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Subject:
From:
"Greene, Pamela - Nursing" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 21 Aug 2000 13:10:48 -0500
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I have been using the instructions to
unsubscribe - without success.
I realize this is not the real route,
But I am resorting to this in
hopes I
can get unsubscribed.
Thank-you very much.
Pam Greene


At 12:05 AM 8/19/00 -0400, you wrote:
>Date:     Sat, 19 Aug 2000 00:05:08 -0400
>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 - 18 Aug 2000 (#2000-980)
>To:       Recipients of LACTNET digests <[log in to unmask]>
>
>There are 9 messages totalling 240 lines in this issue.
>
>Topics of the day:
>
>  1. SURVEILLANCE OF BABIES SUSPECT FOR BETA STREP
>  2. toxic milk?
>  3. Submarine sandwich metaphor...
>  4. Contaminated breast milk
>  5. post surgical mums
>  6. anti-formula mom / 10 mo old
>  7. LC in San Antonio
>  8. LACTNET Digest - 18 Aug 2000 - Special issue (#2000-979) (2)
>
>Lactnet Archives are at:
>LACTNET Archives http://peach.ease.lsoft.com/archives/lactnet.html
>To Manage your Subscription, ie go nomail, index, etc, go to:
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>
>Thanks- Kathleen Bruce, Kathleen Auerbach, Kathy Koch,
>Melissa Vickers, Karen Zeretzke, LACTNET Facilitators
>
>Questions to [log in to unmask]
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>Date:    Fri, 18 Aug 2000 21:56:38 -0400
>From:    Susan Majoris <[log in to unmask]>
>Subject: SURVEILLANCE OF BABIES SUSPECT FOR BETA STREP
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>In response to Debbie's discussion on beta strep: Cultures that are
>positive during pregnancy are treated and mom is cultured again on labor
>admission and if positive treated with antibiotics. To avoid babies that
>crash our docs routinely culture and treat prior to birth.  I understand
>what you are going through. Liability looms dark over hospitals. Its a very
>difficult situation. I am constantly looking for an acceptable solutions.
>I think it's important to see both sides of the issue.
>Re: 24 hour rooming in with mom. It is obviously impossible to have nurses
>in the room with mom - but...not doulas or family members that rotate and
>act as doula to moms. I am sure that moms should have 24 hour doula support
>after birth and it is unrealistic to think nurses in hospitals can provide
>that kind of care.  We have to start being creative. If we pose a situation
>- with all the minds on Lactnet we could brainstorm innumerable solutions.
>One night we should just pick a difficult situation and without getting off
>track should
>be creative, constructive and positive. How can one thousand plus not come
>up with solutions. We need to pull together and think hard. I believe nothing
>is impossible especially on Lactnet. The sharing, caring and resources are
>phenomenal. Enough said.
>Good night to my friend all around the world.
>Sue Majoris
>Indiana, Pennsylvania
>Date:    Fri, 18 Aug 2000 21:54:17 -0400
>From:    Kathleen Bruce <[log in to unmask]>
>Subject: toxic milk?
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>In response: my comments in BOLD-KB
>
>Date:    Fri, 18 Aug 2000 23:31:20 +1000
>From:    Myleslara <[log in to unmask]>
>Subject: Contaminated breast milk
>
>Dear Lactnetters, could anyone please help me with a very alarming =
>breastfeeding problem that I have never encountered before. The =
>history...mother 37yrs, 1st baby now 8wks old. Mum had immediate =
>difficulties BF (flattish nipples, one partly inverted)and was given =
>nipple shields.
>
>LATCH ASSISTANCE WOULD HAVE BEEN USEFUL IF IT WAS NOT GIVEN>
>'
>Got mastitis and was treated with 3 lots of AB's, Amoxil =
>7days, Dicloxicillin 5days, and eventually Keflex for about a week, =
>(dreadful I know).
>
>WHY SO MANY MEDICATIONS FOR MASTITIS?
