SET LACTNET NOMAIL.
r that the WHO recommended a minimum of two years (that's called
>skirting the question). And, I reminded her that (a) Amanda is HER baby, not
>her mother-in-law's, and (b) the appropriate time for weaning is when both
>she and Amanda are ready for it.... And, she went away, a happy, bf mother.
> But, I don't think most women are ready for this -- and that is going to
>take a major shift in our society's view of children, parenting,
>relationships, commitment, birthing, breastfeeding, and the assumption that
>physicians have all the answers to these issues.
>
>Being an LC requires some medical knowledge. It also requires a background
>in many other disciplines -- psychology, sociology, counseling, parenting,
>etc. etc. I don't think there is any one background that prepares one to
>become an LC, though there are many that lend themselves beautifully to it.
> The profession needs to have it's own field of study, just as other
>professions do. At the moment, the educational system can't support it;
>there aren't enough of us, or enough of us clamoring to get into the field.
> And frankly, we are one profession that would like to work ourselves out of
>a job. We don't want to have to be needed..... And, in an all perfect
>world, we wouldn't be needed....
>
>Enough for this morning....
>
>Jan Barger
>
>------------------------------
>
>Date: Thu, 28 Mar 1996 09:35:52 -0500
>From: pat Bull <[log in to unmask]>
>Subject: BF and Corporations
>
>Alicia,
>
>An addition to your post on corporations and breastfeeding advantages- an
>article that is available "Comparison of Maternal Absenteeism and Infant
>Illness Rates Among Breast-feeding and Formula-feeding Women in Two
>Corporations" by Rona Cohen, Marsha Mrtek, Rober Mrtek in "American Journal
>of Health Promotion", Nov/Dec. 1995, Vol 10, No 2. Good stuff. E-mail me if
>you would like a copy.
>
>Pat Bull,RN, IBCLC
>The Breastfeeding Connection/Medela, Inc
>Naperville, IL
>
>------------------------------
>
>Date: Thu, 28 Mar 1996 09:00:34 -0600
>From: MaryAlice Phillips <[log in to unmask]>
>Subject: chronic Hep.B
>
>Does anyone have a reference published after 1990 re: breastfeeding and mom
>with chronic Hepatitis B? Mom is delivering at a military hospital in about
>5 weeks and wants references.
>
>TIA,
>Mary Alice Phillips
>
>------------------------------
>
>Date: Thu, 28 Mar 1996 10:40:11 -0400
>From: P Wiggins <[log in to unmask]>
>Subject: Soy formula
>
>Pat Bull and others,
>
>The New Zealand study said that a soy-formula fed baby gets 100 times the
>amount of estrogen than a BF baby? The equivalent of several contraceptive
>pills?
>
>What kind of major problems could this cause in the future of a child? Soy
>formulas have always bothered me and 25% of formula fed infants are on it!
>The components are too far removed from breast milk to even be comparable.
>An IQ study on these children would be interesting.... I predict that soy
>formula might very well be subject of the first lawsuit against formula
>companies. What do you think?
>
>Pam Wiggins, IBCLC, Franklin, VA
>
>------------------------------
>
>Date: Thu, 28 Mar 1996 17:45:40 +0200
>From: Lynn Enraght-Moony <[log in to unmask]>
>Subject: WIC Proposals - please read!
>
>I have now actually been asked to submit a proposal to establish a non-profit
>breastfeeding resource centre for training and peer counselling support!
>Anyone able to send suggestions on proposals, PLEASE do so, as I need to
>submit the proposal by April 15. I'd appreciate ANY info. URGENTLY.
>
>Thanks, Lynn
>--
>Lynn Enraght-Moony [log in to unmask]
>Phone: +27 11 782-4100 Fax: +27 11 888-1086
>Snail: P O Box 222, Auckland Park, Johannesburg, 2006, SOUTH AFRICA
>
>------------------------------
>
>Date: Thu, 28 Mar 1996 10:43:11 -0500
>From: laura ehrenzeller <[log in to unmask]>
>Subject: Health dept.
>
>Hi Pam,
>I e-mailed you privately but I do feel that what you have to say about the
>success of your health dept.'s bf program needs to be shared because we can
>ALL benefit from your positive experience! I specifically am interested in
>the 24 hour help line-is it volunteer or paid or combo of both? Where is
>your health dept. and what is the size of the population that you serve?
>Tell us more about the Community Advocacy Group-how did you advertise and
>where did you glean such interest? Please tell all! I feel your experience
>can be a great help to us all and may help us rejuvenate the excitement with
>bf in our own health depts!
>
>Sincerely,
>Laura H. Ehrenzeller
>
>------------------------------
>
>Date: Thu, 28 Mar 1996 09:55:07 -0600
>From: Susan Horein <[log in to unmask]>
>Subject: herpes I (simplex) on breast
>
>I am posting this for subscriber Ruth Sweet who is temporarily without a
>computer. She requests a prompt response via email to [log in to unmask]
>(in addition to posting replies). Thanks!
>
>Nursing child, 2.5 yrs old, male, with Herpes I (simplex) sore in mouth and
>severe reaction (first time). Mother has developed a small lesion on her
>breast which we believe needs treatment. What are recommended treatment
>options? What are the consequences for future children?
