.Some words about birthing practices in Israel....All wonen
are given a birth grant when they are discharged from
hospital...regardless of race religion etc. This was
originally instated in Ben Gurion's days (1948) to encourage
births. In Israel we have a relativly high birth rate among
Jews and Arabs...although this is declining..and the money is
very welcome. The grants are paid by the national
insurance...sort of like soc. sec. Women who deliver at home
do not receive this because homebirths are not approved by
law.(by the way all mothers get a paid 3 monthe maternity
leave). One reason for not legalizing home birth at this time
is the lack of back-up support...no flying squad...etc. BUT
we have a network of wonderful midwives who do homebirths.
My neice wanted a homebirth and I objected because they lived
in an out of the way village far from a hospital...so we did
the next best thing...and birhted with a private midwife in
Misgav Ladach in Jerusalem...in their birthing suite...it was
beautiful and wouldn't you know she had retained placental
fragments...Within a minute the midwif had an iv in
her....she phoned for a doctor who was there in a second (by
the way any medical equipment was not in sight untill we
needed it....we held baby Noa until she returned from the OR
and Noa was returned to her moms chest....the three of them
spent the night on the floor and went home the next
day...when I
saw the placenta and saw my neice begin to BLEED...I was
grateful that she had chosen this option. OBviously I am not
suggesting that everyone will have complications...I had
always dreamt of a homebirth...I think we will get there one
day.
--- On Thu, 28 Dec 1995 12:56:42 -0500 Automatic digest
processor <[log in to unmask]> wrote:
>There are 14 messages totalling 315 lines in this issue.
>
>Topics in this special issue:
>
> 1. Donor Milk
> 2. LACTNET Digest - 26 Dec 1995 - Special issue
> 3. hair loss
> 4. OB U/S & LD
> 5. I'm Here
> 6. capital Lactnet??
> 7. "shots" for overseas travel
> 8. chloroquine mea culpa
> 9. Stadol/demerol
> 10. hospitals and drugs
> 11. lactation training
> 12. Demerol
> 13. intro and SIGH
> 14. biting baby
>
>----------------------------------------------------------------------
>
>Date: Wed, 27 Dec 1995 23:20:47 -0701
>From: Linda Pohl <[log in to unmask]>
>Subject: Donor Milk
>
>Hi all!
>
>I received a call this morning from a mom who I had helped immediatly
>postpartum 4 months ago. She is still nursing and everything is going well
>except that the baby did have a mild case of RSV (I believe that translates
>roughly to Respiratory Syncocal Virus).
>
>She was calling about a friend who was given a relative's baby 3 months ago.
>Baby was abandoned at birth by its mother and never fed human milk. It
>seems that this baby now has a rather severe case of RSV. In the hospital
>the other night one of the physicians asked if the baby had ever been
>breastfed. When told no, the Dr. lamented that the baby probably would not
>have been as sick if he had ever been breastfed. The mom who was nursing
>wanted to know if it would be ok if she gave some of her milk to this sick
>baby so that he could recover faster.
>
>I told her if she did do this, first, she should not put the baby to her
>breast, she should pump her milk so that the sick baby could not infect her
>or her baby. Next, she would need to be tested for communicable diseases
>including HIV, CMV, & Hepatitis. Also, she needed to be healthy, no illness
>or disease and taking no medication. I then referred her to a milk bank in
>the next state for additional information.
>
>Two questions: 1) Did I miss anything on the list of cautions? 2) If the
>milk were to be pasteurized to reduce the risk of contamination, would that
>reduce the antiviral properties of the milk?
