Drs. Bacon and Houston, civilian ENT doctors have done frenulum clippings
in the past. They're wonderful!! Office phone 757-825-2500.
-Susan Campbell-Skelly, RN
> -----Original Message-----
> From: Automatic digest processor [SMTP:[log in to unmask]]
> Sent: Thursday, February 11, 1999 10:10 PM
> To: Recipients of LACTNET digests
> Subject: LACTNET Digest - 11 Feb 1999 - Special issue
>
> There are 10 messages totalling 368 lines in this issue.
>
> Topics in this special issue:
>
> 1. Langley AFB, Virginia
> 2. sertraline (Zoloft)
> 3. what can we do
> 4. fussy, gassy 1 month old
> 5. ibclcs and doing it all
> 6. scales and wt loss
> 7. Hospital LCs
> 8. med to "dry-women-up"
> 9. Cheerleading
> 10. Fw: Fw: Reynauds syndrome/
>
>
> To post a note to the 2200+ subscribers of LACTNET, send your note to
> [log in to unmask]
> To change your subscription options as in those listed below, send
> computer
> commands listed below, via e-mail to:
> [log in to unmask]
>
> To leave LACTNET---- UNSUBSCRIBE LACTNET
> To temporarily stop your subscription------ SET LACTNET NOMAIL
> To restart mail after being nomail -------------- SET LACTNET MAIL
> To set lactnet to index version....................SET LACTNET INDEX
> For Information on other commands------------ HELP
> For Information on Search Functions------------- INFO
> REFCARD
> Don't Know How To "Work" Lactnet? Send e-mail to
> [log in to unmask]
> with message reading: Get Lactnet Welcome
>
> LACTNET WWW Archives :
> http://library.ummed.edu/lsv/archives/lactnet.html
>
> 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]
> [log in to unmask]
>
> ----------------------------------------------------------------------
>
> Date: Thu, 11 Feb 1999 20:02:31 -0500
> From: Cindy Curtis <[log in to unmask]>
> Subject: Langley AFB, Virginia
>
> Looking for someone that can do a frenulum clipping near Langley Air
> Force Base Virginia, also looking for an LC in that area, if you are
> there or know someone who is, please let me know asap.
>
> Thanks!
>
> Cindy
>
> --
> Cindy Curtis,RN,IBCLC
> Virginia,USA
> mailto:[log in to unmask]
> Benefits of Breastfeeding Page http://www.erols.com/cindyrn
>
> ------------------------------
>
> Date: Thu, 11 Feb 1999 20:08:38 -0500
> From: newman <[log in to unmask]>
> Subject: sertraline (Zoloft)
>
> Well, nothing is impossible, and any drug can cause nausea and vomiting.
> It
> would not be the first thing I thought of in a spitting up baby. The fact
> that the baby did not spit up after bottled expressed milk does not prove
> anything, since the method of delivery is different. I have followed a
> number of mothers on sertraline, and none of the babies reacted this way.
> But, maybe.
>
> Jack Newman, MD, FRCPC
>
> ------------------------------
>
> Date: Thu, 11 Feb 1999 17:17:30 PST
> From: laurie wheeler <[log in to unmask]>
> Subject: what can we do
>
> Royce and lactnuts,
> Royce asks what can we do re mat/child nurses thinking we are fanatics
> and working in hosps that continue to market formula.
> I do not think we get anywhere fast trying to convert the nursing staff.
> That takes alot of time and attitudinal change which is more difficult
> than just educating them. I think it's more effective to reach the moms
> via our prenatal classes, LLL meetings, inpatient consultations, and
> getting bf info out there via mediawatch etc. I am seeing in our hosp
> the bf rates go up. Started about 40-50% few years ago (I wasn't working
> there then) and now 60% and last time I calculated 70% and today ALL PP
> moms were bf and all the ones in labor too were going to bf. I encourage
> all families to fill out the pt satisfaction forms and let
> administration know if bf services were helpful and if I hear that they
> got conflicting info I want them to write about that and/or talk to my
> mgr. Our dept gets referrals from obs and pedis and we have a good
> reputation. I don't confront the nurse who recommends water or formula
> supps, but I tell the pt that I very strongly disagree with this and
> why. I let my mgr know that pts are telling me they are confused and
> conflicted about the differing advice they are given. Not all our nurses
> are bf savvy - yet. However, in our area consumer/pt satisfaction is big
> and customer service is pushed. Moms want to bf, they want to bf
> successfully, and they are unhappy when they don't get to. Mgrs will
> start to see that moms need accurate, up to date, consistent advice. I
> have to be patient. It is all jsut baby steps. Just keep on keeping on,
> Royce, every little bit helps.
