Jack and those not from the southern US. Hominy grits are a type of cooked
cereal. grits are corn that has been bleached dried (usually not bleached
any more with good white breed of corn) and ground finely- similar to cream
of wheat. You put on a pot of water to boil and add the grits, can be sooupy
or really thick. Usually made with a little butter, salt and pepper. some
choose to put bacon fat, ground sausage, cheese in them. Served with eggs
and hot biscuits (bread not cookies for the English folks out there.) Yes.
bacon, sausage, ham or pork chops. For a friend of mine she did put on
sugar and milk- yes like cream of wheat- she was from up North as well. I
will stick to the butter. No they are not greasy. My kids tried these first
after bananas and potatoes.
By the way they do stick to the ribs especially when it is cold.
Yes I am from the south- NC and have ground my own grits-
Mechell Turner,M.Ed. IBCLC
-----Original Message-----
From: Automatic digest processor <[log in to unmask]>
To: Recipients of LACTNET digests <[log in to unmask]>
Date: Friday, December 11, 1998 11:52 AM
Subject: LACTNET Digest - 11 Dec 1998 - Special issue
=========================================================================
Date: Fri, 11 Dec 1998 19:06:14 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Linda J. Smith" <[log in to unmask]>
Subject: "gritty" remark (not BF)
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Hello all,
I sincerely apologize for my disparaging remark to all who know and love
hominy grits. Hominy grits are made from corn, as others have so patiently
pointed out, and are actually a very edible food for kids and adults.
My first encounter with hominy grits occurred on my honeymoon (30 yrs ago
this month) as we traveled south from my family home in Buffalo NY to Dallas
TX. The nice waitress in the southern hotel's coffee shop had to teach me
how to put flavorful stuff on them (butter, maple syrup, etc) so they tasted
good. (actually, tasted "at all." Oops, there I go again.)
I guess it's fair to say that regional foods & food preferences can be very
unique. As the saying goes, "one man's meat is another man's poison." [Or
something like that.]
Happy Holidays to one and all, whether your tradition is to eat fruitcake,
potato pancakes, pickled herring, black-eyed peas, or other special foods
during this holiday season!
Linda J. Smith, BSE, FACCE, IBCLC
Bright Future Lactation Resource Centre
Dayton, OH USA
http://www.bflrc.com
=========================================================================
Date: Fri, 11 Dec 1998 17:32:12 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Lisa L Black <[log in to unmask]>
Subject: What would cause no milk?
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I would think that is could be retained placental fragments also. What
about her prolatin levels? I have never heard of this either. I am
interested to hear the outcome.
On Wed, 9 Dec 1998 12:40:23 -0500 Automatic digest processor
<[log in to unmask]> writes:
Lisa Lynn Black
Jordan (5), Chandler (3) and Grasyn (7 months old today)
Loving wife to Steve for 9 years
Student Midwife in Dallas, Texas
Aol Instant Messanger: DlsMidwife
___________________________________________________________________
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Date: Fri, 11 Dec 1998 19:44:20 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: G Hertz <[log in to unmask]>
Subject: Re: Gastroschisis
Comments: To: "Janaki Costello, LLLL" <[log in to unmask]>
MIME-Version: 1.0
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There's a good article in The Journal of Pediatric Surgery 1998
May;33(5):705-7
by Jayanthi S, Seymour P, Puntis JW and Stringer MD titled "Necrotizing
enterocolitis after gastroschisis repair: a preventable complication?
In a nutshell: exclusive breastmilk group had (0 of 12) no NEC
[necrotizing enterocolitis] Formula & breastmilk 1(of 19) case NEC (5%)
and exclusive formula group had 7of 23 (30%) NEC
The baby may be in a special kind of set up called a "silo" which is a
special kind of bandage to cover and protect the intestines that is
suspended from above the baby so as to provide adequate circulation through
those intestines that are still outside the body. It looks a lot like an
upside-down ice cream cone - consider the baby the scoop of ice cream going
into the cone belly first. It makes going to the breast unrealistic
while the silo is in place unless you've got really long pendulous breasts
and you're a contortionist to boot.[there's just not a lot of space on
these warmers]
I recommend that mom pump right from the beginning, and indicate that she
only wants the baby to have her milk based on the NEC/breastmilk studies
in the literature - and pump, pump, pump - because these requests are too
easily "blown off" by medical personnel when they only see scant amounts
of milk and theyv'e got a whole closet full of formula by comparison. If
she gets a creative nicu nurse, maybe they can figure out how to get the
breast to the baby - since the baby can't get to the breast.
Let us know what happens!
Gail
Gail Hertz, MD, IBCLC
Pediatric Resident
author of the little green breastfeeding book - disclaimer: owner of Pocket
Publications
=========================================================================
Date: Fri, 11 Dec 1998 20:12:40 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Katie Constantino <[log in to unmask]>
Subject: Target, thrush & spinal headaches
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Dear Lactnetters,
I have learned so much from all of you! This is my first time posting
and I'm so nervous! I am a LLLL in Amherst, NY ( a suburb of Buffalo) and I
also volunteer as a WIC breastfeeding counselor. I thought I would tell you
that my local Target also pulled the Lullaby books here on Tuesday because
"there was an e-mail to the store from the corporate headquarters that the
information was not all correct." The customer service women thought it was
interesting when I told them the rest of the story! How exciting to see that
all those letters could change a corporation so quickly.
I was talking with a group Mom today who is still suffering from a spinal
headache since the epidural that she had 3 weeks ago. She has trouble sitting
or standing because of the dizziness and pain. Her OB had suggested one drug
(f...?) but said that it would make the baby "jittery". She is to drink a
gallon of water a day and is also to drink 3 beers a day! She also suggested
more caffeine. What's with the beer advice? Is this really a treatment? I
did read to her the info. from the BAB on alcohol and nursing. I talked to my
APL and she also suggested that Mom's OB call Dr. Ruth Lawrence in Rochester
for help. I know that this is beyond my breastfeeding help role but I was
just curious for my own info.
The next part of Mom's problem is that she is experiencing extreme nipple
soreness on one side when baby latches on and during the nursing session. She
describes shooting pains and baby also has a bad diaper rash right now and has
also been more fussy. Mom feels that baby is latched on well and is
positioned correctly. She also has lots of milk and may be wearing wet pads
too long in a damp bra. Am I crazy to think that this indicates a possibility
of thrush? Mom called Ped. after we spoke and Ped. says that it can't be
thrush without white spots in baby's mouth. Ped. tells Mom she has a plugged
duct and should apply heat. Mom then called OB who said that it could be many
things, but probably the beginning of mastitis, call on Monday if it isn't
better and just apply heat. Mom is also calling the hospital IBCLC for some
help and I also gave her another IBCLC's phone #. This is my 2nd Mom this
week who had a Dr. that wouldn't agree that it could be thrush without white
spots in baby's mouth.
Thanks for letting me vent! Do they have any type of breastfeeding
reference books or just tell all Moms to apply heat???!!!!
Katie Constantino
LLLL in Amherst, NY and WIC breastfeeding counselor & a woman who knows the
pain of thrush personally and would not want to wait and see if it went away
by Mon.!
=========================================================================
Date: Fri, 11 Dec 1998 19:51:15 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Forrest Peters <[log in to unmask]>
Mime-Version: 1.0
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Hi all!
I have searched archives and found most of what I want however....now the
MD my client is working with wants references, so.......I am looking for
references on long term treatment with diflucan (VS 1x treatment, which mom
has aleady done with no relief). I have both Pat Gima's article and Dr
Newmans article in hand. I apologize if this is a repeat, my computer
croaked part way through the note!!
thanks lori peters rn ibclc
=========================================================================
Date: Fri, 11 Dec 1998 21:25:39 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Zena K. Gresham" <[log in to unmask]>
Subject: Re: LCs and Formula feeding moms
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In a message dated 12/10/98 12:27:02 PM Pacific Standard Time,
[log in to unmask] writes:
<< I do think they
get short shrift -- and they aren't being taught how to do "it" right. The
other issue, of course, is that a breastfeeding mother NEEDS an LC -- bottle
feeding is made to look SO easy -- and the bf mom needs help, poor thing,
'cuz
it is so hard. If we made bottle feeding hard, maybe more moms would
breastfeed. If they did bo fdg right, it would be hard. Tires me out just
thinking about it. Hey, the decision about WHICH formula (all of them being
"closest to mother's milk" but all of them having something slightly
different) to feed makes me tired. >>
I have thought about this same thing! At WIC all the expecting moms are
*supposedly* required to attend a breastfeeding class. Which, is to try
persuade them to breastfeed. So, I first talk about myths, then benefits, and
finally how to and what not to do.
I often feel that it may seem to the moms (regardless of what I tell them)
that "It must be harder to breastfeed or else they wouldn't have to have a
class to teach it!"
I have asked if we can have a *bottle feeding* class to moms that come in soon
after the babies birth that have chosen to bottle feed. This way they will
get instruction, not only on formula preparation and storage, but other items
such as: bottle feed *lovingly* (no propped bottles) and no instant feeders or
solids in bottles when to start solids; etc. Not only would we be addressing
what the clients clearly need to know about using bottles and formula, but it
can be shown to be the hard thing that it is.
I have even offered to teach these classes. Maybe I might be able to mention
how this or that would be different if breastfeeding. I was also thinking
that those moms who were choosing to do both could find out good reasons to
breastfeed exclusively.
Unfortunately, I can't seem to convince WIC to do it. :o(
~~~~~~~~~~~~~~~~~~~~~~~~~~
Zena K. Gresham
WIC breastfeeding Peer Counselor, LC in training
SO. NV Breastfeeding Taskforce President
ICQ# 23200192 [log in to unmask]
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
=========================================================================
Date: Sat, 12 Dec 1998 03:03:01 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: J Martin <[log in to unmask]>
Subject: Re: grits..culturally appropriate first food
Mime-version: 1.0
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Greetings,
The comments about grits made me feel warm and satisfied, so I had to offer a
few thooughts.
When I lived and worked in Hawaii, poi (pounded taro root) was recommended as a
perfect first food. It is very special to the Hawaiian people and a a person
would be remise if they did not mention using taro as a first food in this
envirnoment.
For many, grits represents the same, a perfect first food and one that is
culturally familiar, safe and appropriate. Grits are inexpensive and
sanctioned by elders in the family and community thereby making it much easier
to breastfeed a baby and then introduce grits as a first food. Somehow
breastfeeding may be viewed in a more favorable light if they can be combined
with our traditional foods.
I grew up in New York, but my family is from the south (VA. & SC) so grits were
a staple. We ate them with sugar, butter and milk or others with butter, salt
and pepper. We often ate them for dinner, as well as breakfast.
All four of my children began solids on poi, pasta (my Mom is Italian) and
grits, though usually not all at once (smile)!
Jahaan Martin
ABQ, NM
=========================================================================
Date: Fri, 11 Dec 1998 22:46:56 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: G Hertz <[log in to unmask]>
Subject: the very sick baby & bf - thanks
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This is a thank you to all of you who sent me your stories and opinions
about expressing milk for the very sick nicu baby. As you probably guessed,
the response was an overwhelming YES to offer the moms a choice about
pumping and to support them in their efforts regardless of the outcome.
There was repeated mention of how expressing milk gave these moms a bit of
control over a difficult situation. After the presentation this morning
several OB and Peds/NICU people commented on how their perspective is
different now that they've heard these moms' stories about their children.
So again THANK YOU - your stories have made a difference for moms and
babies yet to come.
Gail
Gail Hertz, MD,IBCLC
Pediatric Resident
author of the little green breastfeeding book - disclaimer: owner of Pocket
Publications
=========================================================================
Date: Fri, 11 Dec 1998 22:52:55 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathleen Bruce <[log in to unmask]>
Subject: more on guilt
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I hear your point, Cathy, and I also would point out that guilt is something
we feel when our actions do not agree with our own priorities. Guilt comes
from our own resulting internal discord, and cannot be put upon us by others.
Just my opinion...
Kathleen
Cathy said...
"Besides, on a purely practical note, how many women who "try" breastfeeding
because they are bullied into it by someone who makes them feel guilty will
actually persist past the first tweak of discomfort (emotional, cultural, or
physical) or "inconvenience"? My experience has been that "you catch more
flies with honey than with vinegar"."
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont, where daylight is almost gone by 4 pm....
mailto:[log in to unmask]
Check these pages out...
http://together.net/~kbruce/proj.html
http://together.net/~kbruce/answers.htm
LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
=========================================================================
Date: Fri, 11 Dec 1998 20:55:32 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Mary H Cummins <[log in to unmask]>
Subject: bottle fdg. -- thanks
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Thanks to Jan Barger et al. for the info and insight into the full
ramifications of bottle feeding. It's an important aspect of being an
advocate for babies (as are all LCs) that I be aware of all this. Just
when you think you know it all .......
Mary Cummins, M.Ed., IBCLC
busily planning the handout for all the bottle feeding moms I encounter
___________________________________________________________________
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Date: Fri, 11 Dec 1998 23:06:58 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Nikki Lee <[log in to unmask]>
Subject: More on cow's milk
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Dear Everyone:
I just got a publication from "Mothers&others" which is a grassroots
consumer group. The focus of this pamphlet is about rBGH (the genetically
engineered hormone injected into cows to increase their milk production).
Makes me wonder why the heavy advertising campaigns are increasing in
intensity....any connection between rBGH and that everyone should drink lots
of milk?
At any rate, there is a study by HealthCanada, which is the Canadian
version of the Food and Drug Administration in the States. Apparently there
are major gaps in the human safety review of rBGH, and this study is cited as
saying that the FDA approval of rBGH was based on incorrect assumptions and an
apparent cover-up of test results. Infants and young children may be most at
risk from rBGH milk.
Do any Lactnuts from Canada know anything about this study?
Mothers&Others have a website: www.mothers.org/mothers.
Do all the formula manufacturers use organic milk when they make ABM so as
to ensure the health of babies? I certainly hope so.....warmly, Nikki
=========================================================================
Date: Fri, 11 Dec 1998 23:21:23 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathleen Bruce <[log in to unmask]>
Subject: Diflucan
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
References for long term use of Diflucan are in Dr. Hale's latest book and
in Ruth Lawrence's book.
Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont, where daylight is almost gone by 4 pm....
mailto:[log in to unmask]
Check these pages out...
http://together.net/~kbruce/proj.html
http://together.net/~kbruce/answers.htm
LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
=========================================================================
Date: Fri, 11 Dec 1998 23:39:05 -0900
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Sulman Family <[log in to unmask]>
Subject: solids at 6 months
Rob,
I always fondly remember an incident in our La Leche League group a couple
of years ago. A mother was very anxious about her 5 month old twins. How
would she know when they were ready to start solids? Her doctor told her
to begin with a certain type of baby cereal and add something else at such
and such a time. But she would see other mothers letting their babies pick
up and eat Cheerios. Those were not on her doctor's list. What should she
do? At 6 months her babies were still not too enthusiastic about the
prescribed foods. We talked about this a lot in our group, and also had
the mother read a very nice little LLL pamphlet, "Your Baby's First Solid
Food," (#105a, 1993), which helped somewhat, but she still agonized over
the conflicting messages she felt she was getting. Then, after the next
meeting (June) we had a potluck picnic lunch outside, with all of us
sitting on blankets on the grass. This mother's 7 month old daughter
crawled across the blanket with great determination, grabbed an entire
French bread, and began to chew on it. She was not about to give it up,
either! And as we all laughed along with her, this mom at last understood
that her babies were now ready for exploring all kinds of wonderful new
foods! (However, we had to stop this baby from sampling the mushrooms
growing in the grass).
Anne Altshuler, RN, MS, IBCLC and LLL leader in Madison, Wisconsin
mailto:[log in to unmask]
=========================================================================
Date: Fri, 11 Dec 1998 23:39:22 -0900
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Sulman Family <[log in to unmask]>
Subject: Contemporary Pediatrics
Sarah,
Contemporary Pediatrics is what is sometimes called a "throw-away"
magazine, that pediatricians receive free without having to pay for a
subscription. Probably you could find a local pediatrician who would give
you their copy. The full citation for the article that has been discussed
is:
Churchill, Robin B. and Larry K. Pickering. "The pros (many) and cons (a
few) of breastfeeding." Contemporary Pediatrics 1998;15(12):108-119,
December 1998.
It says in the publishing information on p. 2 that Frank Oski, MD, was the
founding editor. The current editor-in-chief is Julia A. McMillan, MD of
Johns Hopkins School of Medicine in Baltimore, MD. Three cheers for her,
for making this the cover story. Two small, but nice, breastfeeding photos
accompany the article, one of a mom nursing outside in the garden beside
her watering can, obviously just taking a nursing break from her
activities, no big deal. (Baby could be positioned better, but the scene
is nice).
