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I'm currently counseling a family (PTP) who will become parents due to surrogate pregnancy. Baby is due end of March 2025 and the birth is planned at „Kaiser Permanent Fontana Medical Center“. The German couple will therefore be traveling to California and welcome the baby. My client will try induced lactation and asks for possible support at the birth clinic or from an IBCLC living in Fontana. Please let me know if you’re there or have the possibility to point me in the right direction or with whom I'd have to get in touch with. Your help will
Have thoroughly enjoyed this little thread -- Lactnet played a big part in my life back in the day. And now I'm retired except for working from home with Lactation Education Consultants. Home is Fort Myers FL where we just weathered Milton -- Bob and I live in the most wonderful retirement community in the world, I'm convinced. It is called Shell Point and there are about 2500 residents on our 800 acres that backs up to the Calusahachi River. Here's my first posting: Hey, everyone - especially Kathleen Bruce (who nagged at me daily....)
I am chuckling - Jan Barger sent me my first post yesterday and then later I checked in here and realized what was going on! Here's my first post - I think I was one of the first ten or twenty people on Lactnet, since Kathleen Bruce is a friend and colleague!
I would tell people "I don't lose sleep over lactation riddles - I post it on Lactnet and my friends in Australia and Europe give me ideas overnight!"
July 20, 1995Jan, IMHO stands for IN MY HUMBLE OPINION, cute huh:) This is my first time responding to the digest and I have no idea if this is going to work. I am a LLL leader for 9yrs and am studying for the LC exam for next July (96). I have two children Matt who is 12 and Michelle who is almost 9. I am a medical technologist by profession but am happily unemployed. Going back to work two years ago on a part time basis was difficult at best as I was often asked to do things I
You all are such gems! I’m a younger generation IBCLC (although I just turned 40…) and I can’t believe what a cream of the crop of lactation talent we have here.
I have saved many posts in the 5-6 years (or longer?) that I’ve been on here. The thought that goes into these posts is second to none, even if it’s few and far between.
I had a heck of a time navigating the archives, so I reached out to an expert- my son. One thing he did was open up the browser in "incognito mode" first by using Control+Shift+N first. He found it then gave me this general link that anyone else can use: https://community.lsoft.com/scripts/wa-LSOFTDONATIONS.exe?A1=INDEX&L=LACTNET&s=228500&O=&D=&TOC=&S=
I don’t know when my first post was but I imagine it was in 1996. Yes that is when I became a IBCLC.
I lived and still live in a rural area and all of my collaboration and so much of my working knowledge came for the endless supply of LACTNET posts from the best of the best. I drank you all in. I miss LACTNET to this day. I still love the format and mourn the loss of the global perspective.
OK, I see I was probably mistaken about what Pat Young's first post was, because two posts later she mentions she is posting from a new e-mail address. I don't know how to find her posts from the former address, they didn't come up on a search by name. Pat, do you remember which address you subscribed with originally? Rachel Myr again
Tina's post made in laugh a little. I have no idea when my first post was to Lactnet. We even had a different name early on. My credentials began with LLLL (1967), IBCLC, (1985) & APN (1994). Got the Center for Breastfeeding Information (in a tractor trailer ) from LLLI in 2009. Since then have compiled a huge data base, approximately 45,000+ articles and resources, but still have tons of work to do. My back just doesn't agree with me most of the time :-( My LLL group is struggling, looking for ideas to reinvent ourself. Finding moms going to hospital
Hello from another voice from the past. I was SO happy to find you posting here, Pat! It took me less than five minutes to find what seems to be your first post, thanks to the fantastically good search function in our archives. You posted the following on Sunday, May 4, 1997:
'Dear Anne, Yes, babies fed EBM or who nurse have less chance of NEC. Yes, the milk becomes colostrum. Some toddlers don't like the taste, while others are thrilled with the rapidly abundant new supply (milk dwindles by end of pg). Pumping for new one and nursing toddler
I've been working as a private CLC for the past 13 years. I will be moving to the US (to the Boston area) next year, and wonder if I can find work there with these credentials or if it is imperative to now complete the IBCLC or some other recommended certification, in order to work there. Thanks for any input! Tali
With some trepidation, I write my first post to you dear, wise friends after almost ten years of following! Inspired by the recent post about Dr .Lawrence, and the "first post" conversations, I want to do my part to keep conversations flowing on this platform where I have gleaned so much knowledge, connections, and even blood boiling thoughts lol. I am a young IBCLC (9 years), but have worked as an RN in maternity systems for almost 40 years. Thoughts of retirement loom as friends leave and the landscape of our healthcare system seems so fractured, and... lost? But, the
As breastfeeding supporters and advocates, I hope you will indulge for a bit of history. Many of us have had mentors and role models over the years as we finished school and/or college and began our careers. Some of those mentors have been local, someone we respect from afar or maybe a few who "broke the glass ceiling" so to speak. One of those on my list achieved the pinnacle of her career before that glass ceiling existed. Dr. Ruth Lawrence, pediatrician, neonatologist and toxicologist - wrote the textbook: Breastfeeding - A Guide for the Medical Profession. She also organized
Thank you, Tina for highlighting this amazing woman!
-----Original Message----- From: Lactation Information and Discussion <[log in to unmask]> On Behalf Of Tina Lavy Sent: 02 October 2024 21:32 To: [log in to unmask] Subject: Trailblazer who broke the glass ceiling before it even existed
As breastfeeding supporters and advocates, I hope you will indulge for a bit of history. Many of us have had mentors and role models over the years as we finished school and/or college and began our careers. Some of those mentors have been local, someone we respect from afar or maybe a few who "broke the glass ceiling" so to speak.
Tina, the quote from your (first) post brought tears to my eyes. Thank you so much for sharing, there is a deep truth there and it is why I (and most of us, surely) strive to do what we do. Welcome back from retirement for as long as you are back, what a great grace for those babies around you!
I became an IBCLC in 2005 and had/have had absolutely wonderful mentors prior to that and during my tenure as a Lactation Consultant. Nearly 100% of the time between then and now has been as a WIC IBCLC in California. My first post to Lactnet was in June 2005 and was the following: "Breastfeeding is a natural "safety net" against the worst effects of poverty. If the child survives the first month of life (the most dangerous period of childhood) then for the next four months or so, exclusive breastfeeding goes a long way toward canceling out the health difference
I'm wondering if there are any studies that are following the babies affected by the 2022 formula shortage due to that factory being shut down. What happened to the babies who were exclusively formula fed when the factory shut down? What happened to the babies born in the year after the shut down? Did breastfeeding rates increase? Are there any comparisons between the cohort of babies born in the year before the shut down and the year after? Death rates? Disease rates? Hitting milestones rates? Is anyone following these cohorts into school age?
Sorry don't know about this particular model, just experience with similar. Years ago in a weekly "Breastfeeding Moms Group" a gal could not/had never put baby to breast. She was then back at work and found it too time consuming and inconvenient to sit and pump during very short breaks at work as a veterinary tech/assistant. I mentioned to brand new to market "Whisperwear" pump. She used it so very successfully and produced more milk than baby needed. She also reported no problems thus far of the pump cups becoming dislodged as various animals jumped up on her or wiggled vigorously
I am collaborating with some medical colleagues who are doing a series of studies about gender terminology in health sciences, taking into account both native English speakers and those for whom English is not the first language. They are interested in our specific field.
If any of you would like to participate by filling out this anonymous questionnaire, it would be helpful. Please feel free to pass it on to other colleagues if you feel it is appropriate. Thank you!
I wanted to share with the LACTNET community about an upcoming Q&A this Friday (August 2, 2024) with human milk and breastfeeding researchers in honor of World Breastfeeding Week. I thought this event would be of interest to the community and beyond. Please feel free to share.
Thanks,
Ryan Pace
In honor of World Breastfeeding Week, some colleagues and I are gathering on Reddit (r/AskScience) to answer questions from the public about babies, boobs, and breastmilk!
I have encountered a few patients with exquisite nipple sensitivity. Pumps, nipple shields, creams, cold compresses prior to latching never seemed to work. I had several patients who were able to tolerate hand expression to be able to provide their milk for their baby. I even looked at the location of the nerves that innervate the nipple to see if pressure or massaging over these nerves might help reduce some of the sensitivity but this did not work for any of the mothers.
I´ve had a few patients with this difficulty. all except one had a past of sexual trauma, so this might be something you can gently explore if you think it is appropriate.
For two of them, the pain resolved with a prescription for Gabapentin. Gabapentin is in a class of medications called anticonvulsants, and it is used to treat seizures, neuralgic pain (postherpetic, usually) and restless legs syndrome. Gabapentin treats seizures by decreasing abnormal excitement in the brain, relieves neuropathic pain by changing the way the body senses pain. It is not known exactly how
It's probably already helping this new parent that someone is asking questions, listening and taking her problem seriously, and has a toolkit of things to try, and is now trying to find some new angles.
It may also help to feel that she's on some common ground -- that the breast is a sensitive organ packed with nerves (and the nerve response is important to its function), but that ongoing pain is a difficult problem.The Academy of Breastfeeding Medicine offers among its very useful Protocols (in many languages) an excellent overview on persistent pain https://www.bfmed.org/assets/DOCUMENTS/PROTOCOLS/26-persistent-pain-protocol-english.pdf
Hello, I am wondering if anyone has ever come across breastfeeding patients who are unable to tolerate breastfeeding or use of a breast pump due to a history of severe nipple sensitivity. I had a case recently in which the patient stated that her nipples have always been very sensitive for years and the sensitivity was worse since pregnancy. Even before pregnancy, she slept in a bra because she cannot tolerate anything rubbing against or touching her nipples. Latching was very painful and she couldn't tolerate it. She reported pain 10/10. Her baby was 2 days old and she was
Hi, wise ones, I was researching Wellstart International, a breastfeeding support organization originally founded by Dr. Audrey Naylor, to see what happened to it after she passed away. The website domain of wellstart.org now belongs to a business that reviews baby "stuff: "WellStart is your top destination for babies, toddler and new moms product reviews. Find all you need from baby clothes to top strollers, best car seats, baby carrier, bedding and much more" When I clicked on the Feeding tab, I was blocked from the page. I've filled out the Contact form more than once, but have yet to
Well Start gave all their files to LLLI and then LLLI gave them to me in 2009. Have concocted a database and scans of about 45,000 articles and resources Center for Breastfeeding Information Research Library. I get support from LLLI for access to costly journal and of course I get JHL, Clin Lactation myself. Frankly I am struggling to keep up as I am computer impaired :-( Have been trying to shrink the files on Breastfeeding and contraception for several days now. It's so hard because I believe in paper, BUT... the files are too fat and antique. and
Wow, thank you so much, Pat, for all your dedication and hard work! So good to know that this immense library of knowledge has not been lost! I think about LLLI's CBI often, and what great resources were provided back in the day when research was so hard to find.
