In response to the posting on supplementation early on because of pedi
recomm. - I've noted the slight panic too when weight gain is not up to par
(?) at a week. I also keep a watchful eye on birth wts. at our hospital and
find it very interesting when the common birth wt. is below 7# at a time
when average birth wt. is statistically above 7#. Term babies are becoming
a thing of the past. Is this because we are interfering and encouraging
labor before baby took on those extra stores of fat/wt. needed while in
utero. As a result we are compromising babies with a lower birth wt. which
drops even lower with fluid loss/ etc after birth - so much more reason not
to interfere with a breastfeeding mom and baby - free access to the breast
with all sucking done there in the kitchen!
I think the Pedis should wage war on early induction.
Just sitting here thinking in Indiana, Pa. where change is a difficult
thing - I'm glad I'm here to help bring it on and I just love moms and
babies!!
Sue
At 09:12 PM 2/9/99 -0500, you wrote:
>Date:     Tue, 9 Feb 1999 21:12:08 -0500
>Reply-To: Lactation Information and Discussion <[log in to unmask]>
>Sender:   Lactation Information and Discussion <[log in to unmask]>
>From:     Automatic digest processor <[log in to unmask]>
>Subject:  LACTNET Digest - 9 Feb 1999 - Special issue
>To:       Recipients of LACTNET digests <[log in to unmask]>
>
>There are 14 messages totalling 353 lines in this issue.
>
>Topics in this special issue:
>
>  1. Lactaid drops
>  2. Lame comments
>  3. Thrush and Tonsilitis
>  4. small french lesson
>  5. licence for shields?
>  6. Antidepressants
>  7. Hx of HELLP
>  8. Companies breastfeeding programs
>  9. Dr. Jain's info and video
> 10. old nipple shield
> 11. new born weight loss
> 12. <No subject given> (2)
> 13. LACTNET Digest - 12 Jan 1999 - Special issue
>
>
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>Kathleen B. Bruce BSN, IBCLC [log in to unmask]
>Kathleen G. Auerbach Ph.D, IBCLC [log in to unmask]
>[log in to unmask]
>Date:    Tue, 9 Feb 1999 13:25:10 EST
>From:    "Jan Barger RN, IBCLC" <[log in to unmask]>
>Subject: Lactaid drops
>MIME-Version: 1.0
>Content-Type: text/plain; charset=US-ASCII
>Content-Transfer-Encoding: 7bit
>
>Joy says,
>
><< As far as my understanding goes with this, these drops are not really any
> good for giving to baby directly, ie not designed to be used this way. They
> are designed to be put into a volume of milk and allowed to act over a
> period of hours, eg overnight. >>
>
>You are absolutely right, Joy.  That's what the directions say.  The funny
>thing is, it WORKS when given to the baby -- a drop or two in the baby's
mouth
>just before nursing.  I generally have the mother give one drop before each
>breast though most often at this point she's only bf one side per feeding.
>Mothers have been amazed at the difference in their kidlets -- it's been one
>of those things where the stools were yellow, not green, but it was the last
>thing we could think of.  Mylicon drops did not help; Lactaid drops did.
>
>Jan
>Date:    Tue, 9 Feb 1999 12:34:32 -0800
>From:    Janet Simpson <[log in to unmask]>
>Subject: Re: Lame comments
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>Hi All,
>Point well taken on the editing of news staitions...
>
>If in fact the comment was much stronger than it aired, then I wonder if
>there is any way to call and COMPLAIN about the "watering down" of the
>interviewees comments.
>
>As I said in my original post - at least there was something positively said
>about BF.  More often than not, there is nothing positive said about BF -
>just the "dangers" get reported.
>
>I apologize if I have made anyone upset by my comments.
>
>Jay Simpson, CLE
>Sacramento, California, West Coast, USA
>"No Miracles performed here, just a lot of love and hard work."