> Laurie
>
> Laurie Wheeler, RN, MN, IBCLC
> Louisiana Breastfeeding MediaWatch Campaign
> Violet Louisiana, USA
> mailto:[log in to unmask]
>
>
> ______________________________________________________
> Get Your Private, Free Email at http://www.hotmail.com
>
> ------------------------------
>
> Date: Thu, 11 Feb 1999 20:19:07 EST
> From: Ann Perry <[log in to unmask]>
> Subject: Re: fussy, gassy 1 month old
>
> Janna,
> If you want to approach the over production and wait on mom's diet I have
> a
> couple more ideas. How many feedings is she doing in a row at one breast?
> You
> may want her to do 3-4 and only hand express the other br to relieve
> pressure
> then wrap with cabbage and in a few days the breast should start to
> decrease
> production. She could also add herbs such as peppermint or that family
> along
> with fresh sage. If she wants extra birth control she could try the pill
> for
> awhile to reduce her supply. In the LLL lactation series there is a
> chapter on
> overproduction that has some great tips for the baby. Infant massage may
> help
> and could be done by other members of the family. Hope this helps.
> Ann Perry RN IBCLC
> Boston, Mass
>
> ------------------------------
>
> Date: Thu, 11 Feb 1999 17:31:21 PST
> From: laurie wheeler <[log in to unmask]>
> Subject: ibclcs and doing it all
>
> Mary
> Sounds like a great hosp with nurses so supportive and able to assist
> with bf. Coming from a background in nursing, I have always believed
> that the LC role is equivalent to the clinical nurse specialist or CNS
> (like a clinical nurse specialist in pulmonology or whatever). The
> nursing staff should be able to assist with all the bf dyads as a
> routine part of their work. This is not the case - yet. In the nicu the
> nurses should be able to start a mom expressing, storing, transporting
> her milk. We did this as staff nurses in the nicu, we were called
> ourselves bf counselors, not one of us ibclc at the time. If the no. of
> deliveries is small and the LC is on call for problems and can come in
> for o.p. consults, than you are right, I think it can be done. Bottom
> line - the whole mat/child staff including the docs needs to be bf savvy
> and bf friendly and this makes the LCs life much, much easier and able
> to work with the more complex dyads. The roles of the CNS are
> practitioner, educator, consultant, researcher, and administrator.
> Doesn't this sound like us?
> Ref Perspectives on developing, marketing, and implementing a new
> clinical specialist position. Glenda Beekmann Ball. Clinical Nurse
> Specialist, vol 4(1) p. 33.
> Laurie Wheeler, RN, MN, IBCLC
>
> Laurie Wheeler, RN, MN, IBCLC
> Louisiana Breastfeeding MediaWatch Campaign
> Violet Louisiana, USA
> mailto:[log in to unmask]
> ______________________________________________________
> Get Your Private, Free Email at http://www.hotmail.com
>
> ------------------------------
>
> Date: Thu, 11 Feb 1999 17:35:45 PST
> From: laurie wheeler <[log in to unmask]>
> Subject: scales and wt loss
>
> I think becoz the scales are calibrated +/- to so many grams or cc's
> that you may get a minus.
> Laurie Wheeler, RN, MN, IBCLC
> Laurie Wheeler, RN, MN, IBCLC
> Louisiana Breastfeeding MediaWatch Campaign
> Violet Louisiana, USA
> mailto:[log in to unmask]
> ______________________________________________________
> Get Your Private, Free Email at http://www.hotmail.com
>
> ------------------------------
>
> Date: Thu, 11 Feb 1999 20:42:33 EST
> From: "Jane Ciaramella RNC, IBCLC" <[log in to unmask]>
> Subject: Re: Hospital LCs
>
> In response to Melissa V. Kirsh's post about 24Hour IBCLC coverage in
> hospital
> I'd like to say that I totally agree but don't see that as a reality in
> most
> hospitals unfortunately. I have lobbied my administration for over a year,
> wrote two proposals, spoke to the CEO, DON etc. I have not had the
> proposal
> for another parttime LC approved as yet but I was recently told that I
> could
> have another IBCLC come on as a per diem. It's a start. Should IBCLCs be
> seeing every breastfeeding patient? We are consultants. Consultants should
> be
> dealing with the problem situations above and beyond the skill level of
> the
> staff nurse. I get called into situations in the NICU and on the floor all
> the
> time when all it took was a little extra time from the Nurse and some
> basic
> breastfeeding Know how.