I guess I operate illegally. I just need to find a univ to take over who can share legally :-) I really want the Univ in my backyard (literally, we sold them our farm for the West Campus of Rowan Univ) to take over. Will let you know when something happens. LLLI gives me access to BF Med, Peds and I'm a member of ILCA and USLCA and I'm an active LLLLeader. Actually LLLI gave me a tractor trailer load of articles in 2009, when they closed the Center BFI. :-) Permission to pass on copies is terribly expensive! Pat
I may have missed the original message, but I have taken care of a few of these babies over the years and they were all in crises at time of birth. It is apparently a common time for that to happen, also when they are sick. The thing that was universal about them was a rapidly elevating level of jaundice when they were not coombs positive or had other risk factors and were breastfeeding well initially. And the jaundice did not respond to phototherapy or increased breastfeeding or supplementation with breast milk or donor milk. Typically by the time they
The concern was that peanuts could trigger a G6PD crisis in this baby who apparently has extremely low levels of the enzyme. The mom was warned never to eat any nuts (not just fava beans).
In the end the mom pumped and dumped for 24 hours and the baby is back to breastfeeding.
I´ve been consulted by a midwife colleague about a nursing mother who has extreme pain when the muscles of her areola-nipple complex contract. This happens when the baby latches and when she uses the pump, and sometimes between feeds or with cold. There is no blanching (no vasospasm).
This is her second child; she gave up breastfeeding with her first early on because of this. She is taking no medications, has no previous known health issues, and I don´t know much more...
In a 5m old breastfed baby with G6PD and the mother accidentally consumed peanuts in a chocolate bar, would you recommend interruption of the breastfeeding, and if so, for how long? (I haven't got any more detail, I don't think there was a prior reaction or exposure to peanut).
I have found information online about maternal ingestion of Fava beans and the potential dangers but no specific information about peanuts.
I am in Indiana and just received an email from the department manager "A new bill went into effect yesterday. It has to do with long term contraception (LARC) after delivery. All women need to have long-term contraception options discussed with them between delivery and discharge. If they choose, they need to be able to have the Nexplanon placed during their stay." I worked at a Catholic hospital for 18 years and wasn't allowed to discuss birth control, so I know nothing. Is there a "better" birth control for breastfeeding mothers?
She also has lots of unopened kits in great condition. If anyone is interested or know someone who is, please contact her at [log in to unmask]<mailto:[log in to unmask]>.
Unless I know the amounts of each ingredient in a galactagogue preparation, I cannot evaluate the safety of the product and cannot recommend it. If the manufacturer does not supply that information, it cannot and should not be trusted by the consumer.
Good morning, I have a mom who has purchased supplements from TikTok shop and is asking if they are safe for breastfeeding. They are called Kisugby ‘booty magic’ and ‘top support’. The listed ingredients are Chastree berry, blessed thistle, dong quai root, dandelion root, fenugreek, saw palmetto fruit, flax seed, wild yam, and fennel for the top support supplement. For the booty magic, it contains maca root, Asian ginseng, arise seed, motherwort, saw palmetto, fenugreek, black cohosh, kelp stem and leaf, and ginger root.
E-lactancia is a great place to look for this information: https://www.e-lactancia.org/
Sent from Gmail Mobile
On Thu, Jun 20, 2024 at 10:52 AM Clements, Natalie < [log in to unmask]> wrote:
> Good morning, I have a mom who has purchased supplements from TikTok shop > and is asking if they are safe for breastfeeding. They are called Kisugby > ‘booty magic’ and ‘top support’. The listed ingredients are Chastree berry, > blessed thistle, dong quai root, dandelion root, fenugreek, saw palmetto > fruit, flax seed, wild yam, and fennel for the top support supplement. For > the booty magic, it contains maca root,
My quarrel with the video (I've seen it before) -- if I can get past their several misspellings of "mammary" in the diagrams -- is that the computerized image of the glandular tissue makes it look like a bouquet of ataulfo mangos are inside the breast making milk. I don't think the glandular matter is anywhere near that distinct. (And, I like models, videos ,and drawings that are more diverse, and reflective of humankind.)
Video is from The Institute of Human Anatomy. 13 minutes (of which the last 3 are an ad for Brilliant). Would be good to use in a class or as a supplement to a class for students to watch on their own. Warning: actual cadavers used in video, so if that makes you squeamish, maybe skip it.
Sending photos of breastfeeding mothers sends a signal for caution. An article in the Chicago Tribune for which I was interviewed details a social media scam where a person posing as a "lactation consultant" offered help by requesting mothers send photos of their breasts and faces in order to receive a consultation. While social media and Facebook sites are popular places to seek lactation help, they are also opportunities for predators to take advantage of vulnerable mothers. Parents should be alerted to this scam and others like it. See https://www.chicagotribune.com/2024/05/05/breastfeeding-moms-sent-naked-photos-videos-to-purported-lactation-consultant-on-facebook-now-they-fear-it-was-a-scam/?share=aoioicanhdocfatnnawm
You're right that pictures are useful in clinical discussion (and I'm sure these are alarming). It's not clear how many days this client has been home, and that she was sent home because there had been a lot of progress on her condition. Was she contacting you because she isn't seeing improvement? If things are getting worse, one to two weeks might be too long wait to followup with her doctor, and, even more important, referrals to the right specialists in wound care/infectious disease, etc.
Treated with IV Vancomycin x 5 days. Aspirated x2. Sent home on Cephalexin. To see Dr in 1-2 weeks. These pictures look like necrotic tissue. Am I making it worse than it is? This is located on underside of the breast
I am talking with a 2nd time, experienced breastfeeding mom. She has a 6 week old baby, supposedly feeding well, but last week admitted to ER with mastitis. Hospitalized. Started on Vancomycin IV x 5 days. Aspirated via ultrasound x 2. Discharged day 5 on Cephalexin m. She is cleaning site daily. Return in 1-2 weeks to her Dr. She continues to breastfeed from this breast w/o difficulty. ( I have no idea how). She has sent me these pictures from today. I feel not enough is being done! The breast tissue looks necrotic. I would love a few better
> On 24 Apr 2024, at 2:01 pm, LACTNET automatic digest system <[log in to unmask]> wrote: > > There are 2 messages totaling 100 lines in this issue. > > Topics of the day: > > 1. More musing on breastfeeding products (2) > > Lactnet Archives are at: > LACTNET Archives http://community.lsoft.com/archives/lactnet.html > To Manage your Subscription, ie go nomail, index, etc, go to: > http://community.lsoft.com/archives/lactnet.html > > Thanks! > > LACTNET Facilitators > Kathleen B. Bruce RN, BSN, IBCLC > Rachel Myr, midwife, IBCLC > Kathy Koch PhD > Linda Pohl > Karleen Gribble PhD > Norma Ritter, IBCLC >
I was talking with my family about the commercialization of breastfeeding, and my kids pointed out that there are probably influencers, sponsored by companies, peddling all this stuff to their viewers on Tik Tok or wherever. When mothers search "breastfeeding help," that's what pops up, so this stuff is what they think will help. They don't know any better.
A lot of colleagues are making videos for social media with information - but given the nature of media, whatever you create must be SHORT, so it cannot be anything else than superficial. Parents are overwhelmed with information.
But information without context, such as the short reel on instagram or equivalent on tik tok, even when it is correct, is more disturbing than useful, I think. You (parent) think you know, but you don't understand that you lack the experience to put information in perspective and transform it into useful knowledge. Because you think you know, you don't see the
This seems like a situation that Dr Katrina Mitchell may be able to weigh in on. I believe that she is reachable through iable. She is affiliated with the Ridley Tree Cancer Center. She is a breast surgeon as well as an IBCLC. Holding good thoughts for this mama.
Mimi Leza BSN, RN, PHN, IBCLC Ventura, Ca., USA Sent from my iPhone Sent from my iPhone
I am NOT a breast surgeon, but I would imagine that no breastfeeding will take place if that left breast is going to be operated on. And any future breastfeeding possibility is compromised.
A 17-month old is still very young and with all the recent trauma this family is going through, probably not ready to wean yet. (imagine if this child was going to breastfeed till 3 or 4 years, she's only halfway at this point)
Many good points already made on a difficult situation. Even if this breastfeeding parent weaned abruptly today -- which she does not want to do! -- in one month post-weaning, the functioning breast would likely not involute completely back to its resting state, which would improve the chances in an attempt to surgically match it to the reconstructed breast. There are many layers to this question -- and everything in the situation is being driven *not* by medical concerns, but by the insurance requirement on the surgery's timing. Is there any way to appeal that ruling? Perhaps with a
Every reduction I have seen involves the removal of the nipple and reattachment. I would be shocked if they allow suckling on the reattached nipple. If they are able to do a reduction without the removal of the nipple it could be possible. However, the resulting reduction would probably not be as aesthetically pleasing. I wish her the best in such a tough situation.
What a really sad and difficult situation. I'd just like to add to Rahmat's excellent points, that the size of the left breast during breastfeeding, particularly unilateral breastfeeding as is happening now, may bear little relation to the size of the breast six months on from when weaning has taken place, whenever that is. One month wont be enough. So to do a reduction on a recently lactating breast is unrealistic. I would want a second opinion about the likely outcome of reduction surgery now from a breastfeeding-savvy surgeon, rather than just a plastic surgeon. And surely the insurance company
I want to ask you about your experience with breast reduction surgery during breastfeeding.
A breastfeeding mother had breast cancer and a total mastectomy on her right breast. She has an expander in her right breast now.