>Date:    Tue, 9 Feb 1999 15:04:22 +0000
>From:    Michelle Leifur Reid <[log in to unmask]>
>Subject: Thrush and Tonsilitis
>MIME-Version: 1.0
>Content-Type: text/plain; charset=US-ASCII
>Content-Transfer-Encoding: 7BIT
>
>A mom that I have worked with for quite a while finally convinced her
>physician that she and the baby had to be treated for thursh
>simultaneously.  An order of nystatin was prescribed for each, but
>the doctor said that the mother also had tonselitis and prescribed
>the mother an antibiotic.  Antibiotics is what started this long
>ordeal with thrush.  The mother asked the doctor if taking the
>antibiotics would null out the nystatin and whether she should hold
>off on the nystatin until after the course of antibiotics was
>complete or if taking acidopholous while taking the antibiotics would
>be sufficient.  The doctor responded that she didn't know.  <sigh>
>Anyone dealt with this before?
>
>
>Michelle Leifur Reid
>LLL Leader
>Pensacola, FL
>http://www.geocities.com/Heartland/Meadows/4804
>Date:    Tue, 9 Feb 1999 21:20:47 +0000
>From:    heather <[log in to unmask]>
>Subject: small french lesson
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>There will be others on this list more qualified than I am ( a non-native
>French speaker) to clarify the meaning of that French slogan on the
>formula...but here goes:
>
>it is that 80 per cent of paeds recommended thickening the feed (in cases
>of reflux),  not that they are recommending that particular formula.
>
>What *is* against the WHO code is any  promotional stuff at point of sale -
>whatever it says, whether it's swing tags, posters, eye-catchers, money off
>discounts...anything.
>
>Heather Welford Neil
>NCT bfc Newcastle upon Tyne UK
>Date:    Tue, 9 Feb 1999 21:20:31 +0000
>From:    heather <[log in to unmask]>
>Subject: licence for shields?
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
><<
> We keep saying shields are 'just a tool' - true. Maybe you should have
> special licence to use one, awarded after specific training. And there
> should be a health warning on the boxes.  >>
>
>
> Heather....
>
>   how is this different than mother's buying other "tools" in stores: ie:
>sns's "bad" pumps, .....
>
>      Patricia
>
>Ooops, Patricia, and anyone else who thought the same...I was tongue in
>cheek when I suggested a special licence, for HPs or mothers. I do not
>think that mothers should be prevented from buying anything, including poor
>quality pumps. I would hate to see a layer of bureaucracy introduced to say
>who was and wasn't allowed to buy one. Sorry.
>
>Actually, the health warning on the box is not so much of a TIC -  I
>*would* like to see something along the lines of reminding mothers to get
>support and information on positioning, plus suggestions of where that
>might come from.
>
>Heather Welford Neil
>NCT bfc Newcastle upon Tyne UK
>Date:    Tue, 9 Feb 1999 15:25:20 -0600
>From:    Annie M Meidinger <[log in to unmask]>
>Subject: Antidepressants
>MIME-Version: 1.0
>Content-Type: TEXT/PLAIN; charset=US-ASCII
>
>I am a nursing student from the University of North Dakota.  Over the past
>year, our childbearing and child health classes have stressed the
>importance of breastfeeding.  I know that postpartum depression
>unfortunately occurs in some mothers, so I was curious about the effects
>of antidepressants on the breastfeeding infants.
>
>I discovered at the beginning of my research that more testing needs to be
>performed before a definite "yes" or "no" to breastfeeding while on
>antidepressants is stated.  The American Academy of Pediatrics Committee
>on Drugs, as quoted by Fotini Hatzopoulos and Lisa Albrecht (1996), has
>reclassified antidepressants as "drugs whose effect on nursing infants is
>unknown but may be of concern" (p. 139).  Hatzopoulos and Albrecht go on
>to say that because there is no absolute contraindication to breastfeeding
>during antidepressant use, recommendations should be made on case-by-case
>basis limited to healthy term infants (p. 141).
