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On Sat, 9 Sep 1995, Automatic digest processor wrote:
> There are 11 messages totalling 310 lines in this issue.
>
> Topics in this special issue:
>
> 1. Dr. at work, early menarch,not latching
> 2. LACTNET Digest - 31 Aug 1995 - Special issue
> 3. medical reference searches
> 4. lactnetaphobia?
> 5. Rabies
> 6. Gention violet for yeast
> 7. limerick contest/ Note re: cost savings.
> 8. pumping catch-22
> 9. Restricted mobility
> 10. NOT BF: ADHD/Addicted to soy
> 11. Bromocriptine
>
> ----------------------------------------------------------------------
>
> Date: Sat, 9 Sep 1995 17:57:26 EDT
> From: "Diane T. Herforth" <[log in to unmask]>
> Subject: Dr. at work, early menarch,not latching
>
> Dear friends,
>
> I have to add my $.02 worth on a few subjects.
> 1) Dr. going to work. I have worked with many doctors going to work. I
> usually try to give mothers many choices especially on which breast pump to use.
> I find I can not do this with doctors. These women need the best. They need a
> double pump system. I usually have them try the one they can buy, N --III, If
> that doesn't work, they need to rent. I had one emergency room doctor get so
> good at holding the pumps, she could chart and not loose any time (I don't
> recommend this). It did work for her. The important thing is to have them pump
> what I call quickies. They can not let themselves get over full. The doctor
> will have a harder time pumping and is more likely to get plugged. When she is
> on call she needs to pump when she has time even if it is not time to pump. She
> can take 10-15 min. to keep things flowing. Hope this helps.
>
> 2) Early menarch. Well I have to tell you that I do not think breastfeeding
> has much to do with this. I did start when I was 11.5 years and expected my
> daughters to do the same. My oldest daughter breastfed for 3+ years. I loose
> track. She was a synchronized swimming swimmer. She did not start menses until
> she was 15 years. My youngest daughter breastfed for 3+ years. She started
> before her brain was ready (age 10). She has never been into a lot of physical
> activity. I do think that fat stores has something to do with it.
>
> 3)No latch. You have been given a lot of good ideas however I want to add one
> other. When a baby doesn't latch in the first few hrs. to day, some of these
> kids need a little time to figure it out. The best advice that was given to me
> years ago is that the next window of learning comes right around 3 weeks. I
> always tell my parents that they are the teachers and this teaching might take a
> good 3 weeks. If the baby latches earlier, great; if the baby takes awhile, the
> parents are relaxed about the wait. Good luck.
>
> Diane Herforth, BAE, IBCLC, ICCE (I passed)
> Tacoma WA
>
> ------------------------------
>
> Date: Sat, 9 Sep 1995 18:16:27 -0400
> From: "Betsy Wall,IBCLC." <[log in to unmask]>
> Subject: Re: LACTNET Digest - 31 Aug 1995 - Special issue
>
> Regarding laura aldags questions about LAM and bone density--there have been
> several interesting studies done to look at the effects of long term low
> levels of estrogen due to lactation and pregnancy and their effects later on
> bone density, etc. I am interested in this too, Laura, as osteoporosis runs
> in my family aand at age 39 I already have osteopenia (the precursor to
> full-fledged osteoporosis).(Attention all female LC's,Ph.Ds, and MDs out
> there with risk factors in your family history for osteoporosis--its never
> too early to get a bone densitometry study done!) But my grand mother with
> severe osteoporosis did not breastfeed any of her five babies and my paternal
> grandmother who breastfed five babies for 2 years each had no osteopenia at
> all. And, it just did not seem right to me that good old Mother Nature would
> have women become brittle if they nursed their babies long term...the studies
> I have read in fact looked at this. They found that if weaning is gradual,
> there is a mechanism in the body for recovery of bone mass during and after
> weaning. The studies I can immediately lay my hands on today (Saturday at
> home not at the office!) are: Specker B. Tsang R., Ho M. Changes in calcium
> homeostasis over the first year postpartum: Effect of lactation and weaning.
> Obstet Gynecol 1991:78 (1)56-62. and another study that found that
> "pregnancy and lactation do not have long-term negative effects on BMD (bond
> mineral density) and that changes in BMD during pregnancy and/or lactation
> appear to be transient. "(I am pulling this quote from BFDG Abstracts 1993
> from LLLI): Pregnancy and lactation as determinants of bone mineral density
> in post-menopausal women by D. Kitz-Silverman, E. Barrett-Connor and K>A>
> Hollenbach. Am J Epidemiol 1992: 136:1052-59. Two studies do not a definite
> conclusion make, but there are more, and at the least it again confirms that
> the biochemistry of the human and in this case, female, body is quite
> complicated and has tackled these biological problems for many years with
> many successful outcomes. Hope this is helpful. The Center for
> Breastfeeding Information at LLLI I am sure can give you a more comprehensive
> list than this.