She is now having the final implant placed in her right breast and her surgeon has proposed reduction surgery on her left breast to make them more symmetrical. Her left breast is larger than the breast size she will have with the implant in her right breast. That is why
I'm looking for an HIV-savvy IBCLC in Rome, Italy who would be happy to work with a mother living with HIV who is exploring the possibility of breastfeeding. I'm hoping to find someone who would of course be knowledgeable about the special joys and challenges of this scenario.
If you look at the GOLD Lactation Conference line-up, you will see plenty of next generations presenting. They also present in statewide coalitions and in USLCA webinars.
Many have their own businesses and offer courses, training, and webinars. I am on, offering an on-line 20-hour basic breastfeeding course, based on the 2016 US BFHI outline.
You can try and get in touch with Martina Carabetta IBCLC at [log in to unmask]
Micaela
Il giorno sab 6 apr 2024 alle ore 14:43 Nikki Lee <[log in to unmask]> ha scritto:
> Dear Ilene: > > If you look at the GOLD Lactation Conference line-up, you will see plenty > of next generations presenting. They also present in statewide coalitions > and in USLCA webinars. > > Many have their own businesses and offer courses, training, and webinars. I > am on, offering an on-line 20-hour basic breastfeeding course, based on the > 2016 US BFHI outline. > > The new generations are
Nikki wrote: "...We are still fighting, up against a $55 billion/year marketing industrythat buys legislators to influence public policy and sow doubt and fear into the public mind..."
Oh, so true. Saw this story just today: https://apple.news/A3NZEyK8YRBuH1IrAzTxv7A How the U.S. Waged a Global Campaign Against Baby Formula Regulation — ProPublica
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I just got thinking during a recent conference that therebis a propensity of us long time, lactnet originals, first LLL IBCLC’s, that are presenters still. I rarely see a younger LC in this role. What will happen as we all retire as I just did from my Breastfeeding Coordinator role at WIC (still there as an LC)? Who will deliver this awesome information to newer LC’s? I’m concerned 😳
Pamela Morrison <[log in to unmask]> 09:32 (13 minutes ago) to Lactation Liz
Thank you for sharing the IBJ article about commercialisation and co-modification of breastfeeding in the UK. I found it horribly fascinating. One aspect which jumped out at me, being conspicuous by its absence, was that though these British mothers went scouring the internet for all manner of breastfeeding help and 'stuff'/paraphernalia, not one of them thought to look for any help from the very people who could have seamlessly guided them through the confusion of conflicting and overwhelming information - IBCLCs or breastfeeding counsellors. I've just googled "Breastfeeding help, UK"
I see a lot of moms in a forum I’m a part of ask for breastfeeding and other advice from other mothers and never consider a lactation specialist. I don’t know about the UK, but here in the US it is difficult to access that support without insurance, and even then only IBCLCs can accept insurance. Counselors are basically only out of pocket.
I was musing about the problem of mothers pumping so often that they give themselves over-production. It seems to me that what we're seeing is the commodification of breastfeeding.
When you formula feed, there is an obvious commodity, and someone's making money off of it.
When you breastfeed, who makes money? Pump companies have stepped into the profit void, making money off what could have been free or cheap.
This lovely open-access article (link below) from 2020 discusses the impact of commercial influence and persuasion techniques, and parents' experiences with lactation ... and what gadgets and products they felt they "had to have."
While definitive research on flange sizing has yet to be conducted, an article in Clinical Lactation might be of interest on this topic. See: Higgins, A.F. (2022). Flange sizing recommendations for frequent breast pump use. Clinical Lactation, 13(3), 159-169.
This study is interesting but the authors are funded by Medela. Sakalidis VS, Ivarsson L, Haynes AG, Jäger L, Schärer-Hernández NG, Mitoulas LR, Prime DK. Breast shield design impacts milk removal dynamics during pumping: A randomized controlled non-inferiority trial. Acta Obstet Gynecol Scand. 2020 Nov;99(11):1561-1567.
Jeanette Mesite Frem and her colleague gave a poster presentation at the recent ABM conference about their research on flange sizing.
Jeanette has made flanges, pumps and gadgets her niche in the lactation care world and a thorough job she has done too!! She has met with personnel at various pump companies seeking to improve available options for our clients, and offers both in-person and on-line education. Her website is BabiesinCommon.com
There is a research project which should be publishing results soon.
But more importantly- where did the size 24 come from? Where is the research?
As I understand it, a man in the 1800s developed a pump and made the piece 24 mm. When the first big electric pumps were developed, from what I understand the pump develops (Ameda etc) stayed with that number. Was it baby mouth circumference. I have no idea where 24 came from? Now that we have so many women pumping with electric pumps, some exclusively, with all sorts of results, pain, damage to nipples etc.
Medela is a WHO Code violator - no one should be turning to them for breastfeeding information, especially LCs.... Ingrid IBCLC, LLLL On Mar. 14, 2024, at 5:35 a.m., Donna More <[log in to unmask]> wrote: Hello all. Can someone please direct me to research support the current trend to measure nipples for breast shield sizing? Apart from the recent Medela webinar, I can not find anything. Thank you. Donna *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2.
Hello all. Can someone please direct me to research support the current trend to measure nipples for breast shield sizing? Apart from the recent Medela webinar, I can not find anything. Thank you. Donna
This is indeed a difficult situation, and and you're digging deep in the toolkit! Were there any clues in the small improvement she noted? Women have very individual reactions to a pump, and sometimes it helps to track what exactly seemed to play into the better sessions. What made her feel it was an impending plugged duct when it resolved with gentle massage in the next feeding, rather than just a full area?
I have no experience to share about POTS and breastfeeding, but my teenage daughter had a severe and protracted POTS following a head injury and so I can deduce some potential issues.
Fluid intake is encouraged and so would be of particular importance with a breastfeeding mother. A high salt diet is often recommended but this would not influence the sodium content of the breastmilk
I am hoping to tap into the global network that is LactNet is for a friend of mine.
She is expecting a baby mid-April and lives in Cali, Valle del Cauca, Colombia. My friend is looking for an English speaking doula and lactation support provider or group, not necessarily the same person, to help her through the birth and postpartum.
Lactnet is just a trickle of messages now, but its archives are often useful. While it will create a very long post, I'm copying my 2021 reply on this very question -- you've already offered many of these ideas! Your client previously got an easier, larger pump output, possibly during the more engorged early weeks? Now she's more in balance with her thriving baby and trying to wedge in pumping sessions in between frequently feeding a young baby. When she's back at work, she'll likely be more full because she's harvesting accumulated milk that the baby would have
I have permission to post. I have a mother whose baby can transfer 5 oz when breastfeeding but unable to get more than an ounce when pumping. (Spectra)This began a week ago when she decided to do more pumping in prep for returning to work. She gets a single spray of milk when previously she saw multiple pores spraying. We tried different sized shields- decreasing sizes and increasing, using HOP, heat, massage, going back and forth from side to side while pumping one side at a time, power pumping, with no improvement. She is going home and plans to watch
> Date: Sun, 3 Mar 2024 13:25:34 -0500 > From: Lisa Bell <[log in to unmask]> > Subject: Unresponsive to pump > > I have permission to post. I have a mother whose baby can transfer 5 oz > when breastfeeding but unable to get more than an ounce when pumping. > (Spectra)This began a week ago when she decided to do more pumping in prep > for returning to work. She gets a single spray of milk when previously she > saw multiple pores spraying. We tried different sized shields- decreasing > sizes and increasing, using HOP, heat, massage, going back and
Thanks everyone for your suggestions. I had her trying everything that was suggested. She did have some improvement but still wasn’t able to empty with the pump. She called me today and said that she noticed that she was developing the beginnings of blocked ducts that disappeared with massage while nursing. She is going to try taking lecithin. Not sure if this is the cause or the result of the milk stasis but we shall see.. Thanks for all the help both on lactnet and with emails!
For resistant blebs, after trying and failing with the usual management, I prescribe a medium strength topical steroid cream, 3 times per day for 5 days. In the small amount of literature on blebs, they seem to be made of inflammatory and descamated tissue, so it makes sense and usually works well. If medical prescription is not in your scope of practice you'd have to refer to someone who can.
Anxiety and pressure to do many things (some self imposed). Pumping is something they can control and I believe many people find storing that much milk empowering.
Fear of BF not working out and/or low supply.
Outdated info - many people are pumping to get out the plugged ducts they read about. Lumps are interpreted as plugged ducts and they want to get them out and avoid mastitis.
My first thought is the obsession with using a Haakaa and oftentimes also doing extra pumping because of the ‘need’ to have a stash. But Haakaa is my first guess…
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On Wed, Feb 28, 2024 at 10:02 AM Kristen Bell <[log in to unmask]> wrote:
> Hi > > I have been an IBCLC for 15 years and through the beginning of my practice > I rarely or I frequently saw oversupply issues. > > Since last Spring I am seeing this all the time! I run weekly > breastfeeding clinics and I have patients with this issue every clinic.
Latch not deep and comfortable enough Hakaa Unnecessary pumping Unnecessary galactogogues Following breastfeeding apps instead of learning the baby's cues Timing feeds Not actually breastfeeding, rather bottle-feeding breastmilk Feeding their freezers because from day 1 the moms are stressed about returning to work and I've heard some IBCLCs advise to start pumping as soon as possible! There are probably more to add to the list but in my experience these are the commonest,
Jobs are more demanding post-covid, childcare is more expensive, inflation has made EVERYTHING more expensive, homes are more expensive, stress has increased, social media advice increasing mental load...etc.
I do advise that some moms start to pump and store whenever they want (and that was something that I had to do myself). This helped me mentally and I am still using that stash for supplement now that I am 10 months into my breastfeeding journey and the demands of my own job have required that I supplement. I do not advise driving
Hi, I have been finding a lot of clients using Hakaa style pumps during all of their feeds, or just unnecessarily pumping because they think they need to ‘stockpile milk’ in the freezer. A lot will leave their Hakaa pumps on for the entire feed, putting it on one breast while baby feeds on the other. I feel like that has been the biggest change in trends the last few years leading to oversupply.
From what I see in mom forums, many women mistakenly think they have a low milk supply after initial engorgement improves and volume stabilizes to meet their baby’s needs. They are panicked about a decreasing supply. The advice from other moms is almost always focused on increasing production.
