I hope you are well. I want to share the information of an online workshop in English and Spanish that we are holding from eCrianza (Spain). In this conference we will talk about breastfeeding in emergencies based on the experience of Gaza.
Best regards, Laura López Fuentes IBCLC L-300239 eCrianza Coordinator
Thank you so much, Jacquie--hoping it will turn up. Abe Books has many copies, but not the 1986 hardback first edition, at this time. It will be fun to continue to look for Kathleen.
Hello to all,Posting this for Kathleen Huggins, author of The Nursing Mother's Companion. Kathleen is searching for the hardback first edition (the pink one) of “The Nursing Mother’s Companion” Hardback, 1986. Kathleen is willing to offer $400 for the 1986 hardback first edition in good condition. It needs to be the hardback version, not the soft cover one. If any Lactnetters can help her out, please email Kathleen directly at: [log in to unmask] With thanks,Anna Swisher, MBA, IBCLCTexas
Correction to my post earlier about looking for the first edition of The Nursing Mother's Companion, hardcover, by Kathleen Huggins.
Kathleen's correct email address is: [log in to unmask]
So sorry for the typo! I hope someone has this book and can contact Kathleen. I found a couple of copies, but they were soft covers, not the original hardcover. If anyone can suggest places to look (in addition to eBay, Amazon, Thriftbooks, etc.), please share!
Correction to my post earlier about looking for the first edition of The Nursing Mother's Companion, hardcover, by Kathleen Huggins.
Kathleen's correct email address is: [log in to unmask]
So sorry for the typo! I hope someone has this book and can contact Kathleen. I found a couple of copies, but they were soft covers, not the original hardcover.
the CBI has The Nursing Mothers Companion 1986 in paperback, excellent condition. We also have The Nursing Mother's Guide to weaning1994 and 2007 both paperback, and 2007 is entered in the CBI database (in other words I cut and scanned it.)Let me know if these would hel. I've ben away this week to church camp with multiple great grands, grand and one of my own kids. (she's an old retired nurse now :-) Pat in SNJ On Saturday, June 28, 2025 at 07:17:35 PM EDT, Anna Swisher <[log in to unmask]> wrote:
Thank you so much, Pat, and aren't grandchildren the best? I think Kathleen has the soft cover version, and is trying to find the original hardcover. But may I share your post with her, just in case?
I think I found a copy, "hidden" on Amazon. I'll know next week. Fingers crossed!
Tina
> On 06/29/2025 10:58 AM EDT Anna Swisher <[log in to unmask]> wrote: > > > Thank you so much, Pat, and aren't grandchildren the best? I think Kathleen has the soft cover version, and is trying to find the original hardcover. But may I share your post with her, just in case? > > Best wishes, > > Anna in Texas > > *********************************************** > > 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.
This would be so amazing, Tina! Thank you so much. This community search makes me very grateful for the many old books I still have, a few of which are thanks to Lactnetter Julie Tardos <3Anna On Sunday, June 29, 2025 at 01:55:38 PM CDT, Tina Kimmel <[log in to unmask]> wrote:
I think I found a copy, "hidden" on Amazon. I'll know next week. Fingers crossed!
Shauntee is right that sometimes a baby can't manage the let-down when it's bursting out with a tight, hard oversupply. And that a classic way to calm the supply down is to temporarily nurse on one side for a couple feedings, so the "inventory sitting on the shelves" in the unused breast slows the factor down. She also talked about "for 2 or 3 feeds" since babies don't feed at regular intervals, and about letting the baby unlatch as needed, and experimenting with more stable positions -- all of which suggest a nicely responsive dance with the
I have not witnessed Mom and Baby breastfeeding. Mom reports Baby gagging and pulling off. They typically use laid back position when breastfeeding.
I will suggest block feeding, and suggest again to discuss with the IBCLC on staff of the doula agency. It's an included service that Mom has so far declined.
I will add that when my baby was unlatching throughout feeds, it was difficult to read satiety cues and feel confident with his intake. If mom is indeed experiencing an oversupply/forceful letdown, then managing that may help her ability to "trust her body" and rely less on pumping. It sounds like this mom doesn't *want* to have to pump (and maybe the reason weaning sounds good), but is not confident about intake. Just a thought.
Also Help mom realize to judge intake by baby's output and how contented baby is after feeding. Pat in SNJ On Wednesday, May 21, 2025 at 01:01:04 PM EDT, Shauntee Henry <[log in to unmask]> wrote:
Hi Julie,
I will add that when my baby was unlatching throughout feeds, it was difficult to read satiety cues and feel confident with his intake. If mom is indeed experiencing an oversupply/forceful letdown, then managing that may help her ability to "trust her body" and rely less on pumping. It sounds like this mom doesn't *want* to have to pump (and maybe the reason weaning sounds
But confused about the situation you're describing. What are the symptoms leading to the "overactive letdown" diagnosis? Is it the baby's behavior at the breast -- choking and sputtering? That is a faster than average pumping session, but you say that she's not pumping excessive amounts -- just about what the baby is taking. And the baby is peeing, pooping, gaining weight, generally happy? Does she feel that the baby is as effective as the pump at removing milk? What's going on that makes weaning look good to her? What does
I am no longer an IBCLC, but I found a job as a post-partum doula. The mom I'm working for now has an overactive let down. She is mostly pumping and bottle feeding during the daytime. She reports pumping 4 oz (120 ml) in under 5 minutes. She's frustrated; weaning is starting to look good. Baby is 6 weeks. I did tell Mom that this usually resolves by 3 months, so another 6 weeks.
