped up with bottles. As Mums were =
made to express after every feed, "to 'empty' the breast", a lot of the =
top-ups were from this pooled EBM. In time, some staff became less than =
favourable towards breastfeeding because they'd seen it repeatedly fail. =
How do I know? These comments are based on personal experience in 1965 =
with my first baby, my current research, and what Mums have told me over =
the years. (I'm keeping this message as brief as possible.)
Later, some of the homes went in for "controlled crying", when it =
became fashionable, as a way of eliminating night feeds - to me, this is =
child abuse.
So, to reiterate what I said at the start, the underlying ethos and =
written policies are what will make an after-care home either good for =
breastfeeding mothers, or deleterious to their lactation. A home which =
is set up to follow the Ten Steps to Successful Breastfeeding as the =
written policy would be the gold standard - and why should anything be =
less than the gold standard?
Funding? This sort of thing would probably end up being on a =
user-pays basis, meaning only those who could afford it could benefit - =
*unless* insurers could be pursuaded to reimburse (!!) or a benevolent =
fund or foundation be established to set it up and maintain it. Neither =
of these options is easy, but I've learnt in life that very little is =
totally impossible.
Virginia Thorley, =
OAM, IBCLC
Brisbane, =
Queensland, Australia
=
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Date: Sun, 12 Sep 1999 21:42:43 EDT
Reply-To: Lactation Information and Discussion
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From: [log in to unmask]
Subject: Re: Baby overdosing on Tylenol
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Dear Pat,
Several years ago there was a lot of coverage about the risk of Tylenol -
there are 2 strengths - a concentrated infant and a childrens strength. If
you gave the children's dose, but used the infant strength, the child would
receive an overdose resulting in possible liver damage. I wonder if that is
what happened.
Linda Goldberg, RN, CCE
in central Florida where we are preparing for Hurricane Floyd
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Date: Sun, 12 Sep 1999 18:26:49 -0400
Reply-To: Lactation Information and Discussion
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From: Doug Rice & Heather Gehron-Rice <[log in to unmask]>
Subject: Waldron on Pot/Prozac and Zoloft
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I debated ignoring this post but decided I couldn't just let this one
go. I'm not exactly certain which part of this one has me more furious:
the implications about poverty; equation of prozac and zoloft with pot;
or that somehow, a person acting responsibly to help themselves and
their situation through the responsible use of an antidepressant would
otherwise be prone to starve their child to death.
I know I'm certainly not the first person to say this, but women are
most definitely their very own worst enemies and it is precisely this
kind of language that time and again affirms and reaffirms that thought
in my mind.
Too furious to see straight,
Heather Gehron-Rice, WIC breastfeeding peer counselor and hopefully soon
to be a CLC
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Date: Sun, 12 Sep 1999 19:48:23 -0700
Reply-To: Lactation Information and Discussion
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From: Donna Hansen <[log in to unmask]>
Subject: Nestle baby cereal
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I see in the local paper that Nestle is now advertising baby cereal, a new
product, in 3 delightful flavours. I couldn't make out from the print on
the cans what the recommended ages were.
Another drugstore paper has a little blurb about Enfalac AR, and how babies
who are frequent spitters (more than 5 times/day)are clinically proven to
have significantly fewer problem feedings (those followed by spiiting
up)with Enfalac AR than with a routine formula.
AND, if that wasn't cheery enough, there's another advert for a non-profit
organization called netaid, created to eradicate extreme poverty from our
planet. The accompanying picture is a small child, maybe about a year,
sleeping, with a bottle in his mouth. There's not a huge amount of info at
their site http://www.netaid.org/
Donna Hansen
Burnaby, British Columbia
Canada
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Date: Mon, 13 Sep 1999 00:11:05 EDT
Reply-To: Lactation Information and Discussion
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From: [log in to unmask]
Subject: other horrible advertisements
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in today's paper, radio shack has a large picture advertising a headset
telephone (for those who have not gotten this revolutionary technology yet,
it is a telephone that is just a headset, so you don't have to use your
hands). the text says, you've got a lot of things to do with your hands. now,
holding a phone isn't one of them.
i am very sorry to say that the picture is of an hispanic appearing man
bottlefeeding a child. yuck.
and i am not even sure i should say what i saw written on a truck today.
carol brussel IBCLC
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Date: Mon, 13 Sep 1999 00:27:04 -0400
Reply-To: Lactation Information and Discussion
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From: wendey <[log in to unmask]>
Subject: Re: Waldron on Pot/Prozac and Zoloft
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>I debated ignoring this post but decided I couldn't just let this one
>go. I'm not exactly certain which part of this one has me more furious:
>the implications about poverty; equation of prozac and zoloft with pot;
>or that somehow, a person acting responsibly to help themselves and
>their situation through the responsible use of an antidepressant would
>otherwise be prone to starve their child to death.
I'm not sure where you got *any* of that from what I said.
My point *is* were I a mother who's baby had starved to death, and
obviously unable to afford anti depressants, I could certainly see getting
marijuana (there are many ways to get drugs without $) as a substitute. In
another socioeconomic group, if a mother had inadvertantly starved her
baby, it could easily lead to a depression which she would receive an
antidepressant for help with combatting. Which no one (rightfully so!)
would say a word about.
Her drug charge was LONG after her child died. Which is what led to *my*
assumption she was likely self mecicating (consciously or no) her
depression with marijuana, something *very common* amongst marijuana users.
I meant *no* disparagement to those on anti-depressants, rather I was
pointing out that if she were in another socio-economic group I doubt she'd
be on pot, I bet she would be on anti-depressants!
-wendey (studying LC in Montreal)
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Date: Mon, 13 Sep 1999 11:28:15 +0800
Reply-To: Lactation Information and Discussion
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From: Joy Anderson <[log in to unmask]>
Subject: Re: supplementing diet
In-Reply-To: <[log in to unmask]>
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> >>In THE POLITICS OF BREASTFEEDING (1993) Gabrielle Palmer wrote of an
>experiment done in Keneba, The Gambia ... "One of their projects was to
>supplement
>lactating women's diet to see if this would increase their milk supply. The
>women do extremely hard agricultural work on a much lower energy diet than
>western women... The supplement did not appear to make any significant
>difference to their milk output as measured by the baby's intake...
>
>As a point of interest, this or a similar project intended to increase
>lactating women's weight failed to do so to the extent expected. What they
>found was that the extra food simply gave women the energy to work harder...
>
>Diane Wiessinger, MS, IBCLC Ithaca, NY
>
I also have heard about a study from way back that *seemed* to work -
ie giving extra food increased milk supply in mothers in a poor
country. However, I believe they actually worked out that what was
happening was that the women didn't have to leave their babies so
much to go out to work to get the food (as they were given it), so
they fed their babies more often and it was this that increased the
supply!
******************************************************************
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]
******************************************************************
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Date: Sun, 12 Sep 1999 19:45:47 -0400
Reply-To: Lactation Information and Discussion
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From: "Catherine Watson Genna, IBCLC" <[log in to unmask]>
Subject: Re: What would you say?
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I've spoken to Bureau of Child Welfare trainees in the past. I focused
on the medical benefits of breastfeeding, and the range of normal
breastfeeding and parenting behaviors, as well as factors they would
have to consider when thinking about removing a breastfeeding baby from
maternal custody. Good luck, this is an important group of people to
reach.
--
Catherine Watson Genna, IBCLC New York City mailto:[log in to unmask]
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Date: Sun, 12 Sep 1999 22:50:57 -0400
Reply-To: Lactation Information and Discussion
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From: "Catherine Watson Genna, IBCLC" <[log in to unmask]>
Subject: Re: looking for referral to poem
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"Poem for a Fifth Child"
Mother, O Mother, come shake out your cloth
Empty the dustpan - poison the moth
Hang out the washing - make up the bed
Sew on a button and butter the bread.
Where is the mother, whose house is so shocking?
She's up in the nursery, blissfully rocking.
Oh, I've gotten shiftless as Little Boy Blue,
(Lullabye, rockabye, lullabye loo)
Dishes are waiting and bills are past due
(Lullabye, rockabye, lullabye loo)
The shopping's not done and there's nothing for stew
And out in the yard there's a hullaba-loo
But I'm playing "Kanga" and this is my "Roo"
(Lullabye, rockabye, lullabye loo)
The cleaning and scrubbing can wait 'till tomorrow
But children grow up as I've learned to my sorrow.
So quiet down, cobwebs: Dust, go to Sleep!
I'm nursing my baby and babies don't keep.
Ruth Hamilton, 1958
--
Catherine Watson Genna, IBCLC New York City mailto:[log in to unmask]
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Date: Mon, 13 Sep 1999 13:26:40 +0200
Reply-To: Lactation Information and Discussion
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From: "Andrea Susanne Willeitner, M.D."
<[log in to unmask]>
Subject: Conference Breastfeeding and Lactation 1999
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Dear Lactnetters,
I should like to draw your attention to a two-day conference on bf to be =
held in beautiful Innsbruck, Austria in October this year. With =
international speakers, it will provide in-depth information on current =
topics in the field of bf and lactation.
The congress is organised by the ILCA-affiliate VELB, which is the =
umbrella organisation of the LC associations of Germany, Switzerland, =
Austria and the Netherlands. Congress languages will be German and =
English. Simultaneous translation service will be provided. CERPs will =
be awarded for lectures.=20
Please find a program outline enclosed.=20
Innsbruck is an ancient but lively city beautifully located in the heart =
of the European Alps. Munich/Germany, Verona and Venice/Italy, Vienna =
and Salzburg are all comfortably accessible in a few hours. The =
organizers will be happy to assist you with accomodation and travel =
organisation. An optional postconvention program including guided tours =
to Vienna and Salzburg is available.
For further program information please contact VELB at www.velb.org
email: [log in to unmask]
postal address: VELB, P.O. Box 139, CH - 6055 Alpnach Dorf, =
Switzerland; Fax +41/ (0)41 / 6710171
If you have time and opportunity, please come and enjoy both Austrian =
hospitality and state-of-the-art lectures in the heart of Europe !=20
Yours Andrea=20
Andrea Susanne Willeitner, M.D.
Munich, Germany
CONFERENCE: BREASTFEEDING AND LACTATION 1999
8./9. October 1999, Congress-Innsbruck, A - Innsbruck=20
VELB Verband Europ=E4ischer Laktationsberaterinnen
Association of European Lactation Consultants
=20
Friday, October 8, 1999
=20
10.00 a.m. Welcome=20
=20
10.15. - 10.45 a.m.=20
=20
The Breastfeeding Mother in the Arts, Ilse Bichler, IBCLC und =
Anne-Marie Kern, IBCLC, A
=20
11.00 - 11.50 a.m.
=20
The Baby=92s Choice, Ann-Marie Widstr=F6m, S
=20
12.00 - 12.50 p.m.
=20
Social and Cognitive Effects=20
of Breastfeeding=20
Prof. Dr. Dr. mult. hc.=20
Theodor Hellbr=FCgge, D
Comprehensive Breastfeeding=20
Programs: Connecting=20
Hospitals and Communities=20
Molly Pessl, IBCLC, USA
Modular Patient Education for Diabetes and Pregnancy: =
Breastfeeding Promotion with Chronically Ill Mothers=20
Dr. Kinga Howorka, IBCLC, A
=20
1.00 - 2.30 p.m. Lunch
=20
2.30 - 3.20 p.m.=20
=20
Maternal Illness During Breastfeeding=20
Ruth A. Lawrence, MD, USA
Breastfeeding and Osteoporosis=20
Judith B. Roepke, Ph.D., USA
The Influence of Suckling at the Breast on=20
Oral-Facial Development and Speech=20
Mathilde Furtenbach, Logop=E4din, A
=20
3.30 - 4.20 p.m.
=20
Physiology of Human Milk Lipids=20
Prof. Dr. Berthold Koletzko, D
Breastfeeding Devices=20
in the Past and Present=20
Verena Marchand, IBCLC
Jean-Pierre Marchand, CH
Breastfeeding in Emergencies=20
Elizabeth Hormann, IBCLC, D
=20
5.00 - 5.45 p.m.
=20
The New Breastfeeding Policy Statement of the American Academy =
of Pediatrics, Lawrence M. Gartner, MD, USA
=20
5.45 - 6.45 Uhr
=20
Round Table: Breastfeeding Policy Statement of the AAP, =
Moderation: Madeleine Lehmann, IBCLC, CH
=20
Saturday, October 9, 1999
=20
09.00 - 10.00 a.m.
=20
'Lactoengineering' Mother=92s Own Milk for Preterm Infants, =
Paula P. Meier, RN, DN Sc, USA
=20
10.10 - 11.10 a.m.
