Automatic digest processor wrote:
>
> Subject: LACTNET Digest - 6 Mar 1998
> Date: Sat, 7 Mar 1998 00:00:27 -0500
> From: Automatic digest processor <[log in to unmask]>
> Reply-To: Lactation Information and Discussion <[log in to unmask]>
> To: Recipients of LACTNET digests <[log in to unmask]>
>
> There are 9 messages totalling 302 lines in this issue.
>
> Topics of the day:
>
> 1. Please use the archives
> 2. a simple question
> 3. comparison of human milk to the other stuff--Protein
> 4. Nipple secretions after weaning
> 5. virtual checkup website info
> 6. preventative breast surgery
> 7. jaundice
> 8. tacrolimus
> 9. Drs undermining bf'ing: update vent
>
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>
> For further help, write to Lactnet Listmoms at:
>
> Kathleen B. Bruce BSN, IBCLC [log in to unmask]
> Kathleen G. Auerbach Ph.D, IBCLC [log in to unmask]
>
> ---------------------------------------------------------------
>
> Subject: Please use the archives
> Date: Fri, 6 Mar 1998 22:45:15 -0500
> From: Kathleen Bruce <[log in to unmask]>
>
> Please, those of you who have questions...please take the time to look in
> our archives for information ***before*** you post your note. The
> participants here enjoy the connections and discussions, and most do not
> appreciate being asked questions that have been discussed, and which are
> preserved for all time in our archives for all to read.
>
> I know that accessing archives can be daunting. However, please ask me for
> help. Also, do a
>
> Get Lactnet Welcome
> to
> [log in to unmask]
>
> The instructions are there, or just go to the archives website, in my signature.
>
> By being careful and looking before you leap/speak, this will save us all
> time, etc... Thanks
> Kathleen
> Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
> mailto:[log in to unmask]
> LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
> Emily's Mothering Project- http://together.net/~kbruce/proj.html
>
> ---------------------------------------------------------------
>
> Subject: Re: a simple question
> Date: Fri, 6 Mar 1998 22:53:22 -0600
> From: "Mary A. Banaszewski" <[log in to unmask]>
>
> Rob,
> Whatever does "PIA" stand for? tsk, tsk.
> Mary A. Banaszewski, RN, Lactation Specialist
>
> ----------
> > From: Robert Cordes DO <[log in to unmask]>
> > To:
> > Subject: a simple question
> > Date: Friday, March 06, 1998 3:26 PM
> >
> > Has anyone on Lnet ever met anyone as educational AND entertaining as Dr
> Jack and Dr Kathy D?
> > Rob
> > (or as I sign Email to those I belive obstuct BF, Rob Cordes, DO, FAAP,
> FACOP, PIA)
> >
>
> ---------------------------------------------------------------
>
> Subject: Re: comparison of human milk to the other stuff--Protein
> Date: Sat, 7 Mar 1998 00:08:18 EST
> From: Mjskbs <[log in to unmask]>
>
> Hi,
>
> A thought on this issue. When that artificial stuff is mixed, it is prepared
> to match the quantitative levels of protein in the real stuff.
>
> The further problem that disturbs me is that this protein level in human milk
> is not all nutritive protein (in the sense that it's only purpose is to be
> digested for food). Much of it is for other uses. This includes:
> · Alpha lactalbumin
> · Serum albumin
> · Lacto/transferrin
> · Immunoglobulins
> · Lysozymes
> · Other-enzymes, growth factors, hormones -small amounts
> (credit this info to Riordan and Auerbach)
>
> So, this brings me to a stronger concern about the over-dose of protein for
> infants fed artificially.
>
> Karen Seroussi
> La Leche League Leader in CT
>
> ---------------------------------------------------------------
>
> Subject: Re: Nipple secretions after weaning
> Date: Fri, 6 Mar 1998 22:29:40 -0600
> From: Jon Ahrendsen <[log in to unmask]>
>
> if best suggestion for now is don't express and recheck in 1-2 months?
> Surgeon didn't feel biopsy was urgent and admitted scarring from biopsy
> would
> make site more difficult to check in the future.
