CONFIRM LACTNET
On Mon, 18 Nov 1996 17:25:56 -0500 Automatic digest processor
<[log in to unmask]> writes:
>There are 15 messages totalling 419 lines in this issue.
>
>Topics in this special issue:
>
>  1. Breastfdg./Breast cancer
>  2. Teens produce less milk?
>  3. Cute story
>  4. Varney midwifery book ad
>  5. Risperidone (Risperdal)
>  6. PCB's, Osteoporosis, Computer probs.
>  7. teen mothers (2)
>  8. 300 gram wt gain
>  9. Teen moms produce less milk?  Huh?
> 10. BF and libido (2)
> 11. Teens produce less milk
> 12. lactation outpatient centers
> 13. Mammogram question
>
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>----------------------------------------------------------------------
>
>Date:    Mon, 18 Nov 1996 11:39:06 -0800
>From:    Diana Dietz <[log in to unmask]>
>Subject: Breastfdg./Breast cancer
>
>And now the GOOD NEWS! Here's a news piece from a mainstream financial
>tip publication called the BOTTOM LINE, Vol. 17, #23, Dec. 1, 1996:
>
>"Did you know that...
>breast-feeding is good for mom, too? Women who breast-fed for as
>little
>as three to six months were 22% less likely to develop premenopausal
>breast cancer as women who bottle-fed their babies from birth.
>Breast-feeding for one year or more lowered risk by about 30%."
>
>THAT one made my day! My mother died of premenopausal breast cancer 14
>years ago (while I was pregnant with her first grandchild). She never
>breastfed because her doctor told her not to, because SHE had numerous
>food allergies. This was a woman who had natural childbirth in the
>days
>when most laboring women were totally knocked-out (as opposed to
>knocked-up, which also applies); she would have breastfed if not
>advised
>otherwise. I suppose my deep regret over her untimely, and possibly
>avoidable, death is part of my motivation to advocate breastfeeding
>and
>NEVER EVER withhold breastfeeding facts from patients. Wish I could
>turn
>back time...
>
>Diana Dietz, RN, BSN    Georgia, USA
>Diana Designs -- designs that celebrate breastfeeding and mothers
>http://www.prairienet.org/community/health/laleche/diana.html
>
>------------------------------
>
>Date:    Mon, 18 Nov 1996 12:05:10 -0500
>From:    Hotheaded Red <[log in to unmask]>
>Subject: Re: Teens produce less milk?
>
>On Mon, 18 Nov 1996, Diana Dietz wrote:
>
>> study looked at only 22 lactating mothers, 11 teens and 11 adults.
>> Researchers said it's unclear whether teens aren't biologically
>capable
>> of producing enough milk or if other factors, such as nurtrition,
>are
>> involoved. The study also found that teen mothers tend to spend a
>> shorter amount of time nursing, nursed less often and quit nursing
>> sooner than adult mothers."
>>
>> Comments, anyone?
>
>AAAAAAAAAAAAAAARGGGGGGGGGGGGGGGHHHHHHHHHHHHH!!!!
>WHO did this "study?"  What a crock.  Uh, whoever did this study is
>obviously so completely clueless about the mechanics of lactation, AND
>of
>statistics that I can't believe it was even worth the paper it was
>printed
>on.  The teens tended to nurse less frequently? Oh, gee.... They
>didn't
>nurse as long? oh you're kidding?  Hmmmmm..... I wonder why they
>aren't
>making as much milk??
>
>PUH-lease.... and what counts as a teen?  My best friend was 19 when
>she
>had her daughter- she had so much milk, she still leaks, and her
>daughter
>is 2 years old.  I was only 20 when I had my daughter. I had an
>overactive
>let-down, and made so much milk I had to let it spray into a diaper
>before
>she could nurse effectively. Who can we complain to about this
>"study?"
>
>22 people... yep, that is statistically significant....  sounds like
>the
>"weight chart" sample group.
>
>Heidi Murphy
>Gainesville, FL
>
>------------------------------
>
>Date:    Mon, 18 Nov 1996 12:30:42 -0500
>From:    Denhez Louise <[log in to unmask]>
>Subject: Cute story
>
>This is off-topic, but you might have a giggle out of this story:
>As I was getting ready to breastfeed my 31 month-old boy to bed (in
>the
>parental bed, after reading all these posts) he gets suddenly very
>interested in my underpants: was I going to change them, were they
>like
>diapers, etc ?? Ah, I think, an opportunity to toilet teach. So there
>I
>go : I go to the bathroom, and so does Papa, and big brother, and big
>sister, and does Felix go to the bathroom too ?