=20
Medical-Psychological Work=20
with Mothers and Children=20
in Neonatal Units=20
Prof. Adik Levin, MD, Estland
Breastfeeding and Osteoporosis=20
Judith B. Roepke, Ph.D., USA
Modular Patient Education for=20
Diabetes and Pregnancy: Breastfeeding Promotion with Chronically =
Ill Mothers=20
Dr. Kinga Howorka, IBCLC, A
=20
11.40 - 12.30 p.m.
=20
Medical-Psychological Work=20
with Mothers and Children=20
in Neonatal Units=20
Prof. Adik Levin, MD, Estland
Do Sore Nipples React to=20
Low Level Laser Therapy?=20
Christa Herzog-Isler, IBCLC, CH
Substances of Abuse in Pregnancy =96=20
Effects on Birth and Breastfeeding=20
Dr. Andr=E9 Golser, A
=20
12.30 - 2.00 p.m. Lunch
=20
2.00 - 2.50 p.m.
=20
Breastfeeding against Diseases=20
Dr. Alfredo Pisacane, MD, I
Breastfeeding the Adopted Baby M=E1rta Gu=F3th-Gumberger,=20
Dipl. Ing., IBCLC cand., D
Communication in Breastfeeding Counseling=20
Renate Bruhn, IBCLC, D
=20
3.00 - 3.50 p.m.
=20
In the Cot under the Mobile - Needs and Realities in Early =
Childhood, Prof. Dr. Wulf Schiefenh=F6vel, D
=20
3.50 - 4.30 p.m.
=20
Closing Session
=20
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Date: Mon, 13 Sep 1999 06:29:26 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: Jeanne Mitchell <[log in to unmask]>
Subject: Re: supplementing diet
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In Guatemala, after the earthquake in 1976, mothers in rural areas
reported losing their milk due to the trauma. One relief agency very
wisely fed the infant formula to the mothers and had mothers put babies
back to breast. The coordinator was a dairy farmer from Canada and knew
about relactation.
I believe the "supplement" acted as a placebo. Mothers felt nurtured
and nourished, babies fed at breast, milk returned.
--
Jeanne Mitchell, Austin, TX
http://www.flash.net/~xanth/home.htm
mailto:[log in to unmask]
"You can tell the quality of a person by how
they treat people they don't need." My Dad
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Date: Mon, 13 Sep 1999 06:31:47 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Jeanne Mitchell <[log in to unmask]>
Subject: Matt & Mandy
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Could someone give me an email for a person who is selling the Matt &
Mandy Co-bathing video? The one I purchased 3 or 4 years ago is nearly
worn out with use. Thanks so much.
--
Jeanne Mitchell, Austin, TX
http://www.flash.net/~xanth/home.htm
mailto:[log in to unmask]
"You can tell the quality of a person by how
they treat people they don't need." My Dad
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Date: Mon, 13 Sep 1999 07:48:48 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Diane Wiessinger <[log in to unmask]>
Subject: weaning at 6 weeks
Comments: To: [log in to unmask]
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>Anyway, she thanked me for all my help and told me that
>she wanted to get pregnant again ASAP. I guess it was her baby, her choice
>even though I didn't understand her choice. She told me that she would like
>to try nursing her next baby...............and here I had thought we had
>really *tried*.
How hugely frustrating! How's this:
"You know, this baby will need you now more than ever. It's going to be a
lot harder caring for him if you won't be nursing him, and he's going to
need more medical care. So it's going to be especially important to give
him the time he needs as the center of your universe, before you have to
divide your attention. Sometimes nature doesn't work in our favor: you're
going to be *able* to get pregnant again soon because your body will think
this baby disappeared, once you're not not nursing. That doesn't mean it's
a normal or healthy thing for either this baby or the next baby or even for
your own body. The baby who doesn't get to nurse needs his mother the
most."
Diane Wiessinger, MS, IBCLC, LLLL, frustrated with you in Ithaca, NY
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Date: Mon, 13 Sep 1999 09:52:11 -0400
Reply-To: Lactation Information and Discussion
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From: "Melissa V. Kirsch" <[log in to unmask]>
Subject: Re: need tidbits re: harassment, working and BF
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I'm doing a seminar for nurses via a perinatal cooperative about sexual
harassment in the schools. In these seminars I briefly mention how
making fun of woman for pregnancy/BF is sexual harassment. With this
group, I would like to do a little more, and subtly promote BF at the
same time. Does anyone have any stories of girls/teachers/employees being
harassed..e.g. mooing noises? Please e-mail privately as to not clog
list. BTW, I ended up doing this seminar b/c I was at a BF session
sponsored by the cooperative as a LLLL.
Melissa Vance, JD, LLLL
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Date: Mon, 13 Sep 1999 12:12:10 -0400
Reply-To: Lactation Information and Discussion
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From: Cathy Bargar <[log in to unmask]>
Subject: Re: "trying" to BF
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<She told me that she would like to try nursing her next
baby...............and here I had thought we had really *tried*. Go
figure!>
This use of the word "try" when applied to BFing is one of the most
pervasive and among the thorniest language issues I encounter around BFing.
When someone says they "would like to try" or they're "thinking about
trying" to BF, it does have a less than whole-hearted sound to us BF
"zealots". My impression has been that to BF promoters it sounds timid,
uncommitted, tentative, maybe even wishy-washy; I've certainly noticed it
being used in almost a scornful manner, as when one nurse passes on to
another the information that, for example, "the woman in rm. 312 says she
wants to try to BF, but she...". The message that comes across is that she
isn't really "serious" about it. It certainly gives a different impression
than saying "I'm going to nurse my baby for at least the first 12 months".
I've learned over the years to just take women at their word when they tell
me they're "thinking about trying" or they "want to try". I accept that they
mean exactly what they say - they aren't sure that they will succeed
(whatever that means - another word that changes its definition with every
listener or speaker), or they don't know if BFing will work out for them, or
whatever. But the implication is loud and clear with these moms that they
have heard that "breast is best" - they know they "should" BF, but perhaps
they just have never seen BFing when it's working well for mom & babe, or
perhaps they are surrounded by opposition to the idea and they aren't
necessarily outspoken, self-confident women, or maybe they've "tried" before
and were miserable with the experience, or any number of scenarios. I've had
really strong positive results by simply accepting that this is what they
mean - they would like to try. I have, with quite a bit of conscious effort
on my part, gotten rid of the judgement that so often creeps in when we hear
that phrase.
I don't try to "fix" the tentative attitudes by picking on or "correcting"
the language. At the same time, I do try to be clear in my own language; for
example, in talking to the woman who had worked with the LC to overcome
problems and BF for "only" 3 wks, I would say simply that she nursed her
baby for 3 weeks. If I were working with a mother who'd had a difficult
experience with a previous baby, I'd acknowledge *whatever* amount of BFing
she'd done (even if it was 1 attempt at the breast!), I'd ask her if she had
been satisfied w/previous experience, and I'd try to help her clarify what
she wants to do this time around. (After, of course, sharing information
with her about the AAP's rec.s!!)
Expectant and new mothers will always talk about "trying", because that is
exactly what they mean. I think that we as the BF professionals need to
expunge the underlying idea that this is a weak way of thinking of BFing,
and instead use the tentative sound of the words these women use as a guide
to the fact that they need unconditional support for their "attempts". It's
not the same as saying that, for example, "3 wks is enough" or "great,
that's all you need to do!", but I've found that this shift does make a
difference in how effective we are as BF supporters.
Cathy Bargar, RN, IBCLC Ithaca NY
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Date: Mon, 13 Sep 1999 12:11:04 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
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From: Mary Kay Smith <[log in to unmask]>
Organization: Sinai Health System
Subject: Badge holders
MIME-Version: 1.0
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Please email me privately for information on badge holders that state
"Breastfeeding - baby's best start"
Mary Kay Smith, IBCLC
Romeoville, IL near Chicago
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Date: Mon, 13 Sep 1999 13:39:24 -0400
Reply-To: Lactation Information and Discussion
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From: Rhonda Feder <[log in to unmask]>
Subject: Re: LACTNET Digest - 12 Sep 1999 to 13 Sep 1999 - Special issue
(#1999-205)
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-----Original Message-----
From: Automatic digest processor <[log in to unmask]>
To: Recipients of LACTNET digests <[log in to unmask]>
Date: Monday, September 13, 1999 7:27 AM
Subject: LACTNET Digest - 12 Sep 1999 to 13 Sep 1999 - Special issue
(#1999-205)
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Date: Mon, 13 Sep 1999 13:40:32 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Rhonda Feder <[log in to unmask]>
Subject: Role of Leaders/Counselors
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Just wanted to add my thoughts on this topic. I am a breastfeeding peer
counselor and what I do is work with new moms on the telephone, some of whom
experience sore nipples and other early breastfeeding issues. We are
trained to do this type of telephone counseling. The only fancy initials I
have after my name pertain not at all to breastfeeding or healthcare of any
type.
Although I am still very new to this, I like to think that I am able to help
the majority of women to establish a pleasant, successful breastfeeding
relationship, and this does seem to be my experience so far.
I think of myself as simply passing on my own experience (enhanced of course
through in depth training) to new mothers, which is the way women have
helped women breastfeed successfully throughout history. Yes, there are
problems where greater expertise is needed to establish breastfeeding, but
the vast majority of women are helped by simple encouragement, support and
some specific comments about latch on and positioning.
I don't necessarily think most women need expertise on a level higher than
mother-to-mother to successfully nurse their babies. In a way, this harkens
back to the earlier discussion of pumps and the common perception that these
are needed for successful nursing. Does every new mother need an LC to
learn to nurse her baby? I try to remember, and pass on to new mothers,
that a mother has everything she needs to nurse her baby when the baby is in
her arms! (Now, when it simply is not working for a whole variety of
reasons you all know more about than I ever will -- you folks are the
lifesavers, literally!)
Rhonda Feder
Elkins Park, PA
lawyer and lay counselor
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Date: Mon, 13 Sep 1999 13:41:37 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Rhonda Feder <[log in to unmask]>
Subject: Re: breastfeeding during pregnancy
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On this topic, has anyone researched or considered whether the role of mom's
pain in nursing during pregnancy is a sign that it should not continue? I
don't necessarily believe this (and hope it isn't true), but a part of me
keeps wondering, if it hurts a lot and none of the usual culprits for pain
are present, could it be a sign that nursing during the pregnancy is not in
the best interest of either mom or the new baby?
Rhonda Feder
Elkins Park, PA
lawyer and lay counselor
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Date: Mon, 13 Sep 1999 20:01:05 +0200
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Rachel e-mail <[log in to unmask]>
Subject: Nice ads--look to Norway!
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The newest in a series of ads using breastfeeding to give a positive =
association to an unrelated product is a large poster now appearing at =
bus stops and the like:
a large baby (at least 9 months by the look of it) very obviously =
breastfeeding on mother's lap, her head is not in the picture, but there =
is a bottle of a new soft drink with no artificial colors or flavors on =
the table in front of her-- over the baby's head and over the bottle is =
the word "naturlig" (=3Dnatural).
There have been similar ads over the past 12 years for flatbread, =
sardines, bed linens (for a soft start in life-- photo of mother BF baby =
in bed) and-- yes really-- car parts (original parts are the safest =
bet). This is not even a complete list. Norway is a breastfeeding =
society and I am proud to be part of it!
The only ad to appear here in which BF was directly used in a negative =
sense was as part of a campaign for better pay for nurses several years =
ago. Full-page newspaper ad with a beautiful photo of a baby BF in =
flagrante and gigantic typeface with text: "The first thing he learns, =
is that women are to be exploited." It took me months but I did =
eventually get my blood pressure back to normal. I was not then, nor am =
I now, a member of the organization whose ad it was.
Cheers to all
Rachel=20
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Date: Mon, 13 Sep 1999 14:49:08 -0400
Reply-To: Lactation Information and Discussion
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From: Kathleen Bruce <[log in to unmask]>
Subject: conference postings
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Just a reminder that conference postings don't go on Lactnet. They go in
the JHL, or on Barbara Wilson Clay's pages at
http://www.jump.net/~bwc/lactnews.html
Lactnews On Line.
Many thanks. Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont
mailto:[log in to unmask]
LACTNET Archives http://peach.ease.lsoft.com/archives/lactnet.html
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Date: Mon, 13 Sep 1999 15:04:17 EDT
Reply-To: Lactation Information and Discussion
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From: Suzanne Bowes RN CLE <[log in to unmask]>
Subject: Formula Promotional Materials
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I just about busted a gut when I saw the postings on the formula promotional
materials (badge holders, pens, phone cards). This sort of activity
contributed to me resigning from a job last spring. One of the formula reps.
came thru the OB dept. leaving her goodies and free phone long distance cards
(10 min). I asked her if she had an appointment w/ the dept. manager and
refused the phone card (and she was quite insistent that I should take one).