>
>
>Linda Pohl, IBCLC
>Phoenix, Arizona USA
>[log in to unmask]
>
>------------------------------
>
>Date: Thu, 28 Dec 1995 02:19:36 -0500
>From: Nancy Herbst <[log in to unmask]>
>Subject: Re: LACTNET Digest - 26 Dec 1995 - Special issue
>
>CANCEL SUBSCRIPTION Nancy Herbst
>
>------------------------------
>
>Date: Thu, 28 Dec 1995 07:24:31 -0500
>From: Alicia Dermer <[log in to unmask]>
>Subject: Re: hair loss
>
>Dany: You ask whether all mothers are hypothyroid after birth. Although
>it's not uncommon to have postpartum hypothyroidism and we should suspect
>it in mothers who have symptoms such as severe fatigue, feeling very
>cold, constipation, dry skin and poor milk supply, it is by no means
>every mother who gets this condition. I don't know the actual incidence
>of postpartum hypothyroidism (I'll check it), but I'd be surprised if it
>was more than 5-10%. Alicia. [log in to unmask]
>
>------------------------------
>
>Date: Thu, 28 Dec 1995 15:53:31 -0800
>From: Judy Holtzer Knopf <[log in to unmask]>
>Subject: OB U/S & LD
>
>Hi, all. Some time ago, Marie Davis asked something about
>obstetric ultrasound and learning disabilities. Because of my
>childbirth-activist big mouth, I got in my possession (would
>rather not say how) a copy of a proposal by a group in a
>Scandinavian country with this connection as its working
>hypothesis. This was 7-8 years ago, and I don't know what
>actually happened. There must be some evidence of a connection
>between the two, because the FDA recommends no U/S in the first
>trimester unless there is a sound medical reason. I have also
>seen some WHO documents of meetings where the concensus seems to
>be that obstetric U/S is recommended to be limited to valid
>medical reasons. Add to this a study that seemed to show that OB
>U/S could lead to intrauterine growth retardation (and
>ironically, *screening for* IUGR is the supposed "medical reason"
>for 2 U/S exams done routinely in Israel!). The reasoning for a
>connection with LDs probably is that the fetal brain develops
>most rapidly in the 1st 20 weeks of gestation. I have a very
>unprofessional gut feeling that exposure to U/S in utero may lead
>to learning disabilities, which may be "witnessed" for the first
>time by difficulty in learning how to breastfeed. I have
>suspected this in a few clients of mine, but it is impossible to
>prove.....unless some whiz kid out there has some bright idea....
>My LD daughter was not exposed to U/S in utero. She had to be
>resuscitated at birth, Apgar of 6/8, was blue for 24+ hrs because
>of shot of Demerol I was given 1.5 hours before delivery.
>Obviously, analgesia during labor is one of my major buttons.
>Happy New Year everyone! Judy Knopf in Beer Sheva, Israel
>
>------------------------------
>
>Date: Wed, 27 Dec 1995 20:31:24 PST
>From: Toby Gish <[log in to unmask]>
>Subject: I'm Here
>
>Hi lactnet world. It is so good to read all your messages. I
>just got off the phone with two mothers with high need
>babies..does anybody else find that as soon as one mother
>presents with a problem you get another 2 with exactly the
>same problem? I'm one of those cabbage ladies...so anyone who
>has questions ..please ask. Has anyone found an objective way
>to measure engorgement. We have thought of things from the
>rediculous to the sublime...such as water displacement to
>temperatur measurements..which is a problem since we see
>engorgement mostly with CS moms because of shortened hosp
>stay...even if we use the mother as her own control...we have
>read all relevant lit.thought about US and all sorts of other
>brainstorms. We want to avoid subjective evaluatiions of
>engorgement. Peace on earth.
>-------------------------------------
>Name: Toby Gish R.N.IBCLC
>E-mail: Toby Gish <[log in to unmask]>
>Date: 27/12/95
>Time: 08:31:24 PM
>
>This message was sent by Chameleon
>-------------------------------------
>
>------------------------------
>
>Date: Wed, 27 Dec 1995 20:48:51 PST
>From: Toby Gish <[log in to unmask]>
>Subject: capital Lactnet??
>
>-------------------------------------
>Name: Toby Gish R.N.IBCLC
>E-mail: Toby Gish <[log in to unmask]>
>Date: 27/12/95
>Time: 08:48:52 PM
>
>This message was sent by Chameleon
>-------------------------------------
>
>------------------------------
>
>Date: Thu, 28 Dec 1995 09:29:25 -0500
>From: "Linda J. Smith, BSE, FACCE, IBCLC" <[log in to unmask]>
>Subject: Re: "shots" for overseas travel
>
>Funny story: In 1976 we were assigned to military duty in Ottawa, Ontario -
>capital of Canada. The base clinic insisted we get our "shots" for foreign
>travel - malaria, cholera, etc. Talked them out of malaria shots but not the
>cholera, to which I reacted with flu-like symptoms. My nursing 13-month old
>was fine and wasn't given the shots. Malaria and cholera in Canada??? NOT.
