Netters, yes i carry extra insurance ( liability) on my homeowners policy
for those who might get hurt and sue. I have stps and a muddy driveway after
all this rain we have had. The extra $$ in accident is only 3 dollars a year
to the policy worth it in my opinion. Insurance is with FArm Bureau.
Mechell Turner
-----Original Message-----
From: Automatic digest processor <[log in to unmask]>
To: Recipients of LACTNET digests <[log in to unmask]>
Date: Tuesday, January 26, 1999 11:05 AM
Subject: LACTNET Digest - 25 Jan 1999 to 26 Jan 1999 - Special issue
=========================================================================
Date: Tue, 26 Jan 1999 16:52:12 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: Baby-Friendly Hospital Initiative
Mime-Version: 1.0
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Dear Folks:
The best place to ask questions about BFHI in the States is the Center for
Breastfeeding, which is administering the program for the USA. The whole
process is articulate, formalized, (the US now has 17 Baby-Friendly sites
with many more Certificates of Intent.....hurrah!!) and intricate. There is a
lot of technical suppport available. Contact the Center at 508-888-8044 or
<[log in to unmask]>. Warmly, Nikki Lee
=========================================================================
Date: Tue, 26 Jan 1999 16:49:30 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Johanna Berger <[log in to unmask]>
Subject: Why we do what we do...
Dear Lactnetters,
I came out of the grocery store a few days ago to find the following note
on my windshield (written on a page of a coloring book).
"...but I must say that I was totally impressed by your breastfeeding
sticker [I have a bf bumper sticker on my car] - I'm a closet feeder of a
5 & 3 yr. old. Not many people I can admit that to but your bumper
sticker was a breath of freshness for me - Thank you."
Just wish I knew who it was, my nursing mothers group could use her
experience. Anyway, just made my day. This is why we do this, sometimes
we just make people feel like they're *normal* and *belong*.
Johanna Berger, LSW
Breastfeeding Counselor
Bala Cynwyd, PA
=========================================================================
Date: Tue, 26 Jan 1999 17:13:30 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Annette Leibovitz, IBCLC, LLLL" <[log in to unmask]>
Subject: relactating question/older child
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I had an unusual call from a mom with a 19 month old. The mom breastfed the
baby for 7 months. He (the baby) "stopped" nursing. Now she belongs to an
attachment parenting group where everyone else is breastfeeding. She wants to
know how to relactate and start her child back to breastfeeding.
I can handle the relactating part but have never encountered anyone that
wanted to start after stopping such a long time. She has not put the child to
the breast since he was 7 months old. She is also unsure if she wants to start
this if she is only going to give the milk via the bottle.
They are co-sleeping and bath together.
Annette Leibovitz
Buffalo Grove, IL
=========================================================================
Date: Tue, 26 Jan 1999 17:34:10 -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: radiation
Comments: To: [log in to unmask]
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There are no issues here as far as radiation requiring a mother to stop
breastfeeding. No references necessary either. How would radiation affect
the milk? It won't and any radiation oncologist who knows his business
would know that too.
However, there is an issue. If she gets radiation to the chest, the
radiation may adversely affect the milk producing cells and actually kill
them. The mother should make sure that as much as is reasonable while still
treating her disease, the breasts be protected from radiation. (not because
of adverse effects on the milk and the baby).
Jack Newman, MD, FRCPC
=========================================================================
Date: Tue, 26 Jan 1999 17:35:17 -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: itching
Comments: To: [log in to unmask]
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This is very common this early is it not? Probably will last a few more
weeks, but can go away soon too.
Jack Newman, MD, FRCPC
=========================================================================
Date: Tue, 26 Jan 1999 14:39:10 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Janet Simpson <[log in to unmask]>
Subject: Breath of fresh air...
Mime-Version: 1.0
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HI All,
Nice story of my own to relate...
My 13 yr old son and I were out grocery shopping last night. At the
checkstand we got to talking to the bagger (an 18 yr old gal). She said I
looked tired, and I told her how much time I have been spending at my
friends house helping her BF her two new babies and how it was hard to care
for her and my own family as well right now (but worth it!). SHe then
started to tell me how wonderful BF was, gave all the reasons it was better,
told me how she was learning all about it in her child development class in
college. TOld me about her sister who had a 9 mo old son, but the baby had
been premature and had never gone to breast - she just pumped for 5.5
months, and how she (the bagger) was very sad that her sis quit pumping. I
told her that what her sis did was actually pretty amazing - to pump and bot
feed for 5.5 mo is really good. I could see that she was really
disappointed with her sisters decision, but after talking with her for a bit
(I had a LOT of groceries!) she came to see that her sis had worked really
hard and that she could be proud of what her sis did do. As we walked out
to the car, she told me that she could hardly wait to have her own kids so
she could BF them!
When we got into the car, my son said to me - "That is really amazing - an
18 yr old who really knows the improtance of BF. I hope that when I find
someone to spend the rest of my life I am lucky enough to find someone who
believes as strongly in BF as she does!"
Made my night! :D
Jay
Jay Simpson, CLE
Sacramento, California, West Coast, USA
"No Miracles performed here, just a lot of love and hard work."
=========================================================================
Date: Tue, 26 Jan 1999 17:44:00 -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: rice starch added & WIC
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Ann Twigg writes, re: the rice-added ABM that's set us all a-buzzing today:
"USDA has also approved its
use in the WIC program. The product literature indicates that this infant
formula was designed as a nutritionally balanced alternative to
conventional infant formula with added infant rice cereal WHEN A
PHYSICIAN RECOMMENDS THE USE OF A THICKENED FORMULA"
I had lunch today with my former WIC co-workers specifically for the purpose
of finding out what they knew about this stuff, and they told me that it's
NOT approved for use in WIC. Could this vary state-by-state? Anyway, they're
getting a lot of complaints here because so many of the mothers WANT this
stuff, and their doctors tell them to use it (for the "reflux" supposedly),
but they can't get it through WIC.
I'm blown away by this whole concept. Dr. Jack & others who know lots of
stuff, what about this dx. of "reflux" anyway? I'm suspicious of the whole
thing, frankly - we hear that dx. so often - most of the time it sounds to
me like a HCP who doesn't know what else to say about a spitty baby.
So if this E****** AR junk is REALLY to treat the dreaded reflux, shouldn't
it be sold on prescription, treated like a drug rather than a food?
Kathy Dettwyler & all you others who told me I give people too much credit,
I think you might be right! This thing seems to be setting me off. I swear,
some folks don't have the brains god gave geese!
Cathy Bargar, Ithaca NY. What next? We've already got "formulas" for all age
segments of the population, we've got medicines that taste like candies,
we've got diapers for big kids and diapers for grown-ups...(rant, rant...)
=========================================================================
Date: Tue, 26 Jan 1999 17:51:36 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Robert Cordes DO <[log in to unmask]>
Subject: rotavirus/lacotse free
Mime-Version: 1.0
Content-Type: text/plain
I've only been briefly scanning L-net the past few days but was
there a post reguarding a baby taken off breast milk and put
on lactose free formula because of rotavirus infection?
-Rob
=========================================================================
Date: Tue, 26 Jan 1999 18:00:33 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: Re: LACTNET Digest - 26 Jan 1999 - Special issue
Mime-Version: 1.0
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Sally
Tom Hale has a wonderful list of radioactive materials and safety in
breastfeeding on his web page. Reference will be available on archives.
Wendy Jones
The Breastfeeding Network UK
Pharmacist
=========================================================================
Date: Tue, 26 Jan 1999 18:04:56 -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: teens, babies, school
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Absolutely, teen moms should be encouraged to bring their babies with them
to school, and to have a childcare room for them, and be encouraged to nurse
whenever the baby's hungry. But I can see why carrying the baby with them
all day might not be the best way to manage the situation. In addition to
Jay's thoughts (need for moms to concentrate in class, etc.), in my
experience these young parents also need the experience of being high school
(or middle school, unfortunately) students, and I think that there's a lot
to be said for having their babies there at school, and being able to nurse
ad lib, but being able to go to classes baby-less. After all, they're still
teenagers, and they need the chance to be seen as "regular" kids and not
just "teen moms". And I think Jay's right - they DO need to pay attention to
their classes, if they ever want to graduate. BUT (here I go again, giving
people too much credit), I guess ideally the choice of which way to handle
it should be up to the student; seems perfectly conceivable to me that some
would be better off one way and some the other, and/or some days she might
choose to leave her baby in the nursery & other days keep it with her in
class.