Anne Altshuler, RN, MS, IBCLC and LLL leader in Madison, Wisconsin
mailto:[log in to unmask]
=========================================================================
Date: Sat, 12 Dec 1998 00:37:55 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Carol Brussel <[log in to unmask]>
Subject: lacie
Mime-Version: 1.0
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donor milk, and if i remember correctly, some of the milk that little ole me
contributed, helped feed lacie. know how that village raises the children?
sometimes just by feeding them.
carol brussel IBCLC
milk bank former donor and volunteer
"if you ain't using momma's milk, you're banking at the wrong place"
=========================================================================
Date: Sat, 12 Dec 1998 00:57:08 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Carol Brussel <[log in to unmask]>
Subject: organic milk
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
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nikki lee asks if formula is made from organic milk - i love to laugh in the
evening, thanks nikki, for the humor (i am not making fun of you, it is just
the concept that they would CARE about using organic milk for that stuff).
carol brussel IBCLC
who seeks to remind you they don't use organic soybeans for that other stuff,
either
=========================================================================
Date: Fri, 11 Dec 1998 23:45:37 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: The Jones Family <[log in to unmask]>
Subject: Febrile seizures--not breastfeeding related
Comments: To: Shaw Linda <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
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Dr. Shaw,
Thanks for setting me straight on this issue. I guess the reason I
thought breathing stopped during the seizure was that I remember trying
to mechanically ventilate a baby one time in the special care nursery
many years ago and was unable to do so. He soon started breathing again
on his own. When he was transported, the report came back that he was
having seizures (seizures often being much different and sometimes hard
to recognize in newborns).
I wasn't quite sure about that part when I wrote it, but was sure all
you fine docs out there would set me straight if I were wrong.
Thanks again. I learned something.
Bonnie Jones, RN, ICCE, IBCLC
from the once again sunny S.W. USA
=========================================================================
Date: Sat, 12 Dec 1998 01:50:58 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Zena K. Gresham" <[log in to unmask]>
Subject: Re: sexual abuse reason
Mime-Version: 1.0
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In a message dated 12/11/98 4:04:51 PM Pacific Standard Time,
[log in to unmask] writes:
<< << I am beginning not to "buy" having a possible history of sexual abuse as
a
socially acceptable "reason" for a mother not to breastfeed. >> >>
I never *really* understood that one. Feeling a bit uncertain here about
disclosing this among 2000 or so of my closest friends <g>...I am a survivor
of sexual abuse. By my step father, at an early enough age that I cannot
remember when it started. It went on (off and on) for a number of years until
I was taken out of the home at age 14 and put in fostercare.
I have gone to a lot of sexual abuse survivor therapy groups and it seems most
of them breastfeed. (I can only think of one at the moment that might not of.)
The hardest part about being abused is not breastfeeding. It is the sex that
was the hard part! I and others friends of mine have only found that
breastfeeding actually helped in that healing process. We discovered that our
bodies were not all bad, but could nourish a baby and therefore must have
something worthwhile about it.
To talk about a related topic that I would like to share. I was at a
children's counseling center once nursing my newborn and the counselor
actually took me aside later and asked me not to do that in the waiting area
in front of the children. She told me how some of the children had
experienced sexual abuse and that seeing me breastfeed my baby might be
traumatic for them. I told her that I had been sexual abuse myself as a child
and that I didn't see how that could effect them that way and perhaps they
would actually benefit from seeing a *healthy* and *normal* way of physical
contact.
She said that it was not my or her job to decide what to *teach* healthy
contact to these children.
I didn't know what to say to that. I was not, at that time, the breastfeeding
Zealot that I am now. After I left I wondered if she thought that perhaps that
these children were somehow *never* going to be exposed to an image or in
person a mom breastfeeding her baby ever again?! or that she thought that
these children should never be exposed to other forms of touching, let alone
be touched or hugged themselves?! How is this any different? It really made
me angry, even back then, before my zealously.
This was the only negative experience I ever had when breastfeeding in public.
~~~~~~~~~~~~~~~~~~~~~~~~~~
Zena K. Gresham
WIC breastfeeding Peer Counselor, LC in training
SO. NV Breastfeeding Taskforce President
ICQ# 23200192 [log in to unmask]
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
=========================================================================
Date: Fri, 11 Dec 1998 23:46:42 PST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: christine black <[log in to unmask]>
Subject: Prolactin levels
MIME-Version: 1.0
Content-Type: text/plain
This is my first post. I have enjoyed some much the wealth of talent
out there. Can anyone help me out ? What are the normal prolactin
levels.
Chris Black RN RM IBCLC
______________________________________________________
Get Your Private, Free Email at http://www.hotmail.com
=========================================================================
Date: Sat, 12 Dec 1998 10:27:11 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Heather <[log in to unmask]>
Subject: organic milk
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
Don't speak too soon, Carol....in the UK there are at least two brands of
'organic' formula milk on sale in health (!) shops and wholefood (!!)
places.
I posted about this a few months ago, noting some correspondence in one
chain's customer magazine from a bf mother who intended to wean to this
stuff when her baby was four months old. She felt her own breastmilk was
too contaminated - her argument, as I recall, was to give the breast's
antibodies to her baby for the first months, and then to switch to the
organic formula so her baby didn't have all the chemicals that would be in
her milk from 20th century pollution.
One brand is based on organic goats milk and is called Nanny. Not sure
where it comes from. The other brand is Hipp, German-made.
They are more expensive than standard formula.
Heather Welford Neil
NCT bfc Newcastle upon Tyne
=========================================================================
Date: Sat, 12 Dec 1998 10:41:39 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Heather <[log in to unmask]>
Subject: Spice Girls
Mime-Version: 1.0
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I imagine the Spice Girls are well known in most parts of the world now....?
Well, two of them - Posh and Scary - are 7 months pregnant, and they were
interviewed on TV last night.
They are both, they say, going to breastfeed!
Hurrah!
(Reason? Hm....thought you' d ask that. Well, they say it's because they
want to get their figures back as quickly as possible.....let's hope it
works for them!)
Heather Welford Neil
NCT bfc Newcastle upon Tyne
=========================================================================
Date: Sat, 12 Dec 1998 06:34:26 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: Re: seeing bottle fdg. moms
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Actually nurses probably "know" as much about bottlefeeding as they do BF.
That is they BF or bot fed and know how they did it. There are no actual
classes on how-to bot feed. Tips we pick up, don't prop, cradle baby en
face (I HATE to see moms bot feeding babies with baby's back against her
tummy, baby facing out, not towards mom), clean technique vs sterile
technique - the old "I did it and it worked for me" reasoning.
Another reason to see bot fdg moms is to let them know how to deal with
engorgement as comfortably as possible <gasp> engorgement isn't really
punishment for not BFing. I find being open and accepting goes a long way
and I'm always pleased and surprised when a mom nurses the next baby or
tries a few days with this one because of what I've told her.
Sincerely, Pat in SNJ
=========================================================================
Date: Sat, 12 Dec 1998 08:12:37 -1200
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jean Geary <[log in to unmask]>
Subject: Blanket Encouragement for Breastfeeding in Public
In-Reply-To: <[log in to unmask]>
Mime-Version: 1.0
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This is the sort of project that lends itself very well to World
Breastfeeding Week. Public health nurses approach local restaurants and
ask them to display a "You are Welcome to Breastfeed Here" decal (INFACT
makes these as well.) Then this list is publicized during WBW.
Raises the question of whether or not breastfeeding is OK is places that
don't display the message. Does it create an underlying impression that
women need 'permission' to breastfeed in public places.
Jean Geary
Fundraiser, INFACT Canada
http://www.infactcanada.ca
=========================================================================
Date: Sat, 12 Dec 1998 08:53:04 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Linda J. Smith" <[log in to unmask]>
Subject: solids at 6 mos?
MIME-Version: 1.0
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This thread reminds me of a story from when my daughter was 6 mos old
(weighing 21 pounds on exclusive breastmilk). We were riding in our van
during a cross-country move when she reached sideways out of her car seat,
grabbed her big brother's apple, and started gnawing on it. She had no teeth
yet, and I worried about the skin, big chunks choking her, etc. I tried to
pry it away so I could remove the skin, but she acted as if it was the last
food on earth and howled/screeched in protest. Methinks: Ok, Ok - we're
gonna be stuck together in this van for another three days, so let's
compromise. [As if one can compromise with a 6-month old smart kid.] I let
her keep it but watched her like a hawk. She happily gummed it to death over
the next 100 miles.
Linda J. Smith, BSE, FACCE, IBCLC
Bright Future Lactation Resource Centre
Dayton, OH USA
http://www.bflrc.com
=========================================================================
Date: Sat, 12 Dec 1998 08:56:14 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Jan Barger RN, IBCLC" <[log in to unmask]>
Subject: Beer for a spinal/epidural headache????
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<< She is to drink a
gallon of water a day and is also to drink 3 beers a day! She also suggested
more caffeine. What's with the beer advice? Is this really a treatment? >>
Huh? This is interesting! Alcohol is a diuretic -- so is caffeine for that
matter, but I think the idea is to increase the fluids, not decrease it. The
caffeine is for the effect on the brain (lots of pain medications also contain
caffeine for the potentiating effect) but beer? That's a new one on me.
Maybe she's supposed to drink the beer to forget the pain?
Jan Barger -- to whom drinking beer would be tantamount to taking nasty
medicine.
=========================================================================
Date: Sat, 12 Dec 1998 13:36:07 +0200
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Annelies Bon <[log in to unmask]>
Subject: Re: Sounding flip?
In-Reply-To: <[log in to unmask]>
Mime-Version: 1.0
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Pamela wrote:
<<<I am beginning not to "buy" having a possible history of sexual abuse as a
socially acceptable "reason" for a mother not to breastfeed. I know that a
history of abuse sometimes appears to cause a mother to want to distance
herself from her baby - in our civilized Western culture - but I'm beginning
to wonder if it is the *culture* rather than the *abuse* per se which
provides the Western survivor with one more reason not to breastfeed. And I
always wonder to myself how these women came to be pregnant in the first
place - the mothers who "don't want to breastfeed" that I work with are
*not* recent rape victims, and they usually seem to have loving, concerned
husbands around which leads me to believe that they are not averse to sex,
just breastfeeding. >>>
This reminds me of a phrase the local LC often uses: "The breasts are
allways wrong! The breasts did it!". Note she doesn't say breast*feeding*,
but breasts. And I think she makes a very good observation with this.
She told me a terrible story about a very sick women, from a middel east
country, who came out of coma after HELLP, and expressed her wishes to
breastfeed, and how every HCP in the hospital tried to sabotage that. How
her husband pumped her breasts (since she was partly paralyzed), how the
peds forbid her to give the milk to the baby bc of some drugs (probably
unnecesary). How the LC tried to help her to relactate, and how this caused
an uproar. She told me: 'they reacted as I was doing an act of sexual
abvuse" . They wanted to force the mother to go to a revalidation hospital,
but the mother refused. She went home leaving everyone upset, bc "she will
kill her child by rolling over it or dropping it". Her MIL would be at her
home to help her....
Annelies Bon
Breastfeeding Resources http://utopia.knoware.nl/users/abon/bfbronnen.html
breastfeeding counsellor of the Dutch bf org "Borstvoeding Natuurlijk"
mailto:[log in to unmask]
living in a small city, Almere, near Amsterdam, The Netherlands
=========================================================================
Date: Sat, 12 Dec 1998 15:43:17 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Heather <[log in to unmask]>
Subject: breastfeeding and sexual abuse
Mime-Version: 1.0
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To clarify (I have had some private post on this) : I do *not* think that
survivors of sexual abuse are highly unlikely to breastfeed. Some will bf,
some won't, I would guess. For some it will be a factor in their
experience (as it certainly is in childbirth, according to recent
research), and for some it won't be.
My point was that some things go on in people's hearts and minds and life
histories we have no idea about. And any of them could affect their
decision to bf or not.
Heather Welford Neil
NCT bfc Newcastle upon Tyne UK
=========================================================================
Date: Sat, 12 Dec 1998 10:51:15 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Barbara Wilson-Clay <[log in to unmask]>
Subject: test weights -- baby goes to breast at 8 wk pp
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I hope it doesn't seem as if I am beating a dead horse on the test weight
issue, but I want to share another story about the usefulness of having the
ability to check pre-and post-feed weights.
I saw a mother last week for a complicated situation. Briefly, 1st baby,
born 5 weeks preterm (weighing 5.4 oz), on oxygen for a week, in NICU for
total of 3 weeks, released home bottle feeding expressed breast milk.
Mother discontinued pumping by the 4th week, very discouraged because baby
wouldn't go to breast. No follow-up care for bfg support. By the 5th week
baby weaned to cow milk based formula, and began passing blood in the stool.
By the 6th week, MD changed baby to hypoallergenic formula and advised mom
to consider re-lactation. She called me when baby was 7.5 weeks old,
(adjusted age 3 weeks) and I saw them in their home. Baby has rough skin,
weighs 9.7oz, and totally resists being put near the breast. Mom has only
drops of milk expressible from very flaccid breasts.
Plan: Initiate breast pumping with hospt. grade pump 15 min q3 hrs.
Contacte MD for prescript. for metoclopromide (10 day course) Use nipple
shield to help coax baby to breast. We were able to get baby to take breast
briefly with shield and dripped formula, but during the next 7 days, baby
only went back to breast 3-4 times. Mom ready to give up again when I saw
her yest.
This time mom reports she is consistently pumping 29-35 ml each time she
pumps, and breasts are fuller and nipples much more everted. We undressed
mom so baby got a lot of skin to skin contact, and put mom in side-lying (my
favorite position to coax reluctant babies back on.) Baby was not really
hungry, but wasn't full either, and was in quiet alert. Infant State is an
important consideration -- you have to capitalize on catching them at the
right moment! We didn't use the shield because there was more nipple to
work with and some milk we could express onto the nipple tip. Got baby
really lined up great, way down mom's torso so she was looking up into mom's
eyes as she went to breast. We wedged up the nipple so she could sense it.
Baby latched right on, nursed like a champ for 15 min. Every so often she
gave a great shuddering sigh -- as if weeks of tension were melting away
from her soul. Her mother began to smile, and milk immed. began to drip
from the other nipple. Grandma got teary, and I had a huge rush of
gratitude for 20 years of experience which gains me the privilege of
assisting in this healing. Baby was test weighed between breasts and after
both. Total feed intake was 38 ml (1.3 oz). Mother was so affirmed that
her hard work had paid off and that there was proof. We pumped another 20
ml total, so milk supply is really up. Mom has decided to cont. with the
plan, and I have hopes this couple will be spared allergic disease,
expensive formula, and the huge loss the failure of this lactation would
have meant to them both.
I say again: There is always a chance that a baby can be brought to breast
if the mother has milk and the positioning is right and you work sensitively
with the baby.
Babies WANT to breastfeed, but sometimes they CAN'T. More expert support,
given in a much more timely manner would have prevented this whole debacle.
No offense to peer counselors -- they are great support for normal
situations, but that's all this mom ever saw, and she needed more. But even
late support may salvage this.
Barbara Wilson-Clay, BSEd, IBCLC
Austin Lactation Associates, Austin, Texas
http://www.jump.net/~bwc/lactnews.html
=========================================================================
Date: Sat, 12 Dec 1998 12:12:47 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Roni Chastain <[log in to unmask]>
Subject: Re: LACTNET Digest - 11 Dec 1998 - Special issue
Mime-Version: 1.0
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In a message dated 12/11/98 11:48:49 AM Eastern Standard Time,
[log in to unmask] writes:
<<
I don't know if there's anything wrong with hominy grits. I don't even know
what they are. They *sound* awfully greasy. But I threw them in because I
also like sound of the words.
>>
Jack,
Actually grits are pretty good. It is almost like farina. Very popular in the
south. I often eat them for breakfast, not greasy at all.
Roni
=========================================================================
Date: Sat, 12 Dec 1998 17:43:10 GMT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: magda <[log in to unmask]>
Organization: BfN The Breastfeeding Network
Subject: organic milk
And the organic follow-on milk company with a product available in the UK is
advertising its follow-on as suitable for use for babies from 4 months. UK law
(never mind the WHO code, this is something on the UK
statute books) says follow-on may be advertised only as suitable for babies over
6 months of age.
So the "organic" label may create warm feelings, but I don't think it comes
from any greater regard for babies than is usually shown by formula
manufacturers.
Magda Sachs
Breastfeeding Supporter for BfN, The Breastfeeding Network
and Area Contact for Baby Milk Action (IBFAN UK)
=========================================================================
Date: Sat, 12 Dec 1998 17:33:17 GMT
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: magda <[log in to unmask]>
Organization: BfN The Breastfeeding Network
Subject: test weighing
Barbara wrote at the end of her mving case history:
"Babies WANT to breastfeed, but sometimes they CAN'T. More expert support,
given in a much more timely manner would have prevented this whole debacle.
No offense to peer counselors -- they are great support for normal
situations, but that's all this mom ever saw, and she needed more."
I think we in UK would agree that, with skilled support like that you describe
yourself as supplying, Barbara, test weighing is one tool which you clearly use
in a thought-out and helpful way.
In this country, there is hardly any professional support of this calibre --
indeed I am struggling to use more than my fingers to count the HCPs I have
heard of or know who might go in that catagory, althogh there clearly are
*some*. As there are more than 55 million inhabitants of UK, it isn't an
impressive ratio. As lay counsellors (no offense taken) we are in the position
of standing with our fingers in the gaping dyke with a tide of stuff pouring
over us. Professionals that I see, even the most bf friendly and clued-up ones,
are *often* *also* floundering with not enough skills to deal with 'normal' and
'ordinary' breastfeeding.
In this situation, please forgive us for being wary of techniques that we know
have caused harm in the past in this country, and that we do not see anyone with
the requisite skill or common-sense to implement in a way which would be
positive to women and babies.
