I agree with Jane, but one more option might be to carry a better small
electric (you can research this) and have the family pay the difference in
the price. Families do this with medications and other items, all the time.
I think having a $30 discount on a $85 pump would be really great.
Jacie in windy Albuquerque, New Mexico
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Date: Thu, 29 Apr 1999 18:20:30 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: [log in to unmask]
Subject: sleeping through the night very early
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In a message dated 4/29/99 5:02:29 PM Eastern Daylight Time,
[log in to unmask] writes:
> While I don't have a research article, I do have practical experience in
this
> matter.
> My firstborn (1980) weighed in at 8pounds and slept through the night from
> the age of 5 days. It was relatively soon that she slept 12 hour nights.
> But, she nursed all day long and slept very seldom during daylight. She
did
> sleep at bedside in a bassinett until 3 months, then mostly shared our bed.
> She was a VERY high needs, high touch child when awake.
>
> My thoughts are, "if it ain't broke, why fix it?"
>
> tina
> Ohio, USA
Well, for the vast majority of babies, going 12 hours without nursing within
the first few months could lead to a dehydrated baby and a mother with low
supply and/or mastitis. Since humans are biologically designed to nurse quite
frequently day and night in the first months, I would want to take a very
close look at any newborn choosing to go for stretches anywhere near that
long without nursing.
YMMV--
Katie Allison Granju
Knoxville, TN
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Date: Thu, 29 Apr 1999 18:48:35 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: Cindy Curtis <[log in to unmask]>
Subject: Re: Staff Lactation Consultants
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We do about 350 - 400 deliveries per year. I have 9 hours per week as a
Lactation Consultant, and work about 12 hours per week as a staff nurse. We
also have 2 other nurses on staff who are also IBCLC's. The moms greatly
appreciate the service that we provide. I am a hospital employee. Let me
know if you have more questions.
Cindy
Cindy Curtis,RN,IBCLC
mailto:[log in to unmask]
http://www.erols.com/cindyrn
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Date: Thu, 29 Apr 1999 17:09:07 -0700
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: David and Katherine Abdun-Nur <[log in to unmask]>
Subject: Re: Staff Lactation Consultants - 29 Apr 1999 - Special issue
(#1999-159)
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Our small community hospital delivers approximately 600 - 700
babies/year. Initially I was hired as "on-call", just to see how things
worked out. That was 4 years ago. The service has really blossomed, we
have a large weekly mom's group, I teach a prenatal Breastfeeding class,
do a lot of staff education, round on moms and babes, have given talks
to the MD's, and we have a Certificate of Intent!! It's been a long
haul, but there are key people on staff who have supported the work, and
the Nurse Manager is very committed to our families.
I would say, have your LC come on board with limited hours and
duties -see how things go...Change is slow.
Good luck!
Katherine Abdun-Nur RN, IBCLC
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Date: Thu, 29 Apr 1999 20:45:39 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: [log in to unmask]
Subject: Re: LACTNET Digest - 29 Apr 1999 - Special issue (#1999-159)
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Hi all! I'm posting for help for a local Lactation Consultant in my community
who is not on lactnet just yet. She is looking for help for one of her
patients in need of oxytocin nasal spray and thought this might have been on
lactnet at one time ( a recipe or dilution info for the pharmacist). I did a
search of the archives but keep coming up negative. Does anyone out there
have this info. If you could e-mail me privately as she is in need of this
info ASAP. TIA.
Jane Ciaramella
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Date: Thu, 29 Apr 1999 20:48:42 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: Janice Berry <[log in to unmask]>
Subject: Fw: Lactivist: Borders Welcomes Breastfeeding Moms
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Official Borders response. Posted with permission from both posters.
----- Original Message -----
To: <[log in to unmask]>
Sent: Thursday, April 29, 1999 7:53 PM
Subject: Lactivist: Borders Welcomes Breastfeeding Moms
> My friend Anne just got this in her email.
>
> ----------------Forwarded Message----------------------------------
> From: "Margaret Noori (Retail)" <[log in to unmask]>
> To: Anne Robotti <[log in to unmask]>
> Date: Thu, 29 Apr 1999 19:28:20 -0400
> Subject: Borders Welcomes Breastfeeding Moms
>
> Dear Ann,
>
> I received your email address from our Marketing Director who indicated
> that
> you may be interested in seeing our official response to the incident in
> LA.
>
> If you have any questions about the letter that follows or would like
> other
> information feel free to contact me.
>
> Thanks for contacting us!
>
> Margaret Noori
> Customer Relations
>
>
> We would like to clarify and respond to a recent newspaper article that
> discusses our policy on breast-feeding in our stores. California and
> many
> other states have laws that protect the right of nursing mothers to
> breast-feed in public areas.
