Dear Ellen,
Thank you for your kind remarks and careful consideration of my ideas. I am
happy to say I certainly don't consider it a risk putting my views out on
Lacnet...my core belief is that our babies are born 3 months too soon (the
"fourth trimester")and that a frequent supply of nutrition is the clearly
the most physiologic for them.
Regarding your reflections on my book, first, I am happy to say that you
misquoted the order of my sucking recommendations. Having been a lactation
advocate and educator of doctors, lactation consultants and moms for many
years, I of course list the breast as the primary source of sucking pleasure
for babies and pacifiers as taking a secondary place. And, in my rewriting I
will be even further emphasizing that point.
I too have seen babies take bottles in the early weeks only to refuse them
in a month or two, however, in my experience this refusal, without
exception, occurs when parents skip more than 2-3 days without giving their
baby a bottle. When this sudden absolute refusal to take a bottle occurs in
families who need the baby to take a bottle, it usually causes a great deal
of consternation and distress.
I agree in not offering a bottle before 2 weeks of solid breastfeeding or
longer if the nursing has been problematic. I have not, however, personally
had a case of nipple confusion with the introduction of a bottle once the
nursing is going smoothly for a couple of weeks when a bottle is only used
once a day or every other day.
I hope you get a chance to take a look at my book. I'd love to hear your
feedback.
Harvey Karp, MD
Date: Thu, 17 Oct 2002 08:36:08 +0200
From: ellen shein <[log in to unmask]>
Subject: The Happiest Baby
Dear Dr. Karp,
I find it so flattering that you have taken the time and energy to =
address concerns presented by my colleagues in such a caring and =
thorough manner. It is great to know that there are positive books =
coming onto the market to negate the very often dangerous information =
emanated to the public.
You also took quite a risk opening these issues up on a forum such as =
Lactnet!!!
Having produced a booklet for public consumption - for moms, I can =
appreciate that often what comes out in print isn't always what we =
intended to portray. And also, that by the time a book gets born, which =
is probably longer than the gestation period of a human baby, findings =
and recommendations can change.=20
I haven't had the opportunity to see your book, living in the Middle =
East, but I do have two comments or maybe suggestions for future print.
In your communication you wrote that you begin by stating that the =
breast is and always has been the #1 pacifier YET, you list a pacifier =
as number 1 in ways to satisfy baby's sucking needs. When you suggest =
using "You as a pacifier", this gives the impression once again, that a =
pacifier is a necessity and is the norm when in fact, pacifiers like =
bottles are a replacement for Mom. The sucking reflex was created in =
babies so that they will be able to and want to breastfeed. When mothers =
chose or failed to breastfeed, there had to be an artificial method to =
feed babies (bottles and formula instead of breast and breastmilk) and =
to answer the sucking need (rubber pacifier instead of breast because =
the bottle does not answer that need). As we are trying to get Moms back =
to basics in order to succeed to breastfeed, I feel that we also have to =
try to educate them to understand the physiology and needs of the =
newborn - which IMHO does not include pacifiers, at least not during the =
early period of establishing of a successful breastfeeding relationship. =
The commercial interests have worked over the years to convince moms =
that pacifiers are part of the facial ornaments, which a baby (or the =
parents) cannot live without. Maybe it would read better: 1) the breast =
and 2) "A pacifier instead of YOU."
=20
Regarding bottles: A baby's refusal at anytime, of a bottle, is highly =
individualized. Most babies might not encounter any difficulty in =
combining the two methods - breast and bottle. However, it isn't always =
the time factor that determines the babies readiness or willingness to =
accept a foreign body in its mouth, as in my nearly 20 years of practice =
I have seen cases where in the early weeks the baby didn't mind, but =
later on they refused.=20
I think I can safely speak for many Consultants who deal with serious =
problem solving and disasters, that at two weeks or any age before =
breastfeeding is well established, some babies unequivocally refuse the =
breast after one solitary bottle. Once they are fighting the breast, =
then of course, the SNS at the breast, would not be the remedy of choice =
as it will most likely fail or cause even more stress at the breast.
Thanks so much for taking the time to include us all.
And thanks so much for investing the time to get some good information =
out there. I look forward to reading the book soon.