>He thinks very briefly and answers: you go showers, I go bath.
>
>And some are afraid that prolonged breasfeeding prevents healthy
>development of one's own personality...
>
>Louise Denhez, M.D., M.P.H
>CLSC Lac-Saint-Louis
>Pointe-Claire
>Quebec
>
>------------------------------
>
>Date:    Mon, 18 Nov 1996 11:45:02 -0600
>From:    "Janice M. Riordan" <[log in to unmask]>
>Subject: Varney midwifery book ad
>
>Kathy Auerbach is off line temporarily so I'm responding to an earlier
>comment made on LACTNET about the small baby bottles within the border
>of a
>mailed "annoucement"of the newly published book on midifery by Varney.
>Since the announcement was not for our new books, we did not see it
>before
>it was send. Kathy and I, the publisher, Jones and Bartlett and the
>staff
>member who developed the announcement regret the situation.
>
>Janice M. Riordan EdD, RN
>Associate Professor of Nursing
>Wichita State University
>316-682-0744
>Fax 316-682-0749
>
>------------------------------
>
>Date:    Mon, 18 Nov 1996 11:08:09 -0600
>From:    Tom Hale <[log in to unmask]>
>Subject: Re: Risperidone (Risperdal)
>
>To      :Judy Eastburn
>Re      : Risperidone (Risperdal)
>
>The manufacturer reports that Risperdal is transferred into animal
>milk,  but
>no data is available on humans.  I have recently reviewed this
>medication and I
>can assure you that it is a potent antipsychotic agent with numerous
>side
>effects,  including hyperprolactinemia and a lot of other effects.
>
>I do not think that at this time it would be safe to recommend this
>mom
>continue to breastfeed if this medication is used.
>
>Sorry...
>
>Tom Hale, Ph.D.
>
>
>
>Date:    Mon, 18 Nov 1996 00:34:07 -0500
> From:    Judy Eastburn IBCLC <[log in to unmask]>
>Subject: Risperdal
>
>Dear Dr. Hale:  I'm still working with the mother, 6 weeks pp who is
>Manic-Depressive.  Dr. has now switched her to Risperdal 1/nite.
>Don't know
>the concentration of dosage.  She is currently pumping and dumping.
>Do you
>know anything about this med for bf mothers?  Thanks...
>Judy Eastburn, B.S., IBCLC  Private Practice, Dallas, Tx.
>
>------------------------------
>
>Date:    Mon, 18 Nov 1996 13:49:10 -0500
>From:    Diana Warfield <[log in to unmask]>
>Subject: PCB's, Osteoporosis, Computer probs.
>
>I am looking for documentation regarding:
>-risk/benefits to breastfeeding infants of mothers who's main
>vegetable
>sources are home gardens in PCB intensive regions.
>-breastfeeding and reduction in incidence of maternal osteoporosis in
>later
>life  I searched the archives and found nothing although I'm certain
>we have
>discussed both.
>ATTN. ANYONE who has sent me mail in past. Have had computer problems
>recently but hopefully things are better now that my husband has
>loaded a
>cleaner version of Eudora. Unfortunately, I lost All of my LC mail
>including
>much wise advice from many of you sent privately over the last year,
>as well
>as a few requesting info. Please resend if you are one of the latter.
>Looking forward to a more computer-friendly time, Diana
>
>------------------------------
>
>Date:    Mon, 18 Nov 1996 15:07:44 -0800
>From:    ldd <[log in to unmask]>
>Subject: teen mothers
>
>oooooh, I get so aggravated!! We need one more thing out there telling
>teen mothers not to nurse. Balderdash!!
>
>I have a teen mom in my support group, tandem nursing a toddler and an
>infant. She has produced the healthiest, plumpest little boys ever.
>And,
>she is not lacking a thing.
>--
>Lechia Davis, RNC, ACCE, IBCLC
>Maternal Instincts
>Danville, VA
>http://ns.gamewood.net:80/~maternal/
>
>------------------------------
>
>Date:    Mon, 18 Nov 1996 12:23:28 -0700
>From:    Kate Hallberg <[log in to unmask]>
>Subject: Re: teen mothers
>
>At 03:07 PM 11/18/96 -0800, ldd wrote:
>>I have a teen mom in my support group, tandem nursing a toddler and
>an
>>infant. She has produced the healthiest, plumpest little boys ever.
>And,
>>she is not lacking a thing.
