Thank you for your help with my question.
Thankfully the mom is now able to produce milk. I didn't realize there
could be such a major delay in colostrum. I appreciTe your advice!
On Monday, January 13, 2014, LACTNET automatic digest system wrote:
> There are 4 messages totaling 142 lines in this issue.
>
> Topics of the day:
>
> 1. 20 years ago (2)
> 2. no colostrum or delayed
> 3. Cabergoline Dosage
>
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> Date: Mon, 13 Jan 2014 11:52:59 -0800
> From: Mary Wagner-Davis <[log in to unmask] <javascript:;>>
> Subject: Re: 20 years ago
>
> I was thinking about this the other day, more reminiscing about my own
> births (my children range from 26 to 19).
>
> One thing I find interesting is that all my children were put skin to skin
> after birth, not just my youngest who was born at home. I was thinking I
> just thought I remembered correctly, then found the pics so apprarently
> wasn't imagining things.
>
> We still "fight" to have baby kept skin to skin instead of a warmer. That
> was the one battle with my oldest that I "lost." Yet even then the
> knowledge was there that baby kept skin to skin would be stable.
>
> Maybe it was because my girls were born in an in-hospital birth center,
> outside L&D because those births weren't "sterile," lol. My OB was
> supportive, births were unmedicated. L&D nurse with the first was a
> midwife, second went on to become a midwife. I don't know if the lactation
> consultant was an IBCLC; I do remember that she wasn't a nurse and that
> created some challenges because the staff didn't quite know what to do with
> her.
>
> I'm at least as unsettled by the changes in birh as I am with the
> continued challenges with hospital practices concerning breastfeeding. I
> encourage my daughters to give birth at home, have a doula, etc.
>
> Mary Wagner-Davis, MS, IBCLC
> Roseville, CA
>
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> ------------------------------
>
> Date: Mon, 13 Jan 2014 16:07:46 -0500
> From: "Sue Jacoby, IBCLC" <[log in to unmask] <javascript:;>>
> Subject: Re: 20 years ago
>
> Mary,
> 35 years ago, my son was born in a small hospital which was used only by
> my OB and his partner. My OB was Dr. Harlan Ellis, who edited the North
> American version of Childbirth Without Fear. Dr. Ellis was an absolute
> broken record on skin-to-skin. He repeated it throughout every prenatal
> visit, saying how after the baby was born, he would be placed skin to skin
> with me, and that while in the hospital this was the best place for him.
>
> Imagine my chagrin when a nurse found me holding my baby up to the outside
> window so my mother and sister could see, and she grabbed him and wrapped
> him up into a baby burrito, just before Dr. Ellis walked in to see me. I
> felt like a poor student, as he patiently "reminded" me that the best place
> was skin to skin..... I blamed the nurse, out of her hearing. I did NOT
> want to be in trouble with my OB!
>
> Last month, a local pediatrician here, very near where Dr. Ellis used to
> practice, demanded to know why babies were being put skin to skin. He
> professed not to have any knowledge of the research indicating better
> stability of temp and glucose. Arrgh.
>
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> ------------------------------
>
> Date: Mon, 13 Jan 2014 18:40:49 -0600
> From: Laurie Wheeler <[log in to unmask] <javascript:;>>
> Subject: no colostrum or delayed
>
> Hi Hoda, You could check her testosterone levels. They are usually elevated
> with PCOS and one might also see more abdominal weight gain, insulin
> resistance, and hirsutism. Also skin tags can be a common finding. If
> mother can get the book Making More Milk by West and Marasco, it could be
> very helpful. The mother's physiology may contribute to a marginal supply,
> and then baby's anatomy will compound this problem. Possibly the mother
> taking metformin could be helpful, and I would suggest she breastfeed with
> a nursing supplementer, I like the homemade one with the #5 Fr tubing. She
> can also express with a hospital grade pump after feeds, as many times as
> she is able. The baby should be generously fed, of course, by whatever
> route mother feels comfortable with, perhaps she will try the supplementer.
> Mothers in these situations need a lot of emotional support as they often
> feel like they've starved their baby.
> Laurie Wheeler RN MN IBCLC
> Mississippi USA
>
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> ------------------------------
>
> Date: Mon, 13 Jan 2014 23:21:42 -0500
> From: Laura Spitzfaden <[log in to unmask] <javascript:;>>
> Subject: Cabergoline Dosage
>
> Does anyone know the dosing for cabergoline (dostinex) for drying up milk?
> I am working with a mom who needs to dry up before RAI ablation therapy and
> she wants to be very sure to be as involuted as possible before therapy.
>
> Laura Spitzfaden, LLLL, IBCLC
>
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> ------------------------------
>
> End of LACTNET Digest - 13 Jan 2014 (#2014-30)
> **********************************************
>
--
Hoda Shawky, RN, MSN, CPNP, IBCLC
*Owner, Baby's First Nurse*
(424) 26-BABY-7 OR 262-2297
www.BabysFirstNurse.com
[log in to unmask]
"Whenever kindness touches something it beautifies it, and whenever it is
removed, it disfigures it." (Prophet Muhammed, narrated by his beloved
wife Aisha)
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