>Somebody needed a geography lesson. Rules is rules.
>
>They also wanted to calculate sending our household goods by BOAT from San
>Antonio, Texas to Ottawa. We pointed out that a truck shipment would probably
>be more efficient.
>
>Linda Smith, wondering if I be worried about yellow fever in Yellow Springs,
>Ohio??
>private practice, Dayton OH - currently crusted with snow, beautiful snow.
>
>------------------------------
>
>Date: Thu, 28 Dec 1995 08:38:27 -0600
>From: "Julie Graves Moy, MD, MPH" <[log in to unmask]>
>Subject: chloroquine mea culpa
>
>oops - I relied on my (faulty) memory and didn't look up chloriquine -
>sorry for the wrong info. thanks to Dr. Dettwyler and others for providing
>the correct info.
>
>Julie Graves Moy, M.D., M.P.H.
>[log in to unmask]
>P.O. Box 4768
>Austin, Texas 78765
>512-440-0480
>512-441-1666 fax
>
>------------------------------
>
>Date: Thu, 28 Dec 1995 09:16:49 -0600
>From: "katherine a. dettwyler" <[log in to unmask]>
>Subject: Stadol/demerol
>
>I was surprised to see the statement that demerol isn't used in the U.S.
>anymore, as it was in both my first and third births (15 and 4.5 years ago,
>in Indiana and Texas). I had either stadol or demerol in the IV line with
>both of those births. Just enough to take the very peak off the pain of the
>contractions, so that I could hold it together mentally (well, almost). The
>thought of anyone getting anywhere near my spinal cord with a needle would
>be enough to make me run screaming from the hospital! The third child had
>three ultrasounds as well. Neither child had any trouble nursing, and both
>are brilliant (she says modestly). The middle child was the one with no
>medications and no ultrasounds, but Down Syndrome. He is also brilliant, in
>his own special way!
>
>
>Kathy D.
>
>------------------------------
>
>Date: Thu, 28 Dec 1995 10:35:43 -0500
>From: Colleen Humphreys <[log in to unmask]>
>Subject: hospitals and drugs
>
>In Isreal people are paid for birthing in hospitals??????? WHY? In the
>US, people often think home birth is illegal (it usually isn't), and the
>doctors clearly want it to be, and insurance often won't pay lay
>midwives' fees, but still... But there is plenty of proper, mainstream
>medical research that quite clearly shows that US hospital birth and
>practices are NOT safe. Is Isreal different? What's wrong with Isreali
>women birthing at home? It's done elsewhere successfully.
>
>Epidurals are not necessarily better than demoral (sp?). It all depends
>upon what you are looking for (I mean this from a patient's view, not a
>medical view). If you want something brief, that won't make your legs
>numb, and you THINK will let move around (not that it actually will), you
>may choose demoral. Especially if the medical attendants assure you that
>you won't deliver for 2 hours yet, and therefore it will all have left
>the baby's system and won't affect the baby at all (this is not supported
>by research, nor by the anecdotal evidence at LLL meetings...).
>
>The hospital that I delivered my 3rd in had jacouzzis in each
>room--that's why I chose that hospital. The nurses all said they
>encouraged the water more than drugs....it worked better! I don't know
>if it affected their overall drug/natural birth numbers, but it clearly
>helped their attitudes towards those of us who were truly prepared for
>natural birth! I have met more people recently who take a 2 day several
>hour crash course on birth, several weeks before the due date...how much
>good will that do, and how little BF info they must offer?