I too have an awful soft spot for these young mothers! I love working with
them - I have 5 teenage daughters & step-daughters in my household (and a
21-yr. old son away at college), so I guess it's a good thing I like
growing-up girls! Life is never dull, with all these kids and all their
friends around - why do you think I spend so much time on lactnet?! Got to
stay out of their hair!
Cathy Bargar
=========================================================================
Date: Tue, 26 Jan 1999 18:09:58 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: Nipple extractor beginning with an N and ending with an e
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This nipple extractor is an instrument of exquisite torture in mho. It claims
all sorts of miracles but there are no respectable research papers to prove it
works and that it does no damage, no matter what the blurb on the box says.
They are v costly. I believe they can do damage and I also believe that no-
one should ever recommend them, you lay yourself open to being sued. How
about trying it out on ourselves - not!
I have posted the same sort of views before, apols for those who have to hear
the record again!
Stepping down - blood pressure is fine now!
Helen Woodman, Storrington, UK.
=========================================================================
Date: Tue, 26 Jan 1999 18:19:37 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Jeanette F. Panchula" <[log in to unmask]>
Subject: Baby Friendly and formula purchase
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I have become "the task force queen" in the new area I have moved to, as =
a
way of meeting the people who I hope will help me get a job. =
At one of the task force meetings, it was brought up that the hospital sh=
e
works in receives free formula. They want to get to the "baby friendly"
status, so the administration is asking her how they can replace the free=
formula they are now getting (the value is around $60,000 if purchased).
Granted, with more of the moms breastfeeding, the cost would perhaps not =
be
that high, but they do not see as an option to tell the moms to bring in
their own formula (after all, surgical patients are fed), nor can they
increase the cost as they are assigned a flat rate per patient by most
insurance companies.
In Puerto Rico, it would be much easier to ask the moms to bring in their=
own formula - as they bring in their own pillows, blankets, etc. However=
,
in the US this is not so easy. =
So - I ask those who are already successful - what is being done to repla=
ce
these funds?
Jeanette Panchula, RN, IBCLC
Vacaville, CA
[log in to unmask]
PS please answer me directly as well as to the 'net, as I am WAY behind i=
n
reading! (too many meetings, interviews, and "cold calls"...)
=========================================================================
Date: Tue, 26 Jan 1999 17:08:45 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Sharon S Knorr <[log in to unmask]>
Subject: Re: sour milk again
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Dear Marie,
Didn't mean for it to sound like you hadn't done your homework - more of
a suggestion to the newbies to invest in some good reference books.
Lawrence (4th Ed.) speaks to this issue on page 619 "Changing flavors of
stored milk" and is indexed under "milk-human-stored, flavor changes in".
BAB has a very short reference on page 191 in the chapter on
expressing/storing milk, but also references to pg. 619 in Lawrence.
The BB discusses this on page 144 under "Lipase."
Both Lawrence and the BB have nice charts outlining the effects of
various storage techniques, including heat treatment, on the various
constituents of breastmilk.
Warmly,
Sharon Knorr, BSMT, LLLL, IBCLC in Newark, New York (near Rochester)
mailto:[log in to unmask]
___________________________________________________________________
You don't need to buy Internet access to use free Internet e-mail.
Get completely free e-mail from Juno at http://www.juno.com/getjuno.html
or call Juno at (800) 654-JUNO [654-5866]
=========================================================================
Date: Tue, 26 Jan 1999 16:39:16 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: jhroibal <[log in to unmask]>
Subject: Acculturation and Breastfeeding
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Dear Wendy,
There is an article, "Acculturation and Breastfeeding on the United
States-Mexico Border" The American Jol. of the Medical Sciences July
1993, Vol 306. Number 1 that is very interesting and discusses the
effects of acculturation in Hispanic immigrant women. There is strong
association between ethnicity and initiation of breastfeeding.
Acculturation to the predominant culture is one such aspect. According
to the article, " . . . mothers LEAST acculturated to the US are MOST
likely to breastfeed. Thus adaptation to the culture of the US
influences infant-feeding choices." There was a decline in
breastfeedins as acculturation increased. HOW SAD! And American is
supposed to the be the land of life, liberty and happiness!
Your research is very important. I see mothers everyday who somehow
feel that to "fit in with the American way of life" they are supposed to
bottlefeed. Bottlefeeding is supposed to be associated with wealth and
success. My mother-in-law (who is Hispanic) said that when she was a
girl, breastfeeding was a sign that you were too poor to buy milk.
Bottlefeeding showed the community that you had money, *enough* money to
buy milk for your baby. Somehow, she managed to breastfeed all eight of
her children.
Many Native Americans have a WIC clinic on their reservations, but they
are NOT federal. The WIC clinics are governed by individual tribal
jurisdictions, so anything goes. Fortunately, breastfeeding rates are
sightly increasing. A beautiful calendar of Native American women
breastfeeding their babies was created several years ago. I suspect
this helped new mothers, by displaying breastfeeding as the norm.
However, some Native American groups DO NOT allow their pictures to be
taken.
How can we change this perceived cultural *norm*. Kathy D., I'd be
interested in your comments.
Heidi S. Roibal
Native American from the Pueblo of Acoma, New Mexico, USA
whose father was nursed alongside with an orphan cousin.
=========================================================================
Date: Tue, 26 Jan 1999 16:42:43 -0700
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: jhroibal <[log in to unmask]>
Subject: Rice starch in formula, who know where next!
MIME-Version: 1.0
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It's amazing. The jarred baby food company, G****R FINLLY quit adding
"modified food/rice starch, sugar and salt" to their starter foods and
other jarred baby foods just in time to see formula companies add rice
starch to their product. Coincidence? (Well, someone HAS to use up all
the excess starch/junk floating around??!?!) Anything for profit. WHAT
A CROCK! I read somewhere that adding cereal too early actually causes
babies to sleep LESS because of all the heartburn they experience from
their poor little tummies protesting!
Heidi in NM where its clear and sunny and we have to use tumbleweeds to
make "snowmen"
=========================================================================
Date: Tue, 26 Jan 1999 19:03:29 -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: relactation after a long time
Comments: To: [log in to unmask]
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I recently saw a mother with a 20 month old toddler who had been off the
breast for about 5 months. (CB remind me if this is incorrect--although
she's from Toronto, she somehow got in touch with carol brussel who referred
her to me). She had stopped because she thought she was supposed to. We
got the mother's milk supply up, and apparently the baby is breastfeeding
again.
I didn't think it was going to work, but it did. But it wasn't anywhere as
long a time as this baby and mother.
If the mother really wants to, it's worth a try.
Jack Newman, MD, FRCPC
=========================================================================
Date: Tue, 26 Jan 1999 19:16:13 -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: reflux
Comments: To: [log in to unmask]
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Reflux is everyone's favourite diagnosis now. Instead of having to tell
parents that fussy babies are just fussy and will eventually get over it,
instead of counselling them about how to deal with a fussy baby, we can now
say they have reflux, and we've made a Medical Diagnosis, and we can treat
it too. We can take babies off the breast, we can give them cisapride and
ranitidine, and we can feel we are doing something.
I wonder how you make the diagnosis of refux? A spitting up baby who is
colicky? Hmm, sounds like "too much milk" to me. Eventually, by the time
we are finished with the mother and baby, the "reflux" gets better all by
itself. This entity really does exist, but before we found it a good way to
stop mothers from breastfeeding, it was considered a difficult diagnosis to
make, and needed pH probing and even then, the value of pH probing was
suspect.
For those of you who think I made a typo, you're wrong. The devil made me
do it. Because the baby and mother get x$%$% twice. Once by having
breastfeeding stopped, the other by having the baby on drugs which are not
risk free.