>
>James B. Longhurst, M.D., and Erica Weiss, M.D. (1998) seem to agree,
>stating "...given the enormous benefits associated with breastfeeding, the
>significant risks posed by untreated maternal depression, the mounting
>evidence that SSRI's are not found in significant quantities in infant
>plasma, and early data suggesting they do not produce measurable changes
>in infant serotonin transport, we feel that all women suffering from
>significant postpartum depressionshould be offered appropriate
>antidepressant treatment unless there is a clear contraindication in an
>indiviual case" (p. 1643).
>
>In a study performed by Yoshida, Smith, Craggs, and Kumar (1998), 12
>mothers who breastfed their infants were prescribed haloperidol,
>chlorpromazine, or trifluoperazine.  Three of these mothers were
>simultaneously taking haloperidol and chlorpromazine, and their infants
>had substantial falls in the Bayley Scale Scores by 12-18 months.  The
>nine infants whose mothers were prescribed individual drugs demonstrated
>no developmental delays (pp. 88-89).  Yoshida et al (1998) state that
>breastfeeding mothers, such as those in the co-medicated subgroup, and
>those prescribed individual drugs at the upper end of the recommended dose
>range, not breatfeed (p. 91).
>
>>From the research I have done, I believe it is better to choose
>a compatible drug to preserve a breastfeeding relationship than to not
>treat maternal depression at all.  Any comments on what you have seen in
>practice?
>
>Anna Meidinger, SN, UND
>
>Hatzopoulos, F.K., and Albrecht, L.M. (1996).  Antidepressant use during
>        breastfeeding.  Journal of Human Lactation, 12 (2), 139-141.
>
>Longhurst, J.G., and Weiss, E. (1998).  Use of psychotropic medications
>        during lactation.  American Journal of Psychiatry, 155(11), 1643).
>
>Yoshida, K., Smith, B., Craggs, M., and Kumar, R. (1998).  Neuroleptic
>        drugs in breast-milk:  A study of pharmacokinetics and of possible
>        adverse effects in breast-fed infants.  Psychological Medicine,
>        28, 81-91.
>Date:    Tue, 9 Feb 1999 15:59:25 -0600
>From:    Bari Colleen Creager <[log in to unmask]>
>Subject: Re: Hx of HELLP
>MIME-Version: 1.0
>Content-Type: text/plain; charset=us-ascii
>Content-Transfer-Encoding: 7bit
>
>Ask him what his rationale is...........I've never advised that a woman
>stop nursing in pregnancy with a history of HELLP,PIH, or other
>hypertensive disorders. I'm not sure that he has a valid reason.
>
>Bari Creager,CNM/IBCLC
>College Station,TX
>Date:    Tue, 9 Feb 1999 17:08:47 EST
>From:    "Barbara Hayes, RN, FACCE" <[log in to unmask]>
>Subject: Companies breastfeeding programs
>MIME-Version: 1.0
>Content-Type: text/plain; charset=US-ASCII
>Content-Transfer-Encoding: 7bit
>
>This is a follow up to Fran Eastwood's post asking about companies with
>breastfeeding support programs for new moms. In the October 1998 issue of
>Working Mothers magazine, there is a report on the "100 Best Companies for
>Working Mothers". I looked at the results of this nation-wide survey to see
>how many reported lactation support, expecting maybe ten or twelve.  To my
>delight, 87 companies had some type of lactation support as an employee
>benefit. When I called the editor, she said this was the third year that they
>had included lactation support in their survey of companies. It is a great
>resource to use when approaching a company about starting a program.
>Barbara Hayes
>New Rochelle, NY
>Date:    Tue, 9 Feb 1999 18:08:00 EST
>From:    "Nancy E. Wight MD, FAAP, IBCLC" <[log in to unmask]>
>Subject: Re: Dr. Jain's info and video
>MIME-Version: 1.0
>Content-Type: text/plain; charset=US-ASCII
>Content-Transfer-Encoding: 7bit
>
>I have lost my notes on Dr. Jain's lecture and how to get in touch with her
>and get her video.  Can anyone help me ?