>
>So with your sample, Heidi's and mine, we've increased the database by
>three
>sucessful teen moms and scewed their results significantly.  The
>biggest
>problem I've seen with teen moms sucessfully breastfeeding is pretty
>much
>the same as with adults.  When properly supported and not give bad
>information, 15 yos can  nurse just as well as 20, 30 or 35 yos.  Are
>we
>surprised by that?  :-)
>
>But thanks to whomever posted the newspaper article so that when we
>hear
>people try to tell teens that they can't nurse, we know how pathetic
>this
>'study' was.
>Kate
>
>Let's not lose sight of the fact that ALL babies who are artificially
>fed
>are guinea pigs in the biggest human nutritional field experiment ever
>conducted.- Arly Helm
>
>http://www.cs.colorado.edu/~kolina/Home.html (my home page)
>http://www.cs.colorado.edu/~grunwald/House.html   Buy our House!
>
>------------------------------
>
>Date:    Mon, 18 Nov 1996 13:56:52 -0000
>From:    Marie Schulte <[log in to unmask]>
>Subject: Re: 300 gram wt gain
>
>>I too thought that 300 grams a week weight gain was great, however,
>the
>>clients doctor and the child health nurse both thought otherwise,
>that
>>is why I asked for Lactnetters opinion.  I have been assured by the
>>local child health nurse that 35 grams a day is expected, this is
>what
>>they have in their manual she tells me.
>Am I missing something here? On my calculator, 35 grams times 7 days
>in a
>week is 245 grams per week.
>
>Marie Schulte LLLL in Madison, WI
>
>------------------------------
>
>Date:    Mon, 18 Nov 1996 15:01:27 EST
>From:    KM Zeretzke <[log in to unmask]>
>Subject: Teen moms produce less milk?  Huh?
>
>. The study also found that teen mothers tend to spend a
>shorter amount of time nursing, nursed less often and quit nursing
>sooner than adult mothers."
>
>Comments, anyone?
>
>Excuse me?  The study said the above and that teens then produced less
>milk than adults?  What's the surprise?  If they nursed for shorter
>times, and less often, why *wouldn't* we expect them to produce less?
>Supply = demand and all that.
>
>Seems the questions should focus on changing the feeding behavior to
>include more time spent bf and bf more often to equalize the data...
>
>Sign me a bewildered Karen Zeretzke, MEd, IBCLC
>Baton Rouge, Louisiana
>
>------------------------------
>
>Date:    Mon, 18 Nov 1996 14:29:02 -0600
>From:    "katherine a. dettwyler" <[log in to unmask]>
>Subject: BF and libido
>
>I've had a request for studies on libido (sex drive) in breastfeeding
>women.
>Does anyone have any references handy, or know the keywords to search
>with
>on Medline?  I'm not coming up with anything.  I think we all know
>women
>with  young children are not as interested in sex as before the
>pregnancy,
>but I'm looking for research on mechanisms.  Is it lower estrogen,
>different
>levels of androgens (higher/lower) while lactating?  Just too tired
>and
>touched out?  TIA.
>
>----------------------------------------------------------------------------
>-------
>Katherine A. Dettwyler, Ph.D.                         email:
>[log in to unmask]
>Anthropology Department                               phone: (409)
>845-5256
>Texas A&M University                                    fax: (409)
>845-4070
>College Station, TX  77843-4352
>
>------------------------------
>
>Date:    Mon, 18 Nov 1996 13:46:40 -0700
>From:    Kate Hallberg <[log in to unmask]>
>Subject: Re: BF and libido
>
>At 02:29 PM 11/18/96 -0600, katherine a. dettwyler wrote:
>>I've had a request for studies on libido (sex drive) in breastfeeding
>women.
>>Does anyone have any references handy, or know the keywords to search
>with
>>on Medline?  I'm not coming up with anything.
>
>what keywords are you using?  I think Libido is a tough one for
>Medline, but
>sexual activity?  Try reproduction, or sex and see if it suggests
>others.
>OOOps that's a Paperchase cue.  Can you get Paperchase?  I've searched
>for
>antidepressants and libido but don't think I have the current search
>to see
>what keywords I used.
>
> I think we all know women
>>with  young children are not as interested in sex as before the
>pregnancy,
>>but I'm looking for research on mechanisms.  Is it lower estrogen,
>different
>>levels of androgens (higher/lower) while lactating?  Just too tired
>and
>>touched out?  TIA.