Anyone want to call me on my assessment of the UK situation?
Magda Sachs
Breastfeeding Supporter
=========================================================================
Date: Sat, 12 Dec 1998 12:53:43 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cathy Bargar <[log in to unmask]>
Subject: sexual abuse and bf
MIME-Version: 1.0
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I guess I don't feel I have to "buy" any woman's "excuse"; I just can't see
that as my role as a nurse (gasp! not the dreaded HCP!), an LC, a counselor,
an educator, or a fellow mother/woman/human being. I will encourage women to
breastfeed till the cows come home (which apparently will be pretty soon if
our expressed sentiments re: the use of excessive cow's milk mean
anything!), I'll work tirelessly to educate anyone that crosses my path, I
will (and have!) gone to a court of law to defend the importance of
breastfeeding, and I am fearless in the face of ridicule about my role. I'll
come to your house at 2:00 AM (well, I'll talk to you on the phone anyway)
if you need me to help you nurse your baby, and if you want to share the
secrets of your soul with me I'll be there for you, even if it's not pretty.
In short, I'm just like I bet all of you are when it comes to supporting
breastfeeding moms and babies. But I just can't feel like it's my job to
accept or reject anyone's "reason" for such an intimate decision.
I know, I know, that it's not a "choice" without all the appropriate
information. I can scream as loud as the next guy about why not
breastfeeding shouldn't even be an option, etc., etc...When talking with a
woman who confides in me that she isn't comfortable with the idea of
breastfeeding because of a history of sexual abuse, I would share with her
stories like some I've read in these postings from women who've found
breastfeeding has helped heal some of those hurts, and help her to think
about the ways that nursing her baby might be a way to remedy some of the
wrongs that have been done to her. But who am I to sit in a position of
"buying her excuse"? I'm good, but I'm not that good!!
So I can understand a frustrated colleague saying what she feels, and I
sympathize with what she's saying, but I would be very much afraid that if I
expressed myself, even to myself, in terms of "buying" a "reason" for not
bf'ing, that that attitude might spill out into the way I deal with others,
and it's hard for me to see who that would help.
Just a thought....
=========================================================================
Date: Sat, 12 Dec 1998 13:06:34 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Louise Dumas <[log in to unmask]>
Organization: UQAH
Subject: Sexual Abuse reason
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I tought I was toooo busy at this end of the semester to answer any of
the stuff on Lactnet, just read it takes long enough... but... Zena's
story about sexual abuse and breastfeeding prompted me to come in...
Dear Zena, I admire your courage in disclosing such personal history
with 2000+Lactnetters. I am sure it does contribute to help us helping
sexually abused women we see anywhere in our practices...
In fact, I do agree with your saying completely. Most of the women I
have seen who had been sexually abused earlier in their lives experience
problems, first with sexual relationships, then during deliveries...
Being a perinatal nurse, teacher, and consultant, I often see women
prenatally, during their labor and delivery, and postnatally at the
hospital and in their homes. Many of those women get complications
during labor and delivery, going directly to cesarean sections if not
assisted correctly by an open-minded nurse..., and even then, since the
hard part is often to deliver vaginally.
I had the great opportunity of working with some women that I have
followed prenatally, then during their labor and delivery, and also
postnatally (that's a privilege of private practice on top of full time
teaching job!). When I know about the abuse before the L+D, I can help
the woman work through visualisation and support and the help of the
husband, and then during the L+D, and postnatally. I also often refer
them to a psychologist. But I realize that I am often the link, the
important person who knows, and who is there all the time during the
many months of the pregnancy, the L+D, and the postnatal experiences.
That is frightening for me but also so rewarding.
But I would also say that generally, for any woman I work with in L+D,
when something is going wrong during the L+B and that I don't know about
the abuse, for example, a very slow labor or labor arrest, I ask the
question more or less directly...(not easy but important when you have
established a good relationship with her). Sometimes it is fear of
tearing, sometimes it is abuse, sometimes it is something else...but
there is always something special, not physical stuff, hindering the
descent of the baby. If we can work out at least a little of this matter
together so that this woman can deliver her baby vaginally, then boy!
the breastfeeding part is soooo easy!
I have also worked with women who only experience difficulty when
putting the baby to the breast; they often have mixed feelings about the
role of the breast and my job is to work with them on this matter.
I think it depends probably on the type of abuse they sufferred, the
reality of the abuse or the feelings still present in mind and body
after the years... I truly believe however that being able to breastfeed
their babies gives these women a lot of empowerment, a boost of
self-confidence in their capabilities of being a good mother and also of
being an 'o.k.' person. Of course, they need extra help and extra
support from their husband, their significative others, and from bf
supporters, but I am convinced we can make a real and long-term
difference in these women's lives, if we just put the effort it
demands...
Sincerely. Louise
Louise Dumas, R.N., M.S.N., PhD
Professor-researcher in Nursing Sciences
University of Quebec in Hull
(Western Quebec where we had our first snow yesterday and it is still on
the ground!)
mailto:[log in to unmask]
=========================================================================
Date: Sat, 12 Dec 1998 13:17:07 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Wendy Jones <[log in to unmask]>
Subject: thrush
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Dear Katie
It appears to be quite common that the mother reports excrutiating pain
without white spots being immediately obvious in the babies mouth. In
breastfed babies the plaques sometimes appear in the cheek pouches or high
back in the roof of the mouth where the nipple would "sit". Even in the
absence of this symptom the mother may be aware of the bbay being unsettled,
pulling back,colicky etc.
If the baby is optimally positioned the description of shooting pains is
classic of thrush. In the UK it is possible to purchase topical traetments
over the counter from a pharmacy, however fluconazole can only be purchased as
a 150mg single dose. Dont know situation in US.
Magda Sachs and | have recently compiled a leaflet in th UK because we have
noticed so many cases of thrush which go unrecognised. The words that women
use describe excrutaiting pain and Another supporter recently said having
heard a mother scream in pain she had no doubt that it is a very different
pain from positional.
Please encourage her to ask for treatment or see another HP asap.
Wendy Jones
Breastfeeding Supporter, Breastfeeding Network UK
Pharmacist
=========================================================================
Date: Sat, 12 Dec 1998 13:22:25 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Judy McEleney R.N." <[log in to unmask]>
Subject: NICU breastpump setup cleaning
Mime-Version: 1.0
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Help, I am a nurse in a NICU, new to lactnet and posting for the first time.
I hope I do this correctly. I am frustrated with the hospital LC who rarely
enters are unit (except now that two of us have become serious about
eventually becoming certified and reviewing all our policies). Anyway, she is
apparently telling the postpartum nurses that it is not cost effective to
double pump and she is now giving Medicaid moms mini electric pumps for long
term pumping. I need references specific to NICU babies on recommendations
for pump equipment cleaning. My feeling is that rather than the 2 single
disposable pump kits we give the mom's in the unit each time they pump there
(to double pump) that they could probably clean the reusable ones. Could we
give them several sets and just have them clean/sterilize them each time?
She is concerned about hospital contamination during a cleaning procedure they
would do while in the NICU. Does anyone have procedures that would help us?
Is this a possibility-safely having moms clean their equipment in the NICU
without adding contamination risks for vlbw infants? Using reusable sets long
term instead of disposable hospital sets? We have 24 weekers as have had them
as small as 600 GMs. Infection is a big concern. I have to convince her and
4 neonatologists. Any policies or procedures would be appreciated as well as
research reference. I've been searching, but I'm new to this and the computer
and wasting a lot of time. If you can help, please respond to
[log in to unmask] or on the net. Thank you so much for your help. Also, how
do other hospitals handle a need for electric pump rentals when there is no
reimbursement and moms can't afford them. I think if I could prove that
reusable equipment could be safely reused in our unit that we could actually
absorb the cost of the rental and still be ahead. Any thoughts on this?
=========================================================================
Date: Sat, 12 Dec 1998 14:37:51 -0400
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Barbara Kennedy <[log in to unmask]>
Subject: Perfect Food Containing ALL the food groups
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I was told, while in Ireland, that the perfect food was an Irish Coffee.
Why? Because it contains the four food groups: sugar, caffeine, alcohol and
fat.
And to think I kissed the Blarney stone while there!! :-)
Barbara Kennedy RN ICCE CD(DONA) IBCLC
=========================================================================
Date: Sat, 12 Dec 1998 16:09:10 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "David A. Green" <[log in to unmask]>
Subject: Re: Name confusion
Mime-Version: 1.0
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In a message dated 12/11/98 6:05:01 PM Central Standard Time,
[log in to unmask] writes:
<< BTW David, is it David or Andrew? Your name and signature
are different
-Rob >>
Sorry for the confusion!
David Andrew Green, MD, FAAP
My 'official' name is: David A. Green
But, my friends call me Andrew......everyone on LactNet can call me Andrew!
:)
Andrew MD
[log in to unmask]
=========================================================================
Date: Sat, 12 Dec 1998 16:44:26 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: PrMechell Roberts Turner <[log in to unmask]>
Subject: sexual abuse
MIME-Version: 1.0
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charset="iso-8859-1"
Zena others-
so that you will know that you are not the only who is a survivor, i too
will come out of the closet and secrecy of abuse and rape. Yes we
breastfeed. it was great to feel relieved my body can do something right-
have babies and breastfeed. there are others who may choose not to. I just
put the abuse question in with the other history questions so i will be
aware. it is also an optional answerable question. I also have done
somethingabout it. I know work with the local domestic Violence coalition/
rape crisis center.
M. turner
-----Original Message-----
From: Automatic digest processor <[log in to unmask]>
To: Recipients of LACTNET digests <[log in to unmask]>
Date: Saturday, December 12, 1998 11:52 AM
Subject: LACTNET Digest - 11 Dec 1998 to 12 Dec 1998 - Special issue
=========================================================================
Date: Sat, 12 Dec 1998 17:30:26 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Helen M. Woodman" <[log in to unmask]>
Subject: Weigh-off beam
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Dear lactpals,
You know by now how finicky/picky I am with words that we use in front of
breastfeeding women and when talking about breastfeeding to others - so here
goes - again /:D
Why, oh why, do we continue to use the word *Test* in front of
Weigh? Why not just good ole Weigh on its own?
What we are doing is weighing the baby, there is no difference in how the
action is carried out or by the timing of it. You put the baby on the scales,
take the reading and then you lift the baby off the scales. I know that the
word 'test' is a threatening and undermining word for many breastfeeding
women. We really do, imho, need to re-evaluate this phrase - or am I *weigh-
off beam* - just could not resist this pun.
kindest regards
Helen Woodman, NCT Breastfeeding Counsellor, Storrington, West Sussex, UK
Magda's recent posting on problems we had here in UK and, no doubt, still have
in some places, rang horribly loud bells of recognition for me.
=========================================================================
Date: Sat, 12 Dec 1998 17:44:22 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Linda L. Shaw MD" <[log in to unmask]>
Subject: Dr. DiMichele's comment
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In a message dated 12/11/98 5:53:06 PM Eastern Standard Time,
[log in to unmask] writes:
<< I don't have a national agenda, and I am not conspiring to hide the
truth
about anything. I promote breasfeeding as virtually the only option for
infants
because it is the best thing to do. Period. I promote immunizations right
now
for the same reason. >>
Loved your post and couldn't agree more.. .
Linda L. Shaw MD FAAP
Altoona, PA
=========================================================================
Date: Sat, 12 Dec 1998 18:15:13 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: wendey <[log in to unmask]>
Subject: Re: sexual abuse reason
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Zena wrote:
>I never *really* understood that one. Feeling a bit uncertain here about
>disclosing this among 2000 or so of my closest friends <g>...I am a survivor
>of sexual abuse.
me to you aren't alone! (Um let's be serious there are some 2000 people
here you couldn't possibly be!)
>I and others friends of mine have only found that
>breastfeeding actually helped in that healing process. We discovered that
our
>bodies were not all bad, but could nourish a baby and therefore must have
>something worthwhile about it
this was my experience as well. I wrote this to another poster privately
but will share it here...
I was thinking the same (especially the sex comment) but was not brave
enough to say as I am young and new and only studying. I am a person who
was sexually assaulted, and while my breastfeeding relationship with my son
was destroyed in the first few weeks due to nothing to do with anything
other than my ignorance, I was not going to let my rapist hurt my son as
well as me and not try at all!
I hope women in this situation get the help before it comes to birthing.
For the record, I asked on alt.sexual.abuse-recovery about women's
reactions to breastfeeding while I was pregnant with my son. I wanted to
be prepared as I had read in some book (probably WTE ;-) that women who've
been assaulted can have 'weird' reactions to nursing. *Most* of the women
there (in their 40s+) who had kids breastfed for at least a bit. Some said
they were in denial at the time and didn't notice a connection, some said
it was a way to use their body in a 'nice way' for once, and a few did
comment it made them question themselves when their nurslings got older and
that it was harder to nurse a child who was older (say 2-4) than a baby.
Some also said it was weird at first but they got over it. But none (I
repeat NONE) said they chose to forego trying altogether due to a prior
abuse history. Not scientific a study, but I found it interesting.
The idea that this should be an acceptable reason to formula feed kind of
baffles me. I am not in ANY way saying we should just say "tough, nurse
anyway" but to just say "oh, you were assaulted, ok no biggie" seems a bit
out there. They need support, not a bottle to help in denial.
I guess I will believe this excuse more when I see women using IVF because
they don't want to have sex to have a baby because they were assaulted.
-wendey studying lc in montreal
=========================================================================
Date: Sat, 12 Dec 1998 18:28:40 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Zena K. Gresham" <[log in to unmask]>
Subject: Re: Sexual Abuse reason
Comments: To: [log in to unmask]
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In a message dated 12/12/98 2:32:59 PM Pacific Standard Time, Louise Dumas
writes:
<< snip>>I think it depends probably on the type of abuse they suffered, the
reality of the abuse or the feelings still present in mind and body
after the years... I truly believe however that being able to breastfeed
their babies gives these women a lot of empowerment, a boost of
self-confidence in their capabilities of being a good mother and also of
being an 'O.K.' person. Of course, they need extra help and extra
support from their husband, their significative others, and from bf
supporters, but I am convinced we can make a real and long-term
difference in these women's lives, if we just put the effort it
demands...
>>
Louise,
Thank you so much for all of your response! You put my feelings and
understandings into words very eloquently. I enjoyed everything you had to
say on the matter and felt that you were very correct in your observations.
Zena
still freezing in Las Vegas. (although no more snow...yet)
=========================================================================
Date: Sat, 12 Dec 1998 18:32:14 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Newman <[log in to unmask]>
Subject: topical ointment for candida
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Since Candida is back on Lactnet, I just thought I would post the latest
concotion I use for Candidal infections of the nipples. It seems to work
quite well. It is similar to what is on the Treatments for Problems sheet,
but, I think, it is improved. It can be used alone, or better yet, with
gentian violet.
mupirocin 2% ointment (5 grams)
nystatin 100,000 units/ml ointment (5 grams)
clotrimazole 10% (this is the vaginal cream) (5 grams)
betamethasone 0.1% ointment (5 grams)
The pharmacist mixes it all up and the mother applies it sparingly after
each feeding and does *not* wash it off or wipe it off. If the mother also
uses the gentian violet, the gentian violet is used once daily (as described
in the handout Gentian Violet on the websites below) instead of the
concotion, but the concotion is used after all the other feedings. If you
want a rationale for the above, you can find it in the handout Treatments
for Problems at the websites below. The concotion can also be used as a
"good for all things don't know why it works nipple ointment" or "all
purpose nipple ointment". If that's what it's used for, you could probably
leave out the nystatin.
I also think that gentian violet can be used longer than three days, which
seems to have gotten into the mythology. I suggest the mother do the
following after 3 or 4 days:
1. Pain is gone. Terrific. Stop gentian violet, wean from concotion over a
week.
2. Pain better, but not gone. Continue gentian violet and concotion for
another few days, say for a week. If pain gone, return to 1. If pain not
gone, but continuing to improve (as it almost always does with this
scenario), continue concotion and when pain gone, wean from concotion over a
few days to a week.
3. Pain not changed or, groan, worse. Stop gentian violet, continue
concotion. Phone me.
What do I do when the mother phones? Depends. This is uncommon,
incidentally.
http://www.erols.com/cindyrn/drjack0.htm
or
http://www.bflrc.com/jn_arts.htm
Jack Newman, MD, FRCPC
=========================================================================
Date: Sat, 12 Dec 1998 19:12:38 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cathy Bargar <[log in to unmask]>
Subject: reusing br. pum equip.
Comments: To: [log in to unmask]
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What kind of pumps does your hospital use? Ooops, I think we can't use brand
names when posting to this list...Every NICU I'm familiar with issues an
individual-user pumping kit (preferably a double-pumping set-up, which is
considerably more cost-effective than 2 single pump kits) compatible with
whatever type of medical-grade pump the hospital uses, and then the mother
is responsible (after receiving specific instructions on how to do so) for
cleaning and maintaining her pumping kit. Does your hospital have electric
pumps? Or do you rely on pumps the mom buys/rents/gets from somewhere else?
