Jeanette writes -
"I also wonder - and please don't yell at me, just asking the question - if
we are CAUSING this horrific swelling artificially, would not using
diuretics help to remove it?"
I have found ob's very reluctant to rx diuretics as they comment their use
might reduce the milk supply. Unfortunately, of course, the milk supply is
meanwhile disappearing under the mound of edematous brst tissue. Sigh.
However, I have had the good fortune to meet a couple of courageous ob's who
did rx lasix - very good results.
Joanna Koch IBCLC, N Ca
***********************************************
To temporarily stop your subscription: set lactnet nomail To start it again:
set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All
commands go to [log in to unmask]
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer
for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
------------------------------
Date: Sat, 29 Apr 2006 18:32:47 -0400
From: "Linda J. Smith" <[log in to unmask]>
Subject: Re: triage book from Jones & Bartlett
"Breastfeeding A-Z: Terminology and Telephone Triage" by Karin Cadwell and
Cindy Turner-Maffei was recently published by Jones & Bartlett Publishers
www.jbpub.com.
I really like this book. I'm finding it comprehensive and useful with
excellent evidence-based information.
I have no financial interest in this book.
Linda J. Smith, BSE, FACCE, IBCLC
Bright Future Lactation Resource Centre Ltd 6540 Cedarview Ct, Dayton OH
45459
937-438-9458 / fax 937-438-3229
www.BFLRC.com
***********************************************
To temporarily stop your subscription: set lactnet nomail To start it again:
set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All
commands go to [log in to unmask]
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer
for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
------------------------------
Date: Sat, 29 Apr 2006 18:40:01 -0400
From: Jennifer O'Quinn <[log in to unmask]>
Subject: baby losing weight
Hello Everyone,
I've been reading the archives but would like to post this situation anyw=
ay...
Helping a second time mom with 18 day old baby.
Baby weighed 7 lbs 14 oz at birth born at home- no complications...
Lowest recorded weight was 7 lbs 5 oz on day 3.
Highest recorded weight was 7 lbs 15 oz (mom recalls this as being on day=
6).
Today baby weighed 7 lbs 11 oz.
Mom did not notice increase in breast size during either pregnancy but di= d
have darkening of=20 areolae. Mom had retained placenta with first baby. She
felt that supplem= entation led to downward=20 spiral in supply that she
never recovered from, even after placenta was r= emoved. She purchased a=20
Pump in Style, she took fenugreek and nettle (among other herbs which she=
can't recall now) and=20 used an SNS in an attempt to save breastfeeding.
(She did NOT have a bloo= d transfusion and does=20 not feel she lost a lot
of blood in association with the retained placent=
a)
After this birth she experienced slight breast fullness in the early days=
of breastfeeding, but=20 nothing she would describe as dramatic or
uncomfortable. She has small bu= t symmetrical breasts.=20 I would describe
them as completely normal for a slender non-lactating wo= man. They seem
flaccid=20 like close-to-weaning or non-lactating breasts. She can squeeze
milk from= them but never sees=20 milk leaking from the other breast when
she is nursing. She only hears au= dible swallowing from=20 the baby during
night nursings. She sleeps with the baby and cue feeds. T= he baby is never
happy=20 off the breast any time during the day, but will sleep an hour or
two off= the breast after a night=20 nursing with copious audible
swallowing.=20
The baby is very thin but latches beatifully and nurses vigorously at fir=
st. The mother's nipples are=20 not damaged or sore.
After nursing from both breasts and for about 40 minutes and to sleep the=
baby had consumed=20 just 2/10 of an ounce. The mother reports when she
pumps after nursing sh= e can only pump=20 enough to cover the bottoms of
the collection bottles. The mother describ= es the stools as watery=20 but
frequent 6-10 times a day.
She is a vegan, and daughter of a vegetarian- her mother came with her to=
the consult. They=20 impressed me as knowledgable and motivated so I'm
inclined to think B-!2 = deficiency is not the=20 culprit. However she does
consume a lot of soy and I wonder about the rol= e phyto-estrogens=20 might
be playing in her difficulty. I have asked her to replace the soy s= he
consumes with other=20 protein sources for the time being.
Do vegans need to consume a lot more food than non-vegans inorder to abs=
orb all the nutrients=20 they need out of their food? (I'm thinking about
whether or not fiber or = phytates can alter the=20 bioavailabiluty of
nutrients...) She kept a diet diary in conjunction wit= h her Bradley class
and her=20 highest recorded protien intake in one day was 90 grams.