Well, the following Monday morning I was called on the carpet for my rude
behavior and if this continued, I was going to be taken off of the
breastfeeding council. Must I mention that the formula rep. was a good
friend of the dept. manager? A few months later I decided to resign my
position as I was getting tired of the "breastfeeding nazi" label and an
unsupportive manager. I am now in private practice and work part-time @ my
local hospital in OB. Hooray for me! But it is hard to keep the faith in a
snake pit.
Suzanne Bowes RN CLE
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Date: Mon, 13 Sep 1999 15:51:48 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: "Cindy Curtis, RN, IBCLC" <[log in to unmask]>
Subject: Re: conference postings
Kathleen posted "Just a reminder that conference postings don't go on
Lactnet. ........"
Just a reminder that thre is a special list just for conference postings !
Please go to http://www.onelist.com and search for Babyconferences or go
directly to
http://www.onelist.com/searchlist.cgi?searchval=BabyConferences&%2FimageFiel
d.x=38&%2FimageField.y=5
and join.
This list is an E mail list for those who wish to be notified of
professional conferences relating to the fields of Lactation and Maternal
Newborn Nursing.
For more information, mailto:[log in to unmask]
If this is your first onelist list that you are joining, you need to go to
the green button on the left that says new member and join first.
Cindy
Cindy Curtis,RN,IBCLC
mailto:[log in to unmask]
http://www.erols.com/cindyrn
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Date: Mon, 13 Sep 1999 16:11:05 EDT
Reply-To: Lactation Information and Discussion
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From: [log in to unmask]
Subject: Clinical Issues in Lactation
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Dear Lactnetters,
It is unfortunate that Pat inadvertently posted a private communique to
Lactnet which referred to BSC's publication, Clinical Issues in Lactation.
The first issue in November 1996, which was sent complimentary, did have a
significant amount of information about BSC. However, the hundreds who
subscribed and who continue to subscribe will attest to the fact that the
issues they have PAID for are instructional, practical, and timely. It is
unfortunate that Pat's post gave the wrong impression of the newsletter.
Hopefully this sets the record straight.
Judi Lauwers, Executive Director BSC
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Date: Mon, 13 Sep 1999 16:57:02 EDT
Reply-To: Lactation Information and Discussion
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From: "Patty Shoults Rn, Ibclc" <[log in to unmask]>
Subject: Lack of milk supply after menses resumes
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I am trying to find references which explain reasons why a women may have her
milk supply almost disappear overnight. The mom has been nursing for 9
months. Infant nurses 5X per day-which baby has been doing since 4-5 months
of age. Infant eats baby food but no other milk source. Only change is return
of menses this month. Mom noticed a decline in supply over last 3 days. Has
increased offering the breast, is pumping also now trying herbs. Mom anxious
because this happened with her last child at about the same period of time.
She very much wants to keep nursing. I would appreaciate any comments. Can
return of menses cause this dramatic of effect on her supply? Any hints on
ways to combat the problem? I have been looking though Riordan & Auerbach and
not finding anything specific about how the return of menses plays a role a
milk supply.
Thanks, Patty
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Date: Mon, 13 Sep 1999 14:06:08 -0700
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: "Rosen, Judith I. Maj." <[log in to unmask]>
Subject: Any ideas as to cause of diarrhea?
MIME-Version: 1.0
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A mom called me (long distance) for advice about diarrhea in her 5 month
old. Her daughter has only been on breastmilk. Mom works rotating shifts
and has ample supply. Her daughter has had diarrhea for the last 3
weeks...watery brown. Initially it was 3-4 times per day and now is
occurring about once every 36 hours (no normal stools). The baby is having
a normal amount of wet diapers and not dehydrated. Initial exam by
pediatrician revealed nothing (cultures negative for parasites and
bacteria). Mom has noted no changes to her diet. Her baby is gaining weight
through this-although slowly (has been a slow gainer for the past few
months) Mom gave me permission to post to share ideas with her. She is
going to her pediatrician later today. Please email me or post with any
thing that can help this mother. (I'm hoping her pediatrician doesn't
recommend stopping bf)
Judy :-)
Judith I Rosen, RNC, MSN, CLC
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Date: Mon, 13 Sep 1999 17:35:25 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Roni Chastain <[log in to unmask]>
Subject: Re: photo in Vanity Fair
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Hey, Check out the photo in October Vanity Fair, page 285. It has an
interesting photo of Jerry Hall nursing her last baby (with Mick Jagger). The
title under the photo is *Mother Courage*. They describe the photo, *the
pose is contemporary-the insolent stare as much as the baby at Hall's
breast-yet it's framed by a 19th century formality*.
I like it, she looks beautiful in fur with gold high heels and a little black
dress, fully exposed breast. The baby, not so little, is naked.
Roni Chastain, RN, LCCE, FACCE
Long Island, New York
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Date: Mon, 13 Sep 1999 22:26:50 +0100
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Christine Wood <[log in to unmask]>
Subject: Out of the mouths of children!
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Dear lactnuts,
I thought I would share this with you all as it made us all laugh if not cry
a little!
Mother with new baby 5 days who is nosey and is not concentrating on feeding
when 12 year old son and friends, 8 yr old & friends running around. Mum
takes him upstairs to feed him. Overheard by father:
"Why is your mum taking the baby upstairs to feed him?"
"Well she gives him her boobs".
"Why? Can't she afford to buy bottles?"
Once this baby sttles with all the children around him she intends to make a
point of "public feeding" as she was shocked that some children do not know
that breastmilk is the ONLY REAL food for a baby.
Stay well,
Chris Wood
Midwfie, BF Advisor UK
----- Original Message -----
From: Automatic digest processor <[log in to unmask]>
To: Recipients of LACTNET digests <[log in to unmask]>
Sent: Monday, September 13, 1999 8:51 PM
Subject: LACTNET Digest - 13 Sep 1999 - Special issue (#1999-206)
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Date: Mon, 13 Sep 1999 14:57:56 -0700
Reply-To: Lactation Information and Discussion
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From: "Rosen, Judith I. Maj." <[log in to unmask]>
Subject: please help--4.5 month with poor supply (long)
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This is an update to the post I made on 24 Aug about a mother of a 4 mo old
with an inadequate supply. This is mom's typical day as of last Friday:
Feeds every 2-3 hours with breast compression and supplements at
breast. Each feeding consists of 3 minutes on 1st side with letdown and
infant eagerly sucking. Baby stops sucking as flow stops and mom switches
to 2nd side for a repeat of good sucking for about 3 minutes. Infant just
cries when flow stops. Then mom adds supplementer and infant feeds for
20-25 minutes on1st breast while getting 20cc through tube. Mom states that
her daughter's suck is actually weaker with the supplementer though she
draws the fluid down (supplementer is syringe and feeding tube). Mom then
pumps 15 min and gets about 25 cc out of 2nd breast and a couple ccs out of
the 1st. Baby sleeps through the night (6-7 hours) and mom is trying to get
up and pump at least once (2 ounces). Mom is a very deep sleeper and
declined cosleeping out of fear she would smother her daughter and not know
it (dad gets up for all night wakings and gets mom up to pump). Mom notices
no improvement in supply since we added breast compression, the
supplementer, and hospital grade pump (previously, mom was switch nursing
to keep sucking going, supplementing with ABM in a bottle, and pumping with
hand pump to meet baby's hunger needs/stimulate breasts).
I spoke with her on Friday and continued with current plan because
over the previous 3 days her need to use ABM had decreased...hopefully this
means a subtle increase in BM. By the way, she has been on fenugreek and
blessed thistle for 5 weeks with no change in supply. The only suggestion I
received from Lactnetters was co-sleeping. I see her tomorrow and if no
improvement, we will try Reglan and I am trying to convince her to try CST
(infant flutter sucks). Also, a week ago she developed unilateral breast
pain "2 fingers back from areola with no lump, redness or fever." Anyone
have any advice I can share with her??? TIA
Judy :-)
Judith I Rosen, RNC, MSN, CLC
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Date: Mon, 13 Sep 1999 17:45:19 -0500
Reply-To: Lactation Information and Discussion
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From: Mary Kay Smith <[log in to unmask]>
Organization: Sinai Health System
Subject: Looking for Anna Utter
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Does anyone know if Anna has an email address? or know another way I can
reach her?
thanks,
Mary Kay Smith
Romeoville, IL near Chicago
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Date: Mon, 13 Sep 1999 18:32:17 EDT
Reply-To: Lactation Information and Discussion
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From: "Karen Kerkhoff Gromada, MSN, RN, IBCLC" <[log in to unmask]>
Subject: Re: breastfeeding help
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Re: << I don't necessarily think most women need expertise on a level higher
than mother-to-mother to successfully nurse their babies. In a way, this
harkens
back to the earlier discussion of pumps and the common perception that these
are needed for successful nursing. Does every new mother need an LC to
learn to nurse her baby? >>
Rhonda, I basically agree with you on this. Breastfeeding ain't and shouldn't
become like rocket science, but it is a learned behavior. Unfortunately, a
lot of babies in our culture are born after all kinds of medications and
interventions that can affect breastfeeding ability for a while and may need
the rocket science for a period of time. (There's a few unmedicated ones that
have initial difficulty too, although less often and usually lasting for less
time.) Many new moms today have never seen a baby breastfeed before they give
birth, much less see moms work through minor breastfeeding difficulties.
Many didn't seek a peer network prior to delivery, and somehow they have to
find who and how to get in touch with mother support groups by going through
the mounds of papers they're given prenatally and in the hospital after
delivery! These moms need someone to show them the ropes. LCs are more likely
to be in the hospitals immediately after birth or the ones HPs refer to. And
many moms are getting the idea from other moms that they are going to need to
pump--just like they get the idea the need to carry one of those
ergonomically unsound carseat/infant carriers around vs. holding the baby or
carrying baby in a sling/carrier!
BTW, most, if not all, LCs love when only minor fine-tuning works. Our
standards of practice state we are to refrain from "unnecessary or excessive
use" of breastfeeding equipment and devices. Many of us do a lot of helping
via the phone. Many LCs are hybrids--a crossover of group support leader with
HP. We are not all rocket science oriented. Do many of us need to get to know
and appreciate better the gifts each role has--both when breastfeeding is
going well and when a difficulty occurs?
Karen
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Date: Mon, 13 Sep 1999 18:32:15 EDT
Reply-To: Lactation Information and Discussion
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From: "Karen Kerkhoff Gromada, MSN, RN, IBCLC" <[log in to unmask]>
Subject: Re: "trying" to breastfeed
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I don't think it's a "weak way of thinking" when a woman says she's going to
"try to breastfeed." When working as a L & D nurse and routinely asking
expectant moms how they planned to feed their babies, I can't recall even one
primip saying, "I plan to breastfeed." Those so inclined always (and I rarely
use the word "always") said, "I'm going to try to breastfeed."
I don't think it's "weakness," but I do think we HPs, LCs, LLLLs, etc can
explore that way of thinking and perhaps help a mom reframe it. (However, I
don't recommend doing this with active labor patients!) When this statement
is made prenatally or during early postpartum, I might ask a mom what she
means by "try." Has she thought about the word "try" and how tentative it
makes her infant-feeding plan sound? What makes her think her body won't work
right, since by using that word, she's essentially implying there's a good
chance that breastfeeding will "fail"? What will she do if she experiences
some difficulty, which is fairly common, in the early weeks while she and her
baby are learning how to work together? Is there any chance that this word
could lead to a self-fulfilling prophecy?" (This whole scenario sounds much
more "gentle" in person!)
I often get calls from moms that are breastfeeding but having difficulty
after days or weeks postpartum. Some are partially breastfeeding. Many of
them tell me during an interview, "I am trying to breastfeed." I usually ask,
"What do you mean by 'trying'? From what you've told me, you ARE
breastfeeding. There may still be a glitch or few to work out in the system,
but you are breastfeeding.This is it; this is breastfeeding."
I think fear of failure is one of the the real issues for the pervasiveness
of the use of "try to breastfeed." If a person only tries something, there's
no real loss if it doesn't work out--less chance for a negative change in
self-concept. Of course, if that was really true, so many women wouldn't then
regret early weaning. (If I had a nickel for every time I've heard a mom say,
"I wish I'd have breastfed my baby longer...")
Also, a lot of times it's HPs that introduce the word "try" word to new moms,
e.g. "Oh, you're going to try to breastfeed..." Do they/we realize that when
they/we suggest this word to moms a mom may get the idea that they/we think
she will "fail"? Now this we really should be able to help get rid of!
Thanks for bringing up this "trying" issue, Cathy! It really is one of my pet
peeves.