>
> We are very proud to be recognized as a family-oriented, community
> resource
> and we have always welcomed breast-feeding in our stores. Our customers
> have incredibly diverse backgrounds, interests and values, and our goal
> is
> to serve all their needs. Because we are a family center, we have many
> nursing mothers and their families visit our stores and they are
> especially
> valued customers.
>
> In California, a Borders bookseller was approached by a customer who
> complained that a mother was openly nursing her infant in the children's
> section of the store. The customer ( who was shopping with her 7 year
> old)
> asked the bookseller to speak to the mother. The store manager offered
> the
> mother alternative locations in the store to nurse her child, including
> the
> privacy and comfort of an office. Unfortunately, our manager was unaware
> of
> a law passed last year that protects a nursing mother's right to breast
> feed
> in public areas. In the manager's desire to resolve this issue for the
> first customer, we misstepped.
>
> We regret and apologize for the confusion over this single incident. We
> want all our customers, and especially nursing moms, to know that we
> value
> you as customers, and we want to make your visits to our stores as
> comfortable and as inviting a place to visit as your own homes. We want
> you
> to know that we recognize and respect the rights of mothers to
> breast-feed
> their babies in our stores. We have conducted an employee education
> effort
> in every Borders store nationwide so that our booksellers can help make
> the
> visits by these very special customers an enjoyable, rewarding one. We
> welcome nursing mothers at Borders.
> ----------------------end forward message------------------------
>
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Date: Fri, 30 Apr 1999 10:02:03 +0900
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: Cindi Swisher <[log in to unmask]>
Subject: Addendum - 3-week old sleeping 7 hours at night
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Hi all,
First of all, I want to thank all of you who have responded to my question.
It is a wonderful thing to have so many others to consult.
Secondly, I'd like to restate my questions:
1) Is there any research to suggest that sleeping longer than 5 hours will
result in hypoglycemia in an otherwise normal, healthy 3-week-old infant?
2) At what age is it considered *safe* for an infant to sleep for periods
longer than 5 hours?
Thirdly, I'd like to clarify some background on this question:
1) The 3 1/2 week old in question was seen by the pediatrician at a 1 week
checkup and again yesterday for a blocked tear duct. According to the mom,
she checked out fine and has had a 1# weight gain in the last 2 weeks.
2) The infant has breastfed 8 times during the days when she has slept for
the 7 hour stretch. She has soaked between 8-12 diapers in these days as
well. The mother has been keeping a diary of sorts since the baby was born
with all this information, so I believe her to be reliable. When I asked
the mom how many times she breastfed the baby (instead of "have you been
nursing at least 8 times during the day?") the mom counted from this journal
to tell me 8.
3) The mother is not obsessed with having her child "sleep through the
night". However, she was not overly concerned about it either, until the
pediatrician told her it was not safe because of the danger of hypoglycemia.
4) I suggested to the mother that she set her alarm for 4 hours after the
baby went to sleep at night and at that time offer the baby her breasts.
The baby sleeps in a bassinet next to the mother's bed. The mother said
that she would try this.
5) This mother and family went through a period of time a year ago when she
was nursing her 4th (10 months old at the time) and unknowingly pregnant
with her 5th. At that time the 10-month-old was taken to the pediatrician
for some reason and it was discovered that he had dropped on his growth
chart for weight. He was being breastfed and given table foods. The
pediatrician (a different one) chastised this mom for starving her child by
not giving the child cereal, formula, and baby food and all but threatened
to have her child taken away from her. All this caused this mom to question
her mothering abilities. Since she had no support (her husband was out of
the country on temporary duty) she started the baby on baby foods and cereal
and supplemental formula. Then she discovered she was pregnant and she was
told she needed to wean. So she did.
It has taken this mom all this time to get back her self- esteem and due to
her own questioning of her mothering abilities, she has been keeping this
diary of every pee, poop, breastfeed, spit-up, cough, etc. on this child.
Now she is being told she is endangering *this* child by not waking her up.
6) This mom is NOT willing to endanger her child... however, she is trying
to regain her self-esteem and she does not want to blindly follow directions
when those directions are not based on medical fact, but on opinion or
routine. Hence her question.
Hopefully this explains a little better *why* she is asking about the risk
of hypoglycemia in a 3 1/2 week old sleeping 7 hours at a time.
Regards,
Cindi Swisher, RN
[log in to unmask]
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Date: Thu, 29 Apr 1999 18:00:39 -0700
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: "Johnson, Martha (PHMG)" <[log in to unmask]>
Subject: FW: WHO code
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Hello All,
Here is a question from Kathleen Miller. I'd like to know tha answer to
this one myself.