The mother's mother has a thyroid with only one functioning lobe. When sh= e
was younger this=20 presented to no problem for her...she conceived and
breastfed her childre= n with no trouble...but=20 she has needed thyroid
replacement in recent years.
I sent her home with a scale. She is planning to nurse and then supplemen= t
on as needed basis=20 according to the test weighings...I am hoping night
nursings might not re= quire supplementation.=20 Whenever a nursing requires
supplementation she is going to pump while th= e baby is digesting=20 the
formula supplement. Her experience with supplementing at the breast w= ith
her first child was=20 not a positive one, but I sent her home with an SNS
in case she decides s= he wants to use it.
Any input would be greatly appreciated.
Jennifer O'Quinn
IBCLC
***********************************************
To temporarily stop your subscription: set lactnet nomail To start it again:
set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All
commands go to [log in to unmask]
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer
for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
------------------------------
Date: Sat, 29 Apr 2006 20:41:05 -0400
From: James O'Quinn <[log in to unmask]>
Subject: baby losing weight...hope this version is easier to read
Hello Everyone,
I've been reading the archives but would like to post this situation
anyway...
Helping a second time mom with 18 day old baby.
Baby weighed 7 lbs 14 oz at birth born at home- no complications...
Lowest recorded weight was 7 lbs 5 oz on day 3.
Highest recorded weight was 7 lbs 15 oz (mom recalls this as being on day
6).
Today baby weighed 7 lbs 11 oz.
Mom did not notice increase in breast size during either pregnancy but did
have darkening of areolae. Mom had retained placenta with first baby. She
felt that supplementation led to downward spiral in supply that she never
recovered from, even after placenta was removed. She purchased a Pump in
Style, she took fenugreek and nettle (among other herbs which she can't
recall now) and used an SNS in an attempt to save breastfeeding. (She did
NOT have a blood transfusion and does not feel she lost a lot of blood in
association with the retained
placenta)
After this birth she experienced slight breast fullness in the early days of
breastfeeding, but nothing she would describe as dramatic or uncomfortable.
She has small but symmetrical breasts.
I would describe them as completely normal for a slender non- lactating
woman. They seem flaccid like close-to-weaning or non-lactating breasts. She
can squeeze milk from them but never sees milk leaking from the other breast
when she is nursing. She only hears audible swallowing from the baby during
night nursings. She sleeps with the baby and cue feeds. The baby is never
happy off the breast any time during the day, but will sleep an hour or two
off the breast after a night nursing with copious audible swallowing.
The baby is very thin but latches beatifully and nurses vigorously at first.
The mother's nipples are not damaged or sore.
After nursing from both breasts and for about 40 minutes and to sleep the
baby had consumed just 2/10 of an ounce. The mother reports when she pumps
after nursing she can only pump enough to cover the bottoms of the
collection bottles. The mother describes the stools as watery but frequent
6-10 times a day.
She is a vegan, and daughter of a vegetarian- her mother came with her to
the consult. They impressed me as knowledgable and motivated so I'm inclined
to think
B-!2 deficiency is not the
culprit. However she does consume a lot of soy and I wonder about the role
phyto-estrogens might be playing in her difficulty. I have asked her to
replace the soy she consumes with other protein sources for the time being.
Do vegans need to consume a lot more food than non-vegans inorder to
absorb all the nutrients they need out of their food? (I'm thinking about
whether or not fiber or phytates can alter the bioavailabiluty of
nutrients...) She kept a diet diary in conjunction with her Bradley class
and her highest recorded protien intake in one day was 90 grams.
The mother's mother has a thyroid with only one functioning lobe.
When she was younger this
presented to no problem for her...she conceived and breastfed her children
with no trouble...but she has needed thyroid replacement in recent years.
I sent her home with a scale. She is planning to nurse and then supplement
on as needed basis according to the test weighings...I am hoping night
nursings might not require supplementation.
Whenever a nursing requires supplementation she is going to pump while the
baby is digesting the formula supplement. Her experience with supplementing
at the breast with her first child was not a positive one, but I sent her
home with an SNS in case she decides she wants to use it.
Any input would be greatly appreciated.
Jennifer O'Quinn
IBCLC
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer
for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
***********************************************
To temporarily stop your subscription: set lactnet nomail To start it again:
set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All
commands go to [log in to unmask]
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer
for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
------------------------------
End of LACTNET Digest - 29 Apr 2006 - Special issue (#2006-493)
***************************************************************
***********************************************
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
|