The pump rental for low-income women issue is a big, big problem (especially
since we know that it is the least-educated, lowest-income, youngest, and
otherwise least economically privileged women who are most likely to give
birth to vlbw/preemie/sick babies!). Until this fiscal year's budget cuts at
WIC, our local WIC program maintained 3 medical-grade electrical pumps for
the use (at no charge) of women who couldn't afford rentals. Now WIC can no
longer run that program (since they no longer have me to do so), and our
local breastfeeding coalition is planning to fundraise from (we hope) the
pediatricians or whatever sources we can motivate to maintain some "loaner
pumps", and provide the LC assistance to go with them. It's a huge concern.
I find it especially aggravating because the actual cost of leasing the
pumps and even providing the pump kits at no cost is so small, relative to
what other "medical"-type stuff costs. It's nothing, especially compared to
the cost of treating all the non-breastmilk complications these little ones
will suffer without their mama's milk! aaarrrggghhh!
How do other communities deal with this electric pump issue? Any success
stories out there? I'd love to hear about it!
Cathy Bargar, RN, IBCLC, in Ithaca, NY
=========================================================================
Date: Sat, 12 Dec 1998 17:06:56 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jerry & Jacie Coryell <[log in to unmask]>
Subject: Re: pumps in NICU
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Hi Judy:
First of all, call your pump supplier, here we use M...... products
exclusively. The sales rep for your area will be glad to supply you with
lots of information.
I am a rental station that works with hospitals for the past 15
years...my thoughts are:
Unless a hospital is willing to dedicate a paid person to the pump
rental, billing, and retrieval, find another source for pumps. Most states
cover Medicaid rentals, many insurances now cover and use preferred
providers, occasionally you will find an agency that provides pumps near
cost. In our state, WIC has pumps for their clients, and some of the
tribes. Most rental stations don't offer discounts because that is our
source of income. I truly know a woman who cried over the phone about how
she couldn't afford a pump and when she was given a greatly reduced rate,
drove up in a sports car wearing a mink. Most rental stations have been
burnt badly over helping out needy women, including getting a grant for the
mom and then having to go begging her to return it in a timely manner,
incurring long distance charges while doing so (and this one was a teacher,
not a welfare mom). I gave up being the nice lady with the pumps about 5
years ago.
Each mom who needs a pump in the hospital or with a baby staying gets a
double pump set-up of her own and is responsibly for cleaning. Insurance is
billed and always pays for the kit. I offered to give the NICU a table top
sterilizer for the moms to use and was turned down due to safety and
insurance concerns. The NICU and ECN have several pumps available for moms
to use while visiting. If a mom can't get a pump, she can come into the
nursery any time and pump. Many moms spend the entire day there anyway.
My observation is that many nurses run around being a helper trying to
find something for nothing. Take a deep breathe and then quiz the mom on her
insurance status, WIC, Medicaid, tribal affiliation, what clinics she goes
to, etc. Very few moms do without a pump when she and the nurse/LC, along
with the hospital social worker/discharge planner can brainstorm.
Your best bet is to make friends with the rental stations in your area,
we know who does what and what they charge and who has free pumps, and to
also get on your breastfeeding task force to keep aware of what others in
your area are doing. I have watched many hospitals want to do good things,
but don't use the resources in their own community.
Just my .02 worth
Jacie in sunny Albuquerque, watching a beautiful pink sunset against
the mountains
=========================================================================
Date: Sat, 12 Dec 1998 17:10:21 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jerry & Jacie Coryell <[log in to unmask]>
Subject: Re: grits vs vegemite
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I think grits and poi are allot like vegemite. If you don't get used to
it while a child, you may never be able to tolerate it.
Jacie in Albuquerque, who is done with mailing Christmas cards and
packages and shopping! Tree, what tree?
=========================================================================
Date: Sat, 12 Dec 1998 20:57:12 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: G Hertz <[log in to unmask]>
Subject: Alert - "Research" - Emperor has no clothes
Comments: To: Michael Sachs MD <[log in to unmask]>,
PedTalk <[log in to unmask]>
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Lactnetters & PedTalk Pals
I have just received my December 98 issue (vol 152) of "Archives of
Pediatrics & Adolescent Medicine" and was dismayed to read an article on
pages 1187-1190 entitled "Decreased Response to Phototherapy for Neonatal
Jaundice in Breast-fed Infants". (K.L. Tan, FRACP, DCH Singapore)
It is a published report of a "prospective" study (that means they decided
to do the study and look forward in time - instead of "retrospective"
which is deciding to do a study and look back in time at what already
happened) that they are proposing evaluated the response of three groups of
infants [FF only, BF only, both BF & FF] to phototherapy. They found that
their group 2 [BF only] took longer to "respond" to phototherapy than the
other 2 groups.
The clincher - the feeding pattern of the group 2 babies the article
states: "The group 2 infants were initially fed frequently (15-60 minute
intervals); the frequency, however, varied with the enthusiam of the
mothers. During exposure, however, with lactation presumably already
established, the intervals averaged about 3 hours, as was the case for
group 1 & 3 infants, who were fed about every 3 hours from birth."
The average age of the babies in group 2? about 4 days old +/- about 21
hours.
The author's conclusion is :"The addition of formula to the feedings for
totally breast-fed infants, without suspension of breastfeeding, would
enhance the efficacy of phototherapy and reduce exposure time."
My problems with this study are these:
(1) lactation is not "already established" at 3.94 +/- 0.9 days
(2) an average of q 3 hour breastfeeds for a jaundiced baby is NOT frequent
enough
(3) The addition of formula to the diet is an inappropriate response to not
frequent enough breastfeeding
(4) The author does not seem to be aware of the connection between
inadequate breastfeeding frequency and "response to phototherapy"
I plan to write a response letter (big surprise). Anyone care to join me?
Andrew MD? Dr. Rob?
Gail
Gail Hertz, MD, IBCLC
Pediatric Resident
author of the little green breastfeeding book - disclaimer: owner of Pocket
Publications
=========================================================================
Date: Sat, 12 Dec 1998 18:03:48 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Paula Jordan <[log in to unmask]>
Subject: bf and iron, milk storage
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Hello, I have two questions for a post-partum client: looked through
the archives, Womanly Art, Woman's Way to Wellness and notes from a
nursing mothers council fundamentals of breastfeeding class and wanted
to ask the list
1)mom wants to take iron supplement but worried about baby's reaction
to iron (baby exclusively bf and is 7 wks, was born at 38 wks NVD)
Baby has a fussy/gassy/crying period in eve from 10pm-1am often has a
soft bm and falls to sleep. Mom does try to nurse during this time
but baby is so upset she can't. From several posts (Pat Gima as one)
the form of iron recommended is ferrous fumerate.
2) ebm is refrig for 5 days-can mom freeze it now? sources above said
5-8 days in refrig o'kay before using but nothing mentioned about
freezing after sev days in refrig.
Also just a rant-had a stressful week supporting a mom who was told by
md and er staff that she couldn't breastfeed jaundiced 7 day old(they
thought breastfeeding jaundice, but was early onset)They spent 12
hours in er trying to figure out what ws wrong in er thinking they had
to stay when the attending appeared and said "start breastfeeding",
you didn't need to stop (which I had discussed with them earlier),
explained the types of jaundice, why they shouldn't worry and sent
them home. Luckily baby went right back after almost 24hrs abm/bottle
supplement.I was so aggravated.
And at work today I "stole" the only copy in the pedi waiting room of
Lullably Club. ha ha.
Thanks for listening and the answers to the top two questions:)
Paula Jordan Lic Ac, Doula
who has learned so much more about breastfeeding from all of you.
_________________________________________________________
DO YOU YAHOO!?
Get your free @yahoo.com address at http://mail.yahoo.com
=========================================================================
Date: Sat, 12 Dec 1998 22:48:43 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Victor <[log in to unmask]>
Subject: LLLL and/or LC in Rye, NY area
Comments: To: [log in to unmask], [log in to unmask]
Mime-Version: 1.0
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I'm looking for a LLLL and/or LC to refer a friend's SIL to. First time
mom with twins, born at 34 weeks (about two weeks ago). Both twins are
small 4 lbs. or so. Mom trying to breastfeed and pump (feeding breastmilk
with bottle).
Please reply privately.
TIA
Alicia, LLLL in the Bluegrass (Lexington, KY)
aka Post Poster and AS for Kentucky
and academic nomad
mailto:[log in to unmask]
=========================================================================
Date: Sat, 12 Dec 1998 19:49:44 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Linda Bojman <[log in to unmask]>
Subject: HELLP
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I need all of wisdom oned help I try looking in the archive but I clould
not get an answer. Please can someone tell what is the HELLp syndrome?
thank you in advance. Bye Linda Bojman, MS, RD,CLE living in San Diego, CA.
=========================================================================
Date: Sat, 12 Dec 1998 23:28:03 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jim Hinson <[log in to unmask]>
Subject: post-partum edema and suppressed lactation
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Lactnet Friends,
I seem to remember discussion some time ago regarding the relationship
between considerable post-partum swelling and the delay in full milk supply.
I have been unable to access the archives and wondered if anyone has any
references to this relationship. What is the connection between this
swelling and suppressed lactation? One of our OBs is asking........I just
know that we see it with some degree of frequency but do not know why it
happens.
Thank you all for helping.
Pardee Hinson, MPH, IBCLC
Carolinas Lactation Center
Charlotte, NC
=========================================================================
Date: Sun, 13 Dec 1998 00:40:43 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Carol Brussel <[log in to unmask]>
Subject: jacie's tree
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jacie, that is technically known as "the hanukkah bush."
carol brussel IBCLC
=========================================================================
Date: Sun, 13 Dec 1998 00:02:00 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Linda Pohl <[log in to unmask]>
Subject: Re: Weigh-off beam
In-Reply-To: <[log in to unmask]>
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Helen,
I had to think hard when you brought this up. I use the term test weights
to differentiate before feed and after feed weights from a single weight
taken during a visit. I cannot remember using the term in front of the
parents though. If I intend to do a test weight, to be honest, I usually
blame it on the doctor. I will say something like, "Since I am sending a
report on to the doctor and doctors LOVE numbers, how about if we put her
back on the scale and see how much milk she took."
I looked back at the last few consult reports and found that I did use the
term there though. I am wondering now if it is a good idea to imply to
others that this is accepted practice again. The HCPs that I send the
reports to probably do not know the accuracy of the scale I am using and
might try it on an old-style balance scale and we would be back to where we
were 30 years ago. Llp
Linda Pohl, IBCLC
Phoenix AZ Where it is back in the mid 70's again (I miss the snow)
-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Helen M. Woodman
Sent: Saturday, December 12, 1998 3:30 PM
To: [log in to unmask]
Subject: Weigh-off beam
Dear lactpals,
Why, oh why, do we continue to use the word *Test* in front of
Weigh? Why not just good ole Weigh on its own?
Magda's recent posting on problems we had here in UK and, no doubt, still
have
in some places, rang horribly loud bells of recognition for me.
=========================================================================
Date: Sun, 13 Dec 1998 10:18:29 +0200
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jean Ridler <[log in to unmask]>
Subject: Re: HIV/AZT+formula/South Africa
MIME-Version: 1.0
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Pamela, I share your horror!
>I have been trying to get my hands on a copy of this study for ever!
Haven't we all! As far as I know, Dr Gray's study is still not
published!
>Or perhaps there is another reason for the Bactrim?
I must admit I was too shocked to ask! Most of my info comes
second-hand via a dietician who has been attending the planning
meetings. She is now on holiday, But I will follow this up with one of
the main researchers. With no breastmilk and long term antibiotics,
what about these babies immune systems?
>Thirdly, who is funding the exercise?
Apparently the money will come from the Groote Schuur budget and the
funding for the formula from the PEM Scheme (Protein Energy
Malnutrition)
Jean Ridler RN RM IBCLC, Cape Town
mailto:[log in to unmask]
=========================================================================
Date: Sun, 13 Dec 1998 07:32:58 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Newman <[log in to unmask]>
Subject: Re: Alert - "Research" - Emperor has no clothes
Comments: To: G Hertz <[log in to unmask]>
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
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The other point, and I have not read this article, is why are they so hopped
up about treating the jaundice anyways? A lot of jaundice is not necessary
to treat. Do they mention the height of the bilirubin. Did they observe
the *adequacy* of the breastfeeding?
Jack Newman, MD, FRCPC
=========================================================================
Date: Sun, 13 Dec 1998 07:36:34 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Newman <[log in to unmask]>
Subject: iron
Comments: To: [log in to unmask]
MIME-Version: 1.0
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The amount of iron the mother takes does not affect the amount of iron in
the milk.
I don't know the answer to your second question.
Jack Newman, MD, FRCPC
=========================================================================
Date: Sun, 13 Dec 1998 09:31:43 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "[log in to unmask]" <[log in to unmask]>
Subject: Re: bf and iron, milk storage
In-Reply-To: <[log in to unmask]>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
>1)mom wants to take iron supplement but worried about baby's reaction
>to iron (baby exclusively bf and is 7 wks, was born at 38 wks NVD)
>Baby has a fussy/gassy/crying period in eve from 10pm-1am often has a
>soft bm and falls to sleep. Mom does try to nurse during this time
>but baby is so upset she can't. From several posts (Pat Gima as one)
>the form of iron recommended is ferrous fumerate.
Ferrous fumerate, which is organic iron, has not bothered the babies whom I
have worked with and there are "prenatal vitamin" preparations in health
food stores that have this form of iron. If the mother needs a
concentrated iron supplement, the one that I like is Blood Builder, made by
Mega Foods. I like it because it is processed for heightened assimilation.
And, again, it has not been gas producing in the babies, not constipating
to the mothers. As some people have had trouble finding it, I will give
their URL and phone number.
URL:
www.megafood.com
Phone number.
1-800-848-2542
There are others. Just look for food-based (organic) iron. A mother who
is not familiar with natural supplements won't want to spend a lot of time
looking for just one brand.
Patricia Gima, IBCLC
Milwaukee, Wisconsin, Upper Midwest, USA
mailto:[log in to unmask]
=========================================================================
Date: Sun, 13 Dec 1998 10:42:27 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "David A. Green" <[log in to unmask]>
Subject: Re: Candida
Mime-Version: 1.0
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In a message dated 12/12/98 8:05:30 PM Central Standard Time,
[log in to unmask] writes:
<< Since Candida is back on Lactnet, I just thought I would post the latest
concotion I use for Candidal infections of the nipples. >>
Fungal infections of the hair, skin and nails are a major source of morbidity
throughout the world. Most of these infections are caused either by
dermatophytes or by yeasts, most commonly Candida species.
A crucial factor for the "successful" treatment of fungal infections of the
skin is an understanding of the kinetics of turnover of epidermal cells
(skin). Microorganisms in nonhairy skin inhabit the stratum corneum (outmost
layer of skin consisting of cells that are dead and desquamating), which is
normally replaced every 2 to 3 WEEKS! (If you don't like what you see in the
mirror, wait 2-3 weeks and you will be a "new" person! <g>). Since the
primary effect of most antifungal drugs is to PREVENT colonization of new
tissue by the organisms, any agent should be used for a MINIMUM of 4 WEEKS to
eradicate the infection!
David Andrew Green, MD FAAP
[log in to unmask]
=========================================================================
Date: Sun, 13 Dec 1998 10:40:07 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: Re: Alert - "Research" - Emperor has no clothes
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Dear Gail, I'd make it short and sweet and focus on your four points with a
ref or 2 (or 6 :-) for each one. I agree the reasoning is totally
demented, but not surprising - what nurse more <gasp> why ever would you
want to do "that"? Maybe Dr. Gartner and Dr. Maisels can be contacted to
also reply. Sincerely, Pat in SNJ
> My problems with this study are these:
> (1) lactation is not "already established" at 3.94 +/- 0.9 days
> (2) an average of q 3 hour breastfeeds for a jaundiced baby is NOT
frequent
> enough
> (3) The addition of formula to the diet is an inappropriate response to
not
> frequent enough breastfeeding
> (4) The author does not seem to be aware of the connection between
> inadequate breastfeeding frequency and "response to phototherapy"
=========================================================================
Date: Sun, 13 Dec 1998 10:42:31 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: jaundice level
MIME-Version: 1.0
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Why Jack, it is probably 7 or even 8! /(*o*)\
=========================================================================
Date: Sun, 13 Dec 1998 10:59:51 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrica Young <[log in to unmask]>
Subject: delayed BF
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Dear Barbara, I've also noticed that baby lips on mommy's breast has an
incredible effect on increasing production, even if baby doesn't suckle
well. It may be an emotional cue or hormonal. Remember the African
UNICEF video of babies at breast, but not even really nursing, done to
enhance mom's supply.
I'm pretty sure I posted before about a mom (25 yrs ago at least) whose
milk came in when 10 days of parlodel finished. She began pumping and
because of hospital rules back then, never even got to HOLD baby for
weeks. Was only getting DROPS per day. Nursed a friend's baby and supply
increased dramatically over night, signed own 6 wk old baby out AMA the
following day at a little over 4 lbs. Mom went home and crawled into bed
with baby and just nursed sort of non stop. Baby lost 1st day, same 2nd
day and began to gain on 3 rd day. (and we were using a pretty primitive
balance scale). Looking back I'm surprised that hospital didn't call
child services! She went on to BF well into 2nd year.