Martha J
> ----------
> From: [log in to unmask][SMTP:[log in to unmask]]
> Sent: Thursday, April 29, 1999 3:20 PM
> To: [log in to unmask]
> Subject: WHO code
>
> Dear Martha,
>
> A couple of weeks ago you posted about the WHO code and how "President
> Clinton had signed it in the early 90's". I also found an article that
> said it was "radified in the U.S. in 1994". I have searched both the
> White House and Congressional Archives on their Web sites and can find no
>
> record of this.
> I am trying to get the hospital where I work to understand this, but
> they say it means nothing unless I can find these records and prove it
> exists in the U.S. They still think it applies only to third world
> countries.
> I would like to post this question to the list, but I am having trouble
>
> with my login. I get the down load daily, can search the archives, but
> can't post. I think it is a personal problem with my computer, but it
> will be a awhile until they can look at it.
> Do you know where I could find this information? Or, could you please
> post this question to the list for me? I've been trying for over a week.
>
> I would greatly appreciate it.
> Thank you.
> Kathleen Miller, IBCLC
> Fellow LACTNUT
>
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Date: Thu, 29 Apr 1999 21:03:51 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: [log in to unmask]
Subject: Re: Jaundice and High Bili #s
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<< I think the key word here is "high". I was under the impression that in a
normal, full-term healthy baby, nothing under 20-25 would be considered
"high"... Comments?
Judy LeVan Fram, Brooklyn, NY >>
I actually heard Dr. Lawrence Gartner speak today in Holyoke, MA on just this
subject! He stated that in a healthy, full-term bf infant, moderate levels
of elevated serum unconjugated bilirubin do not require any treatment, and
that after 72 hours of age, levels of up to 18 to 20 mg/dl in those healthy
infants do not require supplementation with formula or interruption of bfing,
nor is phototherapy necessary. When these levels exceed 20, observation
should be done to assess whether the bilirubin is continuing to rise.
Treatment should be considered if levels continue to rise over 20. He also
stated that physiologic jaundice may persist for up to two months and
elevated serum unconjugated bilirubin concentrations for up to 4 months.
Ruth Scuderi
Westfield, MA
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Date: Thu, 29 Apr 1999 21:21:23 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: [log in to unmask]
Subject: Re: chicken pox
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Carol:
r lawrence: "postnatal transmission is believed to occure through
aerosolized virus from skin lesions or the respirattory tract entering the
susceptible infant's respiratory tract. airborne precautions are therefore
appropriate" "vzv virus has not been cultured form milk. .. "expressed
breast milk can be given to the infant if no skin lesions involve the breast"
"isolation of the infant from the mother and interruprion of breastfeeding
sjpi;d pccire pm;u twhile the mother remains clinically infections"
pages 586 -7
Patricia
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Date: Thu, 29 Apr 1999 21:54:53 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: [log in to unmask]
Subject: Re: sleeping through the night
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I think that we need to stop and define sleeping through the night.. is
this 4 hours/6 hours/ 8 hours/10 hours???
Patricia
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Date: Thu, 29 Apr 1999 21:54:50 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: [log in to unmask]
Subject: Re: oxytocin
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Jane:
there is extensive infor in the archives... but they may be in the "older"
section....
sam georgiou 800 832 9285/410 747 6870
barr grove pharmacy 713 783 5704
apthrop phar 212 877 3480 - russel gellis pharmacist
Patricia
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Date: Thu, 29 Apr 1999 20:59:31 -0500
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: baby sleeping through the night
Comments: cc: [log in to unmask]
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>At that time the 10-month-old was taken to the pediatrician
>for some reason and it was discovered that he had dropped on his growth
>chart for weight. He was being breastfed and given table foods. The
>pediatrician (a different one) chastised this mom for starving her child by
>not giving the child cereal, formula, and baby food and all but threatened
>to have her child taken away from her.
Cindi, I realize my comments did not address your initial question about the
hypoglycemia -- but that's because I am not qualified to address this
question at all. Sorry if I derailed the discussion over to whether or not
babiess should or should not be sleeping for long stretches night at this age.
I remained concerned about this baby, and also about the next older one. I
would contend that a 10 month old being breastfed and offered ad lib table
foods should not be losing weight or dropping down the percentiles. Perhaps
the table foods were inappropriate or not in sufficient quantity, or the
child wasn't capable yet of really dealing with them, or wasn't given enough
time to. The growth faltering is odd, and the pediatrician sounds like he
was quite heavy-handed in the way he tried to address this issue with the
mother, but still, something sounds like it is not quite right here . . .
One child who doesn't gain as it should, another who sleeps for long
stretches at a very young age.
I don't know, this just makes me nervous. I am *not* suggesting that the
mother is at fault here, but rather suggesting that both of these children
may have some sub-clinical undiagnosed issues going on, one manifesting as
slow growth, the other as unusual sleep patterns at night. Does "unusual"
sound better than abnormal? How is the older child doing now? Did the
mother switch to cereal and pureed baby foods after the pediatrician advised
her to? Did the child start growing better?