Jack Newman, MD, FRCPC
=========================================================================
Date: Tue, 26 Jan 1999 16:24:01 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Steve Salop and Judith Gelman <[log in to unmask]>
Subject: adopting and nursing older baby breastfed by birth mother
MIME-Version: 1.0
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Dear Wise Friends--
Has anyone worked with an adopting mother whose baby was breastfed by
the relinquishing birth mother for as long as 3-6 months? Please email
me with details--how did the baby react to a new mother's breast? Was
the adopting mother using a supplementary device at the breast? What
worked to entice the baby to the breast? How did this affect the baby's
separation and grief experience?
For those who are curious, the baby is coming from a Pacific Island
where this is evidentally routine, but the placing agency isn't giving
the adopting mother information about how adoptive nursing goes under
these conditions.
Thank you.
Judy Gelman, IBCLC
Washington, DC
=========================================================================
Date: Tue, 26 Jan 1999 19:51:14 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Barbara Whitehead, IBCLC" <[log in to unmask]>
Subject: Ideas for change
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I have been a IBCLC for about 8 yrs and have conducted workshops etc in Health
Departments for yrs, all of whom were very supportive of BFing. This past year
I returned to college to get a BS in Community Health Education and am doing
an internship at a neighboring county health dept. I have done some BFing
inservices here before and found them to be fairly supportive, especially the
WIC dept. I am working under the Health education division, not WIC. When I
went into the education room, I found that the Health educator ( who is my
supervisor) has stockpiled old BFing info brochures from the ABM companies.
Some of the brochures are as much as 14 yrs old. She still uses this materials
in her Infant nutrition class. She also uses the M**** J****** video on Infant
Care. Tomorrow I am teaching the class and developed my own outline and will
use my own materials. I told her I would supply her with new BFing brochures
that are Baby Friendly and she just gave me a big smile and changed the
subject.
How can I approach her with the need to get rid of the ABM brochures? This is
a very small health dept with only the one health educator. I am one of two
interns and I am trying to educate the other intern about being Baby Friendly
etc but I think she thinks I am being fanatical, and doesn't see the problem.
I told her that I cannot give out the ABM material because it is unethical.
Help! I need more ammo and ideas on changing this situation without jepadizing
my internship.
Barbara Whitehead, IBCLC
Eastern NC
=========================================================================
Date: Wed, 27 Jan 1999 06:58:05 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: rebecca mannel <[log in to unmask]>
Subject: Re: mother-baby couplet care
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We are working on going to mother-baby couplet care at our hospital and I
would love to visit with anyone else who has undergone this change.
Especially those of you in larger teaching hospitals that take high risk
moms and babies. How do you handle sick moms and babies? (we won't have
to worry about it because they will all die when we start this...)
Thanks for any info or suggestions or stories.
Becky Mannel, BS, IBCLC
University Hospital, OKC, OK
=========================================================================
Date: Wed, 27 Jan 1999 06:54:55 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: rebecca mannel <[log in to unmask]>
Subject: Re: Diabetic moms
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Does anyone have any info on IDDM or GDM moms bfdg when their blood sugar
is elevated and the effect on the milk? Our moms are told that if their
blood sugar is over 120-150 then too much sugar will be in the breastmilk
and this is (of course) bad for baby. Long term can cause 'obesity,
dental caries, preference for sweet foods,...' in the baby. I could not
find any comments on this particular concern in Lawrence or Auerbach or
Biancuzzo's new book. And I have never heard of this before.
Thanks!
Becky Mannel, BS, IBCLC
University Hospital, OKC, OK
=========================================================================
Date: Tue, 26 Jan 1999 17:10:45 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Rhoda Taylor <[log in to unmask]>
Subject: milk comes from WHERE?
Mime-Version: 1.0
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>My son (14) (and breastfed for close to five years) thought it was funny,
>but he was surprised by the audience reaction. He commented that people
>think it's very normal to drink milk that has come out of a cow's udder but
>that it's somehow disgusting to drink milk from a person.
I had a funny moment several months ago with a lovely teen mom. She had
called me with concerns about milk supply. In the conversation she
commmented she had fed diluted milk to the then 2 week old baby. I was
trying to be tactful yet clearly communicate that it was dangerous to feed
cow's milk to a baby of that age. She assured me she had NOT fed cow's milk.
I apologized and asked why she had chosen to dilute her own expressed milk.
She said it wasn't her own milk either. Finally I asked what kind of milk
she meant (thinking soya or goats or ???) She said with frustration "you
know the kind you get from the fridge!" When assured that indeed, milk in
the fridge came from cows she immediately exclaimed "euwww, GROSS!!" and was
both horrified and disgusted. I was flabbergasted as the dairy industry is
one of the major businesses in this rural area. Apparently it took a while
for her to go back to drinking milk. And I learned never to assume others
know what you THINK they know. Rhoda
Rhoda Taylor, B.A., I.B.C.L.C.
Vancouver Island, Canada
Help celebrate the 50th Anniversary of the Universal Declaration of Human
Rights.
Visit www.amnesty.ca
=========================================================================
Date: Tue, 26 Jan 1999 20:20:11 -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]>
MIME-Version: 1.0
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Wendy Chu recently posted about some of the cultural practices of
Chinese/Chinese-American families and BFing, and this gives me a perfect
opening for questions that I've been working on for years. It's difficult to
ask cross-cultural questions without invoking stereotypes, but I hope to get
some insight, and I most earnestly hope to offend no one.
OK, here goes...In our community (Ithaca NY, home of Cornell University),
there are many, many Asians (my experience withy them is through both the
hosp. and WIC), both grad students & their wives (mostly from China, Korea,
& Japan) and a significant refugee population from Viet Nam, Laos, Cambodia,
& other Southeast Asian countries. Most of the Southeast Asians choose to
breastfeed, and do so without much "help" from us at WIC, etc. (Traditional
practices, etc.) The Chinese, Korean, and Japanese women associated with the
university, on the other hand, have a very difficult time BFing; they are
well-educated, very careful families, very eager to do the absolute best
thing for their babies, and they are well aware that that is BFing. So far,
so good. Here's the problem: there is a very pervasive belief among these
families that Asian women "can't make enough milk", at least in this
country, and there is a tendency to believe that that is the case even when
their own exclusively BF babies are huge, healthy, & massively thriving,
positively glowing with good health. I and my peers have been working on
this question for years, but I still don't have a good understanding of
what's at the root of this belief. I do understand the cultural differences
in most practices r/t BFing - diet, activity restrictions, traditional
herbal medical practices and their basis in beliefs, etc. - but I still
wonder what's at the root of the "no milk" thing. When I am able to
communicate verbally well enough to discuss this, I ask them if they know
what their mothers and grandmothers did, what women in their own country do
now, whether this "no milk" fear is common at home, etc - everything I can
think of. Apparently, the belief is that IN THIS COUNTRY they can't make
"enough milk"; at least here, it's become a sort of an "urban legend" among
the families. They are very willing to discuss it, and extremely agreeable
to information and education about how the milk is produced (supply &
demand, etc.); very often it is the husbands who will ask very specific and
highly technical questions, and they receive all suggestions very willingly.
Usually, in fact, unless someone (like an ignorant hcp, for example)
reinforces their fears that they can't make enough milk, they do a great
job, nursing for > a year.
I so much want to know what's at work here! Could it have something to do
with relative breast size - they look so small next to us Americans that
they just figure there's not enough breast tissue? I don't think that's it.
These are bright people, perfectly open to the fact that if Chinese (or
whatever) women couldn't make enough milk for their babies, they would have
disappeared from the planet long ago. I don't think it's just the
traditional diet (& the fact that those foods are not as readily available
here); when I mention the traditional soups and herbs, there is usually
someone nearby who will make those foods for the new mother, and they are
pleased to hear that their traditional practices make a lot of sense. Is it
that they are so far from their own countries, and their families and
traditional ways of doing things? I know that in their home countries, they
often are not exposed to or educated about caring for babies - even women
who have given birth to other babies in their native countries often know
nothing about infant care, presumably because so much of the "work" is done
by the female relatives. I always think about how I would feel, giving birth
in a strange country far from home, and how I would react to "advice" in
that situation - I would smile, nod my head, & do exactly as I believed was
right.