The human body and human mind and human will should never be
underestimated. Sincerely, Pat in SNJ
=========================================================================
Date: Sun, 13 Dec 1998 11:34:32 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "David A. Green" <[log in to unmask]>
Subject: Re: Gentian violet - ?Myth
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In a message dated 12/12/98 8:05:30 PM Central Standard Time,
[log in to unmask] writes:
<< I also think that gentian violet can be used longer than three days, which
seems to have gotten into the mythology. Dr. Jack Newman>>
I think part of the reason for this "restriction" is that the gentian violet
contains alcohol. Not myth, just the facts.
The over-the-counter Gentian Violet topical solution 1% contains 10% Ethyl
Alcohol as a preservative!
Wines are 10-14% alcohol
Beers are 3-8% alcohol.
Ethyl alcohol is a gastrointestinal tract irritant and may cause repeated
vomiting and hematemeis (vomiting blood). I don't guess I need to describe
alcohol "poisoning" for most of us, eh? <g>
Perhaps we should check blood alcohol levels on infants treated with Gentian
Violet for longer than 3-4 days.......but then again, perhaps we would not
want to see the results either, eh?
Andrew MD FAAP "who does not prescribe beer nor wine to infants"
[log in to unmask]
=========================================================================
Date: Sun, 13 Dec 1998 10:38:19 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "[log in to unmask]" <[log in to unmask]>
Subject: Re: topical ointment for candida
In-Reply-To: <001201be2627$b6a1f540$ee9d5ad1@Newman>
Mime-Version: 1.0
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Thank you for this post. I had a couple of months with few yeast cases,
but this week has offered 3! I suppost that your concoction must be with a
prescription. With your permission, I'll send this post to my "good guy"
FP, who treats my clients who have yeast when their own HCPs won't treat,
or treat inadequately.
Thanks, too, for the guidelines on gentian violet use. I have had great
luck in using it, and if I can get this Newman Salve established, I will
have a good treatment.
Patricia Gima, IBCLC
Milwaukee, Wisconsin, Upper Midwest, USA
mailto:[log in to unmask]
=========================================================================
Date: Sun, 13 Dec 1998 13:03:30 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cathy Bargar <[log in to unmask]>
Subject: test weighing language
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Yes! to Helen Woodman & others getting finnicky (i.e. precise) about using
the term "test weighing" when what we mean is "weighing"! Seems like part of
the medical fields' tendency to think that a regular word that people
understand isn't good enough, or scientific enough, or intimidating
enough...
Here's another term I have problems with, and I hear it (and probably even
use it) all the time from LC's, nurses, midwives, and other strong bf
advocates: "flat nipples". Women just don't like to hear the term "flat"
associated with their breasts! Social conditioning, adolescence, etc...all
those reasons - it just makes us feel inadequate, insufficient somehow. I
try to use the term "soft", or "rounded" instead, or talk about a nipple
that doesn't stick out much, or other non-loaded terms. Am I overly
sensitive here?
Cathy Bargar, in Ithaca NY
=========================================================================
Date: Sun, 13 Dec 1998 14:06:20 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Jan Barger RN, IBCLC" <[log in to unmask]>
Subject: grits and vegemite
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In a message dated 12/12/98 8:04:43 PM Central Standard Time,
[log in to unmask] writes:
<< I think grits and poi are allot like vegemite. If you don't get used to
it while a child, you may never be able to tolerate it. >>
Oh VEGEMITE! I LOVE Vegemite!! I like grits too, but vegemite?? The worst
thing about the Atkins diet is not having hot buttered toast with vegemite....
Now, I will have you know that my father learned to like vegemite when we
lived in Australia -- he must have been about 34 or 35 at the time. My son
loves vegemite, Jill will only eat Marmite, and Torrey likes both. I like
both, but my favorite is vegemite. And I'll admit that secretly I think the
reason many Australian women have tons of milk is because their secret
ingredient is vegemite.
When I spoke at the first annual ALCA conference in '92, I discovered that the
restaurants had little teeny jars of vegemite on the tables along with the
jars of jam and jelly. Oh my, I thought I had hit Nirvana....all that
vegemite to pack and take home with me. The customs officials thought I had
lost it when most of what I had to show them were jars and jars of
vegemite....
Unfortunately I was well past breastfeeding, otherwise I would have put my
theory to the test....
Just a hunch here... <VBG>
Jan Barger, who lives in Wheaton, but whose heart is somewhere in
Australia.... (I lived there when I was about 2 1/2 to almost 5.)
=========================================================================
Date: Sun, 13 Dec 1998 14:09:14 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Jan Barger RN, IBCLC" <[log in to unmask]>
Subject: galactogogue
Mime-Version: 1.0
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One of the LCs at our hospital recently had a couple who were from India.
Mom's milk supply low -- long story -- the LC recommended, among other things,
fenugreek. When mom came back in for a recheck, she asked about the
fenugreek. Dad said they hadn't done it, but had done an old Indian remedy
for low milk supply instead. To wit:
1/2 cup dill seeds
Steep in water overnight
boil until very dark in color
strain
drink one cup of this dill tea a day.
Mom's milk supply was way up. Anyone heard of this or know what the possible
mode of action might be?
Jan Barger
=========================================================================
Date: Sun, 13 Dec 1998 14:56:02 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Newman <[log in to unmask]>
Subject: alcohol in gentian violet
Comments: To: [log in to unmask]
MIME-Version: 1.0
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Hold on now. The amount of gentian violet a baby gets is extremely
extremely small. I think doing an alcohol level on the baby getting gentian
violet is completely unnecessary and will just cause pain for the baby, and
anxiety for the parents, cost money for the system. We are not talking
alcohol poisoning here. Let's get serious. When the mother buys gentian
violet on my recommendation, she usually gets about 10 cc or, if it comes
ready made, 30 cc. At the end of a seven day treatment, unless she dropped
some of it, you can hardly tell in the bottle that there is any gone. We
are talking a drop or two per treatment once a day. 30 drops to a
millilitre or 0.033 ml/treatment, or 0.0033 ml of alcohol per day. What's
the big deal?
I also don't prescribe beer or wine to infants. What's that got to do with
it?
Jack Newman, MD, FRCPC
=========================================================================
Date: Sun, 13 Dec 1998 14:57:01 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Newman <[log in to unmask]>
Subject: concotion
Comments: To: [log in to unmask]
MIME-Version: 1.0
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I posted the recipe so that others can use it if they wished. It does need
a prescription.
Jack Newman, MD, FRCPC
=========================================================================
Date: Sun, 13 Dec 1998 15:05:12 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Carol Brussel <[log in to unmask]>
Subject: holiday gift and party - long digression
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i have a "gift list" to share with all of you today. also, i wish to invite
every single lactmaniac (my son calls us that) to an open house party on
boxing day, december 26th, from 1 to 5 pm. i realize that not all of you will
be in the denver area on that day, but those of you who will be and want
directions, please email me privately. i would love to meet some of in the
area who i have not seen at other events.
and if you decide to fly in, please be sure and let us know when to pick you
up at the airport.
carol brussel IBCLC
TOP 14 WAYS LACTMANIACS PREPARE FOR THE HOLIDAYS
1.Lactmaniacs busy with shopping must read latest lactnet at the online coffee
shop at the mall.
2. Female lactmaniacs preparing for holiday parties slap on some gential
violet for eye shadow.
3. Everyone wants to know the secret ingredient in your candy recipe - but you
only smile and hide the pump parts.
4. Your nativity scene prominently features mary breastfeeding the baby jesus.
5. You have a special ten candle menorah in honor of LLL's ten principles and
the BFHI list.
6. You send your little children out into the snow to collect money for
breastfeeding support groups.
7. All the little children on your gift list get breastfeeding dolls.
8. All your latkes are perfectly round, and you serve them with a dollop of
sour cream right in the middle. Without planning it that way.
9. You give everyone on your gift list the latest edition of the WAB because
"you know they want to read it."
10. You only give gifts that you can buy on lactnet; everyone loves Gail's
little green books.
11. If you are a poor, starving lactmaniac, you just give everyone copies of
jack's articles for gifts.
12. You get up early on Christmas morning . . . and check your email before
allowing anyone to open presents.
13. Your holiday cards feature a breastfeeding madonna . . . and you're
Jewish!
14. You are happy to make a house call on Christmas morning or the last night
of Hanukkah, to a client that cannot pay, because it fills you with joy.
Happy Holidays to All of Us!
=========================================================================
Date: Sun, 13 Dec 1998 14:25:32 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Dan Orr <[log in to unmask]>
Subject: HELLP Syndrome
MIME-Version: 1.0
Content-Type: multipart/alternative;
boundary="----=_NextPart_000_0123_01BE26A4.70FA5AA0"
This is a multi-part message in MIME format.
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Hi Linda!
The letters stand for Hypertension, Elevated Liver enzymes, and Low =
Platelets.
Edie Orr, RN, BSN, IBCLC
Peoria, IL
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charset="iso-8859-1"
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<!DOCTYPE HTML PUBLIC "-//W3C//DTD W3 HTML//EN">
<HTML>
<HEAD>
<META content=3Dtext/html;charset=3Diso-8859-1 =
http-equiv=3DContent-Type>
<META content=3D'"MSHTML 4.72.3110.7"' name=3DGENERATOR>
</HEAD>
<BODY bgColor=3D#b8b8b8>
<DIV><FONT color=3D#000000 size=3D2>Hi Linda!</FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2> The letters stand =
for=20
Hypertension, Elevated Liver enzymes, and Low Platelets.</FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2></FONT> </DIV>
<DIV><FONT color=3D#000000 size=3D2> Edie Orr, RN, =
BSN,=20
IBCLC</FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2> Peoria,=20
IL</FONT></DIV></BODY></HTML>
------=_NextPart_000_0123_01BE26A4.70FA5AA0--
=========================================================================
Date: Sun, 13 Dec 1998 14:40:16 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "[log in to unmask]" <[log in to unmask]>
Subject: Weighing to assertain adequate intake
Mime-Version: 1.0
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The cases that several of you have posted which show the value of weighing
babies to see how much milk they consumed in a given feeding have been
impressive and touching. I see the value of those electronic scales for
the crisis cases that you have shared with us.
I see a similarity in the use of ultrasound or fetal heart monitors or even
heel sticks and epidurals. Those are valuable tools in certain crisis
cases. The problem arises when those tools begin to be seen as *essential*
in evaluating health status. The use in the unusual case becomes routine.
We all know how these stories have gone in medical care.
Some of you on this list see crisis cases as a majority of your clientele.
And in these cases, exact electronic weighing can be vital, as the recent
reports have shown. The temptation is to use these tools for "everyday
assurances," and to assume that every LC worth her salt will use one
regularly.
Clocks, calendars, and scales and other kinds of measurements can interfere
with a mother's trust in her own and her baby's body to grow toward health.
One of the advantages of breastfeeding is that no one knows how much a
healthy baby is taking in at a given time. Dr. James Hymes (a perceptive
Ped. of the '60-'70s) said that one of the best things about breastfeeding
is that you can't *see* the milk. (That was before the breast pump
invasion.) A baby's individualized growth and obvious health are the
"measure." It is easy to go from trusting the baby to take what she needs
at the breast, to trusting her to eat solid foods when she is ready and to
eat it in the proper amount for her health. It can be the beginning of a
life-long trust in what is not seen.
It is also easy for a mother to feel insecure in evaluating her baby's well
being without the assistance of external measurements if those have been
the "final word" in her assurance. Then she will have to depend on someone
else to tell her when her child is hungry and what he should eat, when and
where he should sleep, and on and on.
One of the risks of medicalizing breastfeeding is that it is easy to slip
into the "medical care model." "Some mothers won't know when something is
wrong, so we can't trust any of them. Some women won't be able to go
through a birth without medication, so we medicate all of them. Some women
don't get enough sunlight to have adequate vit. D in their milk so we give
vit. D to all babies. Only a health care professional can truly evaluate
the health of a child." Because we see the worst and sickest, we begin to
see every mother and baby through crisis-colored glasses.
For many of us on this list, much of our work is made up of routine
instruction and corrections to get breastfeeding going well.--OK, maybe a
lot of Yeast!--Instruction on counting wet and soiled diapers (for a while)
is the beginning of letting a mother know that she can, in fact, take care
of her infant. She doesn't have to have credentials. She feeds him when he
is hungry and looks at output and contentment to know that he is doing well.
We have discussed many times here the growth chart misuse. A healthy,
happy baby/child is to be seen as in no need of intervention regardless of
what the scale says. It is most important to help a mother develop a trust
in herself as her child's care taker and to take responsibility for his
health. Giving over our health to HCPs has not been a "healthful" move.
I have used the electronic scale, having parents rent it when needed. And I
am glad that it is there for those of you who have need of it more often.
But, in my opinion, an exact measurement of how much a baby takes in is not
*routinely* a necessary, or even desirable, evaluation. It can be an
interference in the very important growth of the mother/baby relationship.
The main problem with "test weighing" of the past wasn't with the
inaccuracy of the scales, but in the mindset that only by external proof
can a baby's health be assessed. It took a long time to move toward more
reliable evaluations of health, and I wouldn't want to see us return to
reliance on "specialized" measurement tools.
There are definitely cases in which exact measurement of milk intake is
necessary and life-saving, just as there are cases in which a C-section is
necessary and life-saving. I promote the "judicious" use of technological
interventions.
Patricia Gima, IBCLC
Milwaukee Wisconsin, Upper Midwest, USA
mailto:[log in to unmask]
=========================================================================
Date: Sun, 13 Dec 1998 14:11:05 PST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: laurie wheeler <[log in to unmask]>
Subject: baby won't eat solids
MIME-Version: 1.0
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I'm a couple days behind reading, but my vote is -Back off.
Make sure baby is with the family at dinner times in a high chair or
mom's lap to learn what it's all about. Even give him some food to play
with but don't expect him to eat it yet. Let it all take its course. I
can picture the child in an infant seat on the table top and the food
coming at him and he's saying no, no (ah, I remember my ignorance so
well). Maybe he wants to be in control. You could also send mom to LLL
as they have got this solids thing down pat.
Laurie Wheeler, RN, MN, IBCLC
Louisiana Breastfeeding MediaWatch Campaign
Violet Louisiana, USA
mailto:[log in to unmask]
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=========================================================================
Date: Sun, 13 Dec 1998 17:13:45 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Nikki Lee <[log in to unmask]>
Subject: alcohol in gentian violet
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Dear Folks:
So what if gentian violet has more alcohol in it than beer or wine! Is the
baby going to be fed 8 ounces a day of it? Won't the alcohol evaporate once
the drop or two of GV is applied with a swab? Good grief, let's keep some
perspective here.
GV is my favorite anti-fungal: cheap, easy to use, mother has control, and I
have never had a mother report any problems after painting nipples, areolas,
and baby's mouth once, skipping two days, and painting again, then repeating
this cycle for two weeks (which is 7 doses). Although after RAINBOWpeds post,
it might be better to do it for four weeks. Thanks, RAINBOW! Warmly, Nikki Lee
=========================================================================
Date: Sun, 13 Dec 1998 14:17:58 PST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: laurie wheeler <[log in to unmask]>
Subject: seeing formula moms
Comments: To: [log in to unmask]
MIME-Version: 1.0
Content-Type: text/plain
Jan,
Good point. I have to admit I see myself as an infant feeding specialist
or even an infant specialist (developmental, play, attachment etc) as
this was my focus in grad school. I wouldn't mind seeing these moms if I
wasnt told exactly what I could and couldn't say.
Laurie Wheeler, RN, MN, IBCLC
Master's in Parent-Child Health Nsg, LSU
Louisiana Breastfeeding MediaWatch Campaign
Violet Louisiana, USA
mailto:[log in to unmask]
______________________________________________________
Get Your Private, Free Email at http://www.hotmail.com
=========================================================================
Date: Sun, 13 Dec 1998 18:37:34 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Esther Wiles <[log in to unmask]>
Subject: alfalfa
Content-Type: Text/Plain; Charset=US-ASCII
Content-Transfer-Encoding: 7Bit
MIME-Version: 1.0 (WebTV)
One of my clients stated that she ahd been reading about alfalfa and
how it increases the milk supply??? Haven't heard or read about this
one, anyone out there got any information about this?
=========================================================================
Date: Sun, 13 Dec 1998 18:41:48 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrician Drazin IBCLC <[log in to unmask]>
Subject: Re: yeast/magda sahs& wendy jones
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Magda and Wendy have an excellent piece in the December MIDIRS... on yeast....
my one concern is the recomendation to wash nipples with vinegar or bicarb...
Patricia
=========================================================================
Date: Sun, 13 Dec 1998 19:14:18 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Susan Ann Slear, RN, CLC" <[log in to unmask]>
Subject: Getting Needed Hours For IBCLCE
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Dear LACTNETTERS:
I want to share with you the WIN/WIN situation I'm now involved in. Because I
need counseling hours for July 99 exam, I volunteered my time as a
leader/counselor for a neighborhood nursing mothers group. As their trust and
confidence in me has increased they are using me as a resource for all their
counselors. I keep close contact with the Moms assigned to me and freely (and
for free) make home visits so I can see the problem and hopefully help solve
it. Other counselors call me when they are stuck on a tough problem and are
unsure how to proceed. I make home visits to these Moms as well. I give the
"Getting Started" talk to expectant Mothers monthly, attend Mother support
group meetings, and have taken on the job of continuing education during
monthly counselors meetings. I am now beginning to send letters to the
Pediatricians/OB-GYN's of the patients I've seen. This is great practice and
hopefully I will become favorably known in the community. The experience I'm
getting is invaluable to me and the hours are really accumulating. The Nursing
Mothers Group is very happy to have me. And the Moms have access to home free
home visits by an LC. We are all winning.