>
>If it were extrogens, shouildn't libido increase when a nursing woman
>gets
>pregnant, or ovulates?  I don't think that's always the case- and I
>know
>it's not with me.  (Although satisfaction levels increased.  :-)  )
>"Touched out" is probably a hard to define term, so try "tactile" or
>"overload" in combination with other search words.  paperchase gives
>good
>prompts, so it's a good program to use when searching fuzzy ground
>like
>this.  I think it's an energy thing, but there must be a more precise
>explanation available.  maybe not.
>
>Kate
>
>Let's not lose sight of the fact that ALL babies who are artificially
>fed
>are guinea pigs in the biggest human nutritional field experiment ever
>conducted.- Arly Helm
>
>http://www.cs.colorado.edu/~kolina/Home.html (my home page)
>http://www.cs.colorado.edu/~grunwald/House.html   Buy our House!
>
>------------------------------
>
>Date:    Mon, 18 Nov 1996 14:27:35 -0500
>From:    Janet Simpson <[log in to unmask]>
>Subject: Re: Teens produce less milk
>
>Hi All,
>I have no idea as to whether or not ALL teen moms porduce less milk,
>but from
>personal observation I can say this:
>
>The teens that I have worked with have been as young as 13.  The 13 yr
>old
>did BF for a short time, and had enough milk for her baby, however,
>she
>wanted to go out and play with her friends and weaned so that Grandam
>could
>feed baby.  I also worked with a 15 yr old who had plenty of milk for
>her
>baby.  When she developed a particular nasty case of thrush (and I
>mean BAD!)
>she wrked very hard to pump and give her baby only EBM (Nipps were in
>too bad
>of shape to BF from the source).  She finally weaned because she had
>to go to
>work and school, and neither place would let her pump when she needed
>to (and
>in the case of work, not at all).
>
>I don't think it is that they "Can't" produce the needed amount of
>milk.  I
>think a lot of it has to do with maturity, and education.  I have
>found that
>most young teens with new babies don't realize how often the baby
>needs to be
>fed, and therefore loses her milk supply due to inadequate feeding.
>And they
>do seem to wean earlier than adults, but again, they have to go to
>school and
>work and their peers often harrass them about pumping and BF, so they
>wean
>from peer pressure.  Which is really sad, because some of these young
>moms
>really wanted to BF for a long time, they just couldn't handle the
>pressure
>any more.
>
>Now one thing I have been thinking about lately, is what about younger
>girls
>who have not had not fully developed their breasts yet?  They can get
>pregnant, and many do (how sad.).  What happens to their breast
>development?
> Does it speed up in order to nourish the baby, or does it continue to
>develope as normal?  If it is the latter, then I would guess that the
>mom who
>has not had full development would NOT be able to produce a full milk
>supply
>simply because not everything is there or mature enough yet.  Again, I
>don't
>know anything about this, so, can anyone answer this?
>
>Jay
>Who is sad to have to work with so many teen moms.
>
>------------------------------
>
>Date:    Mon, 18 Nov 1996 16:24:46 -0500
>From:    "Chris Lundberg, BSN, IBCLC" <[log in to unmask]>
>Subject: Re: lactation outpatient centers
>
>Please share this information with everyone--I think there are many
>who would
>be interested.
>
>Chris Lundberg
>Indianapolis IN
>
>------------------------------
>
>Date:    Mon, 18 Nov 1996 17:14:01 EST
>From:    KM Zeretzke <[log in to unmask]>
>Subject: Mammogram question
>
>A mother called me today to ask my opinion--and I'd like to run this
>one
>by y'all, too.  She has five children and bf all of them between 2 and
>3
>years.  The last one weaned about 18 months ago.
>
>She recently had a baseline mammogram done.  Sent her on to have
>another.
> 3 radiologists involved (so far).  She has what they are calling
>calcification of the milk ducts.  Next step is to send her to a breast
>specialist for a biopsy..  (In our town, these docs are breast CANCER
>specialists.  I had one tell me that lactating was an abnormal state
>of
>the breast!!! (ex-CUSE me?))  Soooo I'm reluctant to add to this
>lady's
>doctor bills by sending her somewhere I *know* they don't know diddley
>about bf.  On the positive side, the doc can't precipitate weaning
>this
>time, b/c she already has :-).
>
>There *are* docs here (internal medicine, gp, family practice,
>surgeon)
>who have bf their children.  Would one of these be a better choice?
>The
>surgeon?
>
>Question:  *Is* calcification of the milk ducts a possibility for a
>long-term bf mom?  Should she pursue a biopsy?
>
>Karen Zeretzke
>Baton Rouge, Louisiana
>
>------------------------------
>
>End of LACTNET Digest - 18 Nov 1996 - Special issue
>***************************************************
>