Does anyone know any answers on this? Is this unique to Ithaca, for some
reason? The women that have this belief tend to be from wealthier, more
educated families - do you think this has something to do with it? With the
international power available here on this list, I'm sure somebody must have
some thoughts. And thank you, Wendy Chu, for emboldening me to ask about
this particular aspect of cultural differences.
Cathy Bargar, RN, IBCLC Ithaca NY
=========================================================================
Date: Tue, 26 Jan 1999 20:43:26 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Chris Auer, BSN/IBCLC" <[log in to unmask]>
Subject: Re jack
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Hello friends,
Been off line for a while but tried to email jack via a recent lacnet address
and found it was undeliverable. Could someone send me his correct address
privately?
Thanks,
Chris
cincinnati
=========================================================================
Date: Tue, 26 Jan 1999 20:49:24 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: another lovely crime
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i heard another lovely story today, which should rank high in the annals of
crime. my client gave birth, no complications, medications, or interferences,
and thirty minutes later, they "had to put formula on my nipples to get him to
latch on." aaah! they don't even wait until the poor little guy had a chance.
next thing you know they will be giving formula while the baby is still on the
perineum "just in case."
the nursing staff also "made fun" of this mother (her words) and "tried to
scare me" because she wouldn't use bottles for her baby and wanted to
breastfeed. of course, they won in the end, because they could not help her
get the baby breastfeeding successfully, and scared her into using supplements
on day two because he "was going to get dehydrated."
i suppose we shouldn't name names here, so i will only say that this hospital
doesn't start with the word "denver" but that of one of our suburbs, aurora,
and the direction that goes with the first part of the name is not north,
west, or east.
it's probably a good thing i am not also a lawyer.
carol brussel IBCLC
=========================================================================
Date: Tue, 26 Jan 1999 18:36:47 -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: ABM with rice
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This is supposed to be used for babies with reflux, not for the average
baby. Boo Hiss - direct advertising to parents! Should only be available
with an RX!! Sincerely, Pat in SNJ
=========================================================================
Date: Tue, 26 Jan 1999 18:52:55 -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: cereal in bottles
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I hate to sound like I like formula cos. but I did listen to the rep who
told me the inconsistencies of calorie content when adding rice cereal to
ABM for reflux was one of the reasons this was thought up. They are trying
to provide a consistent # of calories and protein vs the home made kind of
cereal/abm for reflux. Yes, I think everyone discourages cereal in the
bottle to feed the baby or to make them sleep all night. It seems to
increase incidence of ear infections. In many US sub cultures it is VERY
common practice. Most peds are vocal against it. Sincerely, Pat in SNJ
=========================================================================
Date: Tue, 26 Jan 1999 21:01:13 -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: reflux
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because the baby and mother get x$%$% twice. Once by having
> breastfeeding stopped, the other by having the baby on drugs which are
not
> risk free.
Not twice Jack, many x $, you forgot all the eczema and ear aches, meds
and vss for same! Sincerely, Pat in SNJ
=========================================================================
Date: Tue, 26 Jan 1999 18:00:14 -0800
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Donna Hansen <[log in to unmask]>
Subject: Re: ABM with rice starch added
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I picked up one of these cards. I like to torture myself too with the
occaisional walk down the baby formula aisle. On my card it says (and
I'm sure the first 4 points would be more applicable to bf):
"For generations, mothers have thickened baby's formula with rice
cereal. Now, Enfalac AR brings you all the benefits of thickening
without the drawbacks of 'do-it-yourself' thickening.
*eliminates worry about adding too much or too little rice cereal
*prevents the possibility of baby getting too many calories
*cleaner, easier and faster for moms to make
*easy for baby to drink and won't clog nipples
*specially designed to thicken when it comes in contact with an acidic
environment similar to that which occurs in babies' stomachs
Gag.
Donna Hansen
Burnaby, British Columbia
Canada
mailto:[log in to unmask]
=========================================================================
Date: Tue, 26 Jan 1999 20:06:05 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Kathy Dettwyler <[log in to unmask]>
Subject: diapers for big kids
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>we've got diapers for big kids and diapers for grown-ups...(rant, rant...)
As someone who had a child in diapers for 10 years (my son with Down
Syndrome), and who has occasional problems with urinary incontinence myself
(due to three pregnancies and damage from an emergency D&C post-partum with
kid #2), I fail to see how this relates to formula for adults (Ensure), etc.
Home Delivery Incontinent Service (HDIS) 1-800-590-8383 carries a phenomenal
array of diapers and other incontinent supplies for people of all ages and
sizes, which they sell cheaply by the case, and deliver to your door in a
plain brown box. People who need diapers need diapers.
Kathy Dettwyler
=========================================================================
Date: Tue, 26 Jan 1999 21:06:30 -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: Diabetic moms
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AAARRRRGGGHHHH - excuse ME while I go into diabetic shock. That Is SO
pathetic. Linda Smith did you get this one for your stupid reasons to wean
list? Let's do the good things that happened routine again, I'm really
getting upset with crimes and stupid reasons to .............Sincerely, Pat
in SNJ
=========================================================================
Date: Tue, 26 Jan 1999 21:10:45 -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: Ideas for change
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Does WIC have any rules/guidelines on using baby-unfriendly materials? If
WIC is supporting BF, isn't this reportable to someone higher up? This
practice needs to be stopped. Using 14 yo ABM produced BF info is more
than a little pathetic. I think I'll sign off for the night and go read a
good book. This nonsense is getting me down today! Sincerely, Pat in SNJ
=========================================================================
Date: Tue, 26 Jan 1999 21:43:38 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: Science news
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New edition of Science News reports finding that in mice, so called HOX genes
determine normal development of mammary tissue during pregnancy - 3 genes
involved - in mice with all 3 genes mutated, researchers found that mice had
inadequate cell proliferation to form normal ductal tissue ( Feng Chen & MR
Capecchi Jan 19 Proc. Nat. Acad. Sciences). The note infers that in these
mutated mice, the pre-pregnant mammary tissue appeared normal.
Also note on pesticides - Danish study of 18 pesticides known to be stored in
fat tissue - correlated higher serum levels of 2 of these pesticides with
increase in breast cancer. The note states the researchers accounted for
"well-known" breast-cancer risks such as pregnancy, but doesn't mention
lactation history. Would be interesting to know if those women who had nursed
the more extensively had the lower serum levels of these chemicals ( would
lose some chemical load through breastmilk).
Researcher found small increase in risk with beta-hexachlorocyclohexane and a
doubling of risk with highest vs lowest levels of dieldrin, a US-banned
environmental estrogen or estrogen-mimic. (Lancet Dec 5, 1998)
Of course I wonder if these HOX breast genes' actions can be modified
(suppressed, stimulated, etc.) by hormone-like chemicals.
Sheila Humphrey
BSc RN IBCLC
[log in to unmask]
=========================================================================
Date: Tue, 26 Jan 1999 21:38:11 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "ROBERT CORDES D.O." <[log in to unmask]>
Subject: reflux
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I for one rarely use rice cereal for reflux. Maybe in a 4 month
old formula fed refluxer I really don't want to treat.
Cisapride has potential to cause prolonged QT interval in the heart rhythm
so I rarelt use it.
For colicy refluxers I do like Maryelle Vonlanthen's approach of asking the
parents, "If I could wave a majic wand and make the
baby's reflux go away, would that make him better?" I haven't had a parent
tell me yes.
-Rob
Rob Cordes, DO, FAAP, FACOP
Wilkes Barre, PA
mailto:[log in to unmask]
=========================================================================
Date: Tue, 26 Jan 1999 21:49:12 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "ROBERT CORDES D.O." <[log in to unmask]>
Subject: reflux part II
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There was an interesting refluxer I did treat. Mom had called me at about
4-6 weeks about a stuffy nose. I gave basic don't worry and
use some nasal saline advice. Then came the call about some gagging with
feeds. Basic over active let down
advise given.
A short time later mom came in with the older sib for a sick visit.
At the end of the visit mom says "Can I show you something about the baby?"
HCPs (ouch I used the term!) hate 'By-the-ways' gets you
a few hours behind be the end of the day. Of course I say yes some mom
begins breastfeeding the baby who suck-pauses-swallows a
few times then begins gagging then comes off the breast and continues to gag
and cough.