Karen
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Date: Mon, 13 Sep 1999 15:03:53 -0700
Reply-To: Lactation Information and Discussion
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From: Nancy Heyns <[log in to unmask]>
Subject: Nipple Blisters
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Hi! This is my fist message to LACNET after reading the post for a few
months. I am a IBCLC, childbirth educator, and work in Public Health
as a supervisor and WIC Lactation Consultant. I have been working
with a Mom who has 2 month old twins. She was doing great with them
until she broke her elbow rollerblading, and also developed a nipple
blister. States the pain is terrible!! Do you know if these "nipple
blisters" are more common with twins. We tried hot compresses and
having the baby nurse. She had it opened by a healthcare professional.
Relief for a while, but they came back. She now has Mastitis and the
blisters. She lives out of town and was here visiting when I saw her.
Another LC thought it might be thrush , but the doctor did not. Does
anyone know if something can be done with these nipple blisters? Her
Mastitis is being treated. Please post to net or to my E-mail. She
really wants to keep nursing!! Thanks for any help. Nancy Heyns -
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Date: Tue, 14 Sep 1999 09:25:13 +1000
Reply-To: Lactation Information and Discussion
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From: Virginia G Thorley <[log in to unmask]>
Subject: ABM company sponsorship (long)
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Dear Lactnetters,
This morning I received an email from a health professional who had
misgivings about the offer of an ABM company to sponsor a clinical update on
breastfeeding, by supplying a meal. She wondered if she were being too
scrupulous. In view of the issues concerning ABM reps and their gifts which
have been aired on Lactnet lately, I should like to share part of my reply
to her, as I've raised some additional issues. These include getting out of
the mindset that we can't cater a meal or snack without the companies.
Virginia
Virginia Thorley, OAM, IBCLC
Brisbane, Queensland, Australia
> You are certainly not being pedantic about this. This is an
> important issue. You wrote, "It seems like subtle marketing." It IS. It
is
> one of the more successful marketing ploys which the companies use - it
> creates goodwill and lowers the resistance of health professional to the
> company. After several incidents like this, suspicion of the company and
its motives is whittled away. Health professionals often say they are too
> sophisticated to be affected by these blandishments, but this has been
seen not to be so. The companies wouldn't do it if it didn't work! (There
has been some interesting stuff on unconscious bias towards companies in the
British Medical Journal, in relation to research sponsorships.) These
> marketing ploys, though subtle, are still effective in building goodwill
for the company.
Associating an artificial milk company with a breastfeeding
> seminar is giving the wrong messages, subtle or not, even if you get to
choose the speakers. The speakers also get to feel good about the
"generous" company.
> What is more, your facility *doesn't need* to accept the money and
> can still do some catering without it. *Yes, really!* The companies just
want you to think you can't do it without them. What a colleague of mine did
at her hospital was to organize some low cost, but tasty, catering and at
the end of her presentation thanked the Queensland Lactation College (local
ILCA affiliate) as sponsors. She said the paediatricians present looked
impressed at the college sponsorship and it created goodwill - for a BF
organization, not for some company. Some of the *cleaner* options you could
pursue for getting the catering sponsored are:
> - local LC organization
> - wine company/bank/investment company
> - breastpump company
> - local babywear or lingerie company
> Catering can be done quite cheaply per head and still look good, e.g.
> a buffet.
> Think about it. Companies won't put out money if there isn't something
> in it for them. They are not benevolent bodies, they are in it for
profits.
> Instead of having the ABM companies getting the goodwill and publicity,
why not have a dialogue with local BF-focused professional bodies or
coalitions about occasional sponsorship? Then the breastfeeding
organization gets the goodwill, not the ABM company. The payoff to the
organization includes:
> - goodwill
> - publicity
> - new memberships
> Why should a company whose aims are inimicable to the promotion and
support of breastfeeding get these payoffs?
Virginia
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Date: Mon, 13 Sep 1999 20:09:23 -0400
Reply-To: Lactation Information and Discussion
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From: Kathleen Bruce <[log in to unmask]>
Subject: blebs
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Hi Nancy.
The nipple blisters could be related to thrush, as is stated in Ruth
Lawrence's book BF: A Guide for the Medical Profession, ( I believe it is
there, ...).
The heat and opening by the hcp (sterile needle) should help, but if the
mother is doing too much, it may reoccur.....or if yeast is involved, it may
recur.
I don't think the twins issue plays a role.
If she is being treated for mastitis with antibiotic therapy, this might add
to the fray in some way, ....
Auerbach and Riordan's book also discusses this lesion, which I believe is a
bleb. If it is not a bleb, white painful dot on the nipple or areola, then
perhaps the blisters should be reevaluated ....who knows what they are
caused by, infection? etc.
I wonder if Jack Newman's four part nipple ointment might help...it is two
antifungal medications, one cortisone-based ointment, and Bactroban ointment.
Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont
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Date: Mon, 13 Sep 1999 20:47:13 -0400
Reply-To: Lactation Information and Discussion
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From: Marie Biancuzzo <[log in to unmask]>
Subject: Re: Nipple Blisters
In-Reply-To: <[log in to unmask]>
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Nancy, I doubt that this is mastitis. Ruth Lawrence's text (1999, Mosby)
does a good job with both topics--the mastitis and the blisters/blebs. It
would probably be most helpful for you to read this authoratative guide
before all of us put in our two cents on the list. It's a great overview,
and you'll be glad you took the time to read it.
>Hi! This is my fist message to LACNET after reading the post for a few
>months. I am a IBCLC, childbirth educator, and work in Public Health
>as a supervisor and WIC Lactation Consultant. I have been working
>with a Mom who has 2 month old twins. She was doing great with them
>until she broke her elbow rollerblading, and also developed a nipple
>blister. States the pain is terrible!! Do you know if these "nipple
>blisters" are more common with twins. We tried hot compresses and
>having the baby nurse. She had it opened by a healthcare professional.
>Relief for a while, but they came back. She now has Mastitis and the
>blisters. She lives out of town and was here visiting when I saw her.
>Another LC thought it might be thrush , but the doctor did not. Does
>anyone know if something can be done with these nipple blisters? Her
>Mastitis is being treated. Please post to net or to my E-mail. She
>really wants to keep nursing!! Thanks for any help. Nancy Heyns -
>[log in to unmask]
>
>
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--
Marie Biancuzzo
Perinatal Clinical Nurse Specialist
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Resources to simplify breastfeeding management are available at
http://www.wmc-worldwide.com
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Date: Mon, 13 Sep 1999 18:56:14 -0700
Reply-To: Lactation Information and Discussion
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From: Lisa Marasco IBCLC <[log in to unmask]>
Subject: Re: nipple blisters
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Nancy,
You might try having the mom put on an antibiotic ointment such as neosporin
after the blister has been popped. I had a friend who went through a similar
cycle-- blister, clear it, mastitis, new blister...... when we added the
ointment, it finally cleared up completely.
Lisa Marasco, BA, IBCLC
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Date: Mon, 13 Sep 1999 21:53:39 EDT
Reply-To: Lactation Information and Discussion
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From: Kermaline J Cotterman <[log in to unmask]>
Subject: What doctors learn about BrF
Comments: To: [log in to unmask]
Gail
[continually searching for ways to teach her peers about
breastfeeding]
I think some of them have heard our complaints about being too quick to
supplement. It seems as if some are trying to do their best to seem
supportive by not insisting on formula supplementation at the first visit
(2 week?) after birth if the baby is slow at regaining BW.
But when this is their approach, we all ought to be agreeing on Rule #1:
FEED THE BABY! I wish they'd insist the mother come back soon for weight
checks, or get it done elsewhere and INSIST they report back.
This month alone, I know of 2 mothers whose babies were admitted for FTT
at 8 weeks, STILL WITHIN OUNCES OF THEIR BW! It was utterly scary to see
the babies. The same effort was made to offer services to these moms as
others we serve, but somehow, something got lost in the communication.
One was a 1st time mom, the other had successfully BrF several other
babies. Both mothers were blissfully well intentioned, ready to declare
that they wanted to breastfeed their babies exclusively, with no formula.
In one, at least, the problem was not supply, but with milk transfer.
Wonderful as human breast milk is, if it doesn't get transferred out of
mom into baby in appropriate amounts to promote adequate growth,
WONDERFUL is not enough! Some sort of intervention must take place for
the well-being of the babies.
Every mother/baby duo is a unique pair. Somehow, adequate follow-up
observation is needed to prevent SOME babies from "falling through the
cracks" with FTT.
K. Jean Cotterman RNC, IBCLC
Dayton, Ohio USA
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Date: Mon, 13 Sep 1999 22:02:38 -0400
Reply-To: Lactation Information and Discussion
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From: Kathleen Bruce <[log in to unmask]>
Subject: Those in the path, keep safe
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I hope that all of you living in the South East part of the US, or the
islands surrounding this, keep safe as this horrendous hurricane speeds your
way.
Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont
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Date: Mon, 13 Sep 1999 22:35:31 -0400
Reply-To: Lactation Information and Discussion
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From: Nancy Holtzman <[log in to unmask]>
Subject: What's on the market
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Check out this online pharmacy's selection of breastpumps. Five pumps, all
of them ranging from bad to worse.
http://www.planetrx.com/product/nonRx/shelf/info/200320081_Introduction.html
?displayall=1
Be sure to click on the "Medi-Bear" breast pump, it costs *under $5* and
appears to be a bicycle horn type pump with the bulb resembling the tiny
blue ear/nose syringe. Can't wait to get a call from a mom who is sure she
"has no milk" because she is "pumping" with the Medi-Bear. Fortunately, the
Medi-Bear brand are also marking a breast or nipple shield. <sigh> Have
any of you seen this on the shelves anywhere?
NancyH
Nancy Holtzman RN BSN LC
Great Beginnings New Mothers Groups
near Boston MA
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Date: Mon, 13 Sep 1999 21:33:47 -0600
Reply-To: Lactation Information and Discussion
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From: Deanne Francis <[log in to unmask]>
Subject: I'll compile the BF poems
If any of you who have breastfeeding/nurturing poems would like to send them
to me, I will compile them and send them to those interested, per Kathleen's
suggestion.
Deanne Francis, R.N. IBCLC NICU
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Date: Mon, 13 Sep 1999 23:16:46 -0500
Reply-To: Lactation Information and Discussion
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From: Lu Bush <[log in to unmask]>
Subject: Lanyard style badge holders
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Infection control has deemed the lanyard style holders a reservoir of
contamination, swinging wildly about the cribs. SO, they are all banned in
our three hospital network, if you have any contact with NICU or Newborns.
That solved a big dilemma as far as I was concerned!
No more purple ROSS lab propaganda!
Lu Bush,BSN,RNC,IBCLC
Austin, TX
----- Original Message -----
Subject: Badge Holders and Long Distance Cards
>>>>>>>>>>>>SNIP<<<<<<<<<<<<<<<<<<<<<<<<<<
> I have seen a lot of badge holders in Texas. One hospital took care of
> that problem by making their own. There are hundreds of companies that
> print these promotional items - pens, coffee mugs, badge holders,
> t-shirts, etc. Why not have an exchange program at your hospital?
> You'll collect their marketing paraphenalia in exchange for something
> that has your hospital's name on it?
>
> --
> Jeanne Mitchell, Austin, TX
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Date: Tue, 14 Sep 1999 00:59:13 -0500
Reply-To: Lactation Information and Discussion
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From: Laura Wright <[log in to unmask]>
Subject: MediBear Breast Pump
Comments: To: [log in to unmask]
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I had to write a comment after seeing this add. I have NOT seen this
product on any shelves, but continue to see lots of ABM manufacturer
pumps.
I did notice the "breast shield" appears to be rubber (tan or brown in
color) and costs MORE than the pump!
I did e-mail the company. Commented favorably on the intro paragraph,
which I liked when I saw it in it's entirety, and on their obvious
effort to provide "affordable" products. Also suggested they contact a
LC, or LLLI for some education on breast pumps and accessories.
Did suggest that offering breast pumps and accessories from companies
who build their reputation on these products might be more
suitable...They surely wouldn't offer vitamins manufactured by a Fast
Food, Soft Drink, Beer or Tobacco company, Would They?
Laura Wright
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Date: Tue, 14 Sep 1999 11:53:35 +0200
Reply-To: Lactation Information and Discussion
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From: Renate Rietveld IBCLC <[log in to unmask]>
Subject: Re: What's on the market
In-Reply-To: <[log in to unmask]>
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But OTOH, at the warning section they say the following.......
"Do not use the simple, bicycle horn-style pumps. They may result in tissue
damage."
Why on earth do they offer it ?
Thanks for posting this url.
Renate.
At 22:35 13-9-99 -0400, you wrote:
>Check out this online pharmacy's selection of breastpumps. Five pumps, all
>of them ranging from bad to worse.
>http://www.planetrx.com/product/nonRx/shelf/info/200320081_Introduction.html
>?displayall=1
>
>Be sure to click on the "Medi-Bear" breast pump, it costs *under $5* and
>appears to be a bicycle horn type pump with the bulb resembling the tiny
>blue ear/nose syringe. Can't wait to get a call from a mom who is sure she
>"has no milk" because she is "pumping" with the Medi-Bear. Fortunately, the
>Medi-Bear brand are also marking a breast or nipple shield. <sigh> Have
>any of you seen this on the shelves anywhere?