> >>>this type of discharge from a once lactating breast can be very normal
> several years after the lactation. If your mammogram is OK and you are at
> low risk for family history, observation may be the most prudent course.
>
> If you want the option of another test, an experience international
> radiologist or a radiologist with experience, can do a ductogram.
> Basically they use a very small tube to try and pass it into the milk duct
> where the discharge is coming from and then inject a small amount of
> radiocontrast material back into the duct to visualize it better. This is
> the same principle that is used to visualize many "tubes" in the body from
> blood vessels to ureters to salivary ducts to ovarian tubes. It is not
> commonly done but it can be done. It would be my choice to do this before
> a biopsy, once again assuming every thing else is OK
>
> Jon Ahrendsen MD FAAFP
> Clarion, Iowa
>
> ---------------------------------------------------------------
>
> Subject: virtual checkup website info
> Date: Fri, 6 Mar 1998 21:47:54 -0800
> From: Donna Hansen <[log in to unmask]>
>
> Hi all,
>
> Here is part of what the folks at the Virtual Checkup website
> (http://www.childsecure.com) have to say in response to a mum with a new
> baby.
>
> Donna Hansen
> Burnaby, BC
> ----------------------------------------------------------------------------
> Feeding & Nutrition: If you have decided to breast feed your baby, allow
> him
> or her to feed as often as he or she wishes. If you do not have a lot of
> milk it helps to feed the baby more often -- suckling at the breast
> stimulates the let down of milk. Consider the use of a lactation
> consultant to help you get off to the right start with breast feeding --
> often a difficult start will lead to months of fulfilling breast feeding
> once you get over the first few weeks. Sore nipples can be treated with
> warm compresses or by rubbing a bit of expressed milk onto the sore
> areas.
> Avoid washing the breasts with soap which may dry the nipples. Remember,
> whatever you eat your baby eats, so avoid alcohol or drugs and try to
> eat a
> well balanced diet. Sometimes too many vegetables will upset the baby's
> stomach -- you will find this out in time.
>
> If you decide to or must bottle-feed, allow your baby to feed on demand
> as
> well. Most infants begin with a milk-based formula. If it seems your
> baby
> does not tolerate his/her formula well discuss using an alternative
> formula
> with your pediatrician. If you bottle feed with ready-mixed formula or
> do
> not use tap water in your powdered formula you will need to provide
> supplemental fluoride vitamins to your baby to help with the development
> of
> healthy teeth. Whether you breast feed or bottle feed your baby's
> intestines
> are just starting to learn how to process foods. Your baby will stool as
> often as 3 times a day or as seldom as once every 3 days -- and this is
> normal. If your baby stools less or more than this, contact your
> pediatrician.
>
> Crying: Crying is a normal part of infancy -- many babies cry several
> hours
> a day and before falling asleep. If crying is getting to you ask for
> help
> from your spouse or a friend or relative. You will soon learn what your
> baby's cries mean -- there are cries for hunger and cries for pain. If
> you
> baby is not consolable contact your pediatrician.
>
> Best wishes from the pediatricians at ChildSecure!
>
> Virtual Checkup is brought to you by The ChildSecure Catalog -- the
> world's
> finest baby products. Visit us at http://www.childsecure.com
> Reply-To: [log in to unmask]
>
> ---------------------------------------------------------------
>
> Subject: preventative breast surgery
> Date: Sat, 7 Mar 1998 00:50:36 -0600
> From: Carla D'Anna <[log in to unmask]>
>
> Found this on infobeat tonight
>
> >*** Preventive breast surgery should work, model shows
> >
> >Preemptive surgery to prevent breast and ovarian cancer in women who
> >have high genetic risk should work based on computer projections,
> >researchers said Friday. But while it should save lives, the surgery
> >may not be worth it because quality of life plummets, they said. Ever
> >since the BRCA1 and BRCA2 genes were identified, doctors have
> >wondered whether it would be worth taking preventive action in women
> >who have mutations known to lead to breast or ovarian cancer.