>
>Result....persistent inflammation 4-6wks and thrush =
>infection. When I met her I thought she had all the signs of an abscess. =
>Had an ultrasound, nothing confirmed and it appeared to resolve. What =
>did eventuate shortly after this was the most 'toxic' EBM I have ever =
>seen. First there were long stringy clots, soon followed by thick, =
>glutinous, soupy milk, so thick it will not even go through a strainer!! =
> She has had Daktarin Gel treatment for the thrush. She had a culture of =
>the milk done recently....no pathogens, blood, malignant cells or =
>evidence of infection...??? So what could it be... my thoughts so far =
>are....despite this lab report I think she may have had an abscess that =
>has ruptured internally, possible do you think?
>
>THE SOUPY STRINGY MILK MIGHT BE A RESPONSE TO POST MASTITIS. I WOULD NOT
>CALL IT TOXIC.  Just because she has a negative culture for thrush, does not
>mean she does not have it, either.  (Thrush, or some sort of fungal
>infection, since we are not sure that the offensive fungus is really
>candida.) How is the baby doing with this?KB
>
>
>Ductal ectasia also =
>possible, she said she had some discharge from this nipple antenatally?? =
>
>MANY MOTHERS HAVE DISCHARGE WHILE PREGNANT-COLOSTRUM. IS THIS WHAT YOU MEAN?
>
>Malignancy may be a remote possibility. Persistent thrush, perhaps =
>needing more aggressive treatment. Her GP will not give 14 days of =
>Dicloxacillin as I initially requested.
>
>WERE YOU thinking that Diclox was for a possible abscess?  IF SHE still has
>pain, has she been treated with Diflucan, or another systemic antifungal?
>
>So at the moment she is =
>reluctantly weaning, expressing her BM, giving Bubs the (L) br milk and =
>desperately trying to prevent this current infllammation from developing =
>further. I am recommending of course thorough investigations (mammogram, =
>ultrasound etc) later on. I would so muchly appreciate any and all =
>advice. TIA. Lindsey.
>
>Lindsey, why is she weaning?  If the situation, pain, etc, seem to be
>resolving, why is she feeling that she must wean?
>
>Kathleen
>
>Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet, Indep. Consultant
>mailto:[log in to unmask]
>http://homepages.together.net/~kbruce/kbblact.html
>LACTNET Archives http://peach.ease.lsoft.com/archives/lactnet.html
>"Each day is a gift. That's why it's called the present."
>Date:    Fri, 18 Aug 2000 21:49:39 EDT
>From:    "Debbie Albert, Ph.D., IBCLC" <[log in to unmask]>
>Subject: Re: Submarine sandwich metaphor...
>MIME-Version: 1.0
>Content-Type: text/plain; charset="US-ASCII"
>Content-Transfer-Encoding: 7bit
>
>Here is a submarine sandwich metaphor that I lifted from my friend, Faith
>Ploude... When you open your mouth to eat a submarine sandwich, do you lead
>with your nose or do you slightly extend your chin and scoop your sandwich
>into your mouth.  You do the same movement when bringing the baby to the
>breast.--Debbie Albert
>Date:    Fri, 18 Aug 2000 21:02:05 -0500
>From:    gima <[log in to unmask]>
>Subject: Re: Contaminated breast milk
>MIME-Version: 1.0
>Content-Type: text/plain; charset="us-ascii"
>
>Lindsey, If you know how to access the archives, you will find many posts
>on the topic of "stringy milk."  It is not contaminated, but the problem
>does need to be properly addressed.  It is a rather common result of
>mastitis or yeast (or both).
>
>Pat Gima, IBCLC
>Milwaukee, Wisconsin
>Mailto:[log in to unmask]
>Date:    Sat, 19 Aug 2000 10:06:01 +0800
>From:    Kirsten Blacker <[log in to unmask]>
>Subject: post surgical mums
>MIME-Version: 1.0
>Content-Type: text/plain; charset="iso-8859-1"
>Content-Transfer-Encoding: 7bit
>
>Joann,
>    I guess it would depend on the surgery, but I can't see why another
>family memeber would have to stay in the room with the mother and baby
>unless she requested it. After all, mums who have just had C/Sections are
>left unsupervisd after the first few hours unless they ask for assistance,
>and that is pretty major abdominal surgery!