--------------------------------------------------------------
Renate Rietveld, IBCLC
E-mail : [log in to unmask]
Homepage: http://www.casema.net/~rietveld/index.htm
--------------------------------------------------------------
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Date: Tue, 14 Sep 1999 08:55:00 -0700
Reply-To: Lactation Information and Discussion
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Sender: Lactation Information and Discussion
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From: Anne Andrianos <[log in to unmask]>
Subject: support for large breasts pic
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Patricia Drazin referred to a picture of a breast sling. It can be found
in Bestfeeding: Getting it Right for you by Fisher, Renfew and Arms on
page 50 & 51.
--
Anne Andrianos, MS,RN,IBCLC
[log in to unmask]
http://web.syr.edu/~afandria/
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Date: Tue, 14 Sep 1999 08:13:22 -0500
Reply-To: Lactation Information and Discussion
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From: Leslie Ward <[log in to unmask]>
Subject: Moms with sudden changes in baby after normal course of bf
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Some things I look at when a mom calls after breastfeeding has been =
going well and then suddenly a problem starts are 1) changes in baby's =
routine - a major life event (such as returning to employment, a move, a =
death etc.) will cause baby to change the nursing pattern or even cause =
fussiness, and added stress on mom could affect her supply 2) changes in =
baby's or mom's diet or eating pattern - I've found that as baby gets =
older, some moms become more relaxed about their diet and may increase =
coffee, soda, junk food or smoking without associating it with changes =
in baby's nursing behavior or digestive system and/or supply, also as =
baby adds food without a problem, sometimes the family becomes relaxed =
about new foods and one of them maybe upsetting baby, and finally 3) age =
of baby, 9 to 12 months tends to be when baby finally separates from mom =
(cognitively) and may either nurse more (usually) or less and this in =
itself could effect the digestive system.=20
For the baby with the watery stool, she may have gotten exposed to =
something 'going around' but because she is nursing, it did not become a =
full blown condition, but because of being partially separated, it was =
not as mild as it would have been if mom was home and nursing ad lib. =
The first symptom my allergic daughter showed was diarrhea, that =
continued whenever she was not on a bland diet for a year (and adding =
other symptoms as it continued) until we identified what she was =
allergic to, and then all the symptoms went away almost overnight. The =
slow weight gain may also be an indicator of allergy.=20
These are just some ideas of questions I ask, when something comes up =
later in breastfeeding. Hope they help.
Leslie Ward
Fort Hood, TX
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Date: Tue, 14 Sep 1999 09:47:53 EDT
Reply-To: Lactation Information and Discussion
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From: "Karen Kerkhoff Gromada, MSN, RN, IBCLC" <[log in to unmask]>
Subject: Re: Plugged pore and twins
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In a message dated 99-09-13 19:54:37 EDT, you write:
<< I have been working with a Mom who has 2 month old twins.She was doing
great with them until she broke her elbow rollerblading, and also developed a
nipple blister. States the pain is terrible!! Do you know if these "nipple
blisters" are more common with twins. >>
For 22 years I have been associated with a special "mothers of multiples
(MOM)-only" LLL group. In that time I have also worked with 100s of MOM from
all over via the phone. I see/hear about plugged nipple pores, or nipple
blisters, about as often as I receive such calls/see mothers of singletons
with them. So no, I don't think they are more common, although in any given
area of the country or the world they might be. (For refs for a nipple
blister/plugged nipple pore, see the most recent editions of Riordan &
Auerbach, p. 493 and Breastfeeding Answer Book, p. 406-407.)
However, I think the clue is that you mention the nipple blister seemed to
develop soon after the elbow break. Many of us have found the development of
a "regular" plugged duct, plugged pore/duct at the nipple, and/or mastitis
seems to pop up in conjunction with an event that may have disrupted
breastfeeding, was associated with stress (good or bad kind), affected mom's
resistance, etc. Being treated for the broken elbow definitely was stressful
and probably created a delay (even minor) in feeding the babies. Did anyone
offer her a pump during treatment or did she ask to pump? Then she gets home
and is in pain, plus now has to figure out how to reposition and nurse two
newborns with one arm now immobilized--a problem that may be persisting since
the break that might easily be affecting breast/duct "emptying." And in
someone less than two months postpartum after a twin pregnancy/birth and now
caring for two newborns, lowered resistance related to fatigue, etc. is
pretty common. Then add an elbow break on top of already lowered
resistance...
Not surprising she developed a plugged duct with the blocked pore symptom and
mastitis following... Hope it's not being compounded now by continued
ineffective or less frequent breast emptying.
BTW, I've known several women who have broken arms after getting on skates or
rollerblades--most wanting to spend some quality time with an older child or
lose that weight after childbirth! (Heck, breaks from skating or blading are
among the most frequent injuries children are treated for in USA ERs.) So if
she puts those blades back on after her elbow heals, I hope she wears her
helmet and elbow/knee pads, although pushing a double stroller up and down
hills may be a lot safer for the time being!
Karen (Kerkhoff Gromada)
author, Mothering Multiples: Breastfeeding and Caring for Twins or More!
co-author, Keys to Parenting Twins
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Date: Tue, 14 Sep 1999 09:48:08 EDT
Reply-To: Lactation Information and Discussion
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From: [log in to unmask]
Subject: Floyd
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Thanks for your concern Kathleen. I know we, in Flagler County (just north
of Daytona), are all very worried and keeping a close eye on the news. Kind
of makes me glad I never finished unpacking from the evacuation for the fires
last year :)
Veronica Scott,
Breastfeeding Peer Counselor Coordinator, WIC
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Date: Tue, 14 Sep 1999 09:47:48 -0400
Reply-To: Lactation Information and Discussion
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From: wendey <[log in to unmask]>
Subject: Re: breastfeeding during pregnancy
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>a part of me
>keeps wondering, if it hurts a lot and none of the usual culprits for pain
>are present, could it be a sign that nursing during the pregnancy is not in
>the best interest of either mom or the new baby?
I look at it a different way: that the pregnancy is not in the best
interest of the mom or the nursling. That doesn't mean the pregnancy will
end or something, just that maybe it was not the wisest idea to become
pregnant before the current nursling was ready to wean (yes I realize
accidents and choices happen, but this is hardly the nursling's fault nor
should he have to suffer for it). But I am a firm believer in natural
weaning, so maybe that colors my thoughts.
-wendey (studying LC in Montreal)
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Date: Tue, 14 Sep 1999 09:40:15 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Maris + Donna <[log in to unmask]>
Subject: Re: I'll compile the BF poems
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I would like a copy too please. [log in to unmask]
Deanne Francis wrote:
>
> If any of you who have breastfeeding/nurturing poems would like to send them
> to me, I will compile them and send them to those interested, per Kathleen's
> suggestion.
> Deanne Francis, R.N. IBCLC NICU
> [log in to unmask]
>
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Date: Tue, 14 Sep 1999 10:10:27 -0500
Reply-To: Lactation Information and Discussion
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From: Maurenne Griese <[log in to unmask]>
Subject: Blue's Clues Game
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Hi all,
I was just at http://www.nickjr.com playing a Blue's Clues game with my 4
year old. This weeks game featured Baby Paprika and you had to figure out
what Baby Paprika needed. Never was she held or cuddled. She needed to be
burped, bottle fed, given a blanket and other mothering substitutes.
Maurenne Griese, RNC, BSN, CCE, CBE
Manhattan, KS USA
[log in to unmask]
http://www.networksplus.net/griese
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Date: Tue, 14 Sep 1999 11:11:29 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: [log in to unmask]
Subject: verged
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I know I should "try the archives first", but I have been trying for an hour
to do so and I can't access them with the addresses I have tried so could you
amazing people give me some help?
I have a mom who will be having tooth extraction soon. The dthey want to use
for anesthesia during the procedure is Verged. The baby will be 20 mo. old
and weigh over 25 pounds. They've told her she can't nurse for 48 hrs. Is
this accurate for a baby this age who is not getting all his nutrition from
the breast milk? Or is this dr. just reading the drug insert? He was
completely put off with a baby still nursing at this stage anyway. She has
no option of going to someone else for the procedure since they are on a
military base is a foreign country.
Thank you, LInda MOsher LLLL
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Date: Tue, 14 Sep 1999 11:04:40 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Kimberly Pincus <[log in to unmask]>
Organization: breastfeeding connection
Subject: Re: I'm elected!
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ifab wrote:
>
> I just got myself elected as the Northeast Region Representative for the
> Breastfeeding Promotion Commitee of NAWD (WIC)! I have no idea what the
> position entails yet but I'm hoping maybe I can have some positive
> impact. Wish me luck!
>
> Ilene Fabisch, LLLL, IBCLC, WIC Bf Co, Listmom WICBFNET
> Brockton MA
>
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Congradulations Best nof lusk in your new venture
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Date: Tue, 14 Sep 1999 11:06:12 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Kimberly Pincus <[log in to unmask]>
Organization: breastfeeding connection
Subject: Re: I'm elected!
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ifab wrote:
>
> I just got myself elected as the Northeast Region Representative for the
> Breastfeeding Promotion Commitee of NAWD (WIC)! I have no idea what the
> position entails yet but I'm hoping maybe I can have some positive
> impact. Wish me luck!
>
> Ilene Fabisch, LLLL, IBCLC, WIC Bf Co, Listmom WICBFNET
> Brockton MA
>
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Congratulation Best of Luck in your new venture. I saw the first message
wasn't tyed to well. Sorry it was a long night.
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Date: Tue, 14 Sep 1999 11:09:11 -0400
Reply-To: Lactation Information and Discussion
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From: Kimberly Pincus <[log in to unmask]>
Organization: breastfeeding connection
Subject: Re: I wish I had...
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gima wrote:
>
> I am writing a lot today, while I await a mom's call telling me whether she
> wants to continue working on breastfeeding or wants to "chicken out" and go
> to abm feeding. That's not nice, I know, but my ego is bruised this
> morning. I worked her into a very hectic schedule yesterday and got the
> baby feeding well. I called her in the late afternoon to see how things
> were going. and the four feedings of the day had gone well. She cancelled
> today's appointment because everything was so good.
>
> Then last night at 10:00 she called on my home phone (I had turned off my
> bus. phone) and was in distress--engorged and wouldn't let down. I gave
> her some suggestions and said that she should call me this morning. She
> was angry that I wouldn't come out last night. I have been known to go in
> the night, but just couldn't put one foot in front of the other last night.
>
> I called her this morning and she said that she decided to stop
> breastfeeding. We talked for a bit, with my having her see how she will
> feel in a few days or weeks if she stops. She breastfed her two other
> children for 3 months each.
>
> She is talking it over with her husband and will call me back. I don't
> expect a call.
>
> Well, that's not what I am writing about. I just wanted to share my
> frustration about a case that could have been so easily resolved.
> _____________________________________________________
> "I wish I had" case:
>
> I worked with a mother in February and March whose baby was having a
> difficult time feeding. His suck was not strong. She fed with a
> supplementer for a while, as she built up her milk supply. Early on, I
> suggested that she have him evaluated by my OT who works with suck problems
> and who does Cranial Sacral work. From the beginning the mother would
> never entertain the possibility that anything was "wrong" with her baby.
> She went to heroic measures to get her baby totally breastfeeding,
> including using breast compression throughout every feeding for the 5
> months that she fed him.
>
> She came by to bring me a gift last week, and baby had a strange head
> device. She said that, as the months went on, his head became grossly
> misshapen and he was comfortable in only certain positions. The Ped
> referred her to a physicial therapist who found that he had a distorted
> muscle in his neck that prevented flexibility and that his misshapen head
> was a result of that. There is a new specially designed head brace that is
> re-shaping his head and they visit the PT regularly for work on his neck.
> If the therapy doesn't resolve the problem, surgery is recommended.
>
> He is 6 months old and is behind in motor development skills, caused by his
> constraints.
>
> I feel certain that his suckling problems reflected other physicial
> problems that could have been easily resolved in those early days,
> preventing this now-serious physicial condition.
>
> "I wish I had" spoken with more insistence to the parents and to the Ped in
> those early days about my strong feelings that there was a need for body work.
>
> I won't be as "cooperative" next time. I try to respect the parents where
> they are and to remember that the baby is *their* baby. And, of course, I
> don't know that they would have listened even if I had been really pushy.
>
> I am going to talk with the mother about having my OT see him even now.
> I'll bet there is something that could be done by her skilled hands that
> could prevent surgery. The mother has had to finally admit that her baby
> isn't "perfect" and she might continue to be resistent to my suggestions,
> but I will try.