> In reality, 1 IBCLC in a moderate size hospital can't be expected to be
> able
> to solve all the problems. We all know how labor intensive and time
> intensive
> some situations are. If I know a mom has had a lot of BF difficulties I
> try to
> follow up on her but in reality I can't always. So I do refer to private
> IBCLCs many times. I work 27 hrs. a week,M-F , in a hosp that delivers
> 1600
> and has a 13 bed NICU. I am so busy being Lactation Consultant, its hard
> to
> keep up with my job as Lactation Coordinator which implies overseeing and
> making sure our breastfeeding program is implemented properly. I need to
> plan
> inservices so that the nursing staff is up to date and more skilled. It's
> hard
> to plan when there is little extra time in my day to do that. You guessed
> it .
> It's done on my off time!
> As much as I've tried to enlighten the administration it seems to fall on
> deaf
> ears. Change comes slowly but when youkeep hammering away you get there
> I've
> learned.
> I take a new strategy lately. A lot of patients have called to complain
> to me
> about the lack of LC coverage on the weekend and how disappointed or mad
> they
> were when they found out there was only 1 LC M-F and they had a weekend
> delivery and NEEDED more than the staff could give them. I tell them that
> I
> agree but that the administration listens to the consumer more than me.
> Put it
> in writing and send it in!
> They have been. We'll see where that gets us!
> Walk in the hospital LCs shoes for a day. She's usually overworked,
> overburdened, understaffed trying her darnedest to teach, support, problem
> solve, cheerlead, plan,
> follow up, answer phone calls etc. She's usually working on a postpartum
> floor
> that is minimally staffed with RNs and a high census of moms and babies.
> The
> RN gets 5 dyads but only gets credit for 5 patients when she really has
> 10.
> Does she have time to do all the teaching necessary? Where does the IBCLC
> come
> in? On busy days she most likely picks up the pieces that the RN didn't
> have
> time to do. Is this what my job should be? NO! Do I do it? You bet! I do
> plenty of basic teaching one on one during rounds. I have found that if
> don't
> do that too many patients leave without enough info because they do not
> always
> take the initiative to come to BF class .
> Jane Ciaramella
>
> ------------------------------
>
> Date: Thu, 11 Feb 1999 21:08:17 -0500
> From: "Janna Zempsky, CPNP, IBCLC" <[log in to unmask]>
> Subject: med to "dry-women-up"
>
> I know I'm dating myself, but the pediatrician I work with asked me if I
> remembered what medication WAS routinely given to newly delivered women
> who had opted not to breastfeed. I should know and don't - must not
> have been tooooooo recently that this was standard practice.
> And he asked how it worked???
> I'm aghast that anything was given=:[ =:/ It's not anymore, is it??
> janna zempsky, cpnp, ibclc in sunny (for a day) west hartford CT
>
> ------------------------------
>
> Date: Thu, 11 Feb 1999 21:50:16 EST
> From: "Barbara Whitehead, IBCLC" <[log in to unmask]>
> Subject: Cheerleading
>
> Hi! I just finished training a group of Peer Counselors at a very small
> health
> dept in a very low income, rural area. These 3 Peer Counselors will be
> serving as volunteers. One is a senior in high school and is going to
> start a
> high school mothers group. The theme for this workshop seemed to be " A
> Peer
> Counselor has to be a salesman to pregnant women and a Cheerleader to
> BFing
> Moms"! I wanted them to know that it's more then just agency paper
> shuffling.
> In watching parts of videos ( all the classic ones), I noticed how much
> touching occurred, and thought of this week's posts on touching. One Peer
> Counselor commented on how caring the LC's in the videos are, and how she
> can't wait to get her first " Mom" to help! I hope we don't ever give up
> the
> cheerleader role and become just caught up in the system. I have been
> training Peer Counselors for 8 yrs and have always found their enthusiasm
> and
> love for BFing to be refreshing and restoring. I tried to convey a
> message of
> responsibility, and professionalism to the Peer Counselors without
> destroying
> their enthusiasm or scaring them away from being caring, compassionate,
> and
> warm bfing assistants. I hope they will always remember to enjoy the moms
> and
> babies and always keep the enthusiasm alive.