Kathy Dettwyler
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Date: Thu, 29 Apr 1999 18:14:03 -0700
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: Kate Hallberg <[log in to unmask]>
Subject: OT- Todd Austin's wife
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Please email me privately!
Thanks.
Kate
aka Dirk Grunwald's wife :-)
_________________________________________________________
Do You Yahoo!?
Get your free @yahoo.com address at http://mail.yahoo.com
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Date: Fri, 30 Apr 1999 00:01:05 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: Jake Cipolla <[log in to unmask]>
Subject: Re: Hyperbaric chamber
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My sister's boyfriend operates the hyperbaric chambers at the University
of Pennsylvania Medical School. I have forwarded the question to him
and will post his reply when I get one. If anyone knows, he does.
Jake
--
Jake Cipolla, retired lawyer, stay-at-home mom to Luca Antonio (7/26/94)
and Nicholas Liam (5/1/97), LLL Leader, LC student.
mailto:[log in to unmask]
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Date: Thu, 29 Apr 1999 23:52:21 -0400
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: bili excretion
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It is my understanding that bilirubin is excreted via the bowel. You also
need to know if baby had a positive or negative Coomb's test, and what were
the values for direct bilirubin. If the value for direct bili was >1.5
mg/dl different problems need to be checked out. But assuming that was all
done, I nurse and not dress baby in yellow :-)
Don't forget the article
on Jaundice in the current issue of Contemporary Pediatrics, 16(4), p.
166-183. I'll try to do a flow chart, but I'm not sure if it will work on
e-mail. And no I don't remember where I got this :-( It says 236 Ch. 16
Neonatal Hyperbilirubinemia at the top of the spiral bound page. It is
fig. 16-1.
Sincerely, Pat in SNJ
Clinical jaundice ----------------------------------------
I I
V V
Bili> 12 mg/ml Bili < 12 mg/dl
and infant <24 hours old and infant > 24 hours old
I
V
Coombs' Test-------------------------------------------------------
I I
V V
Positive Coombs' -------------------Negative
Coombs'-----------------
I I
I
V V
V
Identify antibody Direct bili >1.5
Direct bili <1.5
* Rh Consider:
I
* ABO *Hepatitis
V
* Kell, etc. * Intrauterine, viral or
---------- Hematocrit----
toxoplasmatic inf.
I I
* Biliary Obstruction
V V
* Sepsis
Normal or low High
* Galactosemia I
(polycythemia)
* Alpha-1-antitrypsin def. I
* Cystic fibrosis I
* Tyrosinosis I
* Cholestosis I
* Recd. Hyperal? I
V
RBC morphology
------------------------------------Reticulocyte count----------
I I
V V
Abnormal:
Normal:
*Sphereocytosis * enclosed
hemorrhage
*Elliptocytosis * increased enterohepatic
*Stomatocytosis
circulation
*ABO incompatibility * breast milk :-(
*Red cell enzyme deficiency * Lucey-Driscoll syndrome
*Alpha Thalassemia * hypothyroidism
*Drugs (eg. PCN) * Crigler-Najjar syndrome
*DIC * Infant of diabetic mother
* RDS
* Asphyxia
* Infection
* Gilbert's syndrome
* Drugs (eg. Novabiocin)
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Date: Fri, 30 Apr 1999 00:50:30 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: Jake Cipolla <[log in to unmask]>
Subject: Re: US ratification of WHO Code
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I don't know anything about a recent action by Clinton on this. As for
the 1994 "ratification," my understanding is that the US joined in a UN
resolution calling for cooperation in enforcement of the Code (or
something like that - it was supportive of the Code) even though the US
has never formally ratified the original document. This has been
interpreted (fairly, I think) as constructive ratification (I just made
that term up) by many but the ABM companies (Nestle's in particular) do
not subscribe to this interpretation. They consider themselves bound
voluntarily but only in the so called third world.
I would be very curious if anyone knows of some act of Clinton's on
this.
Jake
> Hello All,
> Here is a question from Kathleen Miller. I'd like to know tha answer to
> this one myself.
> Martha J
>
> > ----------
> > From: [log in to unmask][SMTP:[log in to unmask]]
> > Sent: Thursday, April 29, 1999 3:20 PM
> > To: [log in to unmask]
> > Subject: WHO code
> >
> > Dear Martha,
> >
> > A couple of weeks ago you posted about the WHO code and how "President
> > Clinton had signed it in the early 90's". I also found an article that
> > said it was "radified in the U.S. in 1994". I have searched both the
> > White House and Congressional Archives on their Web sites and can find no
> >
> > record of this.
> > I am trying to get the hospital where I work to understand this, but
> > they say it means nothing unless I can find these records and prove it
> > exists in the U.S. They still think it applies only to third world
> > countries.