>
> Pat Gima, IBCLC
> Milwaukee, Wisconsin
>
> mailto:[log in to unmask]
>
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I know it's hard but we have to remeber we can't fix them all. We can
only provide the information and what they do with it is up to them
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Date: Tue, 14 Sep 1999 11:39:55 -0400
Reply-To: Lactation Information and Discussion
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From: Kathleen Bruce <[log in to unmask]>
Subject: Archive Instructions
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ARCHIVAL SEARCH INSTRUCTIONS
This is a clarification of how to do SEARCH functions on Lactnet..it is
very useful to have this information at your finger tips, and to try it out.
Many times, a topic has been discussed, and you can benefit from finding
past posts on the topic you are interested in. Lactnet now has almost 5
years of archives (MARCH was our birthday, folks! : ), and as I said,
we are now at 2500+ subscribers ). To look for the most current
posts, use the listname LACTNET in your search command. (Note: Notes older
than a few years are currently unavailable, due to server issues. We hope
that this will be corrected in th near future).
For info's sake, there are a few different ways to do a search for subject
matter or sender on Lactnet material. We have approximately 2 years of
Lactnet posts
presently available to you (posts older than this are hopefully going to be
included in the new Lsoft server, but this has not happened yet.)
The first way is to do the searches by email through the
[log in to unmask] address. The second way is accessing the
archives from our archive web site at LACTNET Archives
http://peach.ease.lsoft.com/archives/lactnet.html. The following
instructions apply to the first method, searching via the listserv.
For instance, if you are interested in finding all the notes that have
Goat's Milk in the text since Jan 1, 1997, you can send an email message to
[log in to unmask] that says Jan 1, 1997
SEARCH goat in LACTNET
If you are interested in finding several different words in Lactnet posts,
such as the following, it might seem that the right way to do it is to do
several *different* searches, in separate notes to listserv, like....
search epilepsy in lactnet
search tegretol in lactnet
search carbamazepine in lactnet
search phenobarbital in lactnet
to the [log in to unmask] address. However, this is not an
effective way to utilize the search function, as it taxes the system, and is
ineffective.
We are glad that you all are using the search functions, and here are a few
hints....and suggestions on how best to do SEARCHes on Lactnet.
You can put several commands into a single message, and should do so
when you can (because it's easier for both you and the machine). Just
put each command onto its own line. Second, it will be much easier for
you to make sense of the output if you put everything you want from
LACTNET into a single command:
SEARCH EPILEPSY OR TEGRETOL OR CARBAMAZEPINE OR PHENOBARBITAL OR PROZAC IN
LACTNET
... like that. Or you can do things like this, too:
SEARCH EPILEPSY AND (TEGRETOL OR CARBAMAZEPINE OR PHENOBARBITAL) IN LACTNET
Rather than having to combine the lists of results that LISTSERV gives
you to from those individual searches, let it do the work for you.
If you were interested in searching for all the posts that I have made, for
instance, on Lactnet, you could do a
SEARCH * in Lactnet where sender contains Bruce
to the [log in to unmask] address.
If you wanted to see all the posts I've made since Jan 1997, for instance,
you could do a
SEARCH * in Lactnet where sender contains Bruce SINCE Jan 1997
to [log in to unmask]
If you are searching for several words that are together, such as
Breastmilk storage container
you should first know that the Listserv automatically assumes "NEAR" between
all the words, so they not only have to be in the same article but also
within a few words of each other. In addition, unless you *have* to search
the entire set of archives, you should always limit the search with a date
specifier like this:
search breastmilk storage containers in LACTNET since Jan 1998
It is important to specify the search. Limiting the search and making
requests specific places less stress on the system. Many articles talking
about
breast milk would separate the two words, and that some articles talking
about containers might only say "container", etc. Specifying a search that
gets all or most of what you want with a minimum of what you don't is as
much of an art as a science.
For information on searching, write to [log in to unmask] with
the command
INFO DATABASE.
When you use the SEARCH function, the computer will send you back a "menu"
of posts, each having a 4 digit number (####). You can then order the posts
you want with the command
GETPOST Lactnet #### #### #### ####
to [log in to unmask]
Last but not least, the search function is also available at the WEB SITE
LACTNET Archives http://peach.ease.lsoft.com/archives/lactnet.html
Thanks, from Lactnet administrators-
[log in to unmask]
Kathleen B. Bruce, BSN, IBCLC <[log in to unmask]>
Melissa Vickers IBCLC [log in to unmask]
Kathy Koch, IBCLC <[log in to unmask]>
Karen M. Zeretzke, MED, IBCLC <[log in to unmask]>
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont
mailto:[log in to unmask]
LACTNET Archives http://peach.ease.lsoft.com/archives/lactnet.html
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Date: Tue, 14 Sep 1999 11:42:06 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
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From: Kathleen Bruce <[log in to unmask]>
Subject: Versed
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I believe that they might be wanting to use Versed, not Verged. I believe
this is in the archives, and is also covered in Tom Hale's book.
Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont
mailto:[log in to unmask]
LACTNET Archives http://peach.ease.lsoft.com/archives/lactnet.html
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Date: Tue, 14 Sep 1999 11:54:54 EDT
Reply-To: Lactation Information and Discussion
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Subject: mom with sudden changes after normal course of bf
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leslie's list is excellent, and brings to mind something i see too often, and
it is very depressing. often the course of breastfeeding has NOT been normal,
the mother has been trying to schedule feeds and sleep and basically coerce
the baby into a schedule or system that involves a great deal of struggle.
often these babies get pacifiers or have had weight gain that doesn't seem
optimal in retrospect.
i didn't come up with this beautiful description, someone else posted this on
lactnet, but i think of it often because it really describes what is going
on. sometimes a baby gets tired of having to negotiate for every feed. i
think this can happen at various times. when breastfeeding IS going normally,
these life events that leslie is reminding us of can be the thing that causes
a baby to have trouble for a while, because he is feeling unduly stressed by
the difficulties of getting the kind of response from mom that he is used to
while the stressful thing is going on.
when a baby tells me "i can't do this anymore," i really want to know why
not. its a mystery and part of what keeps this work interesting (and
challenging!).
carol brussel IBCLC
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Date: Tue, 14 Sep 1999 11:57:20 -0400
Reply-To: Lactation Information and Discussion
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From: Cathy Bargar <[log in to unmask]>
Subject: Re: verged
Comments: To: [log in to unmask]
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Linda -
I think that the drug you refer to for tooth extraction is Versed
(midazolam). It is a "short-acting benzodiazepine sedative & hypnotic".
Similar to but stronger than valium. Rapid metabolic elimination - per Hale,
"Midazolam and its hydroxy-metabolite were undetectable 4 hrs. after
administration...amount transferred to an infant via early milk is minimal,
particularly if the baby is breastfed more than 4 hrs. after
administration". No reported pediatric concerns, wait 4 hrs. after dose.
Suggest she refer her anesthesiologist to Hale, pp. 462-3 in '98-'99
edition.
Cathy Bargar, RN, IBCLC Ithaca NY
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]]
Sent: Tuesday, September 14, 1999 11:11 AM
Subject: verged
I know I should "try the archives first", but I have been trying for an
hour
to do so and I can't access them with the addresses I have tried so could
you
amazing people give me some help?
I have a mom who will be having tooth extraction soon. The dthey want to
use
for anesthesia during the procedure is Verged. The baby will be 20 mo. old
and weigh over 25 pounds. They've told her she can't nurse for 48 hrs.
Is
this accurate for a baby this age who is not getting all his nutrition from
the breast milk? Or is this dr. just reading the drug insert? He was
completely put off with a baby still nursing at this stage anyway. She has
no option of going to someone else for the procedure since they are on a
military base is a foreign country.
Thank you, LInda MOsher LLLL
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Date: Tue, 14 Sep 1999 12:00:38 -0400
Reply-To: Lactation Information and Discussion
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From: Cathy Bargar <[log in to unmask]>
Subject: Re: pumps at Planet Rx. site
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Thanks for letting us know about this! I wrote to them, telling them why we
don't recommend the pumps they offer (esp. the bicycle-horn type!) and
suggesting alternative ones that we do recommend to our clients. Got back a
short acknowledgement instantly, with the promise of a response w/in 24
hrs.)
Cathy Bargar, RN IBCLC Ithaca NY
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Date: Tue, 14 Sep 1999 12:38:31 EDT
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From: [log in to unmask]
Subject: Re: FAO Schwartz
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For those who write:
FOA Schwartz is mounting a "ferby" ad campaign that is horrible.
the first ad was 7 bottles with the title we are expecting septuplets.
today the ad has the ferby's and a couple of bottle in the picture.
this was found in the Chicago Tribune.
they refer you to the web sit: www.ferby.com or one can go to fao.com
Patricia
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Date: Tue, 14 Sep 1999 12:38:32 EDT
Reply-To: Lactation Information and Discussion
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From: [log in to unmask]
Subject: Re: versed
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Linda:
probably mom is to be given versed. although it is not reviewed by aap Dr.
Hale indicates that it is short acting with a half life of 1.9 hours. in
tests done it was undetectatble 4 hours after administration so...
the amount "treansfered to an infant via early milk is minimal,
particularily if the baby id bf more than 4 hours after administration.
Patricia
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Date: Tue, 14 Sep 1999 11:32:52 -0600
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From: Ron Whynaucht <[log in to unmask]>
Subject: Rash on breasts
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Posing this question for a colleague:
A mom has a rash on her breasts (does not appear on nipple or areola)
that is similar to "Contact Dermatitis". Baby is 10 weeks old and mom
has been treated with Keflex once for Mastitis (not on Keflex at time of
rash). This rash appeared approx. 7 days ago and does not appear
anywhere else on her body or her baby's body. She has not been on meds
recently and has not changed detergents, powders, lotions, etc. Her
bras are not new; have been washed several times. This rash is very
itchy day and night. I have checked the archives and the info there
relates to nipple rashes or other cases unlike this one. Mom has used a
pump, but the rash extends the entire area of the breast, not just where
the flange would cover or where breast pads may cover. Her MD has
prescribed an antihistamine to relieve the itching. Any thoughts as to
what this my be or what could be causing it's appearance now?
Many thanks,
Barb Whynaucht, RN, IBCLC
Central wisconsin
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Date: Tue, 14 Sep 1999 13:29:17 EDT
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From: "Judie M. Zersen, LLLL., IBCLC.,CLE., AAHCC." <[log in to unmask]>
Subject: Mom I Am
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Hi Lactneters,
This is a request regarding the poem, "Mom I Am". Like everyone else I
loved this poem and I want to share it with fellow LC's. Are there any
restrictions? Do we know who the author is ?
Judie Zersen LLLL IBCLC
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Date: Tue, 14 Sep 1999 09:48:14 -0700
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From: ChaniRhiGlenn <[log in to unmask]>
Subject: Lateblooming breastfeeder
Back in May I posted about having become an honorary grandmom, and how,
unhappily, mom had decided not to breastfeed, because baby just wasn't
getting it right, and she didn't want to make him cry. So she pumped her
breasts and gave him her milk via the bottle. Well, I kept my mouth shut and
bought her a good pump. From time to time, in the first few weeks, she
would offer Akil the breast, but he'd still get it "wrong" and she didn't
persist. Unfortunately, she didn't persist with the pumping either, and by
three months had a dwindling supply, and Akil was getting more and more
formula.
At three-and-one-half months, she called me at four in the morning -- "what
do I do" -- she was hysterical. What's wrong, Nikki, I shrieked with
concern.
"Akil's nursing!!! What do I do?" It turns out, she was hysterical with
laughter. While co-sleeping and cuddling, Akil started nursing, CORRECTLY,
and got mad when her breasts ran out of milk, and Nikki wanted to know how
to get her milk supply back. Well, that was about a month ago. Nikki
started putting him to breast ad lib, and pumping at work every two to three
hours. And not trusting to process alone, also took fennugreek, blessed
thistle and mothers milk tea. It is now four weeks later, and she has
abundant supply. And Akil is TOTALLY breastfed!!!!
My father says "Nothing is impossible. Some thing's just take a little
longer."
Chanita
San Francisco
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Date: Tue, 14 Sep 1999 13:56:43 EDT
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From: [log in to unmask]
Subject: Oxytocin
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Does anyone remember the name of the lovely researcher from Sweden who has
presented a couple of times on the effects of oxytocin on breastfeeding? I
remember she presented at ILCA a couple of years ago (I remember the room we
were in, but not the hotel!! -- where were we in 1997?? AKKK -- old age
strikes again!), and she presented at the conference in Orlando in January.
If anyone can remember her name, the name of her presentation, and/or if she
has published anything anywhere, I would be most appreciative.
Jan Barger, having senior moments in Wheaton
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Date: Tue, 14 Sep 1999 11:23:50 -0700
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From: ChaniRhiGlenn <[log in to unmask]>
Subject: two anecdotes
Recently had two different experiences I'd like to share...