I can speak to my personal experience with overactive letdown and oversupply. What worked for me was block feeding. I would nurse 2-3 times on the same breast (depending on frequency of feeds) before switching to the other side. If the unemptied breast became too uncomfortable, I would express a small amount to relieve the discomfort and place a cool pack for a few minutes. My poor baby tried his best to handle my forceful letdown, but would unlatch many times during a nursing session - he endured many sprays of milk to the face! It helped to
Loved your story! Thanks or sharing. Pat in SNJ On Sunday, May 18, 2025 at 09:11:18 AM EDT, Shauntee Henry <[log in to unmask]> wrote:
Hi Julie,
I can speak to my personal experience with overactive letdown and oversupply. What worked for me was block feeding. I would nurse 2-3 times on the same breast (depending on frequency of feeds) before switching to the other side. If the unemptied breast became too uncomfortable, I would express a small amount to relieve the discomfort and place a cool pack for a few minutes. My poor baby tried his best to handle my forceful letdown,
Some good recommendations in the 8 April 2025 issue of JAMA, including:
US Preventive Services Task Force Recommendation Statement, Primary Care Behavioral Counseling Interventions to Support Breastfeeding at https://jamanetwork.com/journals/jama/fullarticle/2832389?u
And
US Preventive Services Task Force | EVIDENCE REPORT, Interventions to Support Breastfeeding Updated Evidence Report and Systematic Review at https://jamanetwork.com/journals/jama/fullarticle/2832390?u
I nursed stuffed toy vegetables, dinosaurs, farmyard animals and various dolls when my nurslings would hold things to my breast. They would also nurse their own babies.
I like Bebé Glotón that will make breastfeeding visible officially (i.e. marketed and sold) to families.
As you said, I dislike the accoutrements: the bra with bows on it (is that necessary?) , along with the name and the positions. However we must take the good with the less than optimal.
In 2009, the Spanish BERJUAN doll factory launched "Bebé Glotón," a baby doll that "feeds at the breast" instead of a bottle. I don't know if some of you remember... my daughters loved it.
I saw in a post by Jossé María Paricio that this company has relaunched the doll and that they won the 2024 Best Toy Award (it's a project carried out in collaboration with AIJU, co-financed by IMPIVA and FEDER, and endorsed by the Breastfeeding Federation FEDALMA).
Hello all of you. . I'm Laura López, IBCLC from Spain. Sorry about my English, it's not so good.
I want to ask you about lupus and it relationship with nipple pain in a breastfeeding woman.
This woman had nipple pain during all breastfeeding period with her first baby (16 months). Her IBCLC says that latch, sucking and technique were correct. No tongue-tie or others anatomicals issues in the baby. Woman without PPD or other mental health problem. She loves breastfeeeding.
Moms with lupus may be prone to vasospasm. That immediate colour change on the nipples is often missed by moms unless they're looking for it.
They need attention to comfortable positioning and deep latching.
Staying warm (whole body) may help. Covering the nipple with something warm immediately after the feed can also be helpful. Cutting out caffeine, avoiding exposure to cigarette smoke are other things that may affect vasospasm.
Hello All, This is a case for those of you who may have had experience with this or have creative ideas. Mother is 37y/o P5g5 Currently in NICU after 32wk gestation twins born via VBAC DOB 2/26/25 at 3.4lbs and 3.7lbs She had a total thyroidectomy in 2021 and since has been taking TSH suppressors Previous history of successful breastfeeding with all except the most recent, a 2y.o., who was born post-cancer dx and with whom she took domperidone for supply She is trying to latch in NICU, semi-successfully. She has the sensation that she has plenty of milk (previous
If no oxytocin spray is available, you can try engaging all the other senses to facilitate an oxytocin environment.
-loads of skin to skin care -smelling the new babies (or smelling her other children) -back/neck/shoulder massage -lots of hugs and cuddles with her other children -listening to music also helps -warming the pump flanges -gentle breast massage and hand expressing -covering the containers collecting the milk so that she doesn't watch the milk droplets falling -watching some comedy -having a relaxing bath -deep breathing -closing her eyes and imagining the milk flowing
Hi Libby, I have not dealt with this scenario directly but Dr. Mona Gabbay, Bfg Med Phys in New York City, has. She told me that lactation is always more difficult because of how the thyroid hormones must be managed post-cancer; that takes first priority. You might reach out to her for experience and guidance.
-- Dra Carmela Baeza Médico de familia, IBCLC nº L-17694 @dra.carmelabaeza Centro Raíces www.centroraices.com Instituto Europeo de Salud Mental Perinatal * https://saludmentalperinatal.es/ <https://saludmentalperinatal.es/>* European Academy of Breastfeeding Medicne https://bfmed-europe.org/
*Este mensaje va dirigido, de manera exclusiva, a su destinatario y puede contener información confidencial y sujeta al secreto profesional, cuya divulgación no está permitida por Ley. En caso de haber recibido este mensaje por error, le rogamos que de forma inmediata, nos lo comunique mediante correo electrónico remitido a nuestra atención y proceda a su eliminación, así como a la de cualquier
Interesting study. I notice some comments and concerns about it, also at that link. I saw one from Nikki Lee. Hi Nikki! Anyway, worth reading.
Julie Tardos
~~~~ Edwards: <https://www.imdb.com/name/nm0000226/?ref_=tt_trv_qu>Why the big secret? People are smart. They can handle it. Kay: A person is smart. People are dumb, panicky dangerous animals and you know it. --Men in Black
Thank you Marsha Walker, for this fascinating tidbit. Would you please share it on the IABLE.org listserve?
And what can be done with the information? Is it possible to purchase an old-fashioned freezer currently?
I miss old mechanical things. I would love a car with crank windows, a standard shift, and no sensors. Sensors have no tolerance for anything less than perfection; they malfunction, cost money for repair, and are not sustainable.
One reason that frozen breastmilk may have an off odor or taste is if it is stored in a frost-free freezer. A letter to the editor in the Journal of Obstetric, Gynecologic and Neonatal Nursing (JOGNN) described the changes in frozen breastmilk between milk stored in a frost-free and a frost freezer. Two airtight bags containing 2 oz of freshly pumped breast milk were each stored in a frost-free and a frost freezer. After 3 weeks, both bags were allowed to thaw overnight in a refrigerator at 4 °C. The milk stored in the frost-free freezer was visibly pale yellow
Hello all, I got a question today from a mother who attends our support group (I am IBCLC, but this was not a consult). She stated that she believes her milk is high in lipase because it smells soapy. I believe I read in an older version of the Riorden book that pumped milk with high lipase can be "scalded" on the stove, then cooled before freezing or refrigerating. This, however, is only a memory and isn't very complete instructions.