>
> ------------------------------
>
> Date: Sat, 9 Sep 1995 18:32:47 -0400
> From: Sue Jacoby <[log in to unmask]>
> Subject: medical reference searches
>
> Does everyone know about the Grateful Med and Lonesome Doc program? If you
> do not have access to a local medical library, you may be interested in this
> service of the National Institutes of Health, which allows you to access the
> data base of the National Library of Medicine. I heard about it from an MD
> who spoke at a LLL conference a few years ago. This program runs on a
> personal computer, and is very simple (even I was able to figure out how it
> is done!) Once your search is complete, you can use the Lonesome Doc
> feature to order documents from the nearest participating medical library,
> and they will be delivered to your home or office by mail or fax. I do not
> benefit in this in any way, so I hope it is OK to pass along the phone number
> for obtaining more information: 1-800-638-8480.
>
> ------------------------------
>
> Date: Sat, 9 Sep 1995 19:32:04 -0400
> From: Kathleen Doerr <[log in to unmask]>
> Subject: lactnetaphobia?
>
> In a message dated 95-08-31 09:05:36 EDT, you write:
>
> >
> >NEW VOCABULARY: Noun = Lactnet or Lactnetter (He/she who lactnets...)
> > Noun(plural)= Lactnetters
> > Verb = to Lactnet
> > Gerund = Lactnetting
> > Past-participle = Lactnetted
> > Adverb = Lactnettingly (or is this an adjective?)
> > Past-tense = Lactnetted
> > Noun = Lactnetation
> > Adjective = over-lactnetted (that's ME!)
> >
> >CHALLENGE: I'll give a free tour to the maya ruins of Uxmal to anyone who
> >can use at least 3 of the above words in one sentence. The clock's running
> >!
>
> Hi I am Kathleen a lactneter who as over-lacnetted to the point of
> Lactnetaphobia ( I am afraid that I am truly behind on my lactnetting.) :)
>
> I truly am learning a tremendous amount in my lurking thanks to you all for
> your wonderful insights.
>
> ------------------------------
>
> Date: Sat, 9 Sep 1995 19:31:17 EDT
> From: MS CATHY LILES <[log in to unmask]>
> Subject: Re: Rabies
>
> Several years ago, I received a call from a woman who had been bitten
> by a bat, they suspected it might have rabies and were concerned
> about her breastfeeding baby. The infectious disease people at our
> wonderful Department of Health were very helpful in looking into this.
> They reported that breastmilk is not a listed route of transmission
> for rabies and that there were no reports of rabies transmitted
> through the milk in animals, they also had information that the
> injections that the mother had to receive were probably compatible
> with breastfeeding because the medication has a very low bio
> availability- that's why they give injections, this made sense to me
> and also to the mother and her health care provider, she received the
> treatments and continued breastfeeding with no untoward effects. They
> were never able to locate the bat. Barbara Wilson-Clay may be
> interested in sharing her snakebite history also. Cathy Liles
>
> ------------------------------
>
> Date: Sat, 9 Sep 1995 20:21:35 EDT
> From: "Kim A. Campbell" <[log in to unmask]>
> Subject: Re: Gention violet for yeast
>
> On todays digest, Diane wrote on treating yeast:. " You can try Gentian Violet
> or a new med they use for AIDS patients
> called nyzerall (hope I spelled it right)."
>
> We no longer recommend Gention Violet as it was my understanding there is
> evidence that it is associated with cancer. I do not have a reference - but am
> hoping someone out there can clarify.
>
> Comments from on high?????
>
> Thanks, (did not sleep well last night - again ) blood shot in Vancouver,
> Kim
>
> ------------------------------
>
> Date: Sat, 9 Sep 1995 20:53:17 -0400
> From: Kathleen Bruce <[log in to unmask]>
> Subject: limerick contest/ Note re: cost savings.
>
> As for the limerick contest, let the *Games* begin!
>
> As for the cost savings..with regard to bf ..showing insurance companies
> that bf SAVES money (yes I am SHOUTING)..and that abm COSTS money....as well
> as health of babies...
>
> I have a discouraging story to relate. I made an appt with the head of BC
> /BS here in my state. He, an MD agreed to see me and my partner, and we came
> in armed with proposals...and with studies..actually a stack several inches
> high....6 sets of studies.. Marsha' paper on Hazards (THANKS FOR WRITING
> THIS MARSHA)..and if you just take the ear infections...that piles up to
> tons of money. THere was a letter written in the past few years from
> someone, can't remember who, to Hillary CLinton, outlining cost savings of bf.
>
> They saw all this stuff..read it...and then agreed to cover lc services for
> SOME babies...those hospitalized for more than 5 days, with prior
> approval,...maybe,...if the moon is full and blue..etc. They have not
> covered any pumps since we talked to them, to my knowledge.
>
> They KNOW that bf saves health. but when it comes to paying anything out to
> the people who pay IN>...FORGET IT>
>
> MONEY IS THE BOTTOM LINE>
>
> Depressingly,
>
> Kathleen
> -------------------------------------------------------------------------------
> "Even against stupidity, the Gods battle in vain..." Goethe
> -------------------------------------------------------------------------------
> Kathleen B. Bruce mother, BSN, IBCLC, LLL Leader (7 yrs),
> Co-Owner Lactnet, E-Mail = [log in to unmask]
> LACTNET WWW site: http://www.mcs.com/~auerbach/lactation.html
>
> ------------------------------
>
> Date: Sat, 9 Sep 1995 21:04:56 -0400
> From: "Linda J. Smith, BSE, FACCE, IBCLC" <[log in to unmask]>
> Subject: Re: pumping catch-22
>
> Dear Jon and others,
> The baby will benefit from contact with the mother, period. Mom may benefit
> from double pumping instead of traveling to see the baby and single pumping.