Sincerely,
Ellen Shein, IBCLC,
Tel Aviv, Israel
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Date: Thu, 17 Oct 2002 00:10:52 -0700
From: Corrine Flatt <[log in to unmask]>
Subject: Heparin Sodium
Hi All!
This lady is a family friend who lives over 1000 miles from me. I am
wondering if any of you have noticed any link between Heparin and low milk
supply, or if this lady's supply issue is probably due to lingering yeast
issues, teething, solids, lazy baby, mismanagement of breastfeeding, or
other stresses (she works full time and has since 6wks pp, she moved across
the country one month ago, she had a bad yeast problem, she has other family
issues that necessitated the long and sudden move, etc.)
Thanks in advance for your thoughts.
Corrine Flatt
Las Vegas
*******************************************
(her edited letter to me)
I really do need some advice, and I am hoping that you can help me.
M-- is refusing to nurse, she will only take the bottle now. She's 5
months old and has started the teething process. I'm trying to pump to keep
my supply up, but pumping hurts, and where I originally could get at least
something out, now I am getting nothing at all. I am not sure if I ever
fully recovered from our nasty little bout of Thrush. M-- shows no signs of
it, but I have had problems with comfort and supply ever since.
The problem I have right now is mainly that although M-- tries to nurse, she
doesn't seem to be getting anything, as no matter how long I nurse during
the day, she isn't satified, and cries until I give her a few ounces of
formula. Her pediatrician started her on solids, she has now had rice and
oatmeal cereals, as well as all of the stage 1 fruits and vegetables. She
also has started on some stage 2 fruits and veggies, but has not had the
stage 1 meats yet. I do not know if solid foods has affected her nursing
habits, or if it is the fact that I am on injectible Heparin Sodium for a
blood clotting disorder. I have noticed that my arthritis has gotten bad
lately, and my hair has begun to thin. Osteoarthritis, Osteoporosis, and
Alopecia (hair loss) are all side effects of the Heparin. I have looked and
looked, but cannot find anything that ties Heparin to milk supply, and I am
hoping that you might know someone who may be able to give me some answers.
Please let me know if you can help me or if you know someone who can. As
always, if you need more information, or if someone else does, please ask
and I will be happy to oblige.
Respectfully,
W--
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Date: Thu, 17 Oct 2002 13:04:47 +0300
From: Hanna Graeffe <[log in to unmask]>
Subject: Nestle boycot
I'm nomail at the moment, but I thought you'd like to hear about my
little success!
I'm a member of the board in our local Lutheran parish. We have about
25.000 members in the parish. Members of the board can make
suggestions to the board, and in May, I suggested we start boycotting
Nestle.
Every October, the churches in Finland have a week loosely translated
to "a week of responsibility", where the theme this year is food and
hunger. They even talk about the Nestle boycot, and that's where I got
the idea.
Anyway, yesterday we had the board meeting. A smaller body had already
researched my idea, and they suggested, we don't start the boycot
because we don't even use any Nestle products in our parish. I held a
long speech, and suggested that we start the boycot anyway. We voted
about it, and I WON! 13 people said yes to the boycot, 12 said no, and
one voted empty. So, from this day on, our parish does boycot Nestle,
until the boycot is not anymore needed.
I'm really happy :) This doesn't change anything in our parish, but
it's a great signal, and I hope our decision gets a lot of publicity
in our country that is about 90 % Lutheran. The week of responsibility
is next week, so I hope the Nestle boycot will get some publicity.
And, this week we are celebrating the world breastfeeding week here in
Nordic countries (in August when everybody else celebrates it, we are
on vacation...). I feel this decision couldn't have come in a better
time.
Hanna Graeffe (leader of a breastfeeding support group, mother of two)
[log in to unmask]
www.lumenvalo.fi
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------------------------------
Date: Thu, 17 Oct 2002 07:22:48 -0400
From: Pat Young <[log in to unmask]>
Subject: Re: WRAPPING BABIES
Dangerous bedding and overheating babies is listed in most of the SIDS
literature. Pat in SNJ
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------------------------------
End of LACTNET Digest - 16 Oct 2002 to 17 Oct 2002 - Special issue
(#2002-1334)
****************************************************************************
***
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