In a message dated 3/8/00 1:32:36 PM Eastern Standard Time,
[log in to unmask] writes:

<<  In looking for something else, I came across a form from Marsha Walker,
 > 1995 of BF Skills Checklist for Nurses.  Might be a useful tool for
 > hospital LCs trying to bring staff all up to the same level of skill and
 > knowledge.  Sincerely, Pat in SNJ
 > >>

Thanks to Pat for asking & Marsha for posting the checklist. I will be
emailing Marsha for permission to use it. We have just been asked to develop
a BF competency checklist, pre & post test, a self-learning packet & brief
inservice/classroom presentation for ALL of our staff who teach/help moms
with breastfeeding. This will help alot!!!!

I also have a question about a statement in AWHONN's Core Curriculum for
Mat-Newborn Nursing, pub. 2000, Chapter 16 (Breastfeeding) p 331. Under the
heading of nutrition it states "foods that produce gastrointestinal
irritation in a mother probably also produce it in the infant."  Is this
statement really accurate? If I am disputing (or confirming) this, I want
some valid references either for or against it. Does anyone know of any
studies that have been done on this? I noticed that most of the references
listed at the end of the chapter were from the early 1990's. Most of the
information in the chapter seems very good though. They did reference
Auerbach & Riordan's book & Lawrence's book (not their latest editions).

One more question, please. In the study questions at the end of Chapter 16 in
AWHONN's  book , # 8 asks for 3 strategies to increase milk supply (this is
related to a case study of a new mom, 27 yrs old, uncomplicated vaginal
delivery, who wants to breastfeed for at least 6 months, but had to quit BF
her first child after 2 weeks because of cracked nipples & a poor milk
supply.)

The answer in the book is "Frequent feedings, every 2-3 hours; sufficient
length, with 10-15 minutes at each breast; adequate maternal nutrition and
fluid intake; adequate maternal rest."

Would love to hear everyone's comments on these 2 issues.

Thanks,
Laura Hart
Central Florida

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