First story:
Had a mom who wore a double ff bra before pregnancy, and could not find a
bra to fit her expanding breasts, and wondered what to do about a nursing
bra. She talked about how from one company to the next, bra sizes seemed to
be inconstant. And no place she went to had all the sizes to try on, in a
given style. We talked about the changes the breasts were going through,
and would still go through -- she was only 24 hours post delivery. And I
gave her information regarding the local options for obtaining the right
sized bra. Finally she said, well, you know, I didn't really used to wear a
bra much, I don't like them. Do I really need a nursing bra?
End result, she is happily nursing, and going braless.
Second:
Had a most exciting and complete experience two days ago at work.
A mom (nullip) came in in labor, with full term twins, vertex/vertex. She
was 4-5/C/+1. She progressed to rim/C/+2 in two hours -- no IV, only a
lock, and no medication -- at which time she walked to the OR (Although we
have LDRs, because of the chance that an emergency would arise, she had to
move to an operative suite and be on an OR table for her delivery). Less
than an hour later, she delivered her twins, three minutes apart. And less
than a half an hour later, still on the OR table, both babies were nursing
away. When we moved her back to her room, about half an hour later, now on
a delivery bed, they were still nursing away.
Because of our current crunch regarding nurses and bedspace, I was able to
stay with them in the LDR for an extra two hours after the traditional
two-hour recovery!!! We were all grinning from ear to ear -- well, except
the babies -- they were nursing.
Love,
Chanita, San Francisco
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Date: Tue, 14 Sep 1999 11:27:20 -0700
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From: ChaniRhiGlenn <[log in to unmask]>
Subject: "try"
Have been watching the recent discussing about "trying to nurse" with
interest, and had to add my $.02.
About fifteen years ago I received a very thorough but basic training as a
hypnotist, and almost the first thing we were told and encouraged to do, was
to eliminate the word "try" from our vocabularies. The point was that
"try" carries with it the expectation of an ability to fail. It is not an
easy word to replace, but replacing it implicitly changes the message we
give, whether we are giving it consciously or un-.
When we say "trying" that is a process short of achieving the goal. It
means we are still not being successful. OTOH, one says "doing the best
possible" or "working at" it implies actively pursuing a success. And in
fact you are always achieving little successes along the way, even if the
final achievement is still elusive.
When moms tell me they are going to try to breast feed, I ask them what they
mean by try or why they think they won't succeed (assuming that they are in
a receptive stage -- as they are pushing is not the time!!)
Sometimes they are using the word without intent -- they mean they plan
to initiate breastfeeding (and hope it works).
Sometimes they mean exactly that they intend to try -- but they have
friends who have been unsuccessful, so there is the expectation that they
might be unsuccessful themselves.
Or they had a previous experience that was unsuccessful, or not
completely successful, by whatever measure they use -- but they still want
to give this baby the opportunity to breastfeed.
And sometimes they mean they're not that interested in it, for whatever
reason, but they'll give it a chance and see if it could work for them.
What do I use instead of try -- as I said above, "work toward" or "do the
best you can" are two substitutes (especially in coping with labor). When
a baby is not interested in nursing immediately, I talk about "offering" the
breast occasionally, as opposed to "trying." When a particular position
isn't effective for the pair I am working with, rather than "trying"a new
position, I suggest that there is another position for breastfeeding that
often helps (whatever situation) -- "let me show you..." or "let me help you
with the ...(whatever hold)."
Of course, all of this is done with lots of explanations and discussion of
the normal process, so we can look for the little achievements along the
way. See, first the baby is just lying there, but making little mouth
movements -- now he's starting to look around -- now he's kicking his legs
and arching his back a bit -- now he's crawling towards your breast -- now
he's aggressively rooting -- now he's learning to use his tongue more
effectively -- and NOW HE'S NURSING!!!!!
So, she says tongue-in-cheekly, don't use negatives, and try to eliminate
the word try.
Good luck. Chanita
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Date: Tue, 14 Sep 1999 13:55:34 -0700
Reply-To: Lactation Information and Discussion
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From: The Breastfeeding Center of Maine <[log in to unmask]>
Subject: medical use of magnets
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I have searched the archives on this, but found nothing. Has anyone worked
with mothers who have used magnets (not refrigerator magnets!) on her
breasts for plugged ducts, mastitis or other breast pain? One mother in my
area swears by it, has had 5 kids and wears them in her bra if any symptoms
occur. Thanks for your response! Bettina
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Date: Tue, 14 Sep 1999 21:25:32 +0200
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From: Renate Rietveld IBCLC <[log in to unmask]>
Subject: Re: medical use of magnets
In-Reply-To: <[log in to unmask]>
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Hi Bettina and others,
Please share the replies you get or are about to give with the list. I'm
very interested to hear some answers to this question and my guess is that
more people are.
Thanks,
Renate Rietveld, IBCLC
Rijswijk, The Netherlands
At 13:55 14-9-99 -0700, you wrote:
>I have searched the archives on this, but found nothing. Has anyone worked
>with mothers who have used magnets (not refrigerator magnets!) on her
>breasts for plugged ducts, mastitis or other breast pain? One mother in my
>area swears by it, has had 5 kids and wears them in her bra if any symptoms
>occur. Thanks for your response! Bettina
--------------------------------------------------------------
Renate Rietveld, IBCLC
E-mail : [log in to unmask]
Homepage: http://www.casema.net/~rietveld/index.htm
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Date: Tue, 14 Sep 1999 16:20:44 EDT
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From: [log in to unmask]
Subject: Re: Versed
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The drug is Versed (midazolam) - a short acting sedative-hypnotic. Although
very little enters BM and there have been no reports of harm to infants, Hale
(pg 476, 1999 edition) suggests waiting 4 hours after dose to nurse.
Nancy Wight MD
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Date: Tue, 14 Sep 1999 15:43:59 -0700
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From: "Denny Rice, RN IBCLC, Dallas TX" <[log in to unmask]>
Organization: @Home Network Member
Subject: Morning After Pill
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Hello all, I haven't read the posts since last week, so if anyone has
address me, please copy me privately.
I just got off of the phone with a nearly hysterical mom. She and her
husband have been using the "film" type of birth control. One time, the
film did not dissolve and the roll actually fell out near completion...
Her twins are 6 months old, she had a C/S, a uterine and bladder
infection during hospitalization, a resulting yeast infection, in short,
has had a rough time.
She called her OB and requested a morning after pill. He told her she
MUST wean if he gives it to her. She asked if she could pump and dump
for a few days. His response was that no, the medication would stay in
her body for a long time and she MUST wean. She chose not to and is now
scared to death she might be pregnant. Unfortunately, she just called
today and this happened on Thursday. I believe that it is now too late
for the morning after pill to be useful? I explained about her
decreased fertility at this time, especially in leu of the fact that she
was at day 21 of her cycle (her second) when this occurred. She
confessed to giving one of the twins up to 8 oz of ABM daily (unrelated,
but we discussed this also, of course), and they have been "trying"
cereal for 2 weeks, a very small amount.
I was unable to find info in Hale's, except the general info on oral
contraceptives and the only archive info I found did not give sources.
Can you provide me with documentation with which I can educate the
doctor as well as the mom? I would greatly appreciate it.
Thank you.
--
Denny Rice, RN, IBCLC
Dallas Texas USA
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Date: Wed, 15 Sep 1999 07:26:10 +1000
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From: Virginia G Thorley <[log in to unmask]>
Subject: Terminology: "blister", or bleb/ plugged milk pore
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In the discussion of the case of the mother of twins who fractured =
her elbow, and has subsequently had what was initially called "blisters" =
on her nipple (three situations which may well be unrelated), one fo the =
problems seems to be the *terminology*.
Later contributors are assuming it is a white bleb, or blocked milk =
pore. If it is, this is certainly a different situation from a =
"blister". Yet, out there in the community the term "blister", or "milk =
blister", is loosely used for this condition, inappropriate though the =
term is. Chances are, mothers will use teh term "blister" through not =
knowing any other term for bleb. This is where good questioning of the =
Mum is necessary, if she can't be seen, to ascertain which it is.
As for blisters, some years ago a colleague told me about two =
mothers who had blisters and very raw skin on the very tips of their =
nipples. What do you think these were? They were actually acid burns - =
one baby had severe gastro-oesophageal reflux (GOR) and the other had =
pyloric stenosis and was sent for surgery. Resolution of the nipple =
problem (burn) came for one mother after she weaned and the other after =
her baby was treated. Not something I've seen myself, but an =
interesting possibility that is worth sharing.
Virginia
Virginia Thorley, OAM, IBCLC
Brisbane, Queensland, Australia
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Date: Tue, 14 Sep 1999 17:57:18 EDT
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From: [log in to unmask]
Subject: rollerblading nipple blister
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In a message dated 9/13/99 7:54:38 PM, [log in to unmask] writes:
<< She was doing great with them until she broke her elbow rollerblading, and
also developed a nipple blister. >>
ouch! that must have smarted sumpthin fierce
to add to Karen's advice <<I hope she wears her helmet and elbow/knee pads,>>
suggest she wear *bra* pads next time, and be much more careful rollerblading.
sorry, needed a giggle.
Deb
Deborah Tobin
RN BSN IBCLC LCCE
Springfield, Virginia USA
In the suburbs outside the Washington DC beltway
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Date: Tue, 14 Sep 1999 17:57:42 EDT
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From: [log in to unmask]
Subject: in new mom's group today
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a mom who makes breastmilk popcicles for her teething baby.
Deb
Deborah Tobin
RN BSN IBCLC LCCE
Springfield, Virginia USA
In the suburbs outside the Washington DC beltway
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Date: Wed, 15 Sep 1999 08:05:12 +1000
Reply-To: Lactation Information and Discussion
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Sender: Lactation Information and Discussion
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From: Virginia G Thorley <[log in to unmask]>
Subject: BF 2 babies, and fertility
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Re: Denny Rice's posting, on the mother of twins who was worried she'd =
get pregnant, and whose babies are having small amounts of other foods.
I became pregnant with my 4th child just over 30 years ago while =
tandem breastfeeding. I'd negotiated with the elder of the two boys to =
reduce his breastfeeds from 8 to just a few, and this relatively sudden =
decrease in feeds was obviously a key factor in my fertility. So, yes, =
even if breastfeeding two babies, reductions in intensity of =
breastfeeding can allow fertility to return. Some women's bodies are =
more susceptible to these changes than others.
Please send any replies to me privately, as I'm about to go NO MAIL =
for a while. I've enjoyed being on Lactnet again, but have lot to do.
Virginia
[log in to unmask]
Virginia Thorley
Brisbane, Queensland, Australia
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Date: Tue, 14 Sep 1999 18:35:22 EDT
Reply-To: Lactation Information and Discussion
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From: [log in to unmask]
Subject: a few replies: morning after pill, rash, magnets
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Hi Everyone,
I have a quote from the book Human Sexuality: Contemporary Perspectives
written by Georges Zgourides, Psy.D., HarperCollins College Publishers, NY,
1996 in regards to the morning after pill:
"Another oral contraceptive for women is the morning-after pill, which
releases large amounts of progestin and synthetic estrogen into the
bloodstream over a period of hours or days following coitus. These high
levels of hormones can cause potentially severe side effects, including
nausea, vomiting, and menstrual cycle disturbances. For this reason, the
morning after pill--usuallly administered once within 72 hours of
ovulation--is for emergency situations, such as following rape or when other
contraceptive techniques fail." This is quoted from page 276. (BTW that 3rd
L in usually is not my typo but the book's... since I was quoting, I wanted
to do it exactly as the book has it). This is the only info I have on this
for you.
As for magnets, I know they are used in MRI's according to my physiological
psychology book, to get hydrogen atoms to spin so they'll absorb radio waves.
Then when the radio waves are turned off, the hydrogen atoms which have
absorbed this energy release it...which can then generate images using a
computer, but I don't see how that would affect plugged ducts... would make
for an interesting research project.
With regard to the woman with the rash on her breasts... just a few
thoughts...has her partner started using anything new on *his* hands? What
about an allergy to latex? Perhaps when she was examined by someone using
latex gloves she had a reaction?
Veronica Scott,
Breastfeeding Peer Counselor Coordinator, WIC
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Date: Tue, 14 Sep 1999 18:54:57 EDT
Reply-To: Lactation Information and Discussion
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From: [log in to unmask]
Subject: epidurals and breastfeeding
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Dear Friends:
In the journal Birth, June 1999 there is an interesting article "Effect
of Labor Analgesia on Breastfeeding Success" where the authors (Halpern,
Levine, Wilson et al.) looked at labor medications and breastfeeding at 6-8
weeks postpartum. Their conclusion: "In a hospital that strongly promotes
breastfeeding, epidural labor analgesia with local anesthetics and opioids
does not impede breastfeeding success. We recommend that hospitals that find
decreased lactation success in parturients receiving epidural analgesia
reexamine their postdelivery care policies." In this study, 72% of women were
breastfeeding exclusively at 6 weeks postpartum, and 20% were breastfeeding
partially.