> > I would like to post this question to the list, but I am having trouble
> >
> > with my login. I get the down load daily, can search the archives, but
> > can't post. I think it is a personal problem with my computer, but it
> > will be a awhile until they can look at it.
> > Do you know where I could find this information? Or, could you please
> > post this question to the list for me? I've been trying for over a week.
> >
> > I would greatly appreciate it.
> > Thank you.
> > Kathleen Miller, IBCLC
> > Fellow LACTNUT
> >
--
Jake Cipolla, retired lawyer, 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 or http://www.bestfedbooks.com
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Date: Fri, 30 Apr 1999 01:37:04 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: [log in to unmask]
Subject: Re: Chickenpox in newborn
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Varicella in the newborn is a deadly disease. See AAP Redbook and Ruth
Lawrence. Mom and baby should be separated, and no BM until the Mom is no
longer infectious (lesions scabbed over. ) I agree infant has probably
already been infected - he needs VZIG. If the child is > 2-3 months old (and
was close to term at birth) I would continue breastfeeding.
Nancy Wight MD, FAAP, IBCLC
Neonatologist
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Date: Thu, 29 Apr 1999 01:01:48 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Patti Carroll <[log in to unmask]>
Subject: Re: Chickenpox in newborn
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I was told, after the twins were born, that since I had chicken pox already
my babies would be immune to it if I was breastfeeding and from immunity
acquired during gestation. I was inquiring because my 3-yr-old had chicken
pox. Well, my wonderful little seven-week-old 36-weekers on apnea monitors
got chicken pox. About 30 spots a piece. Yes, i did count them! jarrid has a
scar on his thigh to this day from the first one and is one way to tell them
apart in a pinch. So much for my immunity protecting my babies. They did
seem to do alright overall.
Patti C.
(mother of three, nursing mother of 18-mo twins and aspiring LC in WI)
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Date: Fri, 30 Apr 1999 10:25:09 +0100
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: heather <[log in to unmask]>
Subject: Re: Addendum - 3-week old sleeping 7 hours at night
In-Reply-To: <022101be92a5$270d6140$0301000a@cindi>
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Thanks, Cindi, for additional details.
I still do not feel there is anything overtly pathological about this
baby's behaviour, and I would counsel and support the mother and affirm
her in what she is doing in responding to her baby's needs.
This seems even more important, given the history you share with us.
I base this on the information that the baby is feeding happily, and is
growing well.
**If there was any doubt about this, or if she slept long periods at any
other time, then of course it would be different.**
Personally, I know of no research that would link hypoglycaemia to
overnight sleeping of seven hours in a normal healthy, thriving
3-weeker....but of course some may exist. The better-known research looks
at newborns - not sure about the WHO statement on it, as it is not at hand
to check. There may be something in that about older babies. It is on the
web I think.
I feel I am taking up a minority position, here, though!
But if the baby has had the usual checks (heart, responses, reflexes) and
the mother (who has 4 other children) is not suspicious of
anything.....well, I still think the chances are overwhelming the baby is
fine. Clearly, there is a case for keeping in close touch, however, with
what is happening.
Heather Welford Neil
NCT bfc Newcastle upon Tyne UK
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Date: Fri, 30 Apr 1999 18:59:44 +0900
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: Cindi Swisher <[log in to unmask]>
Subject: Thanks and update on 3-week-old sleeping 7 hours
MIME-Version: 1.0
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Thanks to everyone who responded to my questions both to the list and
privately. I appreciate the support and shared knowledge and advice and so
does this family.
The mom resolved the question by nursing the child on one breast at 12:30am
(sleeping since 9:30pm). The baby then slept till 4:30am. She is content
with this arrangement, especially after speaking with another pediatrician
here whom she respects. He told her that in all probability there would be
no problem in allowing the child to sleep for that period, since she was
healthy, but that he also did not feel comfortable with the length of time
and he felt that there might be a small chance of damage to the brain from
hypoglycemia. This is how the mother explained it to me.
So... she is going to continue the midnight breastfeed and see how things go
from there. It was nice to hear the peace in her voice. I personally
believe that she just wanted an explanation that she could understand that
was based on medical fact. (whether actual fact or not, it was at least
reasonable to her) I also believe that it made a difference for her to talk
to a doctor whose advice she believed to be motivated by thoughtfulness
rather than knee-jerk reaction. Perception is a mighty thing, isn't it?
Unfortunately, in the military system... especially overseas, we have no
choice in medical care... unless we speak the local language.
Again, thanks to all who responded. It feels good to belong to such a
caring and supportive community!
Regards,
Cindi Swisher, RN
[log in to unmask]
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Date: Fri, 30 Apr 1999 06:32:40 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: Maurenne griese <[log in to unmask]>
Subject: From Breast to (Liquor) Bottle?