> Pumping more/double will build milk, but the contact with mom has enormous
> psychological benefit. What a rotten choice! Have mom try bracing one kit
> against the breast closer to her elbow with the same hand holding the second
> kit on the farher breast. i.e., hold kit with right hand on left breast;
> press second kit against right breast with inner part of right arm.
>
> Good luck to this mom - government agencies should be examples of GOOD
> support for women, not horror stories.
>
> Linda Smith, wishing moms didn't have to choose between money and kids.
>
> ------------------------------
>
> Date: Sat, 9 Sep 1995 19:41:33 EDT
> From: MS CATHY LILES <[log in to unmask]>
> Subject: Re: Restricted mobility
>
> There was a wonderful woman I had a chance to work with who is a
> dwarf and she had a baby. Her baby was also a dwarf. This mom had
> very short arms and very long, pedulous breasts. She wasn't able to
> extend her arm far enough to latch the baby on. We tried pillows and
> slings and propping and bending and all sorts of contortions, but the
> only thing that worked was for her mother or husbad to latch the baby
> on and support it during a feed. Well, in her infinite wisdom, her
> mother could see that breastfeeding would not last long that way, so
> grandma and dad ran to the store for some formula (hee, hee) there
> was no formula and there were no bottles in the house. Alas, the
> baby woke up and wanted to eat- mom was stuck- she had to figure this
> out on her own. Four hours later, her mother and husband returned
> empty handed and smelling of beer and barbecue and she had figured
> out how to latch the baby on herself using pillows and a cross body
> transitional type hold lying down in the bed. She continued nursing
> for nine months and eventually discovered other ways to latch her on
> as she grew older and more competant. It's amazing how mothers can
> find solutions to these problems when they are truly motivated to
> breastfeed. I'm sure there are many other success stories out there
> also. Cathy Liles
>
> ------------------------------
>
> Date: Sat, 9 Sep 1995 21:40:40 -0500
> From: "katherine a. dettwyler" <[log in to unmask]>
> Subject: NOT BF: ADHD/Addicted to soy
>
> This isn't related to breastfeeding per se, but I thought one of you might
> be able to shed some light -- you can e-mail me privately if you think
> that's more appropriate. I met a mom tonight at a party whose 4 year old is
> ADHD (officially diagnosed, not being treated with drugs at the moment).
> This child was breastfed for about 2 years. The mother said the daughter is
> *addicted to soy* (her words) -- says she will get the soy sauce and drink
> it right out of the bottle. Has anyone ever heard anything like this? I
> know nothing about ADHD, so maybe I'm just uninformed, but I've never heard
> this mentioned before. Could this be a *sodium* imbalance of some sort? Or
> truly something about the soy? If so, wouldn't eating tofu satisfy the urge
> in a healthier way? Not that the mother lets her daughter drink soy sauce
> ad lib. Just wondering........
>
> Kathy Dettwyler
> [log in to unmask]
>
> ------------------------------
>
> Date: Sun, 10 Sep 1995 02:48:04 GMT
> From: Shirley Gross <[log in to unmask]>
> Subject: Bromocriptine
>
> For your query regarding bromocriptine, here is some information.
>
> I am happy to report that bromocriptine is no longer indicated for the
> supression of lactation in women in Canada. Both Canadian manufacturers
> have voluntarily complied and have removed this indication for their
> product. The action came after the media reported that the Food and Drug
> Administration in the US had received 531 spontaneous adverse drug reation
> reports in women of childbearing age since 1980 (including 32 reported
> deaths, 31 strokes and 63 seizures). In Canada we have not seen the same
> degree of problems but our Health Protection Branch proceeded nevertheless.
>
> They also suggested that there were other options available to mothers
> including the use of cold packs, analgesics and COMPRESSION BANDAGES. Sigh.
> Two steps forward and one step back.
>
> Bibliography:
> CMAJ Jan. 1. 1995; 152(1)
> U.S. Food and Drug Administration. FDA Medical Bulletin. Vol 24(2):
> September 1994
> Eickman FM. Recurrant Myocardial Infarction in a postpartum patient
> receiving bromocriptine. Clin Cardiol 1992; 15:781-3
> Meese MG et al. Reassessment of bromocriptine use for lactation supression.
> P and T 1992; 17:1003-4
> Spalding G. Bromocriptine (Parlodel) for supression of lactation. Aust and
> NZ J of Obs and Gynaecol 1991;31:344-45
>
> Enjoy,
>
> Dr. Shirley Gross (from the great LACTNETTED north)
> Director of the Edmonton Breastfeeding Clinic
>
> ------------------------------
>
> End of LACTNET Digest - 9 Sep 1995 - Special issue
> **************************************************
>
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