>
>
>
>==========================
>() Susan Horein ()
>() [log in to unmask] ()
>==========================
>
>------------------------------
>
>Date: Thu, 28 Mar 1996 08:24:36 -0800
>From: Keith Palmer <[log in to unmask]>
>Subject: tox screens
>
>I would like to hear about the tox screen/brstfdg policies in other
>hospitals, especially those with high rate of drug use in their client
>populations.
>
>Some staff members (LCs included) have been reexamining our guidelines for
>tox screening and breastfeeding. Obviously, if a mother states she has
>recently taken drugs, they are not allowed to breastfeed (in the hospital
>where we can see them anyway). An ocassional mother will request to
>pump/dump. This is done very rarely but it has happened with clear
>guidelines for breastfeeding and follow-up after many sessions with social
>services.
>
>Usually --- A mother with a drug history within one year of her delivery
>has a tox screen upon admission. Also anyone with late prenatal care or
>history of no shows for visits. The pediatricians are supposed to be
>notified for orders for tox screens on the babies. Social service visits
>the mom postpartum. Usually the results of tox screens drawn in
>labor/delivery on the mother are back by discharge. The babies' screens
>are usually pending but discharge is usually based upon mom's negative
>screen.
>
>A positive screen on mom requires Child Protective Agency get involved with
>more assessment. If the baby's screen is positive, the baby is put in
>foster care. Much counseling and follow-up is done but I don't too much
>about that because I just work in patient.
>
>This is how it is SUPPOSED to go. Sometimes the MD overlooks the drug
>history or forgets to ask the questions regarding last use. Sometimes the
>admitting nurse reads the history and does catch-up. Sometimes mom's tox
>screen is drawn and sent but the baby is overlooked. Sometimes it doesn't
>come to anyone's attention until the discharging PNP reads the history.
>Then ensues uproar, of course.
>
>I don't know if this is a subject of interest to many on lactnet. Post by
>private e-mail.
>
>Thank you,
>Christine Palmer, Mill Valley CA
>
>------------------------------
>
>Date: Thu, 28 Mar 1996 12:13:49 -0500
>From: "Judi Lauwers, BA, IBCLC" <[log in to unmask]>
>Subject: Re: Breastfeeding after blood transfusion
>
>Dear Lactnetters,
>
>Here's a question that has me stumped. I'm hoping someone out there may have
>some advice.
>
>A mom delivered twins, one vaginally and one by emergency cesarean. The mom
>coded for four hours. She ended up receiving 19 units of blood. She is now
>recovering and wants to breastfeed. The LC called me and asked if there
>would be any concern about the safety of the blood, since there was so many
>units. She called Tom Hale and agrees with you, Tom, that if proper
>precautions are taken regarding Hepatitis B there shouldn't be any concern. I
>told her I would certainly defer to your judgment on such an issue. She was
>hoping to get a few additional opinions before advising that the mother
>breastfeed. She has a concern about HIV as well.
>
>The mom is being cared for at St. Joseph's Health Care System in Albuquerque.
> They are anxious to get feedback on this as quickly as possible. Please
>e-mail them directly at: [log in to unmask]
>
>Thank you!
>
>Judi Lauwers
>Breastfeeding Support Consultants
>
>------------------------------
>
>Date: Thu, 28 Mar 1996 12:29:00 -0500
>From: Margery Wilson <[log in to unmask]>
>Subject: tox screens -Reply
>
>I recall a presentation by Health Education Associates a few
>years back (c. 1990?) where a study was presented that
>indicated drug use and alcohol use affected 15% of our
>maternal populations--across all class boundaries. (Cites
>anyone?) This is something that I have pondered over the
>years and which I think deserves more
>discussion/awareness.
>
>I work in a population primarily of college educated, upper
>middle class (and above) where *everybody knows* there is
>no need to carefully question women prenatally. I recall that
>the above mentioned study found that superficial questioning
>(e.g., "Do you drink alcohol?") is not effective -- many women
>who consume significant amounts of alcohol may believe
>they don't, since they may perceive beer or wine as
>innocuous or may have the sense that a "few" drinks per day
>are within "normal" limits. If it is true that 15% of my
>population is using drugs or alcohol I can assure you that
>that 15% is going unscreened. For this population, ordering a
>tox screen would likely cause a ruckus!
>
>One of my patients told me she had her first baby at a
>hospital in Dublin where the maternity ward was sponsored
>by the Guinness brewery. Moms were provided with free
>beer. Anyone practicing in Dublin? Is this still the case?
>(Has beer beat out the free abm? :-D ) I once had a physician
>question my advice to a patient that 4 oz of wine per day was
>"ok" (I never told her that -- thank heavens I documented the
>data I shared with her!) The physician figured even 4 oz per
>day was not ok for bf mom; others have no opinion/guidelines
>at all.
>
>I will follow with interest the postings from those of you who
>work in hospital settings where there is more awareness.
>Also, I would welcome discussion in this forum of the
>significance of drug use across our populations.
>
>Margery Wilson, IBCLC
>probably an ostrich on this topic
>
>------------------------------
>
>End of LACTNET Digest - 28 Mar 1996 - Special issue
>***************************************************
>
>
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