Comments: To: Perinatal Discussion Group <[log in to unmask]>
MIME-Version: 1.0
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Have any of you seen this article from BabyCenter.com?
Maurenne in Kansas
****************************************************************
From Breast to (Liquor) Bottle?
Weaning your baby from the breast before the age of three weeks could put
him at a higher risk for alcoholism later on, reports a study in the April
1999 issue of The American Journal of Psychiatry. Physicians in Denmark
looked at 200 men from birth until age 30 and discovered a striking
connection: Of the men who were diagnosed as alcohol-dependent at age 30,
nearly half had been weaned from the breast before three weeks of age. Only
19 percent of the men who were not alcoholics had been weaned that early.
Of course, there are much more important reasons to breastfeed your baby
for at least six months, and ideally throughout his first year. According
to the American Academy of Pediatrics, breastfeeding reduces the risk for
infants of many illnesses, including ear infections and diarrhea, as well
as possibly offering protection against SIDS, allergies, and diabetes.
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Date: Fri, 30 Apr 1999 08:20:39 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: Mary Kay Smith <[log in to unmask]>
Organization: Sinai Health System
Subject: staff lactation consultants/ideas
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Most hospitals in the Chicago metro area (up to wisconsin border, south
to around Joliet) have staff LCs at least full time weekdays, many have
7 day a week coverage. The LCs are responsible for clinical care of
patients, staff education, patient education, outpatient consults and
phone help. Lucky is the LC who only has to do clinical care! I think
that is the case in many metro areas of big cities. Some folks I know
have positions funded by grants, some are funded by the Maternal Child
departments, and others salaries are paid by contributions from the
Mother Baby unit, NICU, Pediatrics and Labor & Delivery. In a middle to
upper class area, having an LC is a patient satisfaction issue; in an
inner city, low income area, breastfeeding is a health, parenting and
economic issue. Marketing LC services is something all of us do, every
day in every contact we have with patients, staff and the community.
Our hospital is an inner city hospital, most patients are on public
assistance of some kind, yet in some cases they get to choose where they
deliver. If we can do any advertising or public relations at all in
tandem with the Maternal Child health services area, it can help utilize
the services of an LC.
Mary Kay Smith, CLE, IBCLC
Romeoville, IL
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Date: Fri, 30 Apr 1999 09:46:33 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: "Reid, Jerie" <[log in to unmask]>
Subject: HIGH BILI
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Please don't forget to consider Biliary Atresia, the number one reason
for liver transplants in children. Best outcomes are found in babes who
can have surgery early(before 8 weeks) so time is critical. J Reid,
Nutrition Services, CCHealth Dept, NY
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Date: Fri, 30 Apr 1999 08:22:40 -0600
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: Jerry & Jacie Coryell <[log in to unmask]>
Subject: Re: sleeping thru the night
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I have always heard, but I don't know where, that child development
specialists define sleeping thru the night as 5 hours.
Jacie in Albuquerque, New Mexico
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Date: Fri, 30 Apr 1999 11:14:05 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: [log in to unmask]
Subject: Bengali
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Hi Lactnuts,
I am looking for someone who speaks Bengali to help a father with
limited English, help his nonEnglish speaking wife, to get nursing going. The
baby is already a month old, and that is all I know so far. Both parents
speak Bengali. They do not have a PC, and live in Brooklyn, NY. Any thoughts?
I have already given them LLL meeting info and have given them the number of
an English-speaking local LC, but I don't know if they called her.
Judy LeVan Fram, Brooklyn, NY
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Date: Fri, 30 Apr 1999 13:24:13 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: Mary and Mike Ryngaert <[log in to unmask]>
Subject: Re: chicken pox
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For those of you interested in a spirited discussion about chicken pox and
breastfeeding, may I suggest that you tune into Peds Chat Monday evening at
9:00 p.m. Eastern time (NY, Toronto, Atlanta, Gainesville time)? I'm sure
Dr. Jack will be announcing it soon, but as we wrapped up chat last week,
that was the proposed topic (expanding to all infectious diseases as the
time permits). These chats are always informative, often entertaining. Dr.
Jack Newman is always there and often Kay Hoover. You'll hear varying
opinions.
If you are already registered go to:
http://education.pedschat.org:81/eshare/server?action=61
If you have not registered previously, go to:
http://education.pedschat.org:81/eshare/server?action=4
Mary Ryngaert, ARNP, MSN
Gainesville, FL
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Date: Fri, 30 Apr 1999 13:23:51 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: Susan Keith-Hergert <[log in to unmask]>
Subject: Re: Fw: Lactivist: Borders Welcomes Breastfeeding Moms
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Wow, Why couldn't Walmart have responded so sympathetically. I will
cintinue to patronize Borders.
