I am one of four IBCLCs practicing at the hospital
where this mother(s) delivered. Our group makes daily
(7 days/wk) rounds, consulting with all post-partum
patients every day they are in the hospital. Over 75%
of our mothers are discharged with a follow up home
visit ordered in one or two days. We do these visits
(7 days/wk) as well, which include full physical
assessments of mother and baby, weight check of baby,
and observed feeding. The cost is absorbed by the
hospital; the patients do not pay for the home visits.
We also maintain a 24 hour lactation line, accessible
to mothers for answers to their questions or concerns,
and teach breastfeeding classes for expectant parents.
We are very proud of the program we have created and
hope to continue to improve it.
The statement "the hospital has no LC from this
afternoon on" is inaccurate.
Pam Bartholomew RN, BSN, IBCLC
Good Samaritan Hospital
Corvallis, OR
--- Automatic digest processor
<[log in to unmask]> wrote:
> There are 13 messages totalling 355 lines in this
> issue.
>
> Topics in this special issue:
>
> 1. Breastmilk exposure policy (3)
> 2. percent wt loss/interventions/etc
> 3. need ideas for WBW
> 4. triplets of two moms
> 5. mom dizzy when nursing
> 6. Check out NurseWeek: Commercializing breast
> milk
> 7. Key Words
> 8. White River Breast Pumps
> 9. From bottle to breast-update
> 10. Illinois work place act.
> 11. owning Lactnet
>
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>
> Date: Fri, 13 Jul 2001 14:18:58 -0400
> From: Wanda Mertick <[log in to unmask]>
> Subject: Re: Breastmilk exposure policy
>
> I researched this very topic about a month ago and
> contacted a number of
> lactnetters directly for their input. They very
> kindly summarized and/or
> faxed me their institution's policies.
>
> The majority had policies that said:
> 1. inform recipient baby's MD
> 2. inform donor mom and mother of baby receiving
> the breastmilk that an
> exposure occurred
> 3. test donor mom and mother of the baby receiving
> the breastmilk
>
> Hope this helps.
>
> Wanda Mertick, RN, MN, IBCLC
> now in State College, PA
>
>
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> ------------------------------
>
> Date: Fri, 13 Jul 2001 12:37:58 -0700
> From: Phyllis Adamson <[log in to unmask]>
> Subject: Re: Breastmilk exposure policy
>
> We have the same policy. Our problem is with #3.
> If donor mom refuses the
> test, there is nothing we can or will do about it.
> Phyllis Adamson, IBCLC
> [log in to unmask]
>
> >The majority had policies that said:
> >1. inform recipient baby's MD
> >2. inform donor mom and mother of baby receiving
> the breastmilk that an
> >exposure occurred
> >3. test donor mom and mother of the baby receiving
> the breastmilk
> >Hope this helps.
> >Wanda Mertick, RN, MN, IBCLC
> >now in State College, PA
>
> ------------------------------
>
> Date: Fri, 13 Jul 2001 16:29:08 -0400
> From: laurie wheeler <[log in to unmask]>
> Subject: percent wt loss/interventions/etc
>
> Cheryl Muller posted <<If the baby is feeding well
> and lactogenesis II
> beginning, we should not supplement , but have the
> baby weighed in 48 hours
> and teach parents about diaper output expectations
> and ways to check for
> hydration. What is everyone else's opinion?>>
>
> Cheryl, you sounded concerned in your post about the
> conf. presentation
> citing a 6% wt loss as more "normal" than, say, 10%.
> This is really so
> complex an issue as to be very hard to give an
> opinion. I think what we
> should take home from this is that this is one
> research study. But it
> certainly gives us some new data and something to
> think about and very
> possibly rethink our current position on "normal"
> infant wt loss and wt gain
> patterns. Lots of people cite a 10% wt loss (some
> say 7-8%) to be the normal
> and a regaining of b. wt by 2 wks (some even give 3
> wks) to be the normal.
> Well maybe there are some babies who lose a good bit
> of wt due to fluid
> loss, and maybe their b.wt was artificailly inflated
> due to this, maybe they
> will not be back to b. wt by 2 wks. maybe. maybe.
> However all this is
> complicated by birth practices (interventions) and
> hospital practices, lack
> of knowledge and skills by hcps and mothers, etc
> etc. Very complex things
> going on. Perhaps Jane's sample dyads, hcps, and
> hosp routines are much more
> bf-friendly than average. Like I said in a previous
> post, often we have to
> individualize the followup of these babies. I agree
> that it is prudent to
> try not to intervene when we really could wait a bit
> (like not bringing out
> a nipple shield if baby doesn't latch in delivery
> room), but I also agree
> that sometimes we intervene too little, too late.
> Respectfully,
>
> Laurie Wheeler, RN, MN, IBCLC
> Violet Louisiana, s.e. USA
>
>
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>
> ------------------------------
>
> Date: Fri, 13 Jul 2001 16:50:12 -0400
> From: laurie wheeler <[log in to unmask]>
> Subject: need ideas for WBW
>
> I have no budget, in fact our lactation services got
> cut back drastically in
> Jan. However, I would like to do some fun, simple,
> cheap things for WBW at
> my hospital. In the past I did bf word searches, bf
> crosswords, case
> studies for the staff to comment on. We had
> hershey's kisses (chocolate
> candy), some dessert coupons donated by cafeteria,
> and a couple of donated
> prizes like a tote bag, hand lotion as prizes. If
> anyone has suggestions for
> me, please email [log in to unmask] or to list.
> Theme is Breastfeeding in
> the Information Age. thanks.
>
> Laurie Wheeler, RN, MN, IBCLC
> Violet Louisiana, s.e. USA
>
>
_________________________________________________________________
> Get your FREE download of MSN Explorer at
> http://explorer.msn.com
>
> ------------------------------
>
> Date: Fri, 13 Jul 2001 13:52:26 -0700
> From: Chris Hafner-Eaton <[log in to unmask]>
> Subject: triplets of two moms
>
> Hi there...one last post before ILCA (well maybe not
> the last)... I have the
> permission of the moms to post this to you.
> I just returned from our local hospital for the
> birth of the triplets (who
> had been down at at our regional referral center for
> several weeks while mom
> was on bedrest). The girls were born at 36 weeks
> gestation around 8 am with
> Apgars of 8 and 9 for two of them and slightly lower
> for the third. They
> were briefly taken off O2 but then had to go back
> under
=== message truncated ===
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