I had/have an actual oversupply and even I had a brief moment when I worried about a decreasing supply. I took measures to manage engorgement, and even though I and baby were much more comfortable I questioned whether everything was ok. I have knowledge to keep me on track, but moms are
Biggest change around here is Spain I´d say is also the Haakaa..
ALso, in my clinical experience I agree with Shauntée, in that quite a few women with oversupply that I have worked with are reluctant to really lower their supply! It is a difficult emotional situation to support, because on the one hand they are clearly suffering (they and their babies) with the oversupply), but also they are very afraid of a low milk supply, and they consider a "normal" milk supply to be low, when they compare it to their previous excess. These patients take a lot
I had to work on reducing my supply to make myself and baby more comfortable. It requires trust in the process and physiology that many do not have.
I don’t think it’s enough to be able to hire a lactation specialist. We don’t live in communities where breastfeeding is common intergenerationally so the wisdom, experience and reassurance isn't there to help with the trust part. Those middle-of-the-night worries can’t be calmed only with professional help in my opinion.
Strengthening our volunteer support networks remains a very important aspect of helping breastfeeding women. It seems like so many of those wanting to help mothers immediately gravitate towards becoming IBCLCs whereas when I first started as a LLLL, I was very busy and helped a lot of families and we had a robust network of volunteers. Of course, so many volunteer organizations have seen their numbers and outreach diminish over the years for a variety of reasons. But I still think that the MTM connection can be so impactful.
> > > Date: Mon, 25 Mar 2024 13:10:54 -0600 > From: Sharon Knorr <[log in to unmask]> > Subject: Re: Oversupply > > Strengthening our volunteer support networks remains a very important > aspect of helping breastfeeding women. It seems like so many of those > wanting to help mothers immediately gravitate towards becoming IBCLCs > whereas when I first started as a LLLL, I was very busy and helped a lot of > families and we had a robust network of volunteers. Of course, so many > volunteer organizations have seen their numbers
I have been an IBCLC for 15 years and through the beginning of my practice I rarely or I frequently saw oversupply issues.
Since last Spring I am seeing this all the time! I run weekly breastfeeding clinics and I have patients with this issue every clinic. I have racked my brain to figure out why this is but I cannot figure it out.
The article about pseudoephedrine and milk production was published in 2003 in the British Journal of Clinical Pharmacology, https://doi.org/10.1046/j.1365-2125.2003.01822.x <https://doi.org/10.1046/j.1365-2125.2003.01822.x>
There are a number of articles related to this one. I only had a hard copy from prepublication dated 2002.
I hope this is useful,
Ruth Berkowitz, IBCLC; ABA breastfeeding counsellor & breastfeeding educator (CertIV); Diploma of Breastfeeding Management; CertIV trainer & assessor; Grad Dip (counselling); MLS; B Sci (ed) Partner Greg; mother to Deb & Nate; grandmother to Freja & Pema and Margot
Hope it's ok to ask this on here. My family and I are moving back to the UK this summer after almost 20 years in San Francisco. I am currently working as a Lactation Consultant in a hospital setting (inpatient, outpatient, teaching classes, facilitating support groups.) I have an IBCLC credential, but am not an RN. I am hoping some UK based folks would be willing to chat with me about how/where to begin to look for an LC job there.
Re: Let's say you're pregnant, and you have a cold, so you take pseudoephedrine. You're not breastfeeding yet, but can the drug interfere with milk production after you give birth? How long before you give birth might it affect milk production? Can it affect colostrum production? The answer is five half-lives, which would be up to approximately 24 hours after you stop taking pseudoephedrine. Yes; it could affect colostrum production if taken during that time. I doubt any mother giving birth would be taking pseudoephedrine during that time, in any case.
I believe in the research that Peter Hartmann's team did many many years ago, they found that supply returned shortly after stopping the pseudoephedrine.
I'm replying without my files, but will look up the date and title. I do know that they stopped the research at the pilot study because they found milk supply dropped so much.
I have a cold and am taking pseudoephedrine, which made me wonder about this.
Let's say you're pregnant, and you have a cold, so you take pseudoephedrine. You're not breastfeeding yet, but can the drug interfere with milk production after you give birth? How long before you give birth might it affect milk production? Can it affect colostrum production?
Hi everyone, I would love to obtain these old articles to glean their insights. They are all non-English. Might someone out there have access to one or more of them? Thanks, Lisa Marasco
Gynakol Geburtshilfliche Rundsch. 2004 Oct;44(4):233-7. [Natural remedies during pregnancy and lactation]. [Article in German] Gut E1, Melzer J, von Mandach U, Saller R. Author information 1Abteilung Naturheilkunde, Departement innere Medizin, Universitätsspitals Zürich, Rämistrasse 100, CH-8091 Zürich, Switzerland. Abstract Up to date there is a lack of systematically gathered data on the use of natural remedies (phytotherapeutic, homeopathic, anthroposophic, spagyric, Bach and Schussler remedies) during pregnancy and lactation.
Anyone have any idea whats going on with this? My DIL is expecting and just asked me if I knew anything about this and how it differs from "regular" bfing. I hadn't even heard of it so asking my mentors here - what's up. Looks to me at first glance that it is nothing more than preying on vulnerabilities of new moms. My DIL has a hx of insufficient milk supply due to lack of glandular tissue and she is, of course, intrigued.
To my view: This is well-marketed commodification of lactation support.
From their website: "Simply put, The Thompson Method, is a gentle, evidence-based approach to birth and breastfeeding, which reveals strong links between the way a woman’s birthing experience unfolds and her subsequent breastfeeding journey."
That sounds a lot like what I know, and can do, as an IBCLC. From the IBCLC Commission: "International Board Certified Lactation Consultants (IBCLCs) are important members of the maternal-child health team specialising in breastfeeding care.
I have not personally taken the course but I have had patients that have. From what I gather it basically teaches the basics of infant feeding- talks about laid back position, letting baby self latch, feeding on demand, etc.
My concern about the program is it doesn’t allow for any exceptions if baby isn’t feeding well in that one position or if baby has any other issues. From what I have seen -it basically says not to let anyone help you and just keep doing the same thing. The worst case I had from this method was a patient with
Hello all, I've searched the archives and was not able to locate any information. I was part of a weekly clinical care meeting at work and someone presented the query that one of her patients (currently lactating, not sure of infant age --<3 months most likely) wanted to know if it was okay to do a session in a hyperbaric chamber. We were not sure and suggested holding off on the session until we can research the issue. I'm hoping you all will be able share your wisdom with us. Kindly, Leslie
A procedure which uses a chamber that is pressurized with oxygen where the patient is introduced who needs to increase the amount of oxygen in the blood. Indicated in poisonings with carbon monoxide (CO), decompression sickness from diving, very serious infections and gas embolism (MedlinePlus 2016).
It has been used in the neonatal period (Sánchez 2013, Hsieh 1999), breastfeeding mothers (Guler 2015) and in serious complicated mastitis (Belokurov 1984).
Hi everyone,I was hoping that someone here could point me to a document or website that describes the supplementary nature of WIC's infant formula provision- i.e. that they give enough to often fully formula feed initially but then it is not sufficient as the infant gets olderThanks so much for your assistance.Kind RegardsKarleen
WIC (Women, Infants, and Children Supplemental Food Program) celebrates its 50th anniversary in 2024. It is a United States federally funded program under the USDA. In answer to your question RE WIC infant formula provision: WIC is a supplement to both the foods they offer to children and mothers (regular milk, eggs, cheese, fruit and vegetables, cereal, juice, peanut butter and dried beans) as well as formula. Meaning the program does not offer nor is allowed to provide 100% of an infants formula need from birth to 1 year. Federal mandate only allows a specified amount based on infants age
Hi, Karleen, WIC is a labyrinth, and hopefully, someone on Lactnet with WIC will respond. Here is one description I found--scroll down on the site to reach the infant formula provisions. WIC is administered by the US Agricultural Department (USDA).
WIC Food Packages - Maximum Monthly Allowances | Food and Nutrition Service
Yikes, I didn't realize the website link would not post, Karleen! Sorry for cluttering the list.Here it is again (unformatted). If this doesn't work, google "wic food package infant." fns.usda.gov/wic/food-packages-maximum-monthly-allowances Best wishes, Anna Swisher
Free for shipping cost within USA: The Lactation Consultant in Private Practice by Linda J. Smith. Good book, but I no longer need it, and it would be useful to someone else.
Question. Is there any reason I should keep records of my past clients now that I'm no longer an IBCLC and seeing clients? It's been 2 years since my last client. Can I just shred it all? Most of it is on paper. Some computer records, all of the reports I sent to doctors. Any reason to not delete it all?
Now that I have cleaned my sputtered coffee off my computer screen, I can more quietly and calmly address the Q of how long to retain medical records after a health practitioner (like an IBCLC) is retired from active practice.
How long to safely keep records is not designed to suit the practitioner's convenience, but to preserve the rights of patients/clients to sue for redress of injuries even years down the road (!). Since we work with minors, some states require records be kept until that child grows to 21 (or more) years of age.
Thanks for the info, Liz. Now I'm even more glad I didn't re-up.
The spit take comment was unnecessary.
Julie Tardos
On Wed, Dec 6, 2023, 3:48 AM Elizabeth Brooks <[log in to unmask]> wrote:
> Now that I have cleaned my sputtered coffee off my computer screen, I can > more quietly and calmly address the Q of how long to retain medical records > after a health practitioner (like an IBCLC) is retired from active practice. > > How long to safely keep records is not designed to suit the practitioner's > convenience, but to preserve the rights of patients/clients to
This is a topic of great general interest, so let's keep the discussion here!
It's sometimes hard to realize how quickly the "silent revolution" of wide-spread pump use has taken place, with very little broad-based, commercial-conflict-free research (particularly concerning families with healthy term babies) examining the designs, efficacy, and comfort of the products that people are depending on, in this booming, only-lightly regulated market. If you haven't done a search for "breast pump" lately, go there now!
Naomi has asked about breast pump efficacy and there are certainly many published articles on breast pumps and expressing milk. You might find some of the information you are asking for in the upcoming issue of the journal Clinical Lactation. This special issue is specific to breast pumps and pumping. It should be out soon.