> Barbara Whitehead, IBCLC
> Eastern NC
>
> ------------------------------
>
> Date: Thu, 11 Feb 1999 22:03:57 -0500
> From: beadie cambardella <[log in to unmask]>
> Subject: Fw: Fw: Reynauds syndrome/
>
> -----Original Message-----
> From: Kay Hoover <[log in to unmask]>
> To: beadie cambardella <[log in to unmask]>
> Date: Tuesday, February 09, 1999 9:55 AM
> Subject: Re: Fw: Reynauds syndrome
>
>
> >beadie,
> >The little I know about Raynaud's comes from Jack Newman of Canada and
> >Smith-Lawlor of Australia. Smith-Laelor has published a few case
> >studies. She has a nice write up in the ILCA conference syllubus from
> >last summer. There is information about Raynaud's on the web. Trauma
> >to the nipple can bring about a Raynaud's type response in that the
> >nipple blanches, but the person does not have Raynaud's syndrome. I am
> >on my way out the door to do an all day presentation tomorrow.
> >Good luck.
> >Kay
> >
> > cambardella wrote:
> >>
> >> -----Original Message-----
> >> From: Linda J. Smith <[log in to unmask]>
> >> To: 'beadie cambardella' <[log in to unmask]>
> >> Date: Monday, February 08, 1999 2:14 PM
> >> Subject: RE: Reynauds syndrome
> >>
> >> >Hi Beadie,
> >> >Thanks for the nice words. (Yeast is everywhere, too! :))
> >> >
> >> >From what I know, Renaud's is worse when the skin gets cold and/or mom
> is
> >> >stressed. Warmth helps, as does prescription nefidipine. NSAID's might
> >> help.
> >> >Kay Hoover might know more about it - she's the walking encyclopedia
> on
> >> >nipple pain. Her e-mail is [log in to unmask]
> >> >
> >> >You could check the Lactnet archives and/or Lawrence's book. I'm
> swamped
> at
> >> >the moment - sorry I can't help more.
> >> >
> >> >Linda J. Smith, BSE, FACCE, IBCLC
> >> >Bright Future Lactation Resource Centre
> >> >Dayton, OH USA
> >> >http://www.bflrc.com
> >> >
> >> >
> >> >-----Original Message-----
> >> >From: beadie cambardella [mailto:[log in to unmask]]
> >> >Sent: Monday, February 08, 1999 1:40 PM
> >> >To: [log in to unmask]
> >> >Subject: Reynauds syndrome
> >> >
> >> >Dear Linda
> >> >You are everywhere!!! And I will rejoice in it!!
> >> >I think that I have a true Reynauds Syndrome. It is one of the BTW
> mothers
> >> >in my Home Depot program. She had an unpleasant BF experience three
> years
> >> >ago. Same thing happening after 2nd baby. She is pumping has a good
> >> >supply and attempts daily to breastfeed with varying degrees of
> vasospasm
> >> >and pain. I have observed a feed at 48 hours and witnessed what
> happens
> to
> >> >the nipple after a latch. It is very discolored and very painful to
> mother
> >> >,but not misshapen. She really wants BF to work this time . Is
> willing
> to
> >> >just pump if she gets no relief.
> >> > She seems to have no darkening of the areola . No signs of pigment
> change
> >> >and she doesn't think she ever had any with first pregnancy. (Wonder
> if
> >> >she had any pigment changes in the pubis to navel ??. ) I don't know
> if
> the
> >> >pigment change or non change is relevant to the diagnosis of Reynauds
> >> >Syndrome. Strawberry blond and freckled and fair is how one would
> describe
> >> >this mom. The breast approprieatly shaped and good nipple
> protrusion.
> >> She had a NSVD and I did notice lots of lower leg ,ankle and feet edema
> and
> >> hand edema when I saw her at 48 hours. She is about 12 day pp and I
> will
> >> see her>briefly on 2/9. Any comments or suggestion, or resources would
> be
> >> >appreciated.
> >>
> >> >I am currently off Lactnet . Maybe you are going to send me to that
> >> archive.
> >> >I have not learned to do that efficiently, but happy to learn!!
> >> >
> >> > With kindest regards.
> >> >
> >> >Beadie Cambardella RN FAACE IBCLC
> >> >[log in to unmask]
> >> >
> >> >
>
> ------------------------------
>
> End of LACTNET Digest - 11 Feb 1999 - Special issue
> ***************************************************
|
