Date: Wed, 8 Jan 2003 07:59:04 -0600
From: Barbara Wilson-Clay <[log in to unmask]>
Subject: early solids
Dear Barbara,
Rather than starting meat, I usually recommend that moms add some organic
adult prune juice to the first foods (usually non-acidic fruits and yellow
vegetables). It is high in iron, helps to prevent the constipation that
often occurs with the first foods and it is much easier to digest than meat.
Harvey Karp
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Date: Wed, 8 Jan 2003 08:06:26 -0600
From: Barbara Wilson-Clay <[log in to unmask]>
Subject: IV fluids
This issue of whether loading of IV fluids, with or without pitocin, creates
problems is a study that begs to be done. The weight loss in the baby that
some report (or suspect) may be a secondary response to delayed
lactogenesis, though. If the mother is edemic, perhaps the swelling she
experiences produces the same physical reaction that hypertension does,
suppressing lactation. If this interfers with milk flow, perhaps baby is
handicapped from the start in getting enough calories. Also, magnesium
sulfate can produce floppy babies (this observation is in the lit). Perhaps
these babies just don't do a good job accessing available milk due to
temporary tone problems. There are a lot of variables that could be looked
at in terms of why hypertension causes risk for early cessation of bfg or
why moms with swelling postpartum (perhaps for ANY reason) often have babies
who lose excess weight.
Barbara Wilson-Clay, BS, IBCLC
Austin Lactation Associates
LactNews Press
www.lactnews.com
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Date: Wed, 8 Jan 2003 06:10:31 -0800
From: Carole Jernigan <[log in to unmask]>
Subject: Lipil, etc.
The following is a rant. Delete or skip if you wish.
The excellent posts from Marsha Walker and others
regarding Lipil and the recent "improvements" to
artificial infant milks has me steaming.
Pharmaceutical/"formula" companies are in business to
MAKE MONEY. Yes, they claim to have the interests of
improved health at heart, but their actions show
otherwise. By continually introducing new products
*without adequate long-term, human testing and
trials*, they show a reckless willingness to treat
fellow human beings, the public they serve, as little
more than lab rats. I know of at least 2 vaccines for
infants that have been introduced in the past 5 years
or so, that have either been pulled off the market, or
have had their recommended issuance modified to
selected groups. This sort of experimentation with
the bodies and health of our vulnerable, precious
children needs to be stopped.
I am going to print and review of Marsha's post on
Lipil; the next time parents ask about the "new,
improved formulas", I will be better informed, and
able to provide them with accurate information.
I will stop now, before I get myself in even more
trouble than I am already in...
Carole
whose dander is up just in time for our staff meeting
this morning! Wheeee!
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Date: Wed, 8 Jan 2003 09:15:42 EST
From: [log in to unmask]
Subject: Re: Q about new epilepsy drug "Keppra"
Lizabeth,
There is a review in JHL:
Winkler, Susan. Antiepileptic Drug Use During Breastfeeding, J Hum Lact
1999
15 (1):63-66
Though Keppra is not included, it is an informative discussion on the
subject
and a range of the most commonly used drugs.
It is terrific that your client has started to look for information so early
in her pregnancy.
Karen Seroussi, IBCLC
Cooper City, FL
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Date: Wed, 8 Jan 2003 09:25:25 EST
From: "Mary Kay Smith, RN, IBCLC" <[log in to unmask]>
Subject: No Subject
But did she look at the correlation between lots of Pitocin & lots of IV
fluids -- or just the IV fluids.
Jan,
I'm with you, an excellent point. Is there anyone who DOESN'T get Pitocin?
It's given to accelerate labor, of course, but also given after delivery to
help contract the uterus. Inductions with "failure to progress" who end up
with c/s have tons of Pit on board, right? Even moms with inductions who
don't have c/s have lots of fluid retention. And women who get epidurals get
3-4L of IV fluid, at a minimum. I've seen so many "meaty" nipples and
areolae recently from these situations. We even saw a lady last fall who had
pitting edema - a vaginal delivery. Poor kid had such a hard time latching
on! Mom could barely walk d/t her ankles being swollen. The doc gave her
Lasix to get rid of it. This really could have been avoided or scaled down
at
least.
I've been noticing lately that babies of c/s moms drop a lot of weight
on
paper (looking at just numbers) but are feeding well, peeing and pooping
appro
priately. The peds want them supplemented but there is no clinical evidence
to support that. So I fight the good fight and argue about it. Sometimes we
win, sometimes not.
Mary Kay Smith, RN, IBCLC
Romeoville IL
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Date: Wed, 8 Jan 2003 09:29:26 -0500
From: Naomi Bar-Yam <[log in to unmask]>
Subject: formula, animal shelters and zoos
>Our animal shelter and zoo will no longer accept donated
>formula, it is not good enough for the baby animals.
That's quite a statement. Has anyone mentioned this to the press
in your community? It would make a great story.
Naomi Bar-Yam
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End of LACTNET Digest - 8 Jan 2003 - Special issue (#2003-30)
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