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----- Original Message -----
From: "Automatic digest processor" <[log in to unmask]>
To: "Recipients of LACTNET digests" <[log in to unmask]>
Sent: Sunday, August 26, 2001 12:08 AM
Subject: LACTNET Digest - 25 Aug 2001 (#2001-729)
> There are 5 messages totalling 114 lines in this issue.
>
> Topics of the day:
>
> 1. Large maxilla - anyone seen this before?
> 2. Just One Bottle
> 3. milk intake weigh scale??
> 4. baby weigh scale
> 5. Primaxin
>
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> ----------------------------------------------------------------------
>
> Date: Sat, 25 Aug 2001 16:55:11 -0700
> From: "G. Hertz" <[log in to unmask]>
> Subject: Large maxilla - anyone seen this before?
>
> I haven't come across this before, maybe someone out there has....
>
> I have a patient that is 2 days old. She is an AGA (appropriate for
> gestational age) white female, first baby - born by c-sec [I forget why].
> Baby has a very prominent maxilla - upper gums. Her mandible [jaw] appears
> to be normal size. There is no breathing obstruction or pierre robin
> sequence. The upper gums appear normal shaped and symetrical, no evidence
of
> any tumors. Palate is intact. Tongue normal size.
>
> To give you an idea - she looks like she's wearing one of those plastic
> mouth guards the football players use. Her upper lip does not cover her
> upper gums. When she's asleep there's still a little bit of the gums
visible
> between her lips. Mom thinks there may be some "overbite" history on Dad's
> side of the family. Baby otherwise unremarkable.
>
> Mom wishes to breastfeed [but only about 6 weeks] and bottle feed.
According
> to mom, baby has good strong suck, but falls asleep at breast. Nurses
report
> that baby is very slow bottle feeder - 90 minutes for 3/4 oz. Nurses feel
> that bottlefeeding problem is related to overbite. I think that baby is
> transferring colostrum because she is voiding and stooling quite well and
> has only had 45cc's of formula.
>
> Ideally, mom would just breastfeed, but that is not in the cards. I'm
> considering trying a Haberman feeder, thinking that the baby can make
> suction at the breast because it's pliable and conforms to the shape of
the
> mouth, where the bottle nipple doesn't and the baby has trouble
maintaining
> suction.
>
> Has anyone seen this before?
> Gail S. Hertz, MD, IBCLC
> [log in to unmask]
>
> ------------------------------
>
> Date: Sat, 25 Aug 2001 17:06:05 -0500
> From: Becky <[log in to unmask]>
> Subject: Re: Just One Bottle
>
> Marsha,
> I'd like a copy of the references, to use in the talk I give to
> residents! Thanks,
> Becky Saenz, MD, IBCLC
>
> At 04:10 PM 08/25/2001 -0400, you wrote:
> >Karen, When I lecture on supplementation or evidence-based breastfeeding
> >management I use my handout entitled, "Supplementation of the Breastfed
Baby:
> >Just One Bottle Won't Hurt---or Will It?" I would be happy to e-mail it
to
> >you if you would like to see it. I have it referenced so that health care
> >providers can see that there are consequences to giving a breastfed baby
even
> >one bottle of cow's milk based formula, especially before gut closure
occurs.
> >
> >Marsha Walker, RN, IBCLC
> >Weston, MA
> >
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> ------------------------------
>
> Date: Sat, 25 Aug 2001 18:41:39 EDT
> From: [log in to unmask]
> Subject: milk intake weigh scale??
>
> Anyone have the name of the scale that weighs milk intake as
accurately as
> the babyweigh by medela?? but is significantly cheaper? Thanks for your
help.
>
> ------------------------------
>
> Date: Sat, 25 Aug 2001 18:44:18 EDT
> From: [log in to unmask]
> Subject: baby weigh scale
>
> Anyone have the name of the scale that weighs milk intake as accurately as
> the babyweigh by medela?? but is significantly cheaper? Thanks for your
help.
> Please respond to me via [log in to unmask] Thanks
>
> ------------------------------
>
> Date: Sat, 25 Aug 2001 17:17:44 -0700
> From: Brenda Phipps <[log in to unmask]>
> Subject: Primaxin
>
> Hi, I have a patient with an infection who is on Primaxin, and is being =
> told to pump and dump. Can't seem to find this med in Dr Hale's book. Any
=
> info someone can give me will be greatly appreciated!!
>
> Thanks,
> Brenda Phipps, BS, IBCLC
> The Breastfeeding Center
> Flagstaff, AZ
>
> ------------------------------
>
> End of LACTNET Digest - 25 Aug 2001 (#2001-729)
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