>Nancy Wight MD, FAAP, IBCLC
>Date:    Tue, 9 Feb 1999 18:17:09 EST
>From:    [log in to unmask]
>Subject: Re: old nipple shield
>MIME-Version: 1.0
>Content-Type: text/plain; charset=US-ASCII
>Content-Transfer-Encoding: 7bit
>
>Diane:
>
> historically nipple shield have been rather similiar shape wise... the
>differences have mostly been in composition.
>
>     Patricia
>Date:    Tue, 9 Feb 1999 15:58:38 -0800
>From:    Jalana <[log in to unmask]>
>Subject: new born weight loss
>MIME-Version: 1.0
>Content-Type: text/plain; charset=us-ascii
>Content-Transfer-Encoding: 7bit
>
>Dear fellow breastfeeding advocates!
>I'm a childbirth educator, certified doula and breastfeeding counselor.
>I've become frustrated to my wit's end this past year with the numbers
>of baby's being supplemented for weight loss immediate post partum.  How
>is it, for 1000's of years this colostrum/breastmilk combination has
>worked.  And now near the millennium... it has ceased working.  I have
>had 1/2 of reunion classes (6 out of 12) come back with babies that
>'had' to be supplemented before the mother's milk came in.  My last two
>labour support clients... the same thing.  Why is this happening... are
>women suddenly not making enough colostrum to sustain newborns until her
>milk comes in.  Women's confidence is being chipped away at, from the
>very beginning!
>I would love to hear your idea's and thoughts on this topic! I'm about
>to scream... :)
>Thanks
>Jalana E Grant
>Date:    Tue, 9 Feb 1999 18:58:24 -0700
>From:    Linda Pohl <[log in to unmask]>
>Subject: <No subject given>
>MIME-Version: 1.0
>Content-Type: text/plain; charset="iso-8859-1"
>Content-Transfer-Encoding: 7bit
>
>SEARCH Pilocarpine or Salagen in Lactnet
>SEARCH Pilocarpine or Salagen in LACTNET95-96
>[log in to unmask]
>Date:    Tue, 9 Feb 1999 18:59:43 -0700
>From:    Linda Pohl <[log in to unmask]>
>Subject: <No subject given>
>MIME-Version: 1.0
>Content-Type: text/plain; charset="iso-8859-1"
>Content-Transfer-Encoding: 7bit
>
>Sorry for the search function :(  my mistake. llp
>Date:    Tue, 9 Feb 1999 20:57:48 EST
>From:    "Mary L. Benson IBCLC" <[log in to unmask]>
>Subject: Re: LACTNET Digest - 12 Jan 1999 - Special issue
>MIME-Version: 1.0
>Content-Type: text/plain; charset=US-ASCII
>Content-Transfer-Encoding: 7bit
>
>In a message dated 1/12/99 9:04:01 PM Central Standard Time,
>[log in to unmask] writes:
>
><< r RN, IBCLC" <[log in to unmask]>
> Subject: Special Lord's Prayer
> MIME-Version: 1.0
> Content-Type: text/plain; charset=US-ASCII
> Content-Transfer-Encoding: 7bit
>
> Maurenne reported:
>
> << A four-year-old girl was learning to say the Lord's Prayer. She was
>  reciting it all by herself without help from her mother. She said,
>  "And lead us not into temptation, but deliver us some e-mail. AMEN." >>
>
> Oh, oh, oh -- you can't IMAGINE my response to this.  I Howled!!!  Told my
> family.  My dh said, "no, no more e-mail -- we get too much."  My dd laughed
> and laughed.  Oh thanks so much for a family belly laugh!!!
>
> Jan Barger, who loves to be delivered e-mail!!!
>
>
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