>
>------------------------------
>
>Date: Thu, 28 Dec 1995 11:08:11 -0500
>From: Barbara Pinchera <[log in to unmask]>
>Subject: Re: lactation training
>
>mail
>
>
>oops! sorry
>
>------------------------------
>
>Date: Thu, 28 Dec 1995 10:17:18 -0600
>From: "McDermott, Chan" <[log in to unmask]>
>Subject: Demerol
>
>Demerol and its cohorts are very much still with us--though I cannot
>think of a single bit of positive feedback from any mom who has received an
>injection.
>***************************
>Believing is receiving!
>***************************
>Chan McDermott, MPA, AAHCC
>Texas Department of Health
>Bureau of Nutrition Services
>Breastfeeding Promotion Section
>512/406-0744; FAX: 512/406-0722
>pmail: tdhwicsc/cmcdermott
>Internet: [log in to unmask]
>
>------------------------------
>
>Date: Thu, 28 Dec 1995 10:33:01 -0600
>From: Mary Alice Phillips <[log in to unmask]>
>Subject: intro and SIGH
>
>Hello, everyone! I've been enjoying Lactnet quietly for a few months now so
>should introduce myself. I am a half-time clinical nursing instructor in
>Manhattan, Kansas (home of the Holiday Bowl Wildcats!!!) and have a private
>LC practice. I first certified in 1985 and practiced in the Washington, D.C.
>area, and took the exam last summer in Wichita. Would love some tips on
>establishing an LC practice in a primarily rural area!!! I have a daughter
>15, and a son,11, both of whom were happily breastfed. Hope everyone is
>enjoying the holidays. My favorite gift was from my husband--Breastfeeding,
>A Biocultural Perspective. Kathy, I love the book!!!!!!!
>Now for the SIGH--everyone check out the HomeArts web page (address
>http://homearts.com/rb/health/09breaf1.htm). I believe it is from Redbook
>magazine. They quote Daniel Weiner, M.D., a plastic surgeon at NY Eye and
>Ear Infirmary, describing the breast:"If overinflated due to weight gain or
>pregnancy, it will resemble a deflated balloon once the fat and enlarged
>ducts are gone." The article (no author given on web page) goes on to say
>"As for breast-feeding, yoou won't necessarily save your figure by opting
>for bottlefeeding. So wear a good nursing bra, even at night, and don't let
>breasts become too full.'Express milk if you have to,' advises Dr. Weiner.
>'The idea is to keep your breasts as small as possible so you don't stretch
>out ligaments and skin.'" WORDS FAIL ME!!! There is a place on the page to
>e-mail your comments, should you wish. Again, sigh.
>
>Mary Alice Phillips, BSN, IBCLC, who is going to find comfort after reading
>the above in K. Dettwyler's great book instead.
>
>------------------------------
>
>Date: Thu, 28 Dec 1995 12:53:52 -0500
>From: Diane Wiessinger <[log in to unmask]>
>Subject: biting baby
>
>Remember the "biting baby" of 3 months ago? At three months, his mother
>now pumps mainly so dad can give a relief bottle at night. Following a
>nursing strike about a month ago, she's proud to say he prefers to eat at
>mom's. (She made bottle-feedings matter-of-fact but not snuggly, and
>really loved him up when he nursed).
>
>What seemed to finally take care of the clamping was nursing with him in
>an upright position. (I wonder if it was really age-related instead).
>They don't look terribly comfortable when they nurse, and I've encouraged
>her to come to LLL meetings, in hopes that seeing all the other nursing
>styles will expand their repertoire. But she's hung in there and is
>beginning to reap the rewards. Since he's also a light sleeper, I wonder
>if there's been an allergic component. In any case, time and persistence
>have worked their traditional magic, and the biting baby is thriving at
>breast.
>
>Diane Wiessinger, MS, IBCLC, LLLL Ithaca, NY [log in to unmask]
>
>------------------------------
>
>End of LACTNET Digest - 27 Dec 1995 to 28 Dec 1995 - Special issue
>******************************************************************
>
-----------------End of Original Message-----------------
-------------------------------------
Name: Toby Gish R.N.IBCLC
E-mail: Toby Gish <[log in to unmask]>
Date: 29/12/95
Time: 08:02:18 AM
This message was sent by Chameleon
-------------------------------------
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