Susan
Janice Berry <[log in to unmask]> on 04/29/99 08:48:42 PM
Please respond to Lactation Information and Discussion
<[log in to unmask]>
To: [log in to unmask]
cc: (bcc: Susan J Keith-Hergert/MGCR/CHP)
Subject: Fw: Lactivist: Borders Welcomes Breastfeeding Moms
Official Borders response. Posted with permission from both posters.
----- Original Message -----
To: <[log in to unmask]>
Sent: Thursday, April 29, 1999 7:53 PM
Subject: Lactivist: Borders Welcomes Breastfeeding Moms
> My friend Anne just got this in her email.
>
> ----------------Forwarded Message----------------------------------
> From: "Margaret Noori (Retail)" <[log in to unmask]>
> To: Anne Robotti <[log in to unmask]>
> Date: Thu, 29 Apr 1999 19:28:20 -0400
> Subject: Borders Welcomes Breastfeeding Moms
>
> Dear Ann,
>
> I received your email address from our Marketing Director who indicated
> that
> you may be interested in seeing our official response to the incident in
> LA.
>
> If you have any questions about the letter that follows or would like
> other
> information feel free to contact me.
>
> Thanks for contacting us!
>
> Margaret Noori
> Customer Relations
>
>
> We would like to clarify and respond to a recent newspaper article that
> discusses our policy on breast-feeding in our stores. California and
> many
> other states have laws that protect the right of nursing mothers to
> breast-feed in public areas.
>
> We are very proud to be recognized as a family-oriented, community
> resource
> and we have always welcomed breast-feeding in our stores. Our customers
> have incredibly diverse backgrounds, interests and values, and our goal
> is
> to serve all their needs. Because we are a family center, we have many
> nursing mothers and their families visit our stores and they are
> especially
> valued customers.
>
> In California, a Borders bookseller was approached by a customer who
> complained that a mother was openly nursing her infant in the children's
> section of the store. The customer ( who was shopping with her 7 year
> old)
> asked the bookseller to speak to the mother. The store manager offered
> the
> mother alternative locations in the store to nurse her child, including
> the
> privacy and comfort of an office. Unfortunately, our manager was unaware
> of
> a law passed last year that protects a nursing mother's right to breast
> feed
> in public areas. In the manager's desire to resolve this issue for the
> first customer, we misstepped.
>
> We regret and apologize for the confusion over this single incident. We
> want all our customers, and especially nursing moms, to know that we
> value
> you as customers, and we want to make your visits to our stores as
> comfortable and as inviting a place to visit as your own homes. We want
> you
> to know that we recognize and respect the rights of mothers to
> breast-feed
> their babies in our stores. We have conducted an employee education
> effort
> in every Borders store nationwide so that our booksellers can help make
> the
> visits by these very special customers an enjoyable, rewarding one. We
> welcome nursing mothers at Borders.
> ----------------------end forward message------------------------
>
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Date: Fri, 30 Apr 1999 14:29:59 -0700
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: Steve Cannello <[log in to unmask]>
Subject: July IBCLE Exam San Francisco
Comments: To: lacnet mail <[log in to unmask]>
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My Name is Debbie Colbert. I am taking this Exam and was looking to
meet others at the exam site to visit with while we are there.
thanks
Debbie (you can write me at this email)
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Date: Fri, 30 Apr 1999 14:28:18 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: [log in to unmask]
Subject: Re: LACTNET Digest - 29 Apr 1999 - Special issue (#1999-160)
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I
<< At that time the 10-month-old was taken to the pediatrician
for some reason and it was discovered that he had dropped on his growth
chart for weight. >>
It would stand to reason that a ten month old baby whose mother is pregnant
may be getting less breastmilk (would be more problematic for a baby whose
diet was almost exclusively breastmilk) and might fall off their previous
growth curve. In that situation, it might be prudent to watch the baby's
intake of all foods carefully to make sure that he is getting enough to eat
(both of his mother's milk and solids).
However, the above quoted statement does *not* say that the baby lost
weight or did not gain weight, it says that he had "dropped on his growth
chart for weight". Couldn't it be that this little baby's body was using
more of his calories to grow in height? Couldn't it be that this baby was a
healthy, chubby breastfed baby until nine or ten months but has since started
walking and is more distracted by his new physical skills than before and so
not eating quite as much, or possibly just burning his calories faster with
his new activities? Couldn't it be possible that this baby had a GI illness
(rotavirus comes to mind) between doctor visits and lost enough weight while
ill to throw his "growth curve" off a bit?
BTW, I realize that this "ten month old baby" is long since weaned in
this scenario, and the mother's concerns are about her sleepy newborn. Just
playing devil's advocate here!
Lisa Jones, LLLL in Wellington FL - whose second baby was sleeping five/six
hour stretches by three weeks of age but nursing and carried around the other
nineteen hours of the day. It didn't last!! He's 3.5 yo now and just
getting around to "sleeping through the night".