"Scalding milk? Scalding milk is believed to slow lipase’s action in the milk. Research shows that lipase is not responsible for the changes in smell. Removing lipase removes an important enzyme that helps the baby digest fats. The Academy of Breastfeeding Medicine and other health organizations recommend against scalding due to the possibility of destroying other immunological factors in milk. There are also no clear guidelines on how to scald milk, which leaves room for error. However, if you have tried this process previously and find that it works for your family, you may decide it is worthwhile. Your scalded
I have had 2 moms in the last 6 months, that brought to my attention, these storage bags they are having success using. Both are multiparas that had issues with previous children. One mom had some success previously with diet changes and adding fresh to stored milk rather than scalding.
This follows up on Marsha Walker's recent post. New research in the pipeline suggests that the changes in smell and taste are not caused byhigh lipase levels but instead are about freezer temperatures causing damage to the membrane around the milk fat globule in human milk which allows lipase then to break down the milk fat. See this preprint which is not yet peer-reviewed yet: https://www.biorxiv.org/content/10.1101/2024.12.11.627965v2
On Sun, Jan 26, 2025 at 10:50 AM Ellen Maughan <[log in to unmask]> wrote:
> This follows up on Marsha Walker's recent post. New research in the > pipeline suggests that the changes in smell and taste are not caused > byhigh lipase levels but instead are about freezer temperatures causing > damage to the membrane around the milk fat globule in human milk which > allows lipase then to break down the milk fat. See this preprint which is > not yet peer-reviewed yet: > https://www.biorxiv.org/content/10.1101/2024.12.11.627965v2 > > Justin
Permission given from pt. to post. I have a pt who came to our outpt clinic with a puffy, soft area below her right areola in a crescent shape. There are no color changes, dimpling or discomfort. She noticed this a few months ago and her toddler just turned two. The NP is not concerned but ordered an ultrasound. Any ideas of what this could be. She is very concerned though we keep reassuring her it does not appear to be anything. She should be concerned about.
Dear Lactnet colleagues, I am searching for help for a mother of 9 month old twins who has been prescribed Prednisone. The Lactmed monograph for Prednisone includes several articles citing decreased milk production with Corticosteroid use during lactation. I have encountered it as well in my practice. One memorable case was a woman who was able to recover milk production after completing a course similar to what is prescribed for my current client. She was able to do so by pumping after feeding and herbal galactagogues but it did take a few weeks.
From AAP's statement: Other narcotic agents, such as oxycodone, pentazocine, propoxyphene, and meperidine, are not recommended in the lactating mother. Relatively high amounts of oxycodone are excreted into human milk, and therapeutic concentrations have been detected in the plasma of a nursing infant.73 Central nervous system depression was noted in 20% of infants exposed to oxycodone during breastfeeding.74 Thus, use of oxycodone should be discouraged.
Still not contraindicated...requiring pumping and dumping. I think that's the most important part and should be reiterated here.
Great topic for discussion and also something that seems to come up from time to time within other healthcare systems...by other MD's.
Stephanie Badillo, IBCLC, ICCE
On Tue, Jan 7, 2025, 8:05 AM Susan Lawrence <[log in to unmask]> wrote:
> From AAP's statement: > Other narcotic agents, such as oxycodone, pentazocine, propoxyphene, and > meperidine, are not recommended in the lactating mother. Relatively high > amounts of oxycodone are excreted into human milk, and therapeutic > concentrations have been detected in the plasma of a
> > > I do recall that some years ago, reports (and studies) that Ethiopian and Saudi women tended to be ultra-rapid metabolizers of codeine-related meds, resulting in infant respiratory depression. Working in an area with a high population of Ethiopian and Eritrean women, I thought it was well worth paying attention to.
Here's one article about this. https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.12716 Lactmed mentions this briefly. https://ncbi.nlm.nih.gov/books/NBK501212/
"It is an opioid used in the management of moderate to severe pain. Its active metabolite, oxymorphone, is 14 times more potent than oxycodone (Dalal 2014). Very often used for treatment of pain associated with episiotomy or Cesarean section. Oral, subcutaneous or intravenous administration.
Good afternoon, I work in a Pediatric Clinic that sees many newborns. Over the past few months, we have seen a rise in our C/S breastfeeding moms coming in for their first newborn appointment telling us that they are pumping and dumping. They are being directed to do this by multiple pharmacies while they are taking Oxycodone. These moms are only taking 5-10m g of Oxycodone in a 24-hour period. As you can imagine, this practice is affecting their short- and long-term breastfeeding experience. Sometimes, we do not see the family until the infant is 5-7 days of age. Despite
Are the staff forgetting that mothers get pain medication post delivery after a C-section? This should not be a problem if it is taking in low doses and for as short a time as possible. Could be a problem for a child who tends towards respiratory issues apnea, etc. but otherwise seems OK to me. Babies get morphine after surgery.
Thank you for replying. Yes, I have referenced the newest edition of Medications and Mothers Milk. One of our OB doctors has asked me to find some written information that we could present to the pharmacies. I am planning to copy what is in Dr. Hales book and will look at the website you referenced. Thank you again.
Bring your query to the U.S. Breastfeeding Committee. The professional organization of pharmacists (official name escapes me) used to be a member. Their reps were always incredibly effective advocates on various p[olicy issues who "get it." USBC has great ideas for how to change policy, and sometimes a top-down-and-bottom-up approach is most effective
Sadly as I scan the USBC member directory I am not seeing an organization name that looks like it is an advocacy leader for pharmacists. But don't let that deter you from reaching out to USBC. https://www.usbreastfeeding.org/
Jessica, can you tell us what the IBCLCs in Israeli are being blocked from? We'd like to support from the US but would like to know a little more of the situation there.
When I saw the request asking for who is IBCLC in Syria, etc, I went to IBLCE.org and was surprised to see that you cannot search by area. I only found how to search for a specific person.
