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
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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
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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
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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
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From: "Rosen, Judith I. Maj." <[log in to unmask]>
Subject: Any ideas as to cause of diarrhea?
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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
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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
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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
<[log in to unmask]>
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<[log in to unmask]>
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
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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
<[log in to unmask]>
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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
<[log in to unmask]>
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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
<[log in to unmask]>
Sender: 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
[log in to unmask]
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Date: Mon, 13 Sep 1999 23:16:46 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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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
<[log in to unmask]>
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<[log in to unmask]>
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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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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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
<[log in to unmask]>
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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]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
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]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
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
<[log in to unmask]>
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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
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
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
<[log in to unmask]>
From: Kathleen Bruce <[log in to unmask]>
Subject: Versed
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Content-Type: text/plain; charset="us-ascii"
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
<[log in to unmask]>
Sender: Lactation Information and Discussion
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From: [log in to unmask]
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
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
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
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
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
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: [log in to unmask]
Subject: Re: 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
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
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
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
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
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
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
[log in to unmask]
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Date: Tue, 14 Sep 1999 09:48:14 -0700
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
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
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
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
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
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
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
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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
<[log in to unmask]>
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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
Reply-To: Lactation Information and Discussion
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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
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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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
Reply-To: Lactation Information and Discussion
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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
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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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
Reply-To: Lactation Information and Discussion
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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
mailto:[log in to unmask]
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Date: Tue, 14 Sep 1999 17:57:42 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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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
mailto:[log in to unmask]
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Date: Wed, 15 Sep 1999 08:05:12 +1000
Reply-To: 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
<[log in to unmask]>
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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
<[log in to unmask]>
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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
<[log in to unmask]>
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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
<[log in to unmask]>
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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
<[log in to unmask]>
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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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Sender: 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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Sender: 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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Sender: 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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Sender: 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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