Help!!  Just got a mom with twins (boy and girl). Babies are 4 weeks old.
The boy is on Nurtramegin because the Dr. thought he had a cow's milk
allergy. {AARGH!! I'm tired of hearing this one.) Baby girl is nursing 50%.
I'd like to take the mom some articles or literature but can't seem to find
anything in my files. Does anyone know of any good articles that I could
give mom to possible give her Doctor. I'm seeing her as a Doula - not an LC,
but she knows that I am also a LC.  Thanks!

> From: Automatic digest processor <[log in to unmask]>
> Reply-To: Lactation Information and Discussion <[log in to unmask]>
> Date: Thu, 14 Sep 2000 00:07:55 -0400
> To: Recipients of LACTNET digests <[log in to unmask]>
> Subject: LACTNET Digest - 13 Sep 2000 (#2000-1066)
>
> There are 4 messages totalling 137 lines in this issue.
>
> Topics of the day:
>
> 1. Syntocin search
> 2. Mastitis
> 3. Triplet Update
> 4. search
>
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>
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> ----------------------------------------------------------------------
>
> Date:    Wed, 13 Sep 2000 17:53:43 -0700
> From:    Mary Cummins <[log in to unmask]>
> Subject: Syntocin search
>
> I've searched the archives on syntocin but can't find the "formula" for it.  I
> know
> it has been taken off the market commercially.  But I'm sure I remember
> discussion
> about a list of ingredients that a pharmacist could put together.  Is my
> memory
> playing tricks (nothing new there) or what?  If anyone can help, please
> respond.
> Thanks.
>
> Mary Cummins, M.Ed., IBCLC
> Scottsdale, AZ (where is is supposed to be 12 degrees above normal tomorrow
> --
> 110.  Yikes!)
>
> ------------------------------
>
> Date:    Thu, 14 Sep 2000 12:06:11 +1000
> From:    Denise Fisher <[log in to unmask]>
> Subject: Re: Mastitis
>
> At 20:37 13/9/00 -0400, Karen wrote:
>> breast fed her first child and, as a result of undiagnosed mastitis, she
>> had two surgical procedures under general.
>
> Not sure what these were - possibly drainage of one or ?two breast
> abscesses. Not diagnosing mastitis is a difficult thing to do - did you
> mean 'untreated mastitis'.  If not, perhaps she never had mastitis at all
> and it was a galactacoele that was operated on.
>
>> is it
>> possible that milk ducts were sufficiently disrupted as to cause an
>> inability to nurse.
>
> I wouldn't think so Karen.  Reduction mammaplasty disrupts the milk ducts
> even more and still most mothers who have this surgery are able to either
> fully or partially breastfeed.
>
>> I am assuming that only one breast was operated on but I don't know that
>> for a fact.
>
> If it was only one, and the surgeon did have a picnic in there, then she
> still should be able to fully breastfeed her infant from the unaffected
> breast.
> I suspect the surgeon told her not to breastfeed as his way of preventing
> breast abscess reoccurring in her.
>
>> Also, I am looking for your best advice on what to tell her to prevent
>> the possibility of developing mastitis again if she does BF this baby.
>
> -ensure good latch
> -finish the first breast first
> -gently massage to clear lumps as they appear
> -avoid nipple damage
> -eat well, rest well, stay well
>
> These are the basics and not attending to them has been shown to be the
> most common causes of mastitis.  I really can't think of anything else I
> would tell her at this stage.  Perhaps after she has had the baby you may
> need to check the area around the old incision sites and apply cold
> compresses/cabbage leaves if it appears that some severed ducts aren't
> allowing a section to drain - this will let these sections involute while
> the rest of the breast functions normally.
>
> Incisions probably weren't near the lower outer sections of the areola,
> which would impact on the milk ejection reflex.
>
> Karen I think my management at this stage would be just to give her good
> information, preferably written, on how good breastfeeding is.  To have her
> committed to wanting to breastfeed before she has her baby will be 95% of
> her problems solved - then just good breastfeeding management will
> hopefully prevent anything further from happening.
>
> All the best
> Denise
>
>
>
> ****************************************************
> Denise Fisher, BN, RN, EM, IBCLC
> BreastEd Online Lactation Studies Program
> http://www.BreastED.com.au
> mailto:[log in to unmask]
> ****************************************************
>
> ------------------------------
>
> Date:    Wed, 13 Sep 2000 22:43:50 -0400
> From:    Jean Macomber <[log in to unmask]>
> Subject: Triplet Update
>
> Hi, all,
>
> Since so many of you graciously offered your opinions and suggestions
> about the triplet mom who couldn't pump more than one ounce of
> breastmilk per day at week three, I thought I'd update you.
>
> Mom is about 5 weeks out now. She took triplet "A" home on Monday and
> chose to stop pumping as she was overwhelmed with her new routine. She
> never did achieve more than one ounce/day. And her OB never did sono or
> blood test her for retained placental fragment. (Boo!) She is a sweet
> girl and we will continue to support her. ("Sympathetic magic",
> right,Katharine?) She told me on Tuesday that she and hubby and baby had
> spent much of the night "just cuddling". Don't ya love it?
>
> Thanks for all your ideas. This group really has such a wealth of
> knowledge and each person's thoughts seem to spur new insights. What an
> education!
>
> Jean Macomber, RN, IBCLC
> Jacksonville, FL (where with 1200 deliveries/yr they're approving 1.0
> FTE for LC!)
>
> ------------------------------
>
> Date:    Wed, 13 Sep 2000 22:58:01 EDT
> From:    "Karen Evon, LLL Leader" <[log in to unmask]>
> Subject: search
>
> Search anesthesia in Lactnet 1999 - 2000
>
> Maternal Expressions
> THE Maternity & Breastfeeding Specialty Store
> Folsom, CA
> [log in to unmask]
>
> ------------------------------
>
> End of LACTNET Digest - 13 Sep 2000 (#2000-1066)
> ************************************************

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