Wouldn't it be a service for parents, healthcare professionals, etc to be able to access a list of who is near them? Am I missing something??
According to the IBLCE list, there are only 3 IBCLCs currently registered in the Russian Federation (that's across 11 time zones). Sadly, that is a fraction of the number a few years ago. The sanctions (which removed all international credit card purchasing) made it impossible for many of them to pay to renew their certification. Many have left the country permanently and are displaced around the world. There are quite a few Russian-speaking IBCLCs worldwide. Also, I am personally in contact with many talented former IBCLCs who still live and work in Russia. Despite their isolation, they actively update their
Hi. I'd like to wish all the subscribers a very happy holiday season, with health, and light, and a New Year that is positive and healthy.
I would like to know if there are any IBCLC professionals in Russia, Syria, Iran, or North Korea. If you know of any, could email me privately, that would be great. Just am curious about a where IBCLCs are in this world. Thank you!
happy holidays to everybody celebrating at this time of the year. I wish you all health and happiness for the coming year from snowy Vermont USA.
About the IBLCE, can someone tell me where I can Verify that some countries are being blocked from IBLCE? I couldn’t find anything about this and I’m curious. Thank you very much for your sensitivity since we do not want to go down the road of political misery at this point.
This is outrageous! Does anyone else have to prove they are not terrorists?
Henya LA, California
Want to know me better - visit my blog Imperfect Knitter - https://imperfectknitter.com/ I am knitmammy <https://www.ravelry.com/people/knitmammy> on Ravelry On Twitter @ImperfectKnitt1 <https://twitter.com/ImperfectKnitt1> On Instagram knitmammy <https://www.instagram.com/knitmammy/>
On Mon, Dec 23, 2024 at 7:55 PM Jessica Billowitz < [log in to unmask]> wrote:
> Dear Colleagues, > All Israeli IBCLC's have had their accounts blocked since October 7th of > last year regardless of if they are American citizens, and just based on > country of residence. > In order to have them unlocked, you have to send
Dear Colleagues, All Israeli IBCLC's have had their accounts blocked since October 7th of last year regardless of if they are American citizens, and just based on country of residence. In order to have them unlocked, you have to send your bank information and they apparantly have to check that you are not a terrorist before they unblock the account, and even so, it only unlocks for 90 days. They say they have blocked numerous countries, although with as many as dozens of emails back and forth, they have failed to mention a single place by name. Accounts locked means
Dear Jessica, I took this course when I recertified: https://www.infantcpr.com/ At LactaLearning we do have a two hour course just for the WHO Code. I know we aren't suppose to advertise so please email me directly for a link if you are interested. Thank you! Barbara Robertson
On 12/22/2024 12:00 AM, LACTNET automatic digest system wrote: > There is 1 message totaling 26 lines in this issue. > > Topics of the day: > > 1. WHO Code course > > Lactnet Archives are at: > LACTNET Archives http://community.lsoft.com/archives/lactnet.html > To Manage your Subscription, ie go nomail, index, etc, go
This new 2-hour online course by Breastfeeding LA seems to meet the WHO Code credits requirement: The WHO Code: History, Relevance, and Responsibilities <https://breastfeedla.thinkific.com/courses/Who-Code>.
Best, Ellen Maughan, JD, IBCLC
On Sun, Dec 22, 2024 at 12:00 AM LACTNET automatic digest system < [log in to unmask]> wrote:
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Can anyone recommend an online course to fulfill the requirements for recertifying? I am also curious if there is an online basic life support education course. Thank You, Jessica Billowitz, IBCLC Recertifying at 25 years!
A mom of a 3 month baby who is exclusively breastfeeding has gallstones. Surgical removal of the gallbladder was recommended. It was suggested to try treating the stones with an herb called Chanca piedra which could break up the stones. Do any of you have information re safety of taking this herb while breastfeeding? Thank you.
What a fantastic source of breastfeeding support your online group has been to the mothers of Norway. A tribute to you! Please may I share your post outside Lactnet?
Pamela Morrison
*La Leche League Leader (1987 – 1997)*
*International Board Certified Lactation Consultant, Retired (1990-2020)West Sussex, England------------------------------------------------------- * Date: Wed, 11 Dec 2024 12:35:06 +0100 From: Rachel Myr <[log in to unmask]> Subject: online virtual breastfeeding support
The main channel for breastfeeding support in Norway for the past 8 years has been a closed Facebook group run by the volunteer peer breastfeeding support organization Ammehjelpen, which was founded in 1968. There are around 55,000 babies born in Norway every year. The FB group has over 40,000 members, some of whom joined when it was started and never left, and many of whom join around the time their baby is born and who stay active as long as it's relevant for them. Those wanting to join the group must answer a set of screening questions in an attempt
Thank you for sharing this, Rachel. It's a lovely website. What a wonderful resource for families in your country! with gratitude, Anna Swisher, MBA, IBCLCAbundant BlessingsTexas, USA
Date: Wed, 11 Dec 2024 12:35:06 +0100 From: Rachel Myr <[log in to unmask]> Subject: online virtual breastfeeding support
The main channel for breastfeeding support in Norway for the past 8 years has been a closed Facebook group run by the volunteer peer breastfeeding support organization Ammehjelpen, which was founded in 1968.
When I say I have sent numerous messages to this list over the years reminding everyone of the guidelines, I mean NUMEROUS.
Often it was to gently remind people to get back on topic - and in collecting all my posts from about 17 years of hyperactive posting here, I have to confess to posting many many times myself on things that were at best a digression and sometimes totally off topic. So I sure won’t throw stones!
As the mother of a wonderful, caring, bright, empathetic, brilliant trans son I feel compelled to contribute to this discussion. My son is 14 and the other day he said to me "I feel like I'm not going to be alive in like 5 years. I want to grow up, but I genuinely can't see that happening."