I am looking for research studies and review papers on breast pump use and efficacy, primarily in the US, for full term healthy babies. 1. Who uses pumps? 2. What kinds of pumps are used? 3. What is their impact on breastfeeding exclusivity and duration? 4. What is the impact of ACA pump policies? 5. What do moms say about pump use?
On Tue, Nov 7, 2023 at 10:00 PM LACTNET automatic digest system < [log in to unmask]> wrote:
> There are 4 messages totaling 128 lines in this issue. > > Topics of the day: > > 1. Re" Origin of the expression "On demand feeding" (2) > 2. Center for Breastfeeding Information Research Library (2) > > Lactnet Archives are at: > LACTNET Archives http://community.lsoft.com/archives/lactnet.html > To Manage your Subscription, ie go nomail, index, etc, go to: > http://community.lsoft.com/archives/lactnet.html > > Thanks! > > LACTNET Facilitators > Kathleen B. Bruce RN, BSN, IBCLC > Rachel Myr, midwife, IBCLC > Kathy Koch PhD
Felicia, The term "on demand feeding" was around in the mid-1960s in Australia and New Zealand when it was used in State-run maternal and child health circles (and in some areas and by some individuals frowned upon), but I don't know how many years before that as I don't have all my old notebooks from my research for my PhD. The notebooks from my research are in one or other box since I moved a while ago.
Thanks to those of you who helped pave the way to successful breastfeeding for millions of babies and moms by discouraging scheduled feedings. I used to describe my toddler's feeding style as "nursing on command". I had a very insistent child!
I begged for the La Leche League library for several years after they closed it in 2005. In 2009 they gave it to me....it only cost me a lot to have a trailer truck deliver 7 very large files and lots of boxes of books and paper articles. I have spent the time since in databasing and scanning 45,000+ research articles and resources. Like we have all of JHL, Clin Lact, BF Med etc. I don't have copyright permission to share. Would love to get a grant for copyright or have my local University adopt the CBI! I was able
Thank you so much, Pat! This is a crucially important endeavor, and those of us who know the value of institutional memory and primary documents/sources owe you a huge debt. I'll email you with some ideas :-) LLLLove,Anna Swisher (In Texas, north of Austin)
Date: Mon, 6 Nov 2023 23:47:20 +0000 From: PATRICIA YOUNG <[log in to unmask]> Subject: Re: Center for Breastfeeding Information Research Library
Pat, Thank you for all your efforts to rescue the CBI from oblivion. That was no small feat, over years. Finding a new home for this resource is a project in itself. Brainstorming a couple of ideas.
Finding a university library to take this over is a great idea, but which one? I seem to recall that there is one university that has a program in lactation science/lactation education, but can’t remember where it is.
I am pretty sure it did come from La Leche League. When they began all feedings (breast or bottle) were on a strict 4 hour schedule, yes even for a newborn, and if the baby was hungry before 4 hours. Well you obviously don't have 'enough' milk so switch to bottle/formula. La Leche League were the first to say maybe the baby is hungry and expecting a tiny newborn to wait hours is a bit excessive. So they came up with the idea of feeding the baby when they seem hungry. The name is also used as cue feeding, on
There are great clinicians and researchers all over the world whose first language is Spanish and who often feel that English is a barrier for both publishing their papers and for reading scientific articles.
After a lot of hard work, I am proud to announce the launch of the Revista de Lactancia Materna, a scientific journal published by Ediciones Universidad de Salamanca and promoted by AELAMA (Asociación Española de Promoción y Apoyo a la Lactancia Materna), with the support of BFHI Spain and of AECCLM (Spanish IBCLC Association), which aims to disseminate research papers, literature reviews, recommendations and
On Friday, November 3, 2023, 5:18 AM, Carmela Baeza IBCLC <[log in to unmask]> wrote:
Hi everyone!
There are great clinicians and researchers all over the world whose first language is Spanish and who often feel that English is a barrier for both publishing their papers and for reading scientific articles.
Hello Kika, That is really great! that is amazing! Even if I do not speak Spanish (just one year of Spanish courses), I will be happy to have a glance at it! I just had! (I will just be careful of automatic translators LOL); That is a wonderful idea, and what I wish to add: I appreciate the notion of open source - free; Best, Françoise
How exciting! Would it be possible to add the [log in to unmask] to the mailing list?? I would LOVE to be able to add each issue to the Center for Breastfeeding Information Reseach Library database! Thanks, Pat Young, APN, IBCLC, LLLL On Friday, November 3, 2023 at 06:58:20 PM EDT, Nuria Solano <[log in to unmask]> wrote:
Kika, This is wonderful news and so important. Thanks to you and your colleagues for all the hard work you, your colleagues and partners did and are doing to make the evidence of our evidence based practice available in Spanish - and at no cost to the reader!
The link provided for Karleen's article needs a "dot" (aka period) before the "org" to work.
Thanks!
Margaret Wills, Maryland, USA
> Date: Sat, 28 Oct 2023 16:08:33 +1100 > From: Karleen Gribble <[log in to unmask]> > Subject: New paper on breastfeeding and gender equality > > > Hi Lactnetters, > Together with others, I have recently had a paper published on the > subject of breastfeeding and gender equality. It might of particular > interest to those involved in advocacy with governments and other > policy makers and assist in avoiding gender equality initiatives > undermining the ability
The link provided for Karleen's article needs a "dot" (aka period) before the "org" to work.
Thanks!
Margaret Wills, Maryland, USA
> Date: Sat, 28 Oct 2023 16:08:33 +1100 > From: Karleen Gribble <[log in to unmask]> > Subject: New paper on breastfeeding and gender equality > > > Hi Lactnetters, > Together with others, I have recently had a paper published on the > subject of breastfeeding and gender equality. It might of particular > interest to those involved in advocacy with governments and other > policy makers and assist in avoiding gender equality initiatives >
Hi Lactnetters, Together with others, I have recently had a paper published on the subject of breastfeeding and gender equality. It might of particular interest to those involved in advocacy with governments and other policy makers and assist in avoiding gender equality initiatives undermining the ability of women to breastfeed their babies (which unfortunately is quite common). Reference and link is below, Gribble, K. D., Smith, J. P., Gammeltoft, T., Ulep, V., Van Esterik, P., Craig, L., Pereira-Kotze, C., Chopra, D., Siregar, A., Hajizadeh, M. & Mathisen, R. 2023. Breastfeeding and infant care as ‘sexed’ care work: Reconsideration of the
Hi Lactnetters, I thought that the below article I coauthored for mothers and those supporting them during disasters on how to keep breastfeeding through emergencies (and explicitly addressing that stress does not impact milk production) might be of interest. https://theconversation.com/no-stress-wont-dry-up-your-milk-how-to-keep-breastfeeding-your-baby-in-an-emergency-205031 Kind RegardsKarleen GribbleAustralia
> > Torbangun has not be the Western-identified scientific studies, but as it > has been a tradtitional medicine by the people in Indonesia for > generations, it will be safe for the nursing parent.
I would suggest finding a Traditional Medicine Person (TMP) from Indonesia to ask if there are side effects, drug interactions, of which to be aware. Our TMP we work with on my Reserve has expensive knowledge about drug interactions, far more than doctors know.
Has anyone worked with a mom trying to increase milk supply with an herb called torbangun? Also know as coleus amboinicus. There are very few studies done on this herb so anecdotal input would be helpful.
Thanks.
Anne Duret RNC IBCLC Sacred Heart Medical Center Springfield, OR
Years ago had a co-leader that this happened to, with all her pregnancies. She was able to just nurse off one breast until they self weaned. She tried pumping that breast in between feeds with a hospital grade pump, it never came back.
I have a mom with a 7 month old who says baby nurses well from both breasts but milk has ceased from one breast. She has been nursing more and pumping that breast with no results. I suggested she contact her provider, they had told her to contact me. I can find no info in any reference books regarding this situation. Can anyone advise??
On Thu, Sep 28, 2023, 8:14 AM Carol leonard < [log in to unmask]> wrote:
> Permission to post. > > I have a mom with a 7 month old who says baby nurses well from both > breasts but milk has ceased from one breast. She has been nursing more and > pumping that breast with no results. I suggested she contact her provider, > they had told her to contact me. I can find no info in any reference books > regarding this situation. Can anyone advise?? > > Thx, Carol > > ***********************************************
Hello! Does anyone have recommendations for a Speech Thrapist who knows how to support babies with cleft palate to breastfeed? I have a family here who has simply been told by the cleft palate team that they have never seen any cleft palate baby breastfeed. Baby has a cleft soft palate, and had actually latched successfully a few times. And induced a MER on the 3rd day. But then the cleft was discovered. They were immediately given the Dr Brown bottle where baby only has to bite to get milk, and the suck became extremely disorganized after. We have not
Hi everyone,I'm looking for information for a presentation I'm doing, I've contacted IBLCE and their response was they don't have this info. I'm looking for the number of IBCLC's in the USA and territories in the year 2000 and if available from the original test year in 1985. Thank you for any help.Donna Goggin-Dolwick, BSN, RN, IBCLCMichigan, USA
According to this document https://journals.sagepub.com/doi/10.1177/089033449000600240 in 1985 (which I believe was the first exam) 259 folks took the exam and 94.6% passed which by my calculation means there were 245 IBCLCs after the 1985 exam. There is no breakout by country.
The 2000 document https://journals.sagepub.com/doi/abs/10.1177/089033440101700213 does not tell the total number of IBCLCs. It does state that 1862 folks took the exam, 919 from the United States. Overall 1635 passed.