I tell mom maybe its reflux and start telling her about mechanical
treatment. Baby continues and cough is sometimes an almost choke.
(I know you can't choke on a liquid). In spite of my telling the baby she
can stop b/c I'm impressed she continues. I went from ordering
a barium swallow to rule out a TE fistula to changing it to an upper GI with
small bowel follow through and giving her a
cisapride prescription right there.
Then I had to get the chart and document it.
UGI was normal and baby did great on cisapride. Her nose cleared too.
-Rob
Rob Cordes, DO, FAAP, FACOP
Wilkes Barre, PA
mailto:[log in to unmask]
=========================================================================
Date: Tue, 26 Jan 1999 22:01:34 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: nipple extractor
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Helen:
the ONE study on this device describes use initially with 16 mothers.
Before giong to press an additional 8 pregnant women were also treated.
18/22 wre able to "fill the mould" by the first follow up apt. at one
month. 2 discontinued use as it was not seen as necessary any longer/4 used
the device for 2 months and thirteen for 3 months.
by publication 14 had delivered.... all were bf without difficulty. 6 of
these women had not been able to bf previous children.
I AM NOT SELLIING THIS DEVICE>>>>>
Interestingly the first published report of the use of suction for
nipple "correction" was in 1978...
In this report they used glass sleeved from 5/10 and 20 cc syringes the
neelde end tightly fitted to suctions tubing. they used ths on 30 patients
over an 8 year period. reporting that " final results were excellent"
Patricia
=========================================================================
Date: Tue, 26 Jan 1999 22:31:07 -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: blood sugar
Comments: To: [log in to unmask]
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Boy, I would like to see a reference for that. There is no such evidence.
Lactose concentration in the milk is pretty well stable. Any reason is okay
to tell mothers to stop breastfeeding.
Jack Newman, MD, FRCPC
=========================================================================
Date: Tue, 26 Jan 1999 22:36:12 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Janna Zempsky, CPNP, IBCLC" <[log in to unmask]>
Organization: @Home Network Member
Subject: explaining role of LC in peds office
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Hi everyone! I am a PNP working in a pediatricians office. The
pediatrician I have just started with is great - I have lots of time to
spend with breastfeeding families. Here's my question: I want to hang
something framed in the waiting room, with my picture to introduce me to
his clients, plus a brief description of what a LC is. I have the
brochure entitled "The LC: A Member of the Health Care Team" but was
looking for something briefer and warmer/fuzzier (less business-like)
- Rather than reinvent the wheel - is anyone currently displaying
anything they'd care to share? I'd be really grateful!! can email me
privately at [log in to unmask] thanks - janna zempsky, cpnp, ibclc
=========================================================================
Date: Tue, 26 Jan 1999 22:44:34 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Amanda Copeland, IBCLC" <[log in to unmask]>
Subject: teen moms
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Just one more note about teen moms returning to traditional high school
setting. I also believe that the baby in class might be too much of a
disruption, not only for mom but for the entire class. My problem with our
school district is that these moms are not allowed extra time during the day
to express milk for their babies and also for their own comfort. Several of
the teenage moms I have worked with have arranged to express enough milk
during non-school hours to keep the baby going on br. milk, but all this time
pumping is time spent not holding and re-acquainting with their babies, not
studying, not having fun (IMO pumping is the pits - I did it for 9 months and
hated every minute of it). I must say that reading the posts has "pumped me
up" enough to at least contact the school board members that I know personally
and see if some changes can be made or at least begin to be made.
On another subject - I have always loved reading posts by Dr. Newman - he has
always been able to succinctly state what takes me lines and lines...but I
must say the post about the reflux had me TRULY ROFLOL. I agree with him
whole-heartedly about this reflux thing...I hear this from parents more and
more..." I couldn't BF because s/he has reflux..." When I began volunteer
counseling BF moms and families, one of the first families had a baby who I
believed truly did have reflux. Tests revealed (I was told by his mom) that
he only absorbed about 35-40% of what he was fed and was a very slow gaining
baby. HOWEVER, mom continued to breastfeed and he managed to gain some
weight. He had surgery and mom didn't miss a beat with BF him through the
whole thing. She breastfed him into his second year. These babies I have
seen since that were Dx'ed with reflux just seemed to be babies who spit up a
lot. BUT they gained weight well. What makes me upset and a little angry is
that some parents seemed relieved that they have an excuse to stop BFing
because it just doesn't fit their schedule or lifestyle. Maybe I am too
sensitive about it but I want to just scream to them - what did you think
having a baby was all about anyway? These are not "soap opera babies" as I
like to call them (the ones that are awake for 5 min a day, smiling and
gurgling then go to a peaceful sleep for 23hrs and 55min as so many of the
daytime shows depict). They are real live human beings with a set of needs
all their own.
Amanda Copeland, IBCLC
Griffin, GA
warm, sunny and Spring like - I just love living in the South (well, most of
the time....)
=========================================================================
Date: Tue, 26 Jan 1999 22:53:17 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: William Shine <[log in to unmask]>
Subject: Re: LACTNET Digest - 26 Jan 1999 - Special issue
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>Janet wrote"
>"I'm blown away by this whole concept. Dr. Jack & others who know lots of
>stuff, what about this dx. of "reflux" anyway? I'm suspicious of the whole
>thing, frankly - we hear that dx. so often - most of the time it sounds to
>me like a HCP who doesn't know what else to say about a spitty baby."
>
Me too! I have been wondering what happened to the human population that all of a sudden there are all these
refluxing babies. Are they mostly the same ones that we used to say were just laundry problems and kept on
nursing? ~ Mary in Michigan where it looks like snow disguised as rain....ugh
=========================================================================
Date: Tue, 26 Jan 1999 22:53:34 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: William Shine <[log in to unmask]>
Subject: Cathy not Janet,refluxing babies
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oops, it was Cathy who was asking about the number of refluxing babies, not Janet...sorry ~ Mary
=========================================================================
Date: Tue, 26 Jan 1999 21:28:16 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
Comments: RFC822 error: <W> MESSAGE-ID field duplicated. Last occurrence
was retained.
From: Julius Edlavitch MD <[log in to unmask]>
Subject: AAP VICE PRESIDENT LIVE
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Thursday January 28th 9PM NY TIME
DONALD E COOK, MD
Vice President of the Amercian Academy of Pediatrics
PLEASE ATTEND AND ENJOY OUR LIVE CHAT COMMUNITY
PLEASE THINK OF ISSUES you would like him to discuss
and send them to myself and Dr Cook ([log in to unmask])
http://www.pedschat.org
ASK HIM BREAST FEEDING QUESTIONS?
Julius Edlavitch MD
International Pediatric Chat
=========================================================================
Date: Tue, 26 Jan 1999 20:09:56 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: surprised at what they don't know
Mime-Version: 1.0
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Got a call yesterday from a 17 yo pregnant woman, 8 mos pregnant. Lots
of questions about bf and pumping, storing milk etc. Wanted to know if
the milk inn your breasts before birth was the same as after. Wanted to
start pumping now at 8 mos pregnant. Explained this was a no-no! And how
lactogenesis II (do we still call it that?) ensued after delivery of the
placenta.
Heard from a coworker about another mom with low output when pumping pc
to increase milk supply. Was using a shield to latch baby. Come to find
out (my coworker was checking her pump and observed her pumping) she was
pumping with the flange over the shield.
Lesson to be learned - never assume anything!
Laurie
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: Wed, 27 Jan 1999 11:36:17 +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: ABM with rice starch added???
Comments: cc: Cathy Bargar <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"
><<The ad -- which was on a little piece of 4x6" laminated card,
>hanging from a chain attached to the shelf, said, "Still adding rice cereal
>to your babies
>bottle? Now you don't have to! With new En****l AR the rice starch has
>already been added for you.>>
>I just can't believe it! What kind of action can we take? Am I just a lone
>nut to think this is one of the most ridiculous products to come along?
>(Right up there with mass-marketing "formula" for adults and healthy kids
>(to "supplement" their diet, "just in case", dontcha know?). I'm
>speechless...