Dear Rachel, Your son IS perfect just the way he is. Love must always triumph over cruelty and hatred and fear. Any one of us could be dealing with the fear of losing a child, due to any of a million reasons... let it not be because a child is different... I will stand up and fight for anyone's child, any time, any place...because it is the *right thing to do.*
Dear Rachel, I have 15 grandchildren. I knew by the time J was 4 that he was "gay." He used to go to work with me (ped APN) on Sat ams in the city.. He is presently in his 2nd year of residency in family medicine. I hope with all the love and support you give your son that he figures life out, learns to ignore all the deviceness in our present world. Personally I believe God created every single human being, with lots of variations :-) Pat in SNJ, USA
> > Date: Tue, 3 Dec 2024 17:49:28 -0500 > From: Kathleen Bruce <[log in to unmask]> > Subject: Two spirit people > > I have been thinking a lot about the issue of sexuality with its > relationship to lactation. > > I came across this indigenous take on sexuality... that might be > interesting to some. I do not think that there are simply two sexes. There > are many examples to be had in nature. Here is something interesting... > Discussion of two-spirit people in the tribes of the Lakota, among others. >
“Friendly neighborhood biologist here. I see a lot of people are talking about biological sexes and gender right now. Lots of folks make biological sex seem really simple. Well, since it’s so simple, let’s find the biological roots, shall we? Let’s talk about sex…[a thread]
Rebecca Helms explanation is so great. That was one explanation I hand previously read that is so clear and concise!
Rachel Watson, hug your child and there are allies out here! Janet Dombro, IBCLC
> On Dec 4, 2024, at 9:02 AM, Sonya Myles <[log in to unmask]> wrote: > > @RebeccaRHelm > > Bravo! > > and thanks @NikkiLeeHealth for sharing > > *********************************************** > > 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.
At the bottom of each and every Lactnet post, including this one, you will find this text:
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I have been thinking a lot about the issue of sexuality with its relationship to lactation.
I came across this indigenous take on sexuality... that might be interesting to some. I do not think that there are simply two sexes. There are many examples to be had in nature. Here is something interesting... Discussion of two-spirit people in the tribes of the Lakota, among others.
On Tue, Dec 3, 2024 at 1:01 PM Frank J. Nice <[log in to unmask]> wrote:
> Gender (aka, sex) is not complicated. > There is male and female, really quite simple. > > > Frank J. Nice, RPh, DPA, CPHP > > > > > > > > *********************************************** > > 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
No Frank, it is not that simple. As a medical focused person you should be aware of the interesting ways the x & Y chromosomes sometimes behave or from another perspective, misbehave (Tongue firmly in cheek)? as in, act in a non binary way. Our lack of ability to see this or lack of knowledge about this is problematic.
The listmothers recognize and welcome the varied backgrounds of Lactnet subscribers. In our welcome message, you all are advised not to post anything you would not be happy to see on the front page of a large newspaper, like the NY Times. To help you along the way, we strongly recommend using point 6.3* from the Code of Professional Conduct for IBCLCs. Whether you are an IBCLC or not, you will generally err on the side of caution if you let this guide your posts, as IBCLCs are required to let them guide their treatment of clients. The listmothers would
Hi Felicia. Yes. In my long time as a lactation consultant RN, respect was the one thing that is paramount. For the individual.
And that is why it is so hard to have a list of set rules..do this, in situation A, and that if situation B occurs. There is no recipe book on how to handle lactation. Having someone go all out.. with all it entails, is a full time plus job for a new mom. And many cannot face the strain. I adapt as I go, with a keen eye to what the person can deal with, and
I've been offline for a while so sorry about tons of posts like but I am also LOVING Laura's take on respecting what people want to me called more than 'correct/inclusive'. Remembering hearing someone speak on this - all about including LGBTQI language who hit the idea hit home when the couple she was working with was getting upset, he didn't want to be called dad, he wanted to be called poppa his wife was fine with mom.
I am loving Rahmat's replay on my take on this. Yes we all have bias (I wish I could make everyone breastfeed & offer full support). I guess the question becomes when does our bias interfere with the family we are helping needs to be the question. Do we push someone to try everything under the sun to give their baby a full supply (my bias is baby should have only breastmilk until ready for solids) if they have hit their breaking point? I had this, another LC sent a mom to me for a breast pump rental, mom was
The topic of gender identity is more complicated, disturbing and painful than previously known in today's world. There is no easy answer because of the breadth, depth and variety of human expression and experience.
Adding to the complexity is this documentary about trans widows and children of transitioners, where folks are speaking about their experiences. https://childrenoftransitioners.org/links/
I am forced to respond to a few of the statements in Karleen's post to the list yesterday. I've just completed a marathon of a project, downloading every post I have ever made to Lactnet, and perhaps a chronicling of the life of the list is in my future, I don't know. I do know that reading 25 years of content, with accompanying responses from other subscribers, has been therapeutic. The list treats people with dignity and follows its own Lactnetiquette, and it shows. We are challenged now, to see whether the tone of this list will be as welcoming
A comment is made ... "to push back against the suggestion that 6.3 of the IBCLC Code of Professional Conduct would require IBCLCs to support any person who wanted to lactate or breastfeed irrespective of their sex as a matter of course. Rather I would suggest that context is important. In fact IBCLCs have a ***'duty to protect mothers and children'*** and there are ethical and safeguarding considerations to keep in mind..." (emphasis mine)
I apologize that I misspelled Marion’s name. I knew better, but I am recovering from pneumonia and my brain wasn’t firing on all cylinders.
I also am grateful for her and for the other who started LLL.
I keep remembering how in other cultures such as indigenous cultures in the United States, How there are spectrums of identities. This is his old as time itself.
Thank you Tecpaxochitl, for your wise and true words.
Just a few observations. - The name of the LLL Founder is Marian Tompson. Without the h 😊 She is one of the two still living founders, there were seven - back then in the fifties. If you read the outings in the press nowadays, it seems sometimes like she was the only one. - All Founders are, under the LLLI Founder's Privilege Policy, able to join and leave the LLLI Board of Directors at will (you can read the policy on the website). They often did. Sometimes there were 3-4
https://www.youtube.com/live/YOlhOmv3sUU Interesting discussion on this interview at 2hr06min) with Ian Collins.
The only winners are the formula companies.