Hi Donna, I took exam as IBCLC in 1985 and worked as a IBCLC in local hosp. 1986-1991, got Ped APN in 1994 and worked in ped office for 25 years. Have been a LLLL since 1967. have 2 mtgs /mo at my home and see mothers and babies with issues as a volunteer because I maintain my license and ins. and can dx and refer. I have also run the Center for Breastfeeding Information Research Library since receiving it from LLLI in 2009. We have 45,000+ research and resource articles databased and scanned. Pat Young, APN, IBCLC, LLLL PS
> On Sep 16, 2023, at 12:01 AM, LACTNET automatic digest system <[log in to unmask]> wrote: > > There is 1 message totaling 125 lines in this issue. > > Topics of the day: > > 1. Buffy, funny story > > Lactnet Archives are at: > LACTNET Archives http://community.lsoft.com/archives/lactnet.html > To Manage your Subscription, ie go nomail, index, etc, go to: > http://community.lsoft.com/archives/lactnet.html > > Thanks! > > LACTNET Facilitators > Kathleen B. Bruce RN, BSN, IBCLC > Rachel Myr, midwife, IBCLC > Kathy Koch PhD > Linda Pohl > Karleen Gribble PhD > Norma Ritter, IBCLC
Lactnet has been tackling important topics in our field in recent posts. As a little diversion -- Just wanted to share a lovely and diverse set of vintage photos of a grand tradition:
Thank you for sharing that compilation of amazing vintage breastfeeding photos. The following is a lovely interview I found of Buffy on the subject of the 1977 episode of her breastfeeding on Sesame Street: https://www.youtube.com/watch?v=OzWxY-Yaf8U
*Headline in MedPage Today: "Study Links Being Breastfed to Cancer Risk in Adulthood"*
https://www.medpagetoday.com/gastroenterology/coloncancer/106253?xid=nl_mpt_morningbreak2023-09-11&eun=g1088585d0r (I enjoyed the comments section, but was not successful in adding my own...hopefully, some of you will have better luck doing so.)
*Actual Article Title in CGH Journal: "Being Breastfed in Infancy and Risk of Colorectal Cancer and Precursor Lesions"*
Thank you Rebecca; my question would be: what kind of breastfeeding it was? I remember in 2000 (I have this memory because I had had a phone conversation on this topic that year), one used to say mixed feeding or understand breastfeeding + formula enhanced the transmission of HIV. And the problem came from the formula.
This discussion has been collegial and professional.
I am remembering the original definition of "evidence-based medicine" ; my source is the folks at Johns Hopkins. Evidence based medicine is a blend of research findings, clinician experience and patient concerns and values.
I had my own personal clinical experience dismissed by one of the authors of the new protocol.
Some things I have seen that all (Anne, Pam, Monica) are agreeing on, and could be helpful in the clinical management: - There is far too much antibiotics prescription on mastitis that probably is not bacterial, but an inflammation through pressure (too much milk, edema, false positioning etc). - The idea of one plugged duct has to be evaluated - since they are far too small to be felt individually - Deep massage is harming the tissue and contributing to the inflammation, so should not be recommended - Too much pumping may aggravate
Thank you for your kind response and I will give your praise further to the Protocol Committee. It is difficult, but through discussions like this we bring the field forwards.
Elien
Elien Rouw
Im Wasserbett 7
77815 Bühl
Tel: 07223-900302
Email: [log in to unmask]
Von: Naomi Bar-Yam Gesendet: Sonntag, 10. September 2023 03:03 An: [log in to unmask]; Lactation Information and Discussion <[log in to unmask]> Betreff: Lactnet Mastitis protocol
Thank you for your clear comments on the mastitis protocol. Protocols and reviews are indeed complex, highly specialized, research is lacking, and often not very good quality. This all makes it quite difficult to write and review protocols for others to use in their own practice.
Thanks to ABM and all those who so generously give their time and expertise to write and review protocols.
To all of the comments that have been written by my estimated colleagues, during those last days, and when there was the release of the protocol, I would add:
Evidences are lacking, and what is really lacking is the medical, AND the clinical aspect, of inflammation thru "hyperlactation", how "hyperlactation" entails some inflammation, how do you want us to explain if we don't have the mechanics; it is just a thing a mom reacted about.... there are other evidences which are lacking.
I am appreciative of all these valuable discussions regarding the controversies around the new protocol.
I am a GP, LLLLeader and IBCLC based in Cape Town, South Africa. I have NO research background. In my clinical experience, around 80% of mastitis cases I've dealt with clear within 48 hours after putting that mother and baby in bed together. Of course assessing for a deep comfortable latch goes without saying, but removing dummies and bottles and pumping is something I've always suggested as its not part of the normal physiology of breastfeeding. And I'm saying this from the perspective
Ellen Rouw, thank you for taking the time and trouble to join the conversation with your ABM President-Elect hat on. I think we all place great reliance on the ABM protocols, and view them with great respect, which is what makes #36 of special concern – it is unexpected for so many of its recommendations to go against the observation, experience and understanding of so many of us who ourselves have worked with breastfeeding mothers for many years, and for whom prevention and treatment of postpartum engorgement, mastitis, or abscess is almost a bread-and-butter matter.
I don't write here often, but this time I want to react, also with my "hat" President-Elect of ABM. Thank you so much for the feedback on this Protocol. We already heared many comments in this direction and we have made a few adaptations in the process of writing and publishing a Protocol. This said, I want also make a few additional comments: 1. The theme of Mastitis is highly complex and it also shows that we have too few sound medical research in this field. For me it shows how women's themes are forgotten in medicine. Google
Of interest to Lactnetters? A commentary by Pam Douglas published by IBJ on the controversial ABM #36 Mastitis protocol, see https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-023-00588-8
Pamela Morrison IBCLC Retired, Rustington, England
Thank you for sharing this, Pamela. I read it cover to cover and it's fascinating. While this is being thrashed out, I would treasure insights on how best to support families in the meantime.
Inquiring minds.... Anna SwisherTexas, USA Date: Wed, 6 Sep 2023 10:24:51 +0100 From: Pamela Morrison <[log in to unmask]> Subject: More on the ABM #36 Mastitis Protocol
I have a mom of a 12 week old with persistent bilateral nipple pain. She has been treated with Clindamycin x 10 days TWICE for mastitis. Has been on Diflucan proper dose x 10-14 days for yeast. Nothing helps. Nipple pain continues. Mom is mentally exhausted! What are we missing???? Loretta Haycook Jacksonville Bch, FL
The sad thing is we won't know how this turns out until those infamts that grow up on this become adults. If short term effects are not terrible, this formula will be used on a larger number of babies and we'll see the effects when it's too late. So, same large scale, uncontrolled experiment as cow milk-based formula.
It is scary what formulations are out there on the internet for home-made, plant-based concoctions for feeding infants. And you mentioned that they are now in shops, too. A couple of years ago, with difficulty, I talked a client out of using one such very involved and questionable recipe, off the internet. (Besides nutrition, a further foreseeable problem was that she might soon find it too onerous to make.) Her baby needed supplementing prior to increasing her supply, as the tiny girl was losing weight - which the Mum was trying not to notice, I worked hard in that consultation!
This might answer your questions. https://formulasense.com/the-formula-sense-blog/the-101-on-pea-protein-baby-formula. Enfamil plant-based formula "replaced" Enfamil soy-based. It is still made with soy.
It has been a "more than few years" that vegetable formulas have arrived, those like rice-based, or almond-based, and I always said to families that we didn't have any retro feedback, no perspectives on the effects in 10 or 20 years -... I just warned families against soy milks (because we had a perspective, like see those countries who had started long before) and/or "absolute special infant" specifications.
I've been seeing a new "plant based" formula on the shelves recently. It has a pea protein base. I'm wondering if anyone here anticipates specific long term problems from this. For example, (one of my textbooks states) there is an associated increased risk of thyroid problems and infertility in women who were soy-formula-fed as infants.
How different are peas from soy beans? They are both legumes. What sort of peas are they talking about and what sort of beans? and what does it mean for a baby to grow on a plant based product and not mama's milk?? Will it make a difference in lifelong growth?. We know for sure it makes a difference in immunity! Pat in SNJU
Hello! We publish a report on a topic for World Breastfeeding Week each year. This year we would like to research the breastfeeding education of healthcare professionals. Please spare a few minutes to answer our survey. https://docs.google.com/forms/d/e/1FAIpQLScEBsVTwUDU-fKgaQXzOdQGwUgWS3F_YckY-fJ1lC8nciOMfw/viewform?fbclid=PAAaZYhEZozEPHeOBzCtGJ6qByOw6XZtpxENTx_ppA1iX_SA0bq1SW3SFkVkU
Thank's! Alba Padró Co-Founder [log in to unmask] +34 606 644 359 <+34606644359> <http://lactappwomenshealth.com> <https://www.linkedin.com/company/15077424/> <https://twitter.com/lactapp> <https://itunes.apple.com/es/app/lactapp/id1040787494?mt=8> <https://play.google.com/store/apps/details?id=es.lactapp.lactapp&hl=es> www.lactappwomenshealth.com <http://lactappwomenshealth.com>
> > > ---------- Forwarded message ---------- > From: Julie Tardos <[log in to unmask]> > To: LACTNET LACTNET <[log in to unmask]> > Cc: > Bcc: > Date: Wed, 28 Jun 2023 21:16:10 -0700 > Subject: Re: LACTNET Digest - 25 Jun 2023 to 28 Jun 2023 (#2023-48) > I've worked with a couple breastfeeding dyads where the baby was tongue > tied AND the mother had over-supply or forceful letdown. The babies were > gaining well because the mothers were driving the feeding. The babies were > struggling because they couldn't use their tongues to regulate the milk > flow, so they were gagging
What is more common in my experience is that the baby rides the milk surge, and does alright for the first few months. Then the lack of complete drainage from the poor latch leads to a faltering in weight gain and a drop in supply around 4 months.
A few of my clients tell me that some providers state that oversupply may be caused by a certain type of suckling by some tongue-tied babies. These clients say that "mother´s body is helping the baby by making a lot of milk, so that even though s/he is not suckling effectively, s/he gets a lot of milk".
I would agree that with a tongue-tie, a baby won't latch correctly; So we do not have a good oral vacuum, breast not well drained, which is one thing, and from the autocrine moment, it can be an issue, not well emptied => won't fulfill a lot. And this is one part of my patients... As an example, I have never seen a mom whose infant is in NICU being plenty of milk with just the baby "not well latched" yet... As an example, I have never seen a mom with a baby badly latched, and her body and
Hello colleagues, I am looking for some up to date information on which countries count breastfeeding / breast milk in GDP and other economic indicator measures. Any references most appreciated.
This may not be of general interest so please reply to me offline.
Ten days ago I had the privilege of hosting Dr NIls Bergman and his wife Jill here in Madrid for a full-day conference about Nurturescience and skin-to-skin/separation zero. Also, I just now finished listening to Raylene Phillips (MD, MA, FAAP, FABM, IBCLC) in her presentation presentation "Building Strong Bonds: The Neurobiology of Parent-Infant Attachment in the NICU."