>
>Cathy Bargar
Cathy, and others,
I think this might be the formula that has been promoted in Australia for
babies with reflux (probably partly because this seems to be 'diagnosis of
the decade' here), ie thickened, so it supposedly stays down better than
regular formula. It has been a worry here as it seemed to be marketed to
even breastfeeding mothers with refluxing babies - implying in the
'information' put out by the company that this was better than breastmilk.
Also I think they based their 'information' on some study that showed that
a quite high proportion of babies suffered from 'reflux' (ie not just the
serious ones that need special treatment that we would label as such - you
know, the normal posseting, happy chuckers, etc as well) and so therefore
implied that *many* babies 'needed' this product. AAAARH!
******************************************************************
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: Tue, 26 Jan 1999 23:29:27 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Amy Shelton, LLL Leader" <[log in to unmask]>
Subject: Question re: Septra--baby with pertussis
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I am working with a mother whose 10 week old baby has been diagnosed with
pertussis, as has her two year old (non-nursing, very mild case). Local health
department is involved in the situation and requested mom and baby both be
given erythromycin. Family doctor refused, saying baby is too weak/dehydrated
already and he is not willing to risk diarrhea from erythromycin causing
further dehydration.
Doctor has put both mother and baby on Septra. Doctor has advised mother to
pump and dump while she and baby are both on medication. Doctor is concerned
about drug passing into the milk in an amount significant enough to cause
overmedication of baby.
Doctor also wasn't too enthused with having to offer formula to the baby
during the interim and was very pleased to find out mother has enough frozen
breastmilk on hand to last for the next 8-10 days. Mom told doctor baby sleeps
with her and she may not be able to prevent all nighttime nursings. Doctor
said he wouldn't worry about that as long as she is not nursing during the
day.
I have looked up the information in Dr. Hale's book but did not see this
particular issue addressed. Can anyone let me know if there is a valid concern
about overmedicating baby if both mother and baby are taking Septra at the
same time? Please let me know if I need to find out the specific dosages both
mom and baby are taking.
Apparently this baby has been quite ill. Mother was told by the doctor that
her breastfeeding is the only thing that has kept her child from requiring
hospitalization. Any guidance that can be provided will be much appreciated by
both the mother and me.
Amy Shelton
breastfeeding counselor
=========================================================================
Date: Tue, 26 Jan 1999 23:22:41 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Stephen Curless <[log in to unmask]>
Subject: LACTATION HANDS ON TRAINING
MIME-Version: 1.0
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Check at area hospitals or birthing centers to see if training programs
exist-in our area, internship training for LC's is available to help get
the hands on experience needed. I am new with LACTNET (a week) and a bit
green learning the process- I am not new with breastfeeding having
worked with BF for 29 years. I look forward to learning more through
this wonderful new tool. Thank You! from Ky.
Helen Curless,RN,IBCLC,N.Ky.
=========================================================================
Date: Tue, 26 Jan 1999 23:47:43 -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: Breastfeeding Dolls
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
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Lori at Attachments carries them. http://www.attachmentscatalog.com.
This domain name is fairly recent.
--
Jake Marcus-Cipolla, retired lawyer; part-time work-at-home media
consultant, copy editor, proofreader (Marcus Media Consulting);
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 - The finest in children's and
parenting books, nursing clothes, wooden toys and puzzles, and much
more! The largest selection of children's picture books containing
positive images of breastfeeding available anywhere.
http://www.mamajake.com
http://www.bestfedbooks.com
=========================================================================
Date: Wed, 27 Jan 1999 07:12:09 +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: Lena's poor-suck baby
Mime-Version: 1.0
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Lena - working with this kind of scenario must have been a bit fraught for a
while. This baby lost about l8% of his birthweight. That's an awful lot,
and no wonder the baby has a poor suck - his nutrition has been so
compromised. Firstly, I would reassure this mom that her baby *will* suck
again - once he feels strong enough and as long as she doesn't give up too
soon. This will be a long haul.
Some years ago I worked with a situation that sounds similar, it was
really scary. The baby had been born at 34 weeks, discharged at 4 days and
wasn't really *breastfeeding*, but noone had checked. He had just gone
downhill. Mom had been expressing and *discarding* the milk (for some
unknown reason, I never did find out why), but baby's intake had obviousy
declined more and more the weaker he became. Against all my advice mom
bottle-fed the baby (with the EBM, but I was worried about nipple confusion)
and he just wouldn't breastfeed, like the baby you describe. So we just
went with it.
But that baby taught me an amazing thing. It took nearly two months for him
to regain the lost weight and catch up to what he should have weighed if he
had received as much to eat as he should have had, and when he really got
going he was taking 280 ml/kg/day of milk - a huge amount - but as he
approached his "ideal" weight his suck started to improve. He behaved like
a prem baby, taking just a little breastfeed once a day, then two, then
three. He finally graduated back to the breast and became a proper
breastfeeding baby, with a good suck, and continued weight gain once his
actual weight reached his "ideal" weight on the graph I plotted for him.
Since then I have seen this happen again and again with low-gain or FTT
babies. I don't think you can expect a severely compromised baby to
breastfeed well, or sometimes even at all. Patience! Mom could keep
*offering* the breast from time to time, as encouragement to the baby, and
for assessment or practice, but if the baby can't/wont suck she shouldn't
fret. The *most* important thing is that the baby eats and gains weight.
The method of delivery of the milk is not significant at this stage. Mom
needs to feed the baby as much as he can possibly hold in the easiest,
quickest way for now, and focus her energy on re-building her milk supply
(frequent and thorough pumping). The baby will re-learn to *breastfeed*
once he is well-nourished, strong and has the energy, and once the mom's
milk supply is bountiful enough to keep him interested in suckling the
breast.
Best wishes to you, and them. Please let us know how they get on.
Pamela Morrison IBCLC, Zimbabwe
mailto:[log in to unmask]
=========================================================================
Date: Tue, 26 Jan 1999 22:51:05 -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: formula study NC
Mime-Version: 1.0
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I have recently learned of a mother in Raleigh, NC, who was asked by her MD
to stop breastfeeding, and participate in a study regarding Soy Formula. The
mother was told that she would receive free formula for the duration of the
study, and that it was "high quality formula." No mention made of hazards of
formula. Mother quit bf, and now, at five months, is purchasing her formula.
Is this ETHICAL? YES I AM SHOUTING. Anyone in Raleigh NC USA know about this?
Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont, where the icy winds are blowing hard...
mailto:[log in to unmask]
LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
=========================================================================
Date: Wed, 27 Jan 1999 08:12:00 +0200
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Leibovich <[log in to unmask]>
Subject: Baby friendly
Mime-Version: 1.0
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Thanks to all those who offered their help on this subject. I passed it on
to the neonatologist, and hope he goes ahead with his plan. I will keep you
posted.
Mira
mailto:[log in to unmask]
=========================================================================
Date: Tue, 26 Jan 1999 23:58:57 -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: Medical culture vs. natural birth and BF culture
MIME-Version: 1.0
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Several recent situations have started me thinking about how traditional
medicine and the natural birth/breastfeeding cultures (that is generally
shared by childbirth educators, lactation consultants, midwives, and
doulas) are diametrically opposed cultures operating, in many cases, in
the same arena. It is no wonder that, while desiring and attempting to
do the best for our clientele, our values lead to conflict.
I am guessing that most people on this list (and am certain that this is
true of those of us who are the most vocal) share many values which the
medical establishment genuinely views as dangerous, strange, or
downright weird. If I were to guess, I would guess that there was a
time when some, perhaps many, of us shared those views.
For example, I now view unmedicated birth, immediate exclusive
breastfeeding, private get acquainted time for families soon after
birth, respect for the baby's communication, his needs for security and
closeness to mom (not just any caring and concerned caregiver) as being
very important. I regard the majority of interventions during
pregnancy, labor, birth, and postpartum to be unnecessary and
potentially harmful. I believe letting babies cry in the nursery on
warmers or in cribs is seldom necessary and likely to be harmful both
physiologically and psychologically. I believe that supplements of
formula or fortified breastmilk are seldom necessary. It makes no sense
to me why premature and SGA babies are expected to gain weight from day
one and to grow at intrauterine rates, especially when this almost
always means giving non-human milks and force feeding with bottles.