Dr Rahmat Bibi Bagus (MBChB) GP, IBCLC, La Leche League Leader PR 0258490 IBCLC L 303328 18 Phillips St Parow Valley Cape Town 7500 Bookings on What’sApp at 079 639 2542 (Operatings hours Mornings Monday to Saturday 9am-12pm Evenings 6.30pm-8pm All appointments strictly by appointment)
Greetings to all who read Lactnet, whether it be regularly, or sporadically. Life becomes busy, and we all travel down the streams of life... sometimes drifting away and sometimes sticking close to the cause of breastfeeding promotion and protection.
My path, as this list's creator, in 1995, has diverged largely away from breastfeeding. I have grown children, five grandchildren that I care for regularly, as they live near, and I substitute as a school nurse to give that population a day off once in a while.
On Wed, Nov 27, 2024 at 11:00 PM LACTNET automatic digest system < [log in to unmask]> wrote:
> There are 3 messages totaling 156 lines in this issue. > > Topics of the day: > > 1. Laura's post > 2. Marian Thompson resignation (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
"The TRANS perspective is prevalent in the USA, UK, Australia and countries with a high Anglo-Saxon influence. This is not the case in other areas or countries."
Well that was such an ignorant statement to make. How could she possibly speak on behalf of Indigenous peoples around the world who have titles or words for third or trans gender identities in their native languages? In Mexico for example, Muxe is a transgender person recognized by the Zapotec people of Oaxaca.
I’ll leave you with Chichihualtia’s IG post: As we close out Transgender Awareness Month we’d like to remind perinatal professionals and communities that gender inclusive and affirming language acknowledges and respects a wider spectrum of gender identities and does not negate or erase any one group. Instead
Thank you, Laura. I stand with you on this in particular. "The inclusion of less than 5% of people who wish to breastfeed cannot be at the expense of the BEING and FEELING of the remaining 95%." I know my daughter continues to bf her 3yo and wishes to be called her mother not just her parent and wishes to call it breastfeeding vs chestfeeding as she is using her breasts and worked hard to do so. Doing this in no way maligns those who wish to go by parent or chestfeeding. The key here is individual respect by asking
Once again I am offended by those attempting to posit Marian's position and the subsequent defense of men posing as women and I being called "transphobic". Trust me, I am not afraid of any man posing as a woman. It is women who should be afraid.
I have debated with myself for a while now about responding to this statement.
Frank, I don't think it is about being afraid of men posing as women. I think it is about accepting that there is so much about the human body we just don't know, and so if someone states that they feel that they are one gender regardless of their outward appearance, we should accept that they know their own body, psychology, emotions, and feelings better than anyone else. I think it's about judging less and accepting more.
Thanks for the refs. Will try and get them all and add to CBI. Somewhere in the file is a very old ref of a dad who BF baby . I'll have to hunt for that one Pat in SNJ
I have not seen any comments on this addressing her actual concern - where is the research on whether biologically male induced lactation provides the same nutrition and other qualities of biological female milk? Has any been done? Winnie Mading retired LLL Leader and one of the original IBCLCs.
Hi Winnie! I responded to the original post on Marion’s resignation from a social perspective, but I like that you’re addressing/questioning the biological perspective too! I would hope that we all have the same end goal of supporting the lactation needs of new parents while also emphasizing the safety of infants. In the years I’ve been doing this work, referencing lactmed and Thomas Hales work, it seems that there’s a bit of a research gap between what is safe vs what is necessary vs what is just flat out unknown. Obviously there’s quite an ethical conundrum in testing which medications
Hi Winnie! Nice to see your name on Lactnet again.
Winnie asked: "where is the research on whether biologically male induced lactation provides the same nutrition and other qualities of biological female milk? Has any been done?"
The answer is: YES, research has been done, and NO there is no concern about the "safety" of the milk. Here is a sample of what Google found for me in a few seconds of searching
Cara, your post touched me deeply, particularly the bit about mothers whose own breast anatomy necessitates the use of all the hormonal support used by a transmother. So what matter is it how that lactating person was born?
Implicit bias is profoundly deep and only surfaces when someone ventures outside the box.
I think Cara & Elizabeth hit the nail on the head why I was saddened by the resignation, this 'business' of working with pregnant, birthing, and breastfeeding families is having to be open to helping everyone and leave our bias behind. The Facebook page was just posting about someone who wondered if to pass the course work to work in lactation would she have to use the inclusive & 'woke' answers. I posted about a mother's who's birth was impacted by a nurse who put her feelings and religion before the birthing moms needs. In my area we also had
Thank you very much for turning this discussion to face the one who is most vulnerable - the baby. And the mother-baby dyad. An entity that is so very fragile. In today’s economic situation a lot of women think that they have no recourse but abandon breast feeding to go back to work. There are formula advertisements and well meaning “friends”. There are doctors who dare not speak up about long term consequences of formula feeding. There is pressure to be more available to other members of the family and not “waste time playing with the baby”.
First of all I want to thank you for the information shared in this forum. I don't normally write but I am interested in reading all of you. Before I start I would like to apologise for my bad English.
On the subject in question, I would like to make some considerations:
Hi Liz and everyone, I thought I would respond to a few of the points made regarding Marian Tompson's resignation from LLLI and the reasons behind this. I would note first that the research in the area of breastfeeding for trans people is remarkably poor quality and that much published information is misleading, incorrect or incomplete. There seems to sometimes be a desire for optimism to override evidence. For example, the article in the International Journal of Environmental Research and Public Health that you shared includes this plainly false (and in fact I would say ridiculous) statement, 'Lactation and pregnancy
Thank you, Karleen, for your input on this topic. I did not read the original post that started this thread, and I’ve read only a few posts since. I appreciate your expertise with regard to the research and your attention to an IBCLC’s ‘duty to protect mothers and children’. I agree that blind optimism should not override evidence. My heart has always been drawn to helping women gain self confidence through caring for their babies and breastfeeding. It’s an honor to be part of their lives at such an emotional time.