> >Researchers did a computer model to see if preventive surgery could
> >save the lives of women with a high genetic risk of cancer. See
> >http://www.infobeat.com/stories/cgi/story.cgi?id=2553225942-f01
>
> ---------------------------------------------------------------
>
> Subject: jaundice
> Date: Sat, 7 Mar 1998 02:25:03 EST
> From: Sylvia J Boyd <[log in to unmask]>
>
> Hi everyone,
>
> I received a thankyou from the mom who was told to put 3 weeker
> on formula for one week because the bili was 10. I shared the
> wisdom from Lactnet with the mom & this is what she sent me:
>
> "Sandeep is doing fine (I think) He's now 10lbs and 10oz at
> 5 weeks (He was 8lbs and 10oz at birth). I didn't stop bf and
> just didn't let my doctor know that that's what I did. Fortunately
> she didn't remember that's what she had asked me to do and
> on the next visit commented that Sandeep's juandice looked better!"
>
> Warmly,
> Sylvia Boyd, CLE, PT, ACCE
> mailto:[log in to unmask]
>
> _____________________________________________________________________
> You don't need to buy Internet access to use free Internet e-mail.
> Get completely free e-mail from Juno at http://www.juno.com
> Or call Juno at (800) 654-JUNO [654-5866]
>
> ---------------------------------------------------------------
>
> Subject: tacrolimus
> Date: Sat, 7 Mar 1998 08:38:56 +0100
> From: frailhet <[log in to unmask]>
>
> In my humble opinion, the risk is much more important for the foetus than
> for the BF baby. It is teratogen or letal for the foetus in animals. Here,
> pregnancy is strictly CI when it is taken.
>
> Nothing about its passage in milk. But it is very poorly absorbed
> by the gastrointestinal tract, more less when taken with food.
> It is very highly bound to the plasmatic proteins (99%),
> and it is also hyghly bound to the red cells. So, the passage in milk
> is probably very low. Half live very variable : 3,5 to 40 hours
>
> It is used in pediatric. Dose : 0,2-0,3 mg/kg/day per os, or
> 0,05 mg/kg/day IV.
>
> Hope this help
> Kindly
> Francoise Railhet
> LLL France Medical Associates Program
>
> ---------------------------------------------------------------
>
> Subject: Drs undermining bf'ing: update vent
> Date: Sat, 7 Mar 1998 01:15:27 +0000
> From: Anna <[log in to unmask]>
>
> Hi,
> a week or so ago, I posted regarding a sick, premie baby who's mother
> had weaned after 5 weeks due to appalling undermining from her doctors
> and health visitors (IMHO).
>
> At the end of my story, I related:
> > Sadly, this pm I got a call to say she had given up and put the baby
> > on formula. She said she had "had a long talk with the doctors, who
> > felt that since the baby had done so well on such-and-such ABM,
> > actually gaining weight in the last two days, it would be better not
> > to 'rock the boat' and try to establish breastfeeding".
>
> The good news is the baby is doing well following surgery and is now out
> of hospital. The bad news is, the mother has made no further attempt to
> breastfeed or pump and regards any discussion of relactation as "pretty
> pointless" since she believes the "quality" of her breastmilk is sub-
> standard and possibly even harmful to her baby. She believes it would be
> "selfish" to try and breastfeed. This evening, I bumped into her at a
> party and she was leaking breastmilk so much that I had to lend her some
> breastpads. I saw milk leaking all over her dress and my heart was
> breaking - her baby should be having that milk! Even a little would help
> such a sick baby. She wondered if I knew of any "tricks" to dry up her
> milk. I muttered something about sage tea, made a pathetic attempt to
> interest her in relactation and changed the subject.
>
> OTOH, this experience has been the catalyst for my deciding "something"
> must be done in this town to improve our breastfeeding rates. I am
> trying to gather together statistics with the intention of putting my
> writing skills into practice at some point.
> --
> Anna (Mummy to Emma, born 17th Jan 1995, Alice, born 11th Sept 1996,
> ??? due 18th April 1998)
> Email: [log in to unmask] Web Page: http://www.ratbag.demon.co.uk/anna
info
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