We are about halfway through Pride Month in some countries around the world. I thought I'd share articles about supporting 2SLGBTQ+ with lactation questions.
2S is a word some queer Indigenous people living in North America use to identify themselves: 2-Spirited. These people were/are highly regarded in our communities.
The JHL has a great study in the May 2023 issue and Protocol 33 from the ABM gives excellent information about how we, as IBCLCs and lactation professionals, can best give support to those asking.
Thank you Stephanie for that wonderful round-up of resources, on providing lactation support to those who are 2SLGBTQIA+!
To fill it out I'll add links to
(1) the Code of Professional Conduct for IBCLCs, now found at the newly-created IBCLC Commission, and esp. the expansively-worded 6.3 ... which makes it an ethical mandate for IBCLCs to provide **inclusive** care:
Hi, I would like to receive all the emails. I believe this might be called the digest to my email. I am new to Lactnet, and I think I chose the wrong one when signing up. I am excited to read through all the information. Would you be able to fix this for me or guide me through the process?
It’s so great to hear about the book making a difference with parents. I really appreciate the recommendation. To answer your question, the Breastfeeding Family’s Guide to Nonprescription Drugs and Everyday Products is available from all booksellers, but here’s a direct link to the publisher’s webpage: https://www.platypusmedia.com/product-page/the-breastfeeding-family-s-guide-to-nonprescription-drugs-and-everyday-products
Looking forward to hearing what you think about this new edition.
I will be at USBC doing a book signing for my new book, "The Breastfeeding Family's Guide to Nonprescription Drugs and Everyday Products, today, Friday, June 9, 2023, at 1 PM. Please come by and see me.
Frank, how best to purchase if we are unable to attend? So looking forward to having your latest and greatest. My previous books of yours were the "last word" of authority with my parents. Some, after speaking with me returned to their pediatricians with added questions. You've always been my best resource and have given many a parent additional confidence and reassurance over many years. Thank you Frank. Most sincerely, Sue Stone
Neither drug has properties that should reduce milk supply. I am not saying it is impossible, but it is not likely. I would investigate anything else that is also occurring at five months.
Hello, Working with breastfeeding dyad with no previous concerns. Baby is 5 months of age. Parent recently started prescriptions of Omeprazole and Rifampin. Mother concerned that meds are affecting her supply. Unable to find any evidence of a known issue with decreasing supply. Seeking any insights from the group.
There is research about their value for working folks; for example, emergency room physicians and physicians in general ( The Impact of Wearable Breast Pumps on Physicians' Breastfeeding Experience and Success BF Medicine 2022) . I can't find any research about their efficacy when compared with other pumps.
I am writing to ask if anyone has research on the efficacy of the wearable pumps to increase milk production, versus the hospital grade or standard personal use double electric pumps?
Judith L Gutowski, BA, IBCLC
On Fri, May 5, 2023, 12:23 AM LACTNET automatic digest system < [log in to unmask]> wrote:
> There is 1 message totaling 36 lines in this issue. > > Topics of the day: > > 1. Infant Formula and the FDA > > Lactnet Archives are at: > LACTNET Archives http://community.lsoft.com/archives/lactnet.html > To Manage your Subscription, ie go nomail, index, etc, go to: >
Customarily pump research is done by the pump companies selling pumps … calling into question the impartiality of any findings.
One you tube channel run by an IBCLC does significant scientific comparison evaluations of BFg equipment, including pumps. You might get some insight there https://youtube.com/@NewLittleLife
Thank you Ina and all the others who have chimed in on this important topic. Ina’s explanation says it well and briefly. I’m sure more info is available on the FDA website.
The bottom line is that infant formula is considered a food and not a drug/medication. The FDA standards for bringing food to market and oversight are very different for food and for drugs. That isn’t going to change any time soon. There is a third category of medicinal food, more recently implemented. Some specialized formulas fall into this category, but not the formulas one can pick up in
Dr Hope Lima gave a talk on supplementation, on various types of formulas. She is a Ph.D. in biochem, is a registered dietician and an IBCLC. www.hopefeedsbabies.com
This is from my notes on her talk which was part of a bundle on the complexities of supplementation hosted by Annie Frisbie IBCLC of www.paperlesslactation.com:
Formulas are not approved by FDA the way drugs are. In other words, they are not tested before being marketed to see that babies do indeed grow on these formulas.
A colleague is looking for information on setting up a telehealth program, not in lactation. If anyone has information on the logistics, SOPs, legal and medical requirements, any resources about these things, please contact me off line.
Infant formula **is** regulated in the United States, but as a **food.** The requirements for making and marketing a food item that is "generally recognized as safe," or GRAS (a regulatory term) is less stringent than for making and marketing medications. Both food and drugs are regulated by the sensibly-named U. S. Food & Drug Administration.
Dr. Julie Smith, has written about the economic value of breastmilk and and the economic costs of artificial breastmilk substitutes over many years. In 2019 She wrote about the carbon footprint of milk formulas and harms to health (International Breastfeeding J doi.org/10.1186/s13006-019-0243-8). In 2013 Dr. Smith wrote about the economic value of breastmilk in gross domestic product (J of Human Lactation doi: 10.1177/0890334413494827).
Naomi asks for thoughts on this piece. She says, in part, "The J Perinatology piece was trying to quantify this for policy makers who need numbers in order to set responsible policies."
How is it possible to put a price, a number, a monetary value, on health and life? On all the aspects of life, including mental health, physical health, environmental health, relationship health and the development of a little human being with a better chance of realizing its potential? How could we possibly put a price tag on every short- and long-term benefit to mother/lactating parent and baby? (As
Nikki, I couldn’t agree with you more. Economics is one lens through which we see the world, a very flawed and inadequate one. And capitalism is also one model of how the world can be.
However, we live in a capitalist society and policy makers use economic models to make policy decisions and direction. We are not in a position to dismantle capitalism and economic models on our own.
Thanks for your thoughtful reply, reminding us of the need for practicality in our work.
Now I am wondering why the costs of breastfeeding make the news, but not the costs of commercial milk formula feeding, with its impacts on infant, child and adult health as well as being a non-sustainable process?
That research has been done, and published....and doesn't make the news.
Nikki, How the media fit into this is an important question. Mostly, you have to “follow the money.” So much of what happens in the US and the world right not is not sustainable, but corporations benefit and they support/fund politicians, news media and also regulatory agencies (google "regulatory capture").
Dismantling the system is a long term project that will require many partners. What to do now? How to move that process forward? Social media is a big step toward democratizing the information channels. It is far from perfect, it can and is also bought by monied interests, but it
Parents.com<http://Parents.com> has an article on the recently published article on cost of breastfeeding. All three of the articles authors were interviewed for this piece.
Most important take-away for me is the breastfeeding is a communal responsibility. The benefits are also communal. The J Perinatology piece was trying to quantify this for policy makers who need number in order to set responsible policies.
There is a lot more here than there was a few years ago.
Warmly,
> *********************************************** > > ---------------------------------------------------------------------- > > Date: Thu, 4 May 2023 21:48:51 -0400 > From: Amy Wagner <[log in to unmask]> > Subject: Infant Formula and the FDA > > Hello Lactnetters! > Hoping someone can help me find some information about infant formula and > FDA oversight. I think it was at one of the ILCA annual meetings that the > guest speaker stated that infant formula never underwent clinical testing > prior to being approved for use in the US. Does
George Kent has written extensively about infant formula and the hoops it has had, and hasn't had, to jump through. "Regulating Infant Formula" is one of the most well-known (published by Hale) but he has been a very prolific writer, and speaker, on this subject - with many many articles and books to his name about how the world views breastmilk substitutes. I just had a quick google, and found a link to list of his publications at
Hello Lactnetters! Hoping someone can help me find some information about infant formula and FDA oversight. I think it was at one of the ILCA annual meetings that the guest speaker stated that infant formula never underwent clinical testing prior to being approved for use in the US. Does anyone else remember this statement? I have searched everywhere and can’t find the research to back it up or the person to quote… and it’s driving me nuts!! Thanks for any tips.
Thank you, Marsha, for sharing the information about that study. Now I´m having a ball checking out the calculator!! https://mothersmilktool.org/#/admin/introduction
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While the Yale study on the cost of breastfeeding seems skewed at best, another study has been published that looks at the cost of not breastfeeding. Entitled, "The volume and monetary value of human milk produced by the world's breastfeeding mothers: Results from a tool."
From the study:
"Global production was around 35.6 billion liters a year. This represents just under half the potential production if women and children 0–35.9 months were universally enabled to breastfeed optimally. Valuing the lost milk at around US$ 100 a liter represents a monetary loss of production of US$ 2.2 trillion annually. The Mothers'
Wide circulation of the Yale study on the cost of breastfeeding could serve to present yet one more challenge to breastfeeding. What about the cost of formula feeding? It is not just the $2000 in the cost of formula. How about the cost of lost days from work to care for a sick child, the cost of doctor visits, medications, hospitalization, medical equipment, specialists, dental care, etc? The burden of excess illness in formula-fed infants and children is a known entity yet seldom factored into the cost of not breastfeeding.
When breastfeeding, how often is one sitting down and doing nothing else?
How often is one doing other things whilst breastfeeding or pumping: running the vacuum cleaner, entertaining a toddler, eating, working on the phone or computer, or sleeping?
One glaring omission is that this multi-tasking ability is not quantifiable.
Don't we wish we could sit down for 3 or 4 hours a day and do nothing else but breastfeed??
Hi everyone In the hospital where I work, we are finding so many mothers having a known history of prolactinoma. Many require dostinex to keep their periods regularly or to conceive. Nearly all of these mothers struggle to build their milk supply and need to mix feed. Does anyone have any tips from past experiences?
Having now read the article the authors are looking at the main cost of breastfeeding calculated as loss of wages while sitting down and either directly breastfeeding or expressing milk. While I laud the look at the minimal cost of a persons worth in economics and their contribution to society and their own personal households, I also know that most breastfeeding persons are not spending 3-4 hours loss of work time from their job every day for breastfeeding.While this is a complex subject hopefully prospective parents and their partners don't look at this and decide "we can't afford $11,000 for
So a cost was imputed to loss of wages- assuming that all breastfeeding parents don't/can't work AND assuming that all formula-feeding parents are going to work. That's how I read what was available to read, and if read correctly, it's pretty crazy. And when framed as a maternal/parental cost only, and not in the context of the dyad or the family, it surely came across as terribly unbalanced.