The Trans Inclusion Controversy That Took Over La Leche League w/Helen Joyce & Marian Tompson | 198
https://youtu.be/xU-vY_Vtfuo?si=iUbShgQdGnN6kpJm
Dr Rahmat Bibi Bagus (MBChB) GP, IBCLC, La Leche League Leader PR 0258490 IBCLC L 303328 18 Phillips St Parow Valley Cape Town 7500 Bookings on What’sApp at 079 639 2542 (Operatings hours Mornings Monday to Saturday 9am-12pm Evenings 6.30pm-8pm All appointments strictly by appointment)
It took me time... but I found it.... while I was already in private contact with some Lactneters, I came on Lactnet at least in 2004, but I was still preparing myself before really daring answering... (still not much intervening, lack of confidence and self-esteem)
So my first post is about overweight studies and curves.... asking for some, as critically acceptable as possible... At that time, I had been a counselor since 1998; but also, I was involved in a "preventing overweight and obesity of children" program, (of which, breastfeeding as an important measure).
*Subject:* Re: LACTNET Digest - 19 May 1999 - Special issue (#1999-250)/iron supplements in formula <https://community.lsoft.com/scripts/wa-LSOFTDONATIONS.exe?A2=LACTNET;3837ab4e.9905C&FT=&P=R10386&H=&S=> *From:* Liz Brooks <[log in to unmask] <https://community.lsoft.com/scripts/wa-LSOFTDONATIONS.exe?LOGON=A2%3Dind9905C%26L%3DLACTNET%26P%3DR10386> > *Reply To:* Lactation Information and Discussion <[log in to unmask] <https://community.lsoft.com/scripts/wa-LSOFTDONATIONS.exe?LOGON=A2%3Dind9905C%26L%3DLACTNET%26P%3DR10386> > *Date:* Wed, 19 May 1999 19:54:48 -0700 *Content-Type:* text/plain *Parts/Attachments:* text/plain <https://community.lsoft.com/scripts/wa-LSOFTDONATIONS.exe?A3=9905C&L=LACTNET&E=0&P=494615&B=--&T=text%2Fplain;%20charset=us-ascii&header=1> (38 lines)
I'm a first-time poster who hopes you all see the irony in my using this international communication tool to address a query posed by an IBCLC who works 10 minutes from me. I am Liz Brooks, JD, IBCLC, a fledgling
I enjoyed reading Liz Brook's first post. I wonder how many thousands of Lactnet answered have provided valuable info! Pat in snj On Tuesday, October 15, 2024 at 06:20:22 AM EDT, Elizabeth Brooks <[log in to unmask]> wrote:
And here is a cut-and-paste of mine, from 1999:
*Subject:* Re: LACTNET Digest - 19 May 1999 - Special issue (#1999-250)/iron supplements in formula <https://community.lsoft.com/scripts/wa-LSOFTDONATIONS.exe?A2=LACTNET;3837ab4e.9905C&FT=&P=R10386&H=&S=> *From:* Liz Brooks <[log in to unmask] <https://community.lsoft.com/scripts/wa-LSOFTDONATIONS.exe?LOGON=A2%3Dind9905C%26L%3DLACTNET%26P%3DR10386> > *Reply To:* Lactation Information and Discussion <[log in to unmask] <https://community.lsoft.com/scripts/wa-LSOFTDONATIONS.exe?LOGON=A2%3Dind9905C%26L%3DLACTNET%26P%3DR10386> > *Date:* Wed, 19 May 1999 19:54:48 -0700 *Content-Type:* text/plain *Parts/Attachments:* text/plain <https://community.lsoft.com/scripts/wa-LSOFTDONATIONS.exe?A3=9905C&L=LACTNET&E=0&P=494615&B=--&T=text%2Fplain;%20charset=us-ascii&header=1> (38 lines)
Thanks for the reminder about the Douglas series of articles.
My experience with blebs has been with ones that are white, and ones that are crusty yellow, like little pebbles, and have been there for weeks.
One mother was a periodontal resident, and unroofed her white one (gotten from a new bra that was too tight) with sterilized needles. Another mother had her yellow one unroofed by a dermatologist.
I found one peer reviewed article on this gadget at: https://pediatrics.jmir.org/2023/1/e43837
The device costs US$189. I have to wonder if using this device would add pressure and anxiety to new parents. It also analyzes the milk for nutrients and recommends maternal diet modifications based on the nutrient content of the milk.Tracking milk maturation could be scary based on the definition used and how the parents are advised about this process.The money would be better spent on a visit with an IBCLC.
Dr Rahmat Bibi Bagus (MBChB) GP, IBCLC, La Leche League Leader PR 0258490 IBCLC L 303328 18 Phillips St Parow Valley Cape Town 7500 Bookings on What’sApp at 079 639 2542 (Operatings hours Mornings Monday to Saturday 9am-12pm Evenings 6.30pm-8pm All appointments strictly by appointment)
-----Original Message----- From: Lactation Information and Discussion <[log in to unmask]> On Behalf Of Marsha Walker Sent: Tuesday, 19 November 2024 16:40 To: [log in to unmask] Subject: MyMilkLab
Every so often I come back to this topic, one of the most mysterious ones in our field, I think... such an apparently simple little blister, so easy to handle sometimes and so incredibly difficult others...
I´ve always been a firm believer that those "white things" on the nipple are not one entity but several, as they come in different colors (from blue-white to deep yellow), different depths (some rise above the nipple, others seem to be way under the skin), behave differently (some can be drawn out and have a stringy substance, others can be drawn out
Dr Rahmat Bibi Bagus (MBChB) GP, IBCLC, La Leche League Leader PR 0258490 IBCLC L 303328 18 Phillips St Parow Valley Cape Town 7500 Bookings on What’sApp at 079 639 2542 (Operatings hours Mornings Monday to Saturday 9am-12pm Evenings 6.30pm-8pm All appointments strictly by appointment)
-----Original Message----- From: Lactation Information and Discussion <[log in to unmask]> On Behalf Of Carmela Baeza IBCLC Sent: Monday, 18 November 2024 21:38 To: [log in to unmask] Subject: About milk blebs...