I've written this as a suggestion to other IBCLC wanna bees like me. I had
the good fortune to do a clinical internship at Pennsylvania Hospital in
PHILA. under the mentorship of Sue Carson and Tammy Arbeter. (Breastfeeding
Nirvana.) But I know clinical internships are not plentiful. And there is no
amount of book learning that substitutes for hands on experience. I strongly
recommend this as a solution for those needing hours.
I would also like to ask the help of IBCLC's out there that have an effective
form letter that they use to report to Docs. Would you please share them with
me? I would be very grateful. I've never believed in reinventing the wheel.
Please send sample letters via Pvt. E-mail to [log in to unmask]
Sincerely,
Susan Ann Slear (IBCLC wanna be) from PA: the state that loves you back.
=========================================================================
Date: Sun, 13 Dec 1998 19:36:51 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Wendy Jones <[log in to unmask]>
Subject: MIDIRS article on Thrush
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Patricia
Thank you for your comment on the article in Dec MIDIRS. It is the follow up
to the leaflet we produced for the Breastfeeding Network in the UK.
The reason we included the use of Dilute solutions of vinegar or bicarb to
wash the nipples was a self help measure if mothers were unable to get any
medical help eg over a weekend. By altering the pH of the skin hopefully the
growth of the thrush will be slowed if not halted. In our experience it does
help as an emergency measure.
Getting a GP to come out on a Sunday and finding a Pharmacy open may not be an
option unfortunately. The price we pay for free medical care!
Wendy Jones
Breastfeeding Network Supporter in Portsmouth (very southern England)
Pharmacist
=========================================================================
Date: Sun, 13 Dec 1998 16:40:06 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: JDLAPP <[log in to unmask]>
Organization: Prodigy Internet
Subject: Jaundice
MIME-Version: 1.0
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Lactnet:
I have been under the understanding that jaundice serves a purpose in
keeping the baby healthy. A higher bili acts like an antioxidant to
help protect us in the newborn state.We don't have to be as crazy to
get those levels down. Only if they are being destructive(ABO-Rh) do we
have to be concerned, but that doesn't mean that the mothers can't
nurse. The breastmilk would be the most natural way to reduce it over a
period of a few days with its laxative affect.
Phototherapy,yes we know it works, but do we really know what it does
to the baby,we have to cover eyes & genitals, does it affect thyroid
(?), will it have an effect on the child later on in life? Can
phototherapy be damaging to the newborn(?) has there been any studies on
the long term effects of phototherapy?
We don't use the bili lights much any more as our peds don't seem to
get really nervous about higher bili levels.
Jean
=========================================================================
Date: Sun, 13 Dec 1998 20:07:11 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrician Drazin IBCLC <[log in to unmask]>
Subject: Re: lacie
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
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Cindy:
most of lacie's milk came from the milk bank
Patricia
=========================================================================
Date: Sun, 13 Dec 1998 20:06:16 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Sharon Galvin,Rn" <[log in to unmask]>
Subject: no mail
Mime-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7bit
Go nomail
=========================================================================
Date: Sun, 13 Dec 1998 17:26:39 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Paula Jordan <[log in to unmask]>
Subject: alfalfa and increasing milk supply
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Esther, Although I don't have experience using alfalfa
with increasing milk supply it is mentioned several times in Robin
Lim's Book "After the baby's birth-A woman's way to wellness" on pages
69, 72, 156. She states that alfalfa is high is folic acid, Vits A,
D, E and K and has many important digestive enzymes. She mentions the
use of it in dairy farming for cows and goats to help them increase
their milk supply! (they usually eat the sprouts not drink the tea)
Robin also says that is is very good in helping get the pelvic floor
back in shape along with kegels.(has an action on connective tissue.
In Susun Weed's Wise Woman Herbal for the childbearing year on page 85
she mentions alfalfa as a galactogogue.
If you find more information I'd love to hear about it.
Paula Jordan Lic Ac, Doula
(also took a year long chinese herbal class and internship last year)
_________________________________________________________
DO YOU YAHOO!?
Get your free @yahoo.com address at http://mail.yahoo.com
=========================================================================
Date: Sat, 12 Dec 1998 23:38:09 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Darlene A Breed <[log in to unmask]>
Subject: Re: HELLP
Linda,
HELLP (HEmolysis, Liver dysfunction, Low Platelets) is a syndrome that
describes patients with hemolytic anemia, elevated liver enzymes and low
platelet count. The syndrome is present in about 10% of patients with
severe preelampsia-eclampsia. It is most often seen in Caucasian
patients with delay in diagnosis or delivery and in patients with
abruptio placentae. The disorder occurs in the last trimester of
pregnancy. There is vomiting, upper quadrant pain and progressive
nausea. Liver function deteriorates rapidly and delivery is essential in
treatment. Stillbirth is frequent, with high neonatal loss usually due
to prematurity.
Current Obstetric & Gynecologic Diagnosis & Treatment, Sixth Edition,
1987.
I know this reference is old, but I haven't been in school for a while.
Hope this helps.
Darlene Breed, BSN, RN, IBCLC
Worcester, MA (USA)
On Sat, 12 Dec 1998 19:49:44 -0800 Linda Bojman <[log in to unmask]>
writes:
>I need all of wisdom oned help I try looking in the archive but I
>clould
>not get an answer. Please can someone tell what is the HELLp syndrome?
>thank you in advance. Bye Linda Bojman, MS, RD,CLE living in San
>Diego, CA.
>
___________________________________________________________________
You don't need to buy Internet access to use free Internet e-mail.
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=========================================================================
Date: Sun, 13 Dec 1998 20:10:25 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Osterholt <[log in to unmask]>
Subject: Gastroschisis
MIME-Version: 1.0
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In the two cases I have come across, the babies were not feed right
away. One baby was NPO for 3 weeks before they started feeds.
If this will be the case with your mom, it would give the mom a
jumpstart in collecting milk.
The mom may also want to invesigate in having some donor milk available
in the event that they feed the baby right away since she may find
herself struggling with pumping those first couple of days. Especially
since she will have a C-Sec.
Please keep us informed about how things go. I wish I could give you
more information but with the two cases I came across, I lost contact
with the moms beyond the initial 1st meeting then later when one mom
renewed her rental.
My question about this situation would be, once they begin feeding the
baby, is it best to give the frozen colostrum or fresh breastmilk which
will have a higher immune content?
Assunta Osterholt, IBCLC
=========================================================================
Date: Sun, 13 Dec 1998 20:51:46 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "[log in to unmask]" <[log in to unmask]>
Subject: Re: alfalfa
In-Reply-To: <[log in to unmask]>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
> One of my clients stated that she ahd been reading about alfalfa and
>how it increases the milk supply??? Haven't heard or read about this
>one, anyone out there got any information about this?
I had a mom with serious oversupply. She was following the protocol for
reducing the supply, but it wasn't working. I had her keep a food diary
with everything that went into her mouth. There was alfalfa. She
eliminated it and her supply was adjusted to meet her baby's needs.
There are numerous nutritional benefits in alfalfa, so I don't discourage
it if there isn't an oversupply problem.
So, I believe that it can be a part of our galatagogue list.
Patricia Gima, IBCLC
Milwaukee, Wisconsin, Upper Midwest USA
mailto:[log in to unmask]
=========================================================================
Date: Sun, 13 Dec 1998 22:01:46 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Cher Sealy, LLL Leader" <[log in to unmask]>
Subject: Buying human milk
Mime-Version: 1.0
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I have been working with a breastfeedung mother who had reduction surgery 5
years ago. After a month of frequent nursing, using an SNS, and taking
fenugreek, she is still getting only an ounce or two per day. She had four
children prior to this surgery, so she was familiar with the changes in her
breast during pregnancy. She reports that she experienced no changes this
time. She contacted me about buying breastmilk from a milk bank or local
mothers. She desperately wants this baby to have breastmilk. I certainly
would love to help her, but realize my liability. Has anyone else dealt with
a similar situation? I would assume you must have a doctor's prescription for
milk from the milk banks, but don't know for sure.
Cher Sealy, RN, BSN, IBCLC, LLLL
Montgomery, Alabama
=========================================================================
Date: Sun, 13 Dec 1998 22:35:12 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrician Drazin IBCLC <[log in to unmask]>
Subject: Re: Dill
Mime-Version: 1.0
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jan:
dill is bnelieved to "open blood vessels".... m. castleman indicates that"
modern hebalists recommend ... drinking dill tea...to stimulate milk
production in nursing mothers.."
how many american women would do the work involved?
did you ask wehre they got the seeds?
Patricia
=========================================================================
Date: Sun, 13 Dec 1998 22:35:13 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrician Drazin IBCLC <[log in to unmask]>
Subject: Re: alfafa
Mime-Version: 1.0
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Esther:
I recall women who delivered in africal telling me that alfalfa was given out
for milk production...
it is believed to reduce bllod cholesterol levels and plaque deposits on
artery walls. it is also being looked into as a potential carcinogen
neutealizer.
Patricia
=========================================================================
Date: Sun, 13 Dec 1998 21:06:07 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jerry & Jacie Coryell <[log in to unmask]>
Subject: Re: breastfeeding madonna
MIME-version: 1.0
Content-type: text/plain; boundary="----------------------------";
charset="iso-8859-1"
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So, where did you find holiday cards with a breastfeeding Madonna? We'd all
like to see it.
RSVP: I send my regrets, sure wish I could come,
Jacie
=========================================================================
Date: Sun, 13 Dec 1998 22:32:08 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Susan R Potts <[log in to unmask]>
Subject: Re: LACTNET Digest - 13 Dec 1998 - Special issue
MIME-Version: 1.0
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Dear Nikki,
On your treatment schedule of gentian violet....when you say skip 2
days, and 7 treatments take 14 days, does that mean if it is applied on a
Monday, then it is used again on Wednesday, or Thursday? Also, does gv
have good results with sharp stabbing pain in the breast as well as sore
nipples? If the breast is painful inside, does that necessarily mean the
candida is in the ducts, and if so, will gv be enough? or try it for a
few days and if no improvement consider po diflucan or po nystatin? I
like the hint of applying the gv to nipples immediately prior to feedings
and the baby will get a dose too.
Thanks in advance for any clarificaiton
Susan Potts, RN IBCLC staying warm at home in MN
On Sun, 13 Dec 1998 18:43:13 -0500 Automatic digest processor
<[log in to unmask]> writes:
___________________________________________________________________
You don't need to buy Internet access to use free Internet e-mail.
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=========================================================================
Date: Mon, 14 Dec 1998 01:00:22 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Zena K. Gresham" <[log in to unmask]>
Subject: news about study on mothers brains
Mime-Version: 1.0
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Does anyone have the study about how women's brains during pregnancy and
lactation showed activity and/or growth?
I used to have it and I think I deleted it by accident. I tried to look for it
through lactnet and the news archives with no luck.
Thanks in advance.
~~~~~~~~~~~~~~~~~~~~~~~~~~
Zena K. Gresham
Mother of 4
WIC breastfeeding Peer Counselor, LC in training
SO. NV Breastfeeding Taskforce President
ICQ# 23200192 [log in to unmask]
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
=========================================================================
Date: Sun, 13 Dec 1998 23:16:25 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: The Jones Family <[log in to unmask]>
Subject: GOOD NEWS--I left something out
MIME-Version: 1.0
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A few days ago I posted about one of our family practice residents
planning to do a talk on breastfeeding. The last sentence had words
left out. I think I revised it and then didn't proofread it. It should
have said that he wants to be able to help a woman latch her baby to the
breast if she comes in at the first visit and is having problems. He
has watched two postioning videos and is taking all the literature I
give him. He likes your book, too, Gail.
Bonnie Jones, RN, ICCE, IBCLC
from the sunny (even in December) S.W. USA
=========================================================================
Date: Sun, 13 Dec 1998 23:29:09 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Scott and Erin Reagan <[log in to unmask]>
Subject: Dill as a galactogogue
MIME-Version: 1.0
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Jan,
Haven't tried dill alone, but I have made a tea using one tsp of dill,
fennel, and cumin steeped in hot water for 20 minutes, take 2-3 times
daily as long as needed. This came to me from a friend who is a
midwife, and has worked quite well!
Erin Reagan
--
mailto:[log in to unmask]
=========================================================================
Date: Mon, 14 Dec 1998 14:29:39 +0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Joy Anderson <[log in to unmask]>
Subject: Re: galactogogue (and Vegemite)
Comments: cc: "Jan Barger RN, IBCLC" <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
>One of the LCs at our hospital recently had a couple who were from India.
>Mom's milk supply low -- long story -- the LC recommended, among other things,
>fenugreek. When mom came back in for a recheck, she asked about the
>fenugreek. Dad said they hadn't done it, but had done an old Indian remedy
>for low milk supply instead. To wit:
>
>1/2 cup dill seeds
>Steep in water overnight
>boil until very dark in color
>strain
>drink one cup of this dill tea a day.
>
>Mom's milk supply was way up. Anyone heard of this or know what the possible
>mode of action might be?
>
>Jan Barger
Yes, I have heard of this, and quite a few others. A pharmacist here in
Perth, Bob Longmore, gave a presentation at a seminar last July when Ruth
Lawrence was here. He has studied galactagogues in traditional writings and
tried to work out the mode of action of these from the chemicals they
contain. He included in his list aniseed & star anise, dill, vervain, holy
thistle, milk thistle, fennel, fenugreek and nigella. Also at the end of
the list, goats rue, chaste berry and raspberry leaf. I have seen or heard
of several of these on Lactnet and from other people in the last few years.
Some of the characteristics in common with some of these were calming
effects (? like oxytocin) and mild oestrogenic effects, although this is
not the case with all of them. Some seem to be still a mystery. A write-up
of his talk is in 'ALCA Galaxy' (newsletter of Australian Lactation
Consultants Association) Aug 1998, p 24-25. It is all very 'chemical'. But
fascinating, and great that a 'conventional' pharmacist and scientist is
taking an interest in finding out more about these herbal galactagogues.
Jan, I *loved* your post about Vegemite! I laughed out loud when I read it!
Now if this accounts for lots of milk in our mums, shouldn't it also
contribute to thrush (as it is a yeast extract)? We usually recommend that
it is one of the foods to avoid when suffering thrush. Many Aussies do seem
to be addicted to it - I have heard stories of Australian tourists
smuggling it into their luggage when they travel overseas! And you
mentioned small jars of it in restaurants, it has always been available in
Australia in those little plastic single-serve squares like you get for jam
(ie 'jelly' in US) and marmalade, when served with a continental breakfast
in hotels and restaurants.
BTW, you're welcome to come 'home' to Australia anytime you want!
******************************************************************
Joy Anderson B.Sc. Dip.Ed. Grad.Dip.Med.Tech. IBCLC
Nursing Mothers' Association of Australia Breastfeeding Counsellor
Perth, Western Australia. mailto:[log in to unmask]
******************************************************************
=========================================================================
Date: Mon, 14 Dec 1998 06:23:02 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathleen Bruce <[log in to unmask]>
Subject: commands
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
The command to go nomail is
Set Lactnet nomail
This gets sent to
[log in to unmask]
*the command address*.
Thanks. Kathleen PS If you need more info on this, you can ask, or you can do a
Get Lactnet Welcome
command, to the same address.
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont, where daylight is almost gone by 4 pm....
mailto:[log in to unmask]
Check these pages out...
http://together.net/~kbruce/proj.html
http://together.net/~kbruce/answers.htm
LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
=========================================================================
Date: Mon, 14 Dec 1998 07:28:35 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Newman <[log in to unmask]>
Subject: candida
Comments: To: [log in to unmask]
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
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But you don't need a prescription for gentian violet.
Jack Newman, MD, FRCPC
=========================================================================
Date: Mon, 14 Dec 1998 20:50:57 +0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Barbara Thomas <[log in to unmask]>
Subject: Sexual abuse
MIME-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
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I have been sitting here reading all these posts and experiencing familiar
feelings of revulsion. My hats off to all you brave women who have managed
to overcome such a difficult obstacle, and then to be able to talk about
it.
Yes, it is true that being able to breastfeed your baby despite being
sexually abused gives a woman empowerment, and I also found it helps with
the *healing* I guess (which is a lifelong process). To feel your innocent
baby nursing at your breast also helps in overcoming feelings of disgust
with your own body, and the fact that you are able to do something so
positive sure helps rebuild self esteem, as well.
Barbara Thomas
NMAA Counsellor in hot, hot, hot Perth Australia
Mother of Anthony (11) Linda (8) Michael (5) & Kirsty ( 4 months)
"......blest is the babe, nursed in his mother's arms, who sucks to sleep
Rocked on his mother's breast, Who with his soul Drinks in the feelings
of his mother's eye....."
(Wordsworth)
=========================================================================
Date: Sun, 13 Dec 1998 14:07:21 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Barbara Wilson-Clay <[log in to unmask]>
Subject: peer counselors
MIME-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
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A colleague has taken exception to my language regarding peer counselors in
a recent post. It is never my intention to challenge the integrity or
contribution of peer counselors or any lay counselor. My background is LLL,
so of course I am prejudiced that peer counseling is tremendously effective.