Very interesting and personally saddening. I hate when the evidence goes
against what I believe! However, at a breastfeeding training session where I
was teaching, several nurses from a Baby-Friendly hospital were saying the
same thing, that their epidural rates are high and so is their breastfeeding
initiation, which they ascribed to strong breastfeeding support postpartum.
This article makes many interesting observations. They ascribed some
negative effects in other studies not to the epidural, but to the vacuum. Now
there is plenty of evidence is that epidural increases the chance of vacuum
use. And epidurals do add a lot to health care costs, as well as increasing
the risk of operative delivery. But as far as breastfeeding goes, we need to
rethink our position. The hospital where this study was done lacks a nursery;
all healthy babies room in. There is emphasis on skin-to-skin contact and
suckling. There are no formula discharge packs. Pacifiers are not given out,
and their use is discouraged.
Warmly, Nikki Lee
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Date: Tue, 14 Sep 1999 17:39:13 -0600
Reply-To: Lactation Information and Discussion
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From: Deanne Francis <[log in to unmask]>
Subject: Send me those poems!
Okay ladies and gentlemen,
I have six times as many requests for the compilation of the poems, than I
received poems!
What happened to all those that appeared in the digests? I didn't keep
them, so please email them to me privately. I think we need at least 20 -
30 to make a good compilation.
I need the one about "I'm rocking my baby and babies don't keep."
again!...somebody, .......please!
Please put the author's name on (thank you Joy) because some of them are
written by lactnetters, and everyone will appreciate knowing who wrote
them. The other authors would appreciate recognition.
I would not limit this to breastfeeding poems, although those are the ones
we are most interested in. I would include nurturing, mothering-type poems
or free verse as well. When I get the compilation done, I will ask one time
on the list who wants copies and figure out what the costs will be. When I
mention it on the list, please email me back privately. Do not post
requests for this on the list, please. Kathleen, if this is not okay, please
let me know ASAP
Deanne
[log in to unmask]
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Date: Tue, 14 Sep 1999 07:40:48 -0400
Reply-To: Lactation Information and Discussion
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From: Patrica Young <[log in to unmask]>
Subject: Re: Lateblooming breastfeeder
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Dear Chanita, thanks for the lift of the day! Sincerely, Pat in SNJ
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Date: Tue, 14 Sep 1999 08:06:04 -0400
Reply-To: Lactation Information and Discussion
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From: Patrica Young <[log in to unmask]>
Subject: Re: epidurals and breastfeeding
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Dear Nikki, this is exactly what I observed clinically at one large hosp
near Detroit. Lots of epidurals, lots of early nursing and BF support, not
many "dumb" epidural babies! At that time I believed it had to do with the
early nursing and rooming in. Sincerely, Pat in SNJ
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Date: Tue, 14 Sep 1999 07:44:48 -0400
Reply-To: Lactation Information and Discussion
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From: Patrica Young <[log in to unmask]>
Subject: Re: Oxytocin/speaker
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'97, Fairmount in New Orleans. Kerstin Uvnas-Moberg, MD, PhD. Sincerely,
Pat in SNJ
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Date: Tue, 14 Sep 1999 21:14:40 -0400
Reply-To: Lactation Information and Discussion
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From: Diane Wiessinger <[log in to unmask]>
Subject: trying
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> Sometimes they mean exactly that they intend to try -- but they have
>friends who have been unsuccessful, so there is the expectation that they
>might be unsuccessful themselves.
For years I thought that I went into breastfeeding with no expectation of
failure because all my friends nursed their babies. One day I sat down and
thought about it. At 29, I was the first of my actual friends to have a
baby. "All my friends" were really just two people: my mother and my older
sister. Amazing that I spun two family members into a whole nursing culture
and saw myself not as a leader but as a follower. Now, when I look back at
my friends from that time, I realize that many of them nursed only briefly.
Turn that whole scenario around, and you have a woman who deep down expects
to fail simply because her mother and sister failed, no matter how many
friends around her are nursing...
Diane Wiessinger, MS, IBCLC, LLLL Ithaca, NY
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Date: Tue, 14 Sep 1999 21:35:41 EDT
Reply-To: Lactation Information and Discussion
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From: "Jane C. Crotteau RNC, IBCLC" <[log in to unmask]>
Subject: pregnancy and bf
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In a message dated 9/14/1999 11:13:36 AM Eastern Daylight Time,
[log in to unmask] writes:
<< I look at it a different way: that the pregnancy is not in the best
interest of the mom or the nursling. That doesn't mean the pregnancy will
end or something, just that maybe it was not the wisest idea to become
pregnant before the current nursling was ready to wean (yes I realize
accidents and choices happen, but this is hardly the nursling's fault nor
should he have to suffer for it). But I am a firm believer in natural
weaning, so maybe that colors my thoughts.
>>
if i had followed this my children would be spaced 7 years apart. they are 3
and 4 years as it is. we tandem nursed and it was uncomfortable the last 3
months of each pg-i remember saying just a few sucks and that would make them
happy. everyone was happy when the milk came in-sorry for the typing i broke
my shoulder ice dancing.
jane in so n.h.
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Date: Tue, 14 Sep 1999 21:41:34 EDT
Reply-To: Lactation Information and Discussion
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From: [log in to unmask]
Subject: Rant
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I just got a call from the Mom who I posted about last month who received all
those drugs, including the antipsychotic meds, for childbirth and wasn't
producing milk. She has been pumping 6 times/day for the past 6 weeks, has
taken Fenugreek for 4 weeks, and never got more then 1/2 oz in a double
pumping session of 15-20 min. I had discussed Reglan with her. When she
called the midwife ( who is also Director of the Women's health program at
our hospital) to ask about Reglan, she was told that this drug was only in
trials, was not approved for this use, and since I am not on staff at the
hospital, they don't take my suggestions. Then she was told she would have to
see the Lactation Specialist at the hospital. Then the midwife told her if
she would really try, she should be able to breastfeed. So the mom went to
the Lactation Specialist (not a IBCLC) at the hospital who gave her a
disposable SNS. The baby has never nursed because of the first week's
frustration and the hospital giving bottles during that time and the mom not
being referred to me until 1 week postpartum. The baby went ballistic when
mom tried the SNS. So the mom is ready to quit.
And this is the hospital that is hoping to be Baby Friendly, but will not
communicate with the only IBCLC in a 20 county area.
Barbara Whitehead, IBCLC
Ayden NC ( which is now preparing for Hurricane Floyd- I am in central
Coastal NC)
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Date: Tue, 14 Sep 1999 22:20:36 -0400
Reply-To: Lactation Information and Discussion
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From: Mary Renard <[log in to unmask]>
Subject: Versed (anecdotal)
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I saw Versed used recently when my 17 y/o had to have his dislocated
shoulder put back into place. It was administered IV and when he finally
got a sufficiently large dose, my 'baby' - all 6'1" 190 lbs of football
player - was snoring away. He continued to sleep well for about 1-1/2
hours, then roused *quickly.* One hour later, when discharged from the ER,
he felt it was an egregious insult to his manhood to ride in a wheelchair
to the front doors despite his nervous mom saying "You could still get
dizzy... I don't want to catch you.... sit back down in that chair!"
Seems it would be reasonable to use guidelines similar to those for general
anesthesia - if the mom's awake and aware, the drug has substantially
cleared her system. I haven't heard of it being used for dental
procedures, but my guess would be that the goal wouldn't necessarily be the
relaxed "coma" my Michael was in.
And I know anecdotal evidence doesn't count, so maybe the dentist could be
advised to do the math. A half-life of 1.9 hours means that .... (whoops,
no calculator) well, I got tired of doing the math, but at 16 hours,
there'd be less than 1/256th left of the original dose.
Mary Renard
who hopes her son's remaining football career (all 3 games of it) is
uneventful....
Vienna Virginia USA
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Date: Tue, 14 Sep 1999 22:34:27 EDT
Reply-To: Lactation Information and Discussion
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From: ", Fran Brenner" <[log in to unmask]>
Subject: Effects of Stadol on BF
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Anyone care to comment on their experience with a mother receiving Stadol and
the drug's effect on BF, specifically soon after delivery [in the Delivery
room].
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Date: Tue, 14 Sep 1999 22:55:45 EDT
Reply-To: Lactation Information and Discussion
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From: [log in to unmask]
Subject: Re: Hales new book/mastitis
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I was reading Hales New book which I just got today. It is great everyone
should have one. I was reading about the treatment options for mastitis and
noticed the recomendation that moms don't wear a bra the first week
postpartum when the risk of milk stasis and subsequently mastitis is highest.
In my shop we sell nursing bras along with all kinds of breastpumps and
breastfeeding products. I have allways thought this would be best. I have
difficulty talking mothers out of an underwire bra, let alone have them go
braless. We really push the use of the sleep bra during the first week.
Does anyone know if this info is documented anywhere else? Or is it just
common sense but moms just don't listen?
Jessica Donahue
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Date: Tue, 14 Sep 1999 23:27:20 EDT
Reply-To: Lactation Information and Discussion
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From: [log in to unmask]
Subject: fibromyalgia and Tieraona Low Dog
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A friend of mine has suffered with fibromyalgia for years, the standard
prescribed medicines have provided little relief (or too many side effects).
She is nursing her second baby now (no problems with milk supply or mastitis)
and willing to delay treatment if necessary, but eager to try any
BF-compatible alternative remedies. This is a very dear, conservative lady
who would *never* have thought she'd seek out herbal medicine, but the pain
has made her desperate. I searched the archives, but would appreciate any
info you wise ones have. Any tips on contacting Tieraona Low Dog would also
be appreciated, I couldn't find her on the UNM website. Please respond via
private email if possible, my Lactnet reading is very sporadic (but I just
can't bring myself to set no mail). TIA
Elaine Ziska
Jackson, MS
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Date: Tue, 14 Sep 1999 23:35:21 EDT
Reply-To: Lactation Information and Discussion
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From: Theresa Chmiel <[log in to unmask]>
Subject: Blues Clues
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In a message dated 9/14/99 10:13:37 AM Central Daylight Time, you write:
<< I was just at http://www.nickjr.com playing a Blue's Clues game with my 4
year old. This weeks game featured Baby Paprika and you had to figure out
what Baby Paprika needed. Never was she held or cuddled. She needed to be
burped, bottle fed, given a blanket and other mothering substitutes.
>>
I don't think Mrs. Salt qualifies as a mammal so I forgive her if she bottle
feeds baby Paprika.
Theresa Chmiel, CLC, ICCE
Las Vegas, NV
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Date: Tue, 14 Sep 1999 23:57:56 EDT
Reply-To: Lactation Information and Discussion
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From: "Laura Hart, RN, BSN, IBCLC" <[log in to unmask]>
Subject: Re: LACTNET Digest - 13 Sep 1999 (#1999-208)
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In a message dated 9/14/99 12:06:07 AM Eastern Daylight Time,
[log in to unmask] writes:
<< http://www.planetrx.com
Be sure to click on the "Medi-Bear" breast pump, it costs *under $5* and
appears to be a bicycle horn type pump with the bulb resembling the tiny
blue ear/nose syringe. >>
Nancy,
Did you also read the warning on the next page? It cautions that the simple
bicycle horn pump can cause tissue damage! Why do they sell it???? They also
have some breastfeeding advise. It all seems rather strange.
Laura Hart, RN, BSN, IBCLC
Winter Park, Florida where we are all staying indoors to avoid the wind &
rain from hurricane Floyd---it looks like the worst of it will be passing us
by. We are all grateful for that. Now, if it will only spare the Carolinas.
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Date: Tue, 14 Sep 1999 20:55:32 -0700
Reply-To: Lactation Information and Discussion
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From: janaken <[log in to unmask]>
Subject: this is for the lawyers!
Comments: To: Lactation Information and Discussion <[log in to unmask]>
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Hi, I was asked to post this to the group hoping one the the legal experts
would answer.
Here is the problem.
Mother ( a nurse) is working at a small hospital in Washington State. She
works 12 hours shifts and has a small baby whom she breastfeeds. The father
brings the baby to the mother at the hospital twice during her shift to
breastfeed .The mother feeds the infant in the nurses lounge covering up her
breast.The mother breastfeeds her on her own break times and does not ask
for any special treatment. The director has told the mother she can not
breastfeed her baby at work .The director is the only one who has had any
complaints. The mother is wondering if the director has any legal right to
make her stop breastfeeding at work?
The mother would be happy to talk via phone with an attorney specializing
in breastfeeding issues.
Thanks
Jan Aken
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