My first post was in 2000, shortly after the birth of my youngest child and my accreditation as an LLL Leader. It was also not too long after Rachel Myr joined Lactnet, although she was already an expert and mentor on and off list. I met Rachel in person at a conference in Moncton, New Brunswick. Teresa Pitman was there, too. Rachel took beautiful photos of my babies.
So we are not supposed to offend anyone, and now we are talking about "gender norms" and "gender" "equity." I am offended by that. Let Marian take her stand and no comments at all!!!
I wonder if it is a data collecting organization. What will having information about her milk do for the mother but worry her?
Can one not look at one's baby and evaluate one's own feelings to assess breastfeeding progress?
One can not balance supply between breasts; Kent and colleagues in Australia identified that it is most common for one breast to produce more milk than the other.
Thank you Nikki Lee, you echo my thoughts on this gadget.
Anyone with additional information or experience using it?
Dr Rahmat Bibi Bagus (MBChB) GP, IBCLC, La Leche League Leader PR 0258490 IBCLC L 303328 18 Phillips St Parow Valley Cape Town 7500 Bookings on What’sApp at 079 639 2542 (Operatings hours Mornings Monday to Saturday 9am-12pm Evenings 6.30pm-8pm All appointments strictly by appointment)
I have no experience with this gadget, and my response is the same as Nikki Lee's. I seem to remember something like this from a Lactnet discussion many years ago, but the product was being launched in North America, I believe. I suspected it didn't enjoy market success, and someone now had acquired the remainders left from that attempt, and is marketing it far from the original location, in hopes they can dupe some new customers into buying up their old stock. But then, I am known for being cynical. And it seems the products are slightly different, though equally
I appreciate the reply Rachel Myr. Just hoping to be able to find something to pass along to mothers that invalidate the claims made by this company.
Dr Rahmat Bibi Bagus (MBChB) GP, IBCLC, La Leche League Leader PR 0258490 IBCLC L 303328 18 Phillips St Parow Valley Cape Town 7500 Bookings on What’sApp at 079 639 2542 (Operatings hours Mornings Monday to Saturday 9am-12pm Evenings 6.30pm-8pm All appointments strictly by appointment)
Hi, my name is Kika, I am from Spain. This is my first post, though I have been reading the list for a few months.
I am a family physician and sexual education expert. I am also a 2004 IBCLE hopeful; I am currently working as a lactation expert in a major hospital here in Madrid, Spain.
Looking for a recommendation in Houston for a very patient, caring LC for a relative. She did not nure her first and had a very bad experience with an LC the first time around in a different city. Thank you Jessica Billowitz, IBCLC Israel
Thank you Rachel Myr, for your thoughtful post. I appreciate the idea of relactating, of taking time to think and to reply, and of sharing more of our accumulated wisdom and experience with like-minded folks around the world.
A major development in the breastfeeding movement took place this week. Marian Tompson, Founding Mother of La Leche League, sadly resigned from the organisation she founded in 1956. Here is the text of her letter of resignation.
Good for her! And for using the vivid term "indulging the fantasies of adults". IMO that puts this bizarre incursion into proper perspective. I know it's radical, but I think we all need to STAND UP against the cultural gaslighting that is trying to get us to believe that "up is down, war is peace, male is female."
I was about to pose a question to the group when your mail came through.
Marian Tompson and the other founding mothers have affected the world, and certainly all our careers in one way or form. I remain entirely grateful to La Leche League and the Founding Mothers for dedicating their lives to educating, supporting, and encouraging the mother-baby relationship through breastfeeding. Words cannot fully describe the joy and empowerment, pleasure, and satisfaction that I personally received when employing the philosophies of La Leche League. Learning to trust my own body,
This topic is one that can quickly turn divisive. It would be the ultimate irony if a thread about a division in what was the prototype for all subsequent mother-to-mother breastfeeding support groups, led to a similar schism on our list. And it would also be incredibly sad, because this is a unique forum that deserves to survive. We are just on the verge of getting it to relactate, after all!
Rachel, Thank you so much for posting this. With all due respect to personal feelings and opinions, I would also hate to see this forum become a place where anyone who doesn't subscribe to gender norms feels alienated. I always felt like the lactation community was one of inclusiveness and mutual respect, and I would find it undignified for us to lose sight of that mission. Women have spent generations fighting for gender equity and I would find it ironic if we disaffected those who are seeking the same.
When I saw this on LLLI social media I was saddened. When I first became a Leader I read the book written about how they started, 7 mothers at a church picnic who wanted to help their friends. How it grew and they realized this was something needed everywhere when women showed up that no one in the group knew. In the early days they spoke about being available to all mothers. They met at their church picnic, a Catholic church, all the founding mothers belonged to this church. But they decided to not make the group religious so mothers
Not my first post, but after seeing what a royal mess I have made of threads in my years of Lactnet participation by blithely changing the subject line with no thought for the archival consequences, I'm trying to rectify it and to keep this thread on track. I just discovered I am getting individual posts to lactnet in my inbox - who knew? That I, still formally a listmother (listgrandmother, more like) can't keep track of this stuff is embarrassing. I should probably be scared of cognitive decline, but I'm deciding to wait with that until I get pulled over
Sabine asks for help finding an IBCLC in or near Fontana to work with her client who will be traveling there in March 2025 to welcome her child by surrogacy.
Sabine, I don't know the local network in S.California, but I do know that Kaiser Permanente have IBCLCs on staff. I recommend you contact the hospital where the baby is to be born and ask what services they can provide, or who they can recommend if they can't help your client themselves.
There is an excellent book called Defining Your Own Success by Diana West. It's about breastfeeding after breast reduction surgery. The book begins with a chapter on the various types of reduction surgeries, and so includes information on which surgeries do what to the breasts and how that impacts milk-making capabilities.
Does anyone know of a milk duct sparing reduction? My daughter is 31 yo, is not in relationship and had decided to have the breast reduction now. She is asking me for information that I don't have. I have always told her I would help her get one after she is done having children but she does not want to wait any longer.
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/
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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