However, I continue to feel I have a legitimate right to consider that by
definition, peer implies non-clinical. This seems to me to be a defensible
position. I consider (in agreement with the recent Pew Commission finding)
that as access to health care broadens, consumer protection must also be
assured. I consider provision of health care services in institutions and in
the community a reasonable subject for debate.
If there are any peer counselors who felt personally attacked by my
comments, I offer my sincere and contrite apologies, and my continuing
gratitude for your generosity.
Barbara Wilson-Clay, BSEd, IBCLC
Austin Lactation Associates, Austin, Texas
http://www.jump.net/~bwc/lactnews.html
=========================================================================
Date: Mon, 14 Dec 1998 09:36:50 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Jan Barger RN, IBCLC" <[log in to unmask]>
Subject: In which "test" weighing didn't tell me much
Mime-Version: 1.0
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Hi all,
Mom came in to see me -- baby is 3 weeks old, and is still 11 ounces below
birth weight. Between weeks 2 & 3, gained 1.5 ounces. 7th baby -- all
breastfeed for at least 9 to 12 months. Baby latches, suckles well, good let-
down, good swallowing, no infant indication of oversupply or too much at once.
Mom is bf at least 9, sometimes 10 times in 24 hours. Diapers are SOAKED;
usually 2 good sized stools a day with some smears in between. Stools yellow,
seedy....
Weight showed 3.7 ounces taken at that feed (which was approximately 2 --
maybe 2.5 hours since the last feed.) Adequate intake at a feed for a 3 week
old infant. Assuming average intake of maybe 3 ounces/feed x 9 feeds/day = 27
ounces -- certainly adequate for growth.
So, what's the problem? Obviously something else is going on here -- and it
isn't a mechanical problem, or a milk supply problem. (We are working on
increasing caloric intake by making sure baby is extracting every LAST drop
(almost) from breast 1 before going to breast 2 -- and maybe even bf x 2 on
one side before going to side two.
So, on the face of it, the weight tells me she is getting adequate volume (at
least at this feeding). It doesn't tell me why the baby isn't gaining weight.
Yes, mom is reliable, so if she tells me that she is bf 9-10 x/24 hours, I
believe her. (We've worked together before on 3 or 4 of her other babes).
thoughts?
Jan Barger
=========================================================================
Date: Mon, 14 Dec 1998 09:56:52 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrician Drazin IBCLC <[log in to unmask]>
Subject: Re: midirs/thrush
Mime-Version: 1.0
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Wendy:
we have had some bad experiences in the states with m others using bicarb...
they tend to feel that if a little is goo thena lot is better.. injestion of
bicarb is NOT good for babies...
what I find works to tide mothers over is calendula... something I learned
about reading midirs!
Patricia
=========================================================================
Date: Mon, 14 Dec 1998 09:56:54 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Patrician Drazin IBCLC <[log in to unmask]>
Subject: Re: banked milk
Mime-Version: 1.0
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Cher:
banked milk does require a perscrition form a md... usually the milk goes to
sick children... I believe that one of the milk bank dir is on line with us
and she will be able to tell you more.
many mothers have made private arrangements... you might let this mother
know that...
Patricia
=========================================================================
Date: Mon, 14 Dec 1998 09:59:57 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Jan Barger RN, IBCLC" <[log in to unmask]>
Subject: Re: LACTNET Digest - 13 Dec 1998 - Special issue
Mime-Version: 1.0
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In a message dated 12/13/98 10:35:22 PM Central Standard Time,
[log in to unmask] writes:
<< dill is bnelieved to "open blood vessels".... m. castleman indicates that"
modern hebalists recommend ... drinking dill tea...to stimulate milk
production in nursing mothers.."
how many american women would do the work involved?
did you ask wehre they got the seeds? >>
Well, Patricia, this is the $64 question -- would american women do the work
involved? I don't know? How many dill pickles would they need to eat? WOuld
that count?
I don't know where they got the seeds, and neither did the LC. She was going
to check. I wonder if someplace that sells this sort of stuff in bulk would
be available. I also don't know how much water you use -- would this be
enough tea for one cup -- several days worth? a half cup of dill seeds seems
like A LOT.
But, the more galactogues in the armamentarium, the better.
Jan Barger, in Wheaton where it is now thinking about feeling like a typical
December in Chicago.
=========================================================================
Date: Mon, 14 Dec 1998 10:05:44 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jake Marcus-Cipolla <[log in to unmask]>
Subject: Re: sexual abuse reason
MIME-Version: 1.0
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I think one must tread very carefully here. I too am a survivor and for
that reason get many referrals from woman having trouble breastfeeding
because of a history of sexual abuse. While a healing process may start
or be helped by the experience of breatfeeding for some women, for
others nipple stimulation brings on a flood of tactile memory of the
abuse act or acts. Many women choose to suffer through it for the sake
of their children and others do not. It is not for those who have no
personal experience with sexual abuse flashbacks (or for anyone really)
to judge a women in this position. For a survivor it is as close to
re-experiencing the act of abuse as is possible. I think also that if
this is the feeling the mother is experiencing, perhaps it is best for
the child not to possibly become the inadvertant object of hostility.
No one is as merciless on bottle feeders as I, but here I must from my
own experience, ask that we be a bit less holier than thou than usual.
Jake
--
Jake Marcus-Cipolla, retired lawyer; student lactation consultant;
stay-at-home mom to Luca Antonio (7/26/94) and Nicholas Liam (5/1/97),
LLL Leader.
mailto:[log in to unmask]
************************************************************
mama jake featuring Bestfed Books
http://www.bestfedbooks.com
=========================================================================
Date: Mon, 14 Dec 1998 11:55:10 +0100
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Carlos González <[log in to unmask]>
Subject: alimentacion de las madres
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Hola
Contaba Ana Isabel que la "unica diferencia" entre su amiga que se fue
quedando sin leche y ella mismo, que siguio dando el pecho, era la
alimentacion. Pienso que hay otra diferencia mucho mas importante: su amiga
dio biberones a su hijo, y Ana Isabel no.
La cantidad o calidad de la leche no depende de la alimentacion de la madre
salvo en casos de desnutricion importante. Incluso en madres levemente
desnutridas, la cantidad y composicion de la leche sigue siendo
absolutamente normal, como demostraron los estudios de Prentice en Gambia,
donde no consiguio aumentar la produccion de leche dando suplementos
nutricionales a las madres, y donde registro varios casos de lactancia
materna de gemelos con exito. Tambien hay estudios sobre dieta para
adelgazar durante la lactancia, y no influye. Me niego a creer que una
mujer economicamente favorecida, y que encima esta engordando, pueda dejar
de tener leche por motivos nutricionales, por muy "basura" que sea su
comida.
Lo que le ocurrio a esa madre es lo que les pasa a mas de la mitad de las
madres espa#olas antes de los dos meses, tanto si comen bien como "mal":
que dudan (o les han hecho dudar) de su propia capacidad para tener leche,
e introducen por tanto el fatidico biberon. Si el bebe se toma el biberon,
por fuerza ha de mamar menos, o enfermaria (no puede comer un 10% mas de lo
que necesita y seguir sano); si el bebe mama menos, la produccion de leche
ha de disminuir al instante (si la madre fabrica la misma leche, pero el
bebe no la toma, la madre literalmente revienta: un exceso de solo 100 ml
de leche al dia significa medio litro de leche retenida en cada pecho al
cabo de solo 10 dias).
Me disculparas, Carmen, que discrepe contigo y con el Dr. Newman, pero no
me parece conveniente el uso de hierbas ni de ningun otro medicamento para
aumentar la cantidad de leche. Algunos son simplemente placebos, dan
confianza a la madre y le permiten seguir dando el pecho sin introducir
biberones. Pero no dan a la madre confianza en si misma, sino en el
placebo; a la larga no es buena estrategia, y no deja de ser enga#ar al
paciente. Otros si que funcionan, habitualmente porque estimulan la
secrecion de prolactina, como la metoclopramida, las fenotiacinas, la
cerveza (si, existe un estudio cientifico) y probablemente otras hierbas.
Habiendo medios mucho mas sencillos, fisiologicos e inocuos para estimular
la secrecion de prolactina, como poner al bebe al pecho, me parece que
todos estos medicamentos (incluyendo las hierbas medicinales) no tienen
sentidos salvo en casos en que la estimulacion fisiologica es posible, como
en algunas madres que se sacan leche para un bebe hospitalizado que no
puede mamar directamente.
En cuando al "fenugreek" (alholva, Tigonella foenum-graecum), ignoro si
estimula la produccion de prolactina o actua como placebo; pero en todo
caso contiene cumarina (segun mi libro de botanica), y su consumo podria
teoricamente afectar a la coagulacion sanguinea de la madre. Yo no me
atreveria a recetarlo sin un diagnostico y una indicacion claros y sin
controles hematologicos seriados. Claro que no suele pasar nada porque la
dosis es peque#a; pero si la madre decide triplicar la dosis porque "como
es natural no puede hacer da#o", o si tenia una alteracion previa de la
coagulacion que esa peque#a dosis descompensa, te puedes encontrar con
problemas muy graves.
Un abrazo
Carlos Gonzalez
ACPAM Barcelona
=========================================================================
Date: Mon, 14 Dec 1998 10:24:03 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Elisheva S. Urbas" <[log in to unmask]>
Subject: Re: Seeds, including dill
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In a message dated 98-12-14 10:02:50 EST, you write:
<< I don't know where they got the seeds, and neither did the LC. She was
going
to check. I wonder if someplace that sells this sort of stuff in bulk would
be available. I also don't know how much water you use -- would this be
enough tea for one cup -- several days worth? a half cup of dill seeds seems
like A LOT.
>>
There is an excellent retail mail-order spice dealer in Wisconsin -- they have
a wonderful catalogue, and are happy to sell by the half oz or the pound of
most things. -- dill seeds for sure, also fenugreek, star anise, fennel seed,
etc etc.
I don't have their number in front of me but if anyone wants it email me
privately and I will be happy to dig it up for you.
Elisheva Urbas
Looking at her spice rack here in NYC
=========================================================================
Date: Mon, 14 Dec 1998 15:28:06 +0000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Heather <[log in to unmask]>
Subject: Jan's fail-to-gain baby
Comments: cc: [log in to unmask]
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Interesting, Jan..!
Well, here's my thoughts....How reliable was the birthweight measurement?
How reliable were the previous scales - 1.5 oz weight gain in week 2-3 is
v. surprising in a baby where all the other signs of effective feeding are
present, and one might wonder if some mistake has occured (I have come
across babies where caregivers have wrongly translated metric into imperial
- plain ol' human error.
The question has also been asked before on this list - just how significant
is the birthweight as a base line measure?
(Or could be undiagnosed heart defect in the baby or similar? not sure
though if the baby would be showing signs of lethargy or listlessness with
this).
Heather Welford Neil
NCT bfc Newcastle upon Tyne UK
=========================================================================
Date: Mon, 14 Dec 1998 10:28:06 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: PrMechell Roberts Turner <[log in to unmask]>
Subject: milk boosters
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for those worring about galactagogues- the dill is out of the jar in the
spice isle of the store. take 1 tsp seeds- crush a bit- add 1 8 oz (240ml)
water. I put this in a coffee filter and put the stuff through the drip
coffee pot, works very well. there are a bunch of herbal galactatgogues some
work better than others. if i am doing a home consult, i show the mom how to
make it in her kitchen, out of her spice rack.
others are better tinctured. still growing some- borage, fennel, dill,
others take too much room. am making singles and combinations and they seem
to work well.
Mechell Turner
-----Original Message-----
From: Automatic digest processor <[log in to unmask]>
To: Recipients of LACTNET digests <[log in to unmask]>
Date: Monday, December 14, 1998 10:05 AM
Subject: LACTNET Digest - 13 Dec 1998 to 14 Dec 1998 - Special issue
=========================================================================
Date: Mon, 14 Dec 1998 10:33:42 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Jan Barger RN, IBCLC" <[log in to unmask]>
Subject: Dill
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Erin writes:
<< Haven't tried dill alone, but I have made a tea using one tsp of dill,
fennel, and cumin steeped in hot water for 20 minutes, take 2-3 times
daily as long as needed. This came to me from a friend who is a
midwife, and has worked quite well! >>
1 tsp of each? how much water? How much do they take -- 1 cup 2-3 times a
day?
Jan
=========================================================================
Date: Mon, 14 Dec 1998 10:40:48 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Ann Twiggs <[log in to unmask]>
Subject: "Blanket" permission
I just realized - this is a pun. Anyway, I just wanted to let you all know
that the Ohio Lactation Consultant Association (OLCA) is putting up a
billboard in Columbus for the month of January (state legislators
reconvene) that will say "Breastfeeding Welcome in Ohio" . I am going to
see that art work tommorrow. We are paying full price for this ($1,500
per month) so that we can have it placed in a well trafficked area. I'll
also ask if they can do a few public service ones in other not so
desirable areas. I'm also planning on send each legislator a letter with
an individual "Breastfeeding Welcome Here" sticker to display in their
offices along with the cost effectiveness of BF WABA flyer. We
decided to go with a positive message. If we say it is so perhaps it will
be so.
Ann Twiggs, President OLCA
Columbus, Ohio "Breastfeeding Welcome in Ohio"
=========================================================================
Date: Mon, 14 Dec 1998 10:41:47 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Jan Barger RN, IBCLC" <[log in to unmask]>
Subject: Re: Jan's fail-to-gain baby
Comments: To: [log in to unmask]
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Heather writes:
<< Well, here's my thoughts....How reliable was the birthweight measurement?
How reliable were the previous scales - 1.5 oz weight gain in week 2-3 is
v. surprising in a baby where all the other signs of effective feeding are
present, and one might wonder if some mistake has occured (I have come
across babies where caregivers have wrongly translated metric into imperial
- plain ol' human error. >>
My first thought was wrong birth weight too. However, this mom had NO
interventions in labor -- no epidural, no extra IVs or Pit or anything.
(Smart mom). I saw babe in hospital -- she LOOKED to be a 9-1 baby. First
check at peds office at 10 days was 8-6. Hmmm.... Back a week later, and up
to 8-7.5. In to see me that same day -- on my scale 8-5.7. (After a LARGE
void). So even on different scales, we are still batting around the same
amount. Even if the birth weight was off, the weight from one week to another
is accurate....
Anyone know how to increase fat CONTENT in milk? Increasing fat intake in
mom's diet changes the fatty acid composition of the milk, but doesn't
increase fat necessarily unless she's already in starvation mode, and although
this mom is thin, she's not excessively so, and she eats far more than I do.
(No comments from the peanut gallery here....)
Jan
=========================================================================
Date: Mon, 14 Dec 1998 10:49:08 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Sheila Humphrey, B.Sc.(Botany) RN IBCLC" <[log in to unmask]>
Subject: dill info
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Dill - Anethum graveolens - contains trans-anethole, a sweet tasting chemical.
Dill and trans-anethole are listed as lactogenic according to Duke. Note:
cis-anethole is a much more toxic and bitter form - they are often lumped as
anethole in older references. Dill also contains carvone, like another
lactogogue relative caraway seed, as well as a lot of other aromatic
compounds.
Bingel and Farnsworth describe dill oil used as lactogogue in Pakistan &
Italy, seeds used in North Africa ( also as sedative). The same lactogogue
reference also lists these other familiar members of the dill family
(Umbelliferae): sweet fennel, caraway, aniseseed, celery seed and cumin seed.
Multiple geographic use and livestock use described for many in this family (
signs of efficacy).
Dill seed is commonly available in supermarkets ( USA) - to round up larger
quantities, check with local healthfood stores, or Indian shops.
The description of use was great except for one thing: how much water did they
use with the 1/2 cup of dill seed?
Thanks for posting,
Sheila Humphrey
BSc RN IBCLC
[log in to unmask]
=========================================================================
Date: Mon, 14 Dec 1998 10:49:05 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Sheila Humphrey, B.Sc.(Botany) RN IBCLC" <[log in to unmask]>
Subject: alfalfa info
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Recall Mechell Turner includes alfalfa in her supply-building protocol.
Alfalfa - Medicago sativa - member of the legume family (fenugreek, goat's
rue, licorice, clover, soy, peanuts) contains isoflavones: daidzein,
formononetin, genistein and biochanin - phytoestrogens. The seed and sprouts
at least, contain alkaloids ( stachydrine, l-homostachydrine) that Duke
references as lactogenic. Plant also contains similar compounds ( choline,
trimethylamine, betaine). One animal study showed increased prolactin levels
with alfalfa.
I've also run into oversupply secondary to alfalfa consumption (some 15
capsules powdered leaf/day taken for non-breastfeeding reason) which resolved
when alfalfa stopped. This was in an individual who had successfully managed
a tendency to oversupply with previous children but didn't know alfalfa's
reputation.
Always worth asking what foods and herbs a mom may be using. So, can anyone
down under tell us what's in vegemite and or marmite?
Sheila Humphrey
BSc RN IBCLC
[log in to unmask]
=========================================================================
Date: Mon, 14 Dec 1998 08:17:55 PST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: laurie wheeler <[log in to unmask]>
Subject: jan's test wt, mom has supply
MIME-Version: 1.0
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Jan,
I would say this wt DOES tell you something. If the milk supply is
adequate and the milk transfer is adequate, then I would think it is a
baby problem. Metabolic? I think needs further eval by the pedi.