>It would be nice to think the baby could be catered for in terms of diapers
>etc, but I suppose at the end of the day money is the problem. The DRG
>(Diagnostic Related Group) that the mum comes under and which dictates her $
>allowance probably doesn't cater for an infant as well
>Kirsten Blacker
>RN RM
>Perth
>Australia
>
>"Does anyone have written policies and procedures for surgical patients who
>are 2weeks + post partum who wish to nurse their babies while in the
>hospital?  does another family member have to stay in the room when the baby
>is with mom?  Do you provide a bassinet and any supplies for the baby
>(diapers, etc.)?  If anyone can share anything they have in place, I would
>be most appreciative!  thanks, Jo Ann"
>Date:    Sat, 19 Aug 2000 02:28:32 GMT
>From:    laurie wheeler <[log in to unmask]>
>Subject: anti-formula mom / 10 mo old
>MIME-Version: 1.0
>Content-Type: text/plain; format=flowed
>
>I bet Dr. Jack will chime in, but at 10 mos I don't think formula is really
>superior to giving regular store milk. Just maximize the child's good
>nutrition in other foods and have a source of calcium, maybe he likes
>yogurt, rice milk, soy milk (not sure about the calcium in these)? Maybe he
>will resume nursing when the new baby comes or mom can offer him breastmilk
>in a cup then.
>
>Laurie Wheeler, RN, MN, IBCLC
>Violet Louisiana, s.e. USA
>
>________________________________________________________________________
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>Date:    Fri, 18 Aug 2000 23:24:58 EDT
>From:    Alice Ernest <[log in to unmask]>
>Subject: LC in San Antonio
>MIME-Version: 1.0
>Content-Type: text/plain; charset="US-ASCII"
>Content-Transfer-Encoding: 7bit
>
>Looking for LC in San Antonio for a mom who needs help ASAP.  TIA
>
>Alice Ernest IBCLC
>Simpsonville, SC
>Date:    Fri, 18 Aug 2000 23:33:29 EDT
>From:    Terry Bretscher <[log in to unmask]>
>Subject: Re: LACTNET Digest - 18 Aug 2000 - Special issue (#2000-979)
>MIME-Version: 1.0
>Content-Type: text/plain; charset="US-ASCII"
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>
>In a message dated 8/18/00 6:26:08 PM, [log in to unmask] writes:
>
><<http://www.erols.com/cindyrn>>
>Date:    Fri, 18 Aug 2000 23:57:13 EDT
>From:    "Shirley Morris, RN, IBCLC, LMT" <[log in to unmask]>
>Subject: Re: LACTNET Digest - 18 Aug 2000 - Special issue (#2000-979)
>MIME-Version: 1.0
>Content-Type: text/plain; charset="US-ASCII"
>Content-Transfer-Encoding: 7bit
>
>Joann,
>At my hospital we have a special consent that the mom signs, and someone has
>to be with the baby to be responsible for the baby. I think cribs are no
>problem, since most hospitals have enough of those lucite cribs on wheels.
>We provide a breastpump "classic" believe it or not, and a single breastpump
>kit from Medela.  It would be better to have the double kit, but the hospital
>does not get reimbursed for the lactation supplies,since most of the patients
>are on state insurance similar to medicaid.  Babies of any age have stayed
>with their moms.  I can get a copy of the consent and mail it to you, or try
>to scan it and e-mail it, if you e-mail my private address with yours.  Hope
>this helps.  Shirley Morris, RN, IBCLC, LMT
>
Pamela K. Greene R.N., M.S., C.S.
Assistant Professor
Midwestern State University
3410 Taft Blvd.
Wichita Falls, Tx  76308-2099
Phone# (940) 397-4600
[log in to unmask]

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