Hi Donna, Do you have the article itself? It is really hard to know from the Yale newsletter write up what the article actually measures. You are asking important questions, I just don’t know if they are considered in the article. 1. Indeed, moms do multi task when they are breastfeeding. How is that measured in economic models? 2. Formula feeding also takes time and resources. I don’t know if this article is an economic comparison, or an analysis of breastfeeding alone. 3. Babies fed formula can be prepared and fed by others. I don’t know how that is accounted
Hi Naomi,I haven't read the paper from Yale, however I just wanted to say that that with some colleagues I have written a paper (currently under review) that addresses the questions you asked and other issues and *hopefully* presents a blueprint for advocates of women's equality and breastfeeding to use in their advocacy with governments. I will share when it is published.Karleen GribbleAustralia ----- Original Message ----- From: "Lactation Information and Discussion" To: Cc: Sent:Sat, 22 Apr 2023 00:00:31 -0400 Subject:LACTNET Digest - 20 Apr 2023 to 21 Apr 2023 (#2023-18) From: Naomi Bar-Yam Subject: Fwd: Cost of breastfeeding (Yale
Ruth, thank you for posting Julie Smith’s important work on economic value of breastfeeding. I was thinking of her work but blanking on her name.
It is well worth reading Julie's work and thinking about economic models and breastfeeding. Also, as Ruth suggests, how to get this work back into the news. Her last paper was published in 2019, what was the reaction / coverage at the time? What new work is being done in this area? News media need a hook, something happening NOW that will attract attention.
Although mostly listening, I now want to chime in. I can understand, where the Yale study comes from (although I didn't read it myself, only the content you provided to me). And: I have written something similar in 2014, together with Elizabeth Horman and Veronika Scherbaum - in Germany: the high cost of halfhearted breastfeeding promotion in Germany: https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-014-0022-5 Of course the Yale study is centered in the USA, with miserably parental leave regulations and a very high pumping percentage - this will be different in other countries, notably in western Europe - Germany has excellent parental leave
This is really an issue regarding making alternative milks available at schools and other institutions in the US for children allergic to cows milk. It is not meant in any way to refer to breastmilk. Could be a tiny bit of overlap for a 1-3 year old still getting breastmilk at day care, but not intended issue. Really about alternatives for children.
….. a functional castration of women has occurred. They have acquiesced to a combination of forces, medical and cultural, which have eventuated in the use of the breast as the primary sex symbol and yardstick of feminine desirability, divorced from its nurturing role. Women in a critical period of their life cycle have become divorced from themselves and from the ability to confirm their identity fundamentally. In this instance, the degree of concern of the medical profession might be described as inversely proportional to the dimension of the problem. To draw an analogy, would the professional distance of physicians be
Qattea, I., Farghaly, M. A., Elgendy, M., Mohamed, M. A., & Aly, H. (2022). Neonatal hyperbilirubinemia and bilirubin neurotoxicity in hospitalized neonates: analysis of the US Database. *Pediatric Research*, *91*(7), 1662-1668.
This study found again a lower population rate of jaundice in black infants in the US --- but what is the physiologic reason? (It is disheartening to read the conclusion however
My personal feeling that this is an issue that must concern us all... Milk is an important biological tissue that enable the offspring to thrive via nutrional-functional connection with the mather.
Calling a plant based fluid "MILK" will enable the industry to even more underline the uniquness of human milk and breastfeeding.
I have many questions regarding this study. One of the costs they talked about was pumping supplies, almost all moms are eligible for a pump through their insurance or Medicaid. The pump is the big initial cost. After that bags or bottles to pump into for storage. Another cost was increased nutritional intake for mom. Yes, food costs are up, but for about 500 additional calories a day, this again falls way short of adding up to $11,000 a year even including the Vitamin D for baby. The most interesting was the time involved in breastfeeding of 3-4 hours a
Yale researchers find that breastfeeding can cost over $11,000 a year - Yale Daily News <https://yaledailynews.com/blog/2023/04/14/yale-researchers-find-that-breastfeeding-can-cost-over-11000-a-year/>
I have no words at the moment, so I hope that some of you will find your voices and respond to these authors!
Stunned, Rebecca DeYoung-Daniels, MBA, RDN, LD (former IBCLC and MOM to 5 formerly breastfed kiddos) Overland Park, KS, USA
A couple of thoughts about the article in Yale newspaper about cost of breastfeeding. :
1. This is a news article about some research. Without seeing the research publication, it’s hard to know what the research was and what the findings were.
2. Economics research is about what you measure and the parameters/constraints put on what you are researching. Similar calculations have been done multiple times in multiple countries and settings. The findings vary widely largely because the variables, parameters and constraints vary widely.
No such thing as a free lunch: The direct marginal costs of breastfeeding - PubMed (nih.gov) <https://pubmed.ncbi.nlm.nih.gov/36949157/>
That is all that I can find without hours of searching. The references are all seemingly pro-breastfeeding (I didn't have time to look at each), and I have NOT been able to uncover a funding source.
Rebecca
On Thu, Apr 20, 2023 at 7:40 PM Naomi Bar-Yam <[log in to unmask]> wrote:
I love the scissor hold and consider it a version of the sandwich hold. A simple way to narrow the breast and/or firm it up so the baby can get a big mouthful. I learned this early on in my career and still use it now. Allison
Allison Laverty Montag Wisconsin
> > Date: Tue, 18 Apr 2023 22:31:06 -0400 > From: Amy Wagner <[log in to unmask]> > Subject: Scissor hold > > Hello Lactnetters! > In response to the comments about the “scissor hold,” it is now my go-to > recommendation for a mother when assisting an infant with latch. A
Hello Lactnetters! In response to the comments about the “scissor hold,” it is now my go-to recommendation for a mother when assisting an infant with latch. A colleague coined it “chop stick fingers” which has a more positive connotation than “scissors” or the old “cigarette hold.” Using this hold, along with biological positioning, has transformed my practice and affirmed my belief in the innate ability of mothers and babies to comfortably breastfeed.
> On Apr 15, 2023, at 9:01 PM, LACTNET automatic digest system <[log in to unmask]> wrote: > > There are 2 messages totaling 76 lines in this issue. > > Topics of the day: > > 1. Hand position word (2) > > Lactnet Archives are at: > LACTNET Archives http://community.lsoft.com/archives/lactnet.html > To Manage your Subscription, ie go nomail, index, etc, go to: > http://community.lsoft.com/archives/lactnet.html > > Thanks! > > LACTNET Facilitators > Kathleen B. Bruce RN, BSN, IBCLC > Rachel Myr, midwife, IBCLC > Kathy Koch PhD > Linda Pohl > Karleen Gribble PhD > Norma Ritter,
When I was a BFHI Assessor many years ago in Zimbabwe, and we asked mothers to show us how they breastfed (which demonstrated that they had received the required counselling from the nursing staff who had been through the BFHI training) - we always knew which mothers had indeed received input - they were the ones who used the 'C' hold. All mothers who had not received help to breastfeed used Scissors. Scissors seems to be the default position, so it always surprises me that we don't officially like it.....
Scissors hold. Some older sources say not to do that because it--supposedly--causes blocked ducts. I have personally found it to be a comfortable hold. And the Virgin Mary apparently does too; if you look at all the Nursing Madonna paintings, she often uses the scissors hold.
Another reason to be cautious about the scissors/cigarette hold is if a woman is unable to spread her pointer and middle finger apart widely she will have her fingers where baby needs to latch. All depends.
Laura Monin
> On Apr 15, 2023, at 11:10 AM, Julie Tardos <[log in to unmask]> wrote: > > Scissors hold. Some older sources say not to do that because > it--supposedly--causes blocked ducts. I have personally found it to be a > comfortable hold. And the Virgin Mary apparently does too; if you look at > all the Nursing Madonna paintings, she often uses the scissors
This is an odd wondering for you all: When you look at many of the Old Masters paintings of a mother and baby nursing (check out Rubens in particular), the way that many of the mothers shape their breasts is one we all know— the sideways V (greater than or less than sign for us math teachers!) . I remember from years ago that there was a word used to describe that hand shape, I am pretty sure it started with the letter v- does that resonate with anyone in their memory banks? I can’t remember if it was from
> On Apr 15, 2023, at 5:44 AM, Karen Foard <[log in to unmask]> wrote: > > This is an odd wondering for you all: When you look at many of the Old Masters paintings of a mother and baby nursing (check out Rubens in particular), the way that many of the mothers shape their breasts is one we all know— the sideways V (greater than or less than sign for us math teachers!) . I remember from years ago that there was a word used to describe that hand
A thank you note from a mom is always so special to receive. At my desk this morning - there was one. Mom wrote: " I just wanted to say thank you for coming to my house last summer after your work day to help me with latching issues. I was so upset that I was having so much pain and I was scared I wasn't going to continue our BF journey. Shortly after you left, I began using all your tips and within 1 week I was pain free and we were thriving. The baby is now 8 months
Oh, Tina, that is beautiful!!! It is truly a gift for us when mothers freely take their time to tell us these things!!! Just makes our day.
Congratulations!!
-- Dra Carmela K Baeza Médico de familia, IBCLC nº L-17694 www.centroraices.com www.ibclc.es
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Oh, Tina, that letter from your formerly scared, in-pain, and fretful mother, now revelling in the joy and accomplishment of her successful lactation journey, made MY day! Kudos to you for your work; and kudos to that mom for sharing her thanks.
A long shot, but if anyone can help, it will be someone in this group. I used to own "Human Milk in the Modern World" by Jelliffe & Jelliffe, which did not survive my last move. I do not want to buy another copy, but I long to re-read, and pass on, a paragraph that was quoted in it. It quoted an article entitled "Breastfeeding: First Thoughts" which was written in response to another article called "Breastfeeding, second thoughts". I don't remember the authors of either articles..... It pointed out that if breastfeeding problems had received a fraction of the