The medical establishment holds values in many cases which are the exact
opposite of these views. Many doctors, nurses,.and nurse practitioners
truly believe that to refuse routine tests and treatments such as
vitamin K and eye ointment, hepatitis vaccine, and glucose monitoring by
reagent stick for large non-IDM (infant of diabetic mother) babies
immediately after birth is foolish and likely to harm the baby.
It is no wonder that we oftentimes feel all alone in such an
environment. It is not unlike suddenly finding oneself in a foreign
country, knowing only a few words of the language and little of the
cultural norms while holding tightly to one's own culture and language.
It will take a concerted effort on the parts of both groups to help us
achieve a common culture and a common language. However, it will be
worth the effort, as it can only benefit our moms, babies, and families.
--
Bonnie Jones, RN, ICCE, IBCLC
from the sunny S.W. USA
mailto:[log in to unmask]
=========================================================================
Date: Wed, 27 Jan 1999 07:37:38 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: elderly breastfeeding materials
Barbara,
You want to get your co-worker to get rid of breastfeeding materials which are
from ABM cos, and which are pretty old. You have tried tackling her on the
first issue, without feeling any success. Why not go for the second?
If you pick out some of the photos, I bet they will look really dated. Maybe
you could take samples of her materials and yours, and get some of the women you
are teaching the classes to, to have a short focus group session, discussing
what they like and don't like. You could record their comments (on paper, I
meant), have your co-worker present, or whatever. If you have access to another
facilitator in your facility/health service that person could lead the group (to
absolve you of bias in reporting). You don't present this as a way to get at
*her* materials, but as an example of good practice in terms of service to
patients -- you could winsome brownie points from higher ups if you are lucky??
I know this would be more work, but it could be quite satisfying.
Oh--you better be open to the idea that the focus group might not like some of
your stuff either--but maybe you will find out what does appeal to them and what
is most helpful in your area in terms of literature.
Just an idea.
Magda Sachs
Breastfeeding Supporter
the Breastfeeding Network, UK
=========================================================================
Date: Wed, 27 Jan 1999 19:03:27 +1000
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Susan Kay <[log in to unmask]>
Subject: Pressure Areas!!!
MIME-Version: 1.0
Content-Type: multipart/alternative;
boundary="----=_NextPart_000_0022_01BE4A27.B87974A0"
This is a multi-part message in MIME format.
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charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable
Hi All,
I have just finished slogging my way through 87 Lactnet Digests!
My computer has been in hospital for abdominal surgery (I now have a =
10Gig Hard Drive!), and with the school holidays (our children are just =
returning to school now, after 8 weeks off) and painting a house, I got =
severely behind.
=20
I logged on tonight with the intention of just deleting everything, but =
when I sat down, I just couldn't do it!!
So I read each and every digest, however, I must admit, I didn't read =
every letter (most, tho!)
=20
So, I ask you all, is that craziness, or dedication? Or merely too much =
of a sticky beak to let something past?
=20
Best wishes,
Susan in hot and humid Queensland, Australia
[log in to unmask]
------=_NextPart_000_0022_01BE4A27.B87974A0
Content-Type: text/html;
charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable
<!DOCTYPE HTML PUBLIC "-//W3C//DTD W3 HTML//EN">
<HTML>
<HEAD>
<META content=3Dtext/html;charset=3Diso-8859-1 =
http-equiv=3DContent-Type><!DOCTYPE HTML PUBLIC "-//W3C//DTD W3 =
HTML//EN">
<META content=3D'"MSHTML 4.72.2106.6"' name=3DGENERATOR>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT color=3D#000000 size=3D2>Hi All,</FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2>I have just finished slogging my way =
through 87=20
Lactnet Digests!</FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2>My computer has been in hospital for =
abdominal=20
surgery (I now have a 10Gig Hard Drive!), and with the school holidays =
(our=20
children are just returning to school now, after 8 weeks off) and =
painting a=20
house, I got severely behind.</FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2></FONT> </DIV>
<DIV><FONT color=3D#000000 size=3D2>I logged on tonight with the =
intention of just=20
deleting everything, but when I sat down, I just couldn't do =
it!!</FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2>So I read each and every digest, =
however, I must=20
admit, I didn't read every letter (most, tho!)</FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2></FONT> </DIV>
<DIV><FONT color=3D#000000 size=3D2>So, I ask you all, is that =
craziness, or=20
dedication? Or merely too much of a sticky beak to let something=20
past?</FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2></FONT> </DIV>
<DIV><FONT color=3D#000000 size=3D2>Best wishes,</FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2>Susan in hot and humid Queensland,=20
Australia</FONT></DIV>
<DIV><FONT color=3D#000000 size=3D2><A=20
href=3D"mailto:[log in to unmask]">[log in to unmask]</A> =
</FONT></DIV></BODY></HTML>
------=_NextPart_000_0022_01BE4A27.B87974A0--
=========================================================================
Date: Wed, 27 Jan 1999 07:20:35 -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: CB/BF culture in US
Comments: To: [log in to unmask]
MIME-Version: 1.0
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Dear Bonnie, well said! Only one problem, you are preaching to the choir.
And the other side has to have a desire to change or we will never meet in
the middle! Unfortunately until the consumers assert themselves ( or maybe
the ins cos.) they have no motive to change at all, only get worse, more
convinced that their way is right, safe etc. I don't know the
answer...........Sincerely, Pat in SNJ
=========================================================================
Date: Wed, 27 Jan 1999 06:23:05 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Jeanne Mitchell <[log in to unmask]>
Subject: Re: explaining role of LC in peds office
MIME-Version: 1.0
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Janna,
This is a great idea. Please share what you come up with.
--
Jeanne Mitchell, Austin, TX
http://www.flash.net/~xanth/home.htm
mailto:[log in to unmask]
"You can tell the quality of a person by how
they treat people they don't need." My Dad
=========================================================================
Date: Wed, 27 Jan 1999 07:30:06 -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: pertussis
Comments: To: [log in to unmask]
MIME-Version: 1.0
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This is insane:
1. B. Pertussis is not sensitive to septra as far as I know. Maybe I'm
wrong.
2. Antibiotic treatment of pertussis does not treat the illness and does not
prevent development of the illness unless given very early.
3. Septra can cause diarrhea just as easily as erythromycin.
4. There is no reason for the mother to (oh damn) pump and dump. How much
more septra will the baby get from the milk? He's already to get it
directly for crying out loud.
5. It's okay to nurse during the night and not during the day? Why? If
it's okay at night, it's okay during the day. Is septra perhaps light
sensitive?
6. The mother is quite right about breastfeeding keeping this baby going.
Jack Newman, MD, FRCPC
=========================================================================
Date: Wed, 27 Jan 1999 07:25:07 -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: formula study NC
MIME-Version: 1.0
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Extremely unethical! The perfect suit? Any lawyers around with an opinion?
Sincerely, Pat in SNJ
=========================================================================
Date: Wed, 27 Jan 1999 07:37:02 -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: Question re: Septra--baby with pertussis
MIME-Version: 1.0
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from my experience of 2 - gave both babies with pertussis EES, a form of
Erythromycin, with no GI problems. Baby 1 was 7 weeks, baby 2 was about 6
mo and unvaccinated. Septra isn't rec under 2 mo. I'd hesitate to give it
to a 10 week old. Why is mom on Septra? No reason she can't have
erythromycin. I personally think the chance of overdosage from mom and
baby both getting Septra is far fetched and is another dumb reason to wean
even if temporarily. It will have an effect on the BF relationship.
Sincerely, Pat in SNJ
=========================================================================
Date: Wed, 27 Jan 1999 07:45:25 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Wendy Funk, LLL Leader" <[log in to unmask]>
Subject: Stores and formula
MIME-Version: 1.0
Content-Type: text/plain; charset=ISO-8859-1
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Kathy Auerbachs' comment about her stores not usually selling formula
reminded me of this....
We have a great natural food store here in Washington DC, and they post
customer comments and their reposnes on a bulletin board by the checkout.
One time on the board I saw a customer complaint about them not selling
infant formula. The stores response : "The infant formulas available
do not meet our strict guidelines for pesticide use therefore we cannot
sell them".