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: Mon, 14 Dec 1998 11:29:21 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: R Bacon <[log in to unmask]>
Subject: Good intake, no weight gain
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Jan, sad to say the only babies I have seen with no weight gain
and large intake have been babies with heart problems. They
need so many calories to survive, it can be a real struggle
for them.
Ruth Bacon IBCLC Thornhill Ontario
=========================================================================
Date: Mon, 14 Dec 1998 11:37:26 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Carol Brussel <[log in to unmask]>
Subject: banked milk
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yes, donor milk requires a prescription, but it is not true that it is
"reserved" for sick babies. if a milk bank has enough milk on hand, it can
dispense it with discretion to anyone with a need. an adopted baby can often
receive milk from the denver mother's milk bank (i don't know about the policy
at the others), and they have plenty of milk right now.
carol brussel IBCLC
=========================================================================
Date: Mon, 14 Dec 1998 11:39:41 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Carol Brussel <[log in to unmask]>
Subject: dill seeds
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dill seeds are available in regular grocery stores, in the spice section. you
buy them for recipes and pickle-making. a half-cup would make a lot of strong
tea, i would think. you can buy them more cheaply at the bulk section of
health food stores. they are also easy to grow; in fact, they self-seed and
continue growing year after year. and they attract butterflies, one of the
nicest things about this plant.
carol brussel IBCLC
"pickle-maker"
=========================================================================
Date: Mon, 14 Dec 1998 11:42:56 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Carol Brussel <[log in to unmask]>
Subject: increasing fat content in milk
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jan, i teach moms to do breast massage before nursing and compression during
nursing to increase fat content. this seems very crucial for preemie moms,
where you know you can't increase the volume much, so increasing the caloric
content is a good strategy.
carol brussel IBCLC
=========================================================================
Date: Mon, 14 Dec 1998 19:08:10 +0200
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Pamela Morrison IBCLC <[log in to unmask]>
Subject: Jan's low weight gain baby
Comments: cc: [log in to unmask]
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Jan you describe a baby who is taking in enough and putting out enough, yet
still not gaining weight. Is baby still a little jaundiced? In these
circumstances I would strongly suspect some kind of *infection*,
particularly UTI, suggest mom get baby checked from top to toe by HCP, get a
urine analysis done and see if anything comes up. Meanwhile mom to keep
feeding the babyt just the way she is. It may be that because the baby is
*breastfed* she just does not *seem* sick (not overwhelmed by the
infection). Keep us posted.
Pamela Morrison IBCLC, Zimbabwe
mailto:[log in to unmask]
=========================================================================
Date: Mon, 14 Dec 1998 09:38:57 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Kathleen G. Auerbach" <[log in to unmask]>
Subject: Re: LACTNET Digest - 13 Dec 1998 - Special issue
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You forgot some other things.
LACTMANIACS have miniature breast pump parts hanging on the tree as
ornaments. THe more obscure parts make a wonderful "mystery ornament" for
the uninformed!
They never cook a HEN turkey, thinking instead of the mamma turkeys
gathering their babes under their wings when danger approaches!
When winter winds blow, LACTMANIACS use a dab of lanolin over the rouge to
keep the color HIGH and the skin supple!
I could go on, but have work to do today.... :-D
mailto:[log in to unmask]
"We are all faced with a series of great opportunities brilliantly
disguised as impossible situations."
Kathleen G. Auerbach,PhD, IBCLC (Ferndale, WA USA) [log in to unmask]
WEB PAGE: http://www.telcomplus.net/kga/lactation.htm
LACTNET archives http://library.ummed.edu/lsv/archives/lactnet.html
=========================================================================
Date: Mon, 14 Dec 1998 12:40:30 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Cathy Bargar <[log in to unmask]>
Subject: more on dill
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I just got back from a trip to the Bahamas, where drug stores sell a product
called "Gripe Water", used for "windy" (gassy) babies, and its active
ingredient is oil of dill. Anybody know anything about this use of dill
seed? Sounds like there's a useful connection in dill, if it can be used in
both mom & babe.
Don't you love a product labelled "Gripe Water?" It's one thing I love about
UK labelling - they call a product what it is, like "Prickly Heat Powder" by
Johnson & Johnson. You see it, you know what it's for, and you don't have to
guess what the company isn't allowed by the FDA to say...
=========================================================================
Date: Mon, 14 Dec 1998 13:17:04 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Linda J. Smith" <[log in to unmask]>
Subject: PCs and LCs (long)
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Marie and Barbara have brought up issues that have been discussed at length
in many forums, but I want to clarifiy this ONE MORE TIME. Peer counselors,
LLL Leaders, and IBCLCs are NOT interchangeable. An IBCLC is certified to
do, and to know, things that are beyond the scope of practice and knowledge
of a peer counselor and LLL Leader.
Consider other models: Certified Childbirth Educators are not Doulas; Doulas
are not Midwives; and Midwives are not Obstetricians. All assist birthing
women, in different ways. Peer outreach workers are not Licensed Social
Workers. Licensed physical education teachers are not necessarily Certified
swim coaches, and vice versa. Some childbirth educators also have doula
training. Some midwives were, or are, childbirth educators. Some RNs are
also doulas, childbirth educators, or midwives. Or lactation consultants,
LLL Leaders, and/or peer counselors. Or certified swim coaches.
One individual can wear several "hats" without implying that the
professions/occupations/scopes of practice are interchangeable. The JOBS are
not interchangeable. Institutions developing policies and staffing
guidelines must be absolutely clear about the differences in these roles,
for legal, ethical, and financial reasons. I'm all for cost-cutting, but I
sure wouldn't want a doula to be hired in place of a Certifed Nurse Midwife
and tasked with her duties!
It takes Peer counselors, IBCLCs, LLL Leaders, IBCLCs, RNs, RDs, MDs, and a
lot of others to properly support breastfeeding women. Knowing our
professional and personal limits is essential for EVERYONE. The roles are
NOT interchangeable.
Linda J. Smith, BSE, FACCE, IBCLC
Bright Future Lactation Resource Centre
Dayton, OH USA
http://www.bflrc.com
=========================================================================
Date: Mon, 14 Dec 1998 13:20:55 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Jan Barger RN, IBCLC" <[log in to unmask]>
Subject: baby with low weight gain
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Ruth writes:
<< Jan, sad to say the only babies I have seen with no weight gain
and large intake have been babies with heart problems. They
need so many calories to survive, it can be a real struggle
for them.
>>
Yeah -- me too. However, THIS baby doesn't look like that. And remember, she
was just eval by the peds about 2 hours before seeing me. Well. we'll see
what tomorrow's weight check brings -- I'm banking on not enough calories
(though I'm not sure why. A hunch, maybe). I will let you know....
Jan
=========================================================================
Date: Mon, 14 Dec 1998 11:18:16 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jerry & Jacie Coryell <[log in to unmask]>
Subject: Re: dill
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We now we know who has canned pickles before. In my earth mother stage,
I canned thousands of jars of pickles and used dill seed from the grocery.
Jacie where the skies are bright blue in Albuquerque, New Mexico
=========================================================================
Date: Mon, 14 Dec 1998 13:23:40 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Jan Barger RN, IBCLC" <[log in to unmask]>
Subject: Re: Jan's low weight gain baby
Comments: To: [log in to unmask]
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Pam suggests:
<< Is baby still a little jaundiced? In these
circumstances I would strongly suspect some kind of *infection*,
particularly UTI, suggest mom get baby checked from top to toe by HCP, get a
urine analysis done and see if anything comes up. Meanwhile mom to keep
feeding the babyt just the way she is. It may be that because the baby is
*breastfed* she just does not *seem* sick (not overwhelmed by the
infection). Keep us posted. >>
No jaundice, but UTI always a possibility. If no/inadequate gain tomorrow,
I'll have the peds check this...
Thanks all!
Jan
=========================================================================
Date: Mon, 14 Dec 1998 13:33:11 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Anne Cook <[log in to unmask]>
Subject: multiple food sensitivities
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I'm forwarding the following for another LLL Leader.
The mother's plan is intriguing. The mother, the
Leader, and I would welcome
input...information...support...suggestions...as well
as answers to her specific question.
Anne Cook, MS, LLLL
Sturgis, MI
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Date: Mon, 14 Dec 1998 12:17:13 -0500
From: Anne Cook <[log in to unmask]>
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Subject: APL question
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Baby is 3 months old and seems to be sensitive to
almost everything mom eats. Mom has eliminated all
dairy, wheat, eggs, you-name-it from her diet. When
she adds one thing back, baby becomes terribly fussy.
She can eat brown rice, all meats, lettuce, but that's
about it. The other day she put olive oil on the rice,
and baby reacted. Mom says it's the ONLY thing that
was different.
As you can imagine, mom is getting very fed-up with
this diet (or UN fed-up!) She's just about at the
point of weaning. She's so distraught that the irony
of that move escapes her. In her mind, nothing could
be worse than this.
She has thought of an alternate plan, though, but needs
some information to carry it out. Wants to know "the
half life" of foods. How long after she ate something,
would it be out of her system? She says she would like
to pump ahead and store enough milk to carry her
through this period. Then she would eat whatever she
wants, pumping and dumping until it would be "safe" to
feed the baby again.
I can't find anything about how long this would be.
The only thing I do find is that if the mother has been
all along consuming, say, dairy, it could take a couple
weeks before the baby's stopped reacting to it. But I
assume that means that there's a build-up in both the
mother's and baby's systems.
What would YOU suggest?
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Date: Mon, 14 Dec 1998 10:55:01 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Audrey Trenholme <[log in to unmask]>
Subject: very sick mother
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Dear Wise Ones,
Might someone have some ideas about a puzzling situation that I have
encountered. The 30year old mom suffered with terrible vomitting and
stomach problems all through her pregnancy. At 38 1/2 weeks(who can be
so exact?) she was induced and gave birth to her first, a 6lb 13oz baby
girl. To add to her troubles the baby wouldn't latch. Mom has one
inverted nipple and one that just sits there. Since the birth the mom
has pumped and supplied her baby with breastmilk. Unfortunately this
poor mother has in the last 2 weeks suffered the most dreadful diarrhea
and vomitting. She has had no fever and has needed IV therapy for
dehydration. So far the only "explanation" is that it "could be hormonal
and .... " She is scheduled for some tests in hospital today and the
gastroenterologist will probably have something to report. This mom is
really dedicated to breastfeeding even though she has not been able to
enjoy the experience. She is down to pumping 4 times a day and gives EBM
by bottle.
So there's the long story. Is there anything I can do to help if they
tell her to stop expressing because of "hormone" problems? Any ideas of
where to search in the archives? Anyone with a similar experience? The
baby has been doing well on her mom's milk (except for a few ounces)
since she was born on Nov. 22! Maybe mom should try it?
Any ideas to help solve this mystery would be greatly appreciated!
Audrey Trenholme, BEd. IBCLC
Victoria, B.C.
=========================================================================
Date: Mon, 14 Dec 1998 20:50:13 +0200
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Lorne Steward Currie <[log in to unmask]>
Subject: hi there
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I am Barbara Currie, 54 years old, Married to Keith (a New=20
Zealander) and have a son called Lorne. I am a trained nurse, midwife=20
and Intensive Care nurse. I live in Mpumalanga (the place where the sun =
rises) in a little town called White River and work at the Nelspruit=20
Private Hospital where I am employed as a Lactation Nurse. Mpumalanga is =
=3D
on the eastern side of South Africa and is where the famous Kruger=20
National Park is located.
I had Lorne when I was 38 and really battled to breastfeed. Had=20
a Caesar, cracked nipples, engorgement and bottles - at 4 months I=20
decided to give up but was heartbroken and someone mentioned L.LL -=20
phoned and got good results (probably because I listened) and fed Lorne=20
for 31/2 years. I then made a decision to help wherever I could with=20
breastfeeding. After years away from nursing I again started in 1994 in =
ICU and then moved to the teaching department, and it was whilst I was=20
working there that the maternity department asked me to help with=20
breastfeeding and eventually asked me to stay on. I love it and have=20
had wonderful support from Jean Ridler, (Cape Town) as I hadn't done=20
very much work in that field for a while. I have had some wonderful=20
experiences and sometimes felt that I have been thrown in the deepend=20
but it's sink or swim. I hope to do the Lactation Consultants exam at=20
some stage. I am also a qualified tour guide for the Kruger National=20
Park - a work that I really enjoy. =20
Joining Lactnet has been wonderful. I have learnt so much! I=20
marvel at the information that is shared. I look forward to joining=20
in!
God bless,
Barbie Currie
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<BODY bgColor=3D#ffffff>
<DIV><BR> I am Barbara Currie, 54 years old, =
Married to=20
Keith (a New <BR>Zealander) and have a son called Lorne. I =
am a=20
trained nurse, midwife <BR>and Intensive Care nurse. I live in =
Mpumalanga=20
(the place where the sun <BR>rises) in a little town called White River =
and work=20
at the Nelspruit <BR>Private Hospital where I am employed as a Lactation =
Nurse.=20
Mpumalanga is =3D<BR>on the eastern side of South Africa and is where =
the famous=20
Kruger <BR>National Park is located.<BR> I =
had=20
Lorne when I was 38 and really battled to breastfeed. Had =
<BR>a=20
Caesar, cracked nipples, engorgement and bottles - at 4 months I =
<BR>decided to=20
give up but was heartbroken and someone mentioned L.LL - <BR>phoned and =
got good=20
results (probably because I listened) and fed Lorne <BR>for 31/2=20
years. I then made a decision to help wherever I could with=20
<BR>breastfeeding. After years away from nursing I again started =
in 1994=20
in <BR>ICU and then moved to the teaching department, and it was whilst =
I was=20
<BR>working there that the maternity department asked me to help with=20
<BR>breastfeeding and eventually asked me to stay on. I love =
it and=20
have <BR>had wonderful support from Jean Ridler, (Cape Town) as I hadn't =
done=20
<BR>very much work in that field for a while. I have had =
some=20
wonderful <BR>experiences and sometimes felt that I have been thrown in =
the=20
deepend <BR>but it's sink or swim. I hope to do the =
Lactation=20
Consultants exam at <BR>some stage. I am also a qualified =
tour guide=20
for the Kruger National <BR>Park - a work that I really enjoy. =20
<BR> Joining Lactnet has been =
wonderful. I=20
have learnt so much! I <BR>marvel at the information that is =
shared. I look forward to joining=20
<BR>in!<BR> &n=
bsp; &nb=
sp; &nbs=
p;  =
; =20
God=20
bless,<BR> &nb=
sp; &nbs=
p;  =
; =
=20
Barbie Currie</DIV></BODY></HTML>
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Date: Mon, 14 Dec 1998 20:51:28 +0200
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Lorne Steward Currie <[log in to unmask]>
Subject: Re: hellp syndrome
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I have just read Linda Bojman's request for information on Hellp=20
Syndrome. I have some excellent notes on Hellp Syndrome. I actually=20
nursed a doctor from Kenya who had Hellp Syndrome - she was critically=20
ill but recovered well.
Term: Hellp Syndrome coined 1982 by Weinstein to syndromes=20
laboratory abnormalities.
H =3D3D Haemolysis
EL =3D3D Elevated Liver Enzymes
LP =3D3D Low Platelets.
Seen as a variant of pre-eclampsia -eclampsia.
-Patients with this syndrome have a high risk of developing muliple=20
organ failure.
If you want these notes contact Barbie Currie at [log in to unmask] =
These notes are written in Word format
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<DIV>I have just read Linda Bojman's request for information on Hellp=20
<BR>Syndrome. I have some excellent notes on Hellp=20
Syndrome. I actually <BR>nursed a doctor from Kenya who had =
Hellp=20
Syndrome - she was critically <BR>ill but recovered=20
well.<BR> Term: Hellp Syndrome coined 1982 =
by=20
Weinstein to syndromes <BR>laboratory abnormalities.<BR>H =
=3D3D =20
Haemolysis<BR>EL =3D3D Elevated Liver Enzymes<BR>LP =
=3D3D Low=20
Platelets.<BR>Seen as a variant of pre-eclampsia =
-eclampsia.<BR>-Patients with=20
this syndrome have a high risk of developing muliple <BR>organ=20
failure.<BR> If you want these notes contact Barbie Currie =
at <A=20
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
<BR><BR> =20
These notes are written in Word format<BR></DIV></BODY></HTML>
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Date: Mon, 14 Dec 1998 14:10:55 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: NECSI <[log in to unmask]>
Subject: baby not gaining
Comments: To: Jan <[log in to unmask]>
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Jan,
This is really out of my realm of expertise, but I'll add my .02 as the
mother of two small babies who went crazy with frequent weigh-ins both in
the
NICU and once babies were home. I didn't see anyone address the
questions: Does the baby
look healthy? Is the baby doing all the normal things that babies of his
or her age
do? Nine pounds is a lot to start with and if the baby seems to be
thriving otherwise, then do you really need to worry yet? My two four and
a half pounders
also had some ups and downs at the very beginning and we worried, but they
were otherwise healthy and, after a couple of weeks began gaining
consistently.
I hope this is helpful. As I said, it is coming from personal
experience, not
professional expertise.
Naomi Bar-Yam