So sorry I misread the baby was 6 days but he is 6 hrs. Err on the side of
post feed expressing. It's very good practice anyway.
Laurie Wheeler

On Jul 17, 2017 11:00 PM, "LACTNET automatic digest system" <
[log in to unmask]> wrote:

There are 2 messages totaling 74 lines in this issue.

Topics of the day:

  1. Daycare Regulations in the US
  2. Enhancing lactation potential with hypothyroid mother

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Date:    Mon, 17 Jul 2017 10:02:13 -0400
From:    Holly McSpadden <[log in to unmask]>
Subject: Daycare Regulations in the US

Greetings!

I recently received a call from a mom who's child just turned 1 year old.
She is breastfeeding and sending milk to the daycare. She has been told by
the daycare that she needs a medical note from her pediatrician stating
that breast milk is still medically necessary now that her baby is 1 year
old! We spoke with the daycare director who indicated that this is a
required regulation. Does anyone know if that is true?

Thanks,

Holly McSpadden, IBCLC

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Date:    Mon, 17 Jul 2017 17:00:09 -0400
From:    Jan Hasler <[log in to unmask]>
Subject: Enhancing lactation potential with hypothyroid mother

Looking for current research and practice recommendations for the mother
with thyroid dysfunction and lactation
(Lisa Marasco, thank you for your informative article in LLLI Breastfeeding
Abstracts, February 2006) Have been unable to find anything else following
the article with any concrete advise.
Working with a mother with Hx of hypothyroid who is taking levothyroxine
and whose baby is doing well at the breast (6 hours old). Mother had a
history of low milk supply with 1st child.
- Have you experienced post-feed pumping to boost lactogenesis to normal
milk supply or is time better spent enhancing her let-down with gentle
breast massage and using breast compression during the feeding?
- Is a thyroid function profile beneficial at a few days post-partum rather
than waiting 6 weeks?
- If needed, which galactagogues would be recommended shatavari,
moringa/malunggay? (I know fenugreek is generally contraindicated with
thyroid issues)

Thank you!

Jan

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End of LACTNET Digest - 12 Jul 2017 to 17 Jul 2017 (#2017-187)
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