!!!!!!!!!!
Wendy Funk
=========================================================================
Date: Wed, 27 Jan 1999 08:14:03 EST
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: "Marsha Walker, RN, IBCLC" <[log in to unmask]>
Subject: Formula with Rice Starch
Mime-Version: 1.0
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The new formula with rice starch has been advertised for some time in the
journal Pediatrics. Nowhere does it actually say what it is for. This formula
is called a niche product. Manufacturers find that they must continually
increase profits but cannot do this unless they increase their market share.
This is done by introducing new items and then creating the need for them. It
is much easier to sell a product if it appears to be curing a problem, so they
persuade us that we need this product to cure a disease. Companies flirted
with adding extra ingredients to make formula-fed babies sleep like breastfed
babies. Something like an AM formula to feed to baby during the day, and a PM
formula to make him sleep at night! Babies do not really need this formula but
the formula companies do.
I have seen no long term follow-up on babies fed this formula. Clinical trials
usually look at if the baby grows on the stuff. The situation in North
Carolina that Kathleen Bruce mentioned about a soy formula study is probably a
clinical trial, that is an experiment on babies to see what the formula does
to them.
I think the FDA should be contacted regarded the safety and use of this new
formula and ask to see all the submitted data on why it was approved and how
they intend to prevent its misuse. The FDA has a reporting mechanism called
MedWatch which you can access at their web site.
Marsha Walker
Weston, Massachusetts
=========================================================================
Date: Wed, 27 Jan 1999 08:19:03 -0500
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: William Shine <[log in to unmask]>
Subject: desire to change
MIME-Version: 1.0
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>
>Dear Bonnie, well said! Only one problem, you are preaching to the choir.
>And the other side has to have a desire to change or we will never meet in
>the middle! Unfortunately until the consumers assert themselves ( or maybe
>the ins cos.) they have no motive to change at all, only get worse, more
>convinced that their way is right, safe etc. I don't know the
>answer...........Sincerely, Pat in SNJ
>
as one great ob dr (male)said to me, "drs won't get off their thrones until women get off their knees." ~ mary in
mi
=========================================================================
Date: Wed, 27 Jan 1999 08:29:19 -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: Paying for formula
RE: WIC and formulas. Cathy, you are right. The USDA has approved the
added rice formula for inclusion in WIC but it does vary stat by state as to
what formulas are on their Authorized Foods List. We in Ohio have not
added it yet but if enough physicians request it then we may be
compelled to add it. That's what happened with Lactose free cow milk
based formulas.
In response to the question about doing away with free formula.
Someone has to pay. If not the families or insurance then the hospital.
Formula is not a free food. No one else in the hospital gets free food.
Insurance pays for the surgical patient's food. In my experience there is
nothing given free in the hospital except formula donated by the industry
as a marketing ploy. Insurance should be required to pay for this food
the same as it pays for steak and potatoes. OR it can be the one to tell
mothers that they will have to purchase their own formula if they choose
to formula feed. Also, WIC does not supply formula in the hospital only
after the infasnt is discharged.
Ann Twiggs, Ohio WIC Breastfeeding Coordinator
=========================================================================
Date: Wed, 27 Jan 1999 08:36:53 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: why we do what we do...
Mime-Version: 1.0
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Johanna:
so... what is your bumper sticker?
Patricia
=========================================================================
Date: Wed, 27 Jan 1999 07:53:41 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Camille Foretich <[log in to unmask]>
Subject: MS WIC policy on formula materials
MIME-version: 1.0
Content-type: TEXT/PLAIN; CHARSET=US-ASCII
Mississippi's WIC Program Policy and Procedure Manual has several sections
that addresses formula companies doing business with the clinic.
The first one states "The WIC Program supports the World Health Organization's
Code of Marketing of Breastmilk Substitutes," which discourages the direct
marketing of infant formula products to consumers. All contacts with food and
formula vendors should take place through the WIC Central Office.
The food package given to an infant who is being breastfed should not any way
be a deterrent to the establishment of or continuation of breastfeeding.
Formula, in any amount, should not be given automatically to these infants.
The amount of formula given should reflect the actual needs of the infant and
should be given only after the mother has been counseled about establishment
and maintenance of lactation. (After typing this, I think we could make this
a stronger statement. I'll suggest when manual review time comes. If ya'll
have suggestions, let me know.)
The other sections that specifically address formula company advertising
"stuff" is: The WIC Program follows NAWD (National Association of WIC
Directors) guidelines for promoting breastfeeding, which recommends that
clinics provide an atmosphere of support within the clinic setting, including:
* providing a quiet, private place for participants to breastfeed, if desired
* affirming a participant who desires to breastfeed in the waiting area
* providing positive breastfeeding messages througout the clinic, such as
posters or bulletin boards
* removing all products manufactured by formula companies from view of
participants, including posters, printed materials, formula products, or other
products imprinted with formula company names or messages
All of this is checked at least one time a year by the state monitors. The
local district breastfeeding coordinators are always on the look-out.
Camille Foretich, breastfeeding educator for the Mississippi State Department
of Health WIC Program
=========================================================================
Date: Wed, 27 Jan 1999 08:39:14 -0600
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Pat Thomas <[log in to unmask]>
Subject: Re: Reflux
MIME-Version: 1.0
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Sometimes I think this is just about words, I don't use the word reflux
(or colic) when I talk to clients, I call anything that doesn't shoot
straight out, spitting, talk about it as a norm and a laundry problem,
and the fact that formula stains and breastmilk doesn't.
Most of my clients then see it as an expected sort of thing and don't
get too excited about it.
My oldest was a spitter to the max, didn't quit until he was almost a
year, the amounts were large and if he hadn't been gaining, you would
have thought he was starving.
This was 26 years ago, I had a disagreement with my ped about a number
of things and so got all my well baby care at a public health clinic so
no one had to know that I was not following medical advice, ie starting
solids at two weeks, supplementing with formula since he was low weight
for height and so on.
I had the advantage of knowing that everyone in my family is low weight
for height until adulthood, wish I could say that now.
Pat Thomas PHN
Winona County Community Health Department
Winona, Minnesota
>
=========================================================================
Date: Wed, 27 Jan 1999 16:33:01 +0200
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
From: Shaya & Jessica Billowitz <[log in to unmask]>
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Can anyone give any suggestions from their clinical experiences to help me.
I saw baby- male, now two weeks old with low muscle tone, normal range.
To make things more exciting, mother also has pseudo-inverted nipples.
Baby is presently using a nipple shield, he has never latched on to her
nipple and is presently maintaining weight but not gaining. What about
syringe feeding,
What can I do to help this mother?
Thanks in advance.
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Date: Wed, 27 Jan 1999 09:55:27 -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: Re: WIC materials
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Pat - Yes, WIC is required to follow appropriate guidelines re: materials
used or displayed: NO materials from ABM manufacturers used in clinics, no
formula visible, no junk "gifts" from ABM companies, no posters portraying
bottle feeding as the norm,etc. (someone else just posted about this). I
think it was the public health dep't, not WIC, that was being discussed in
the post from the intern that you're referring to. WIC has no control over
what the "sponsoring agency" does. Maybe if the intern who posted (sorry, I
zapped it out without remembering the name!) spoke to the BF coordinator or
the program director at WIC, she could initiate appropriate changes (i.e.
get the public health educator to throw the junk out!). In the WIC where I
worked, the public health nursing dep't was receptive (nay, even eager for)
my words of wisdom re: materials they used. It worked out well for all
conncerned.
Cathy Bargar
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Date: Wed, 27 Jan 1999 10:35:42 -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: on line parenting groups
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Sent this note off yesterday, but it
doesn't seem to have made it to lactnet, so
I'm trying again. Sorry if it repeats.
Hi everyone,
A student in one of my classes is looking
for some on-line parenting chat/support groups.
She is looking for local groups in the Bsoton area
if they exist. My understanding was that on line
groups tend to be very broad geographically.
Anyway, if anyone has some listserv or web addresses
that I could pass on to her, please e-mail me
privately, unless you think such info is of general
interest
thanks,
Naomi Bar-Yam