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Lactation Information and Discussion <[log in to unmask]>
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Sun, 14 Jul 2002 19:19:32 -0400
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Well said.

Fondly, Judy Hain

Annie Versteeg wrote:

> In a message dated 7/13/02 6:10:55 PM, [log in to unmask] writes:
>
> << Exactly!  The vacuum extracted baby acts like it has a Headache!
> Sincerely,
>  >>
>
> Plus, just think what the extractor does to the mandible bone, it pulls it
> back and when the mandible is pulled back, the tongue is pulled back and the
> suck is very disorganized for a while, besides the headache!  We have a
> hospital here that uses the extractor almost routinely.  One of my first
> questions to clients who call for a home visit is, "Where was your baby born,
> how was the birth and were there many interventions used?"  The more
> interventions; long exposure to an epidural, pitocin, vacuum and forceps, the
> longer the time it will take for a baby to settle into a good bfing routine.
> Often times I see very cracked nipples and swollen areola, a little suck
> training and a nipple shield (yes, I use them as needed) go a long way.  I
> sometimes recommend some finger feeds with a curved tip syringe with gentle
> downward pressure, from the finger, on the tongue.  I always recommend
> avoiding the sore spot (sometimes it IS the crown) on the baby.  Time seems
> to be the greatest healer for these mom/baby pairs, sometimes it is a full 14
> days.  Often times I gauge the healing time by how much the mom's postpartum
> edema has subsided.  If, at day 3, her ankles and feet are huge, I assume her
> breasts and areola have edema from fluid too and not all milk, and treat
> accordingly.
> Being in private practice, I see these moms AFTER their stay at the hospital.
>  Some of the after-effects of the birth procedures haven't even manifested at
> discharge.  I truly think if the ob's were aware of the mess we and the
> families are left to deal with, they would be a little more cautious. For
> first time parents this can all be very UN-empowering, scary and frustrating
> and the bottle and ABM can seem like a quick solution.  14 days can be a very
> long time.  I see some of these families on a daily basis (home visits) and
> will do whatever it takes to help them.  If I can help get them thru the
> first 14 days, for the most part they are breastfeeders!  Other moms have
> very few problems and give it up easily and early.  These cases are more
> discouraging than the hard ones.
> Sorry, if this is too long, I guess I needed to put in 4cents worth!!
> Annie VerSteeg  IBCLC
> Beach Area Breastfeeding
> [log in to unmask]
> breastfeeding... It's for life
>
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