Date: Wed, 27 Jan 1999 16:46:29 EST From: Linda Draper RN CPNP IBCLC <[log in to unmask]> Subject: E-mail address MIME-Version: 1.0 Content-Type: text/plain; charset=US-ASCII If anyone has Jeanette Panchula's E-mail address could you send it to me privately. Her last note said she had moved from PR to practically my backyard. I copied her address wrong and couldn't send a message. Thanks, Linda Draper, CPNP, IBCLC Date: Wed, 27 Jan 1999 14:19:01 -0800 From: Chris Hafner-Eaton <[log in to unmask]> Subject: rice MIME-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Sounds like this ped needs to be sent his very own copy of the AAP statement on breastfeeding, with the relevant section highlighted. I do this on a regular basis, and it seems to make a difference. Not always, but often enough to make it worth my while. That's one thing I love about that statement - it's quite a handy tool when you need to dispell a myth. Regina Roig Lane, BS IBCLC Miami-Dade County WIC ______________________________ Reply Separator ____________________________ _____ Believe it or not, we have a ped in town (Corvallis, Oregon) who insists that moms with baby's over 10 lbs at birth can't possibly make enough milk AND tells them to supplement with rice-ABM bottles. Can't you just hear us counting the days till he retires? Chris : )Chris Hafner-Eaton, PhD, MPH, CHES, IBCLC email: [log in to unmask] : ) )HSR & Health Educational Consultant voice/fax: 541 753 7340 : ) ------------**CHANGE THE WORLD, NURTURE A CHILD!**------------------ : ) Date: Wed, 27 Jan 1999 17:21:16 -0500 From: Robert Cordes DO <[log in to unmask]> Subject: devil made me do it MIME-Version: 1.0 Content-Type: text/plain Jack, I think you confuse what the devil makes you do with what is really Devine inspiration. -Rob Date: Wed, 27 Jan 1999 14:24:56 -0800 From: Chris Hafner-Eaton <[log in to unmask]> Subject: flat nipple assessment MIME-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Okay...my 2 cents is that no one can tell just by LOOKING at the nipples...you have to actually push back toward the chest wall at the edge of the areola at 180 degree points simultaneously, and then check the complete opposite direction. This really does help. If the nipples dip in or go totally flat, there are things to help the mom. The other thing it does is it brings up the topic. Lots of women who have nipples that look flat actually pop out for this test and you can bolster their confidence a if they've been told "you'll never bf with those nipples." I agree that large nipples are ten times harder than small nipples. I just saw a that had nipples (not including areola) the size of a quarter. : )Chris Hafner-Eaton, PhD, MPH, CHES, IBCLC email: [log in to unmask] : ) )HSR & Health Educational Consultant voice/fax: 541 753 7340 : ) ------------**CHANGE THE WORLD, NURTURE A CHILD!**------------------ : ) Date: Wed, 27 Jan 1999 16:24:31 -0600 From: "[log in to unmask]" <[log in to unmask]> Subject: Wellbutrin MIME-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Another LC has asked about this drug for a mother. Baby is 4 months old. Has not fed at breast for 2 weeks. Mom wants to relactate. She is taking Wellbutrin (Bupropion), not Zyban (time released). She is taking 150mg a day in one dose. I have read all that the Archives offers and Hale 98-99 and the information is for 100mg of Zyban, which is a time released form. It all seems ok, but is there a concern with the 150mg and the fact that she will be relactating with a smaller volume of milk for a while? Patricia Gima, IBCLC Milwaukee, Wisconsin, USA mailto:[log in to unmask] Date: Wed, 27 Jan 1999 17:32:50 -0500 From: Karen Hoffman <[log in to unmask]> Subject: 14 year old nursing mom MIME-Version: 1.0 Content-Type: text/plain; charset=us-ascii I have a first time mom who is 14 years old! She menstruated a good 2 before becoming pregnant but she does not think her milk has come in. Originally she told me it had (she had large sore breasts) and that she could feel let down. However now she doesn't think so. I believe a meaning nurse as the hospital got it into her head that she may not be able to lactate due to her age. Anyway her mom is there to support her and she breast fed 3/5 of her children and seems to be very supportive of her daugter's efforts. The first day the baby was home they observed 2 bowel movements but only 3 wet diapers. The next day the same, so she gave him a bottle and this is how the cycle gets started. Of course I told her to call Ped. if not at least 5 wet dosposable diapers. ShThe mom says she is nursing him at least every 1/2 to 2 hours because he is always hungry and rooting. Is it possible that she is not making enough milk? Is it possible that her milk hasn't come in? If so what does she do in the mean time? Pumping does not seem to go well for her and time is of the essence. She is really determined to nurse BUT she IS only 14 and wants it to happen instantly. I could use some advise on how to counsel her! P.S. I told her to toss her Formula Co. brand named pump because she was not having any results but she says she cannot afford another. Sorry to ramble but this is my first experience with a 14 years old mom and I want to do the very best for her. Karen