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Date: Fri, 30 Apr 1999 14:43:13 -0400
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: fussy until finger fed
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Why would a baby who was put to breast when feeding cues were seen become
fussy and refuse to latch until he was finger fed about 5cc/kg of milk? He
would then calm and latch on mom?
OK disclaimer, this was my newest baby, I know its a personal question but
since the problem resolved spontaneously its now an academic question.
BTW a good way to know how colicy a baby is is when the mom the mom calls
the da at work and says "When you get home I'll mow the grass." 4+ weeks
post partum and my wife insists on mowing the grass.
-Rob
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Date: Fri, 30 Apr 1999 13:54:55 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: The Hamiltons <[log in to unmask]>
Subject: Re: US ratification of WHO Code
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If you happen to have access to back issues of LEAVEN (the LLLI publication for
Leaders) there is an article by Barbara Heiser titled "Reversal of the United
States Position on Who Code." I found it confusing then, and re-reading it
doesn't help. It lists as references a press release from Action for Corporate
Accountability dated May 9, 1994, titled "Clinton Administration Repudiates 13
Year Opposition to International Marketing Code on Breastmilk Substitutes."
Two other references given are:
Press release from IBFAN dated May 9, 1994, titled "American and European
Industry defeated on baby food Code" and
WHO document EB93.R9, 25 January 1994.
Hope this helps. I too would be interested to hear about any recent actions by
the US.
Joanne Hamilton
Foley, AL
--
mailto:[log in to unmask]
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Date: Fri, 30 Apr 1999 15:26:29 -0400
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: chicken pox and immunity
Mime-Version: 1.0
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"About 30 spots a piece. Yes, i did count them! jarrid has a
scar on his thigh to this day from the first one and is one way to tell them
apart in a pinch. So much for my immunity protecting my babies. They did
seem to do alright overall."
Patti,
30 spots isnt a bad case.
-Rob
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Date: Fri, 30 Apr 1999 18:41:05 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: [log in to unmask]
Subject: sleeping through the night
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I'm back after being nomail for months. Just to add yet another comment on
this discussion. My understanding as a nurse is that the risk of
hypoglycemia is primarily in the newborn period. Anyone know anything
different?
Now, as a mother. My daughter slept 7-8 hours at a month. By two months she
was sleeping 11 hours. No, I'm not remembering wrong. In fact, in my
mothers' group there were a couple of other totally breastfed babies who did
the same. Having said that, I realize that the majority of babies do not do
this, and our cultural presentation of it as the norm does a great disservice
to the majority of moms and babies. My daughter, however, was perfectly
normal, as were her friends. And, at around 5 months, she started waking up
again and continued to wake about twice a night until around age 2 1/2. This
is also a normal occurrence. All kinds of theories about why previously
long-sleeping babies often start waking up again around this age. (This
could start a whole other discussion!) My son, on the other hand, never slept
anything like through the night until 2 1/2 or 3. In my years as a La Leche
League Leader, I saw a wide range of normal variations in sleep patterns
among normal babies. Now it may be true, as Kathy Dettwyler says, that this
may be a reason to look at the baby a little more carefully, but it is in
fact a variant of normal and if the baby looks good in every other way, "if
it ain't broke, don't fix it." Miriam Levitt RN, IBCLC
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Date: Fri, 30 Apr 1999 19:21:48 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
<[log in to unmask]>
From: [log in to unmask]
Subject: Re: chickenpox in 36 week twin
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I agree with your observation, but not your conclusion. 30 lesions in premie
twins shows excellent immunologic protection. In fact enough protection that
they might not mount their own response and get chickenpox in a few years or
develop shingles.
Mary Murphy MD
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Date: Fri, 30 Apr 1999 17:30:13 -0600
Reply-To: Lactation Information and Discussion
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From: jhroibal <[log in to unmask]>
Subject: Ross Dinner
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a Ross sponsored dinner where nurses are being invited to hear a speaker
(?) speak on "Counseling the Breastfeeding Mother"?...The IBCLCs in the
hospital are planning on being there to check out what is going on."
Some people I know once attended a luncheon sponsored by a formula
company and they "protested" the sponsorship and declined the free meal.
You can pay for your meal yourself or forego the food altogether. By
insisting on paying for your dinner and letting everyone know WHY you
are paying for your dinner, you can get your message across loud and
clear and still get a first hand look at all the mis (sic) information
being presented. Of course, this will brand you as a zealot :-)
Good luck!
Heidi S. Roibal
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Date: Fri, 30 Apr 1999 16:31:32 -0700
Reply-To: Lactation Information and Discussion
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From: Jan Nusche <[log in to unmask]>
Subject: Phenelzine (Nardil)
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I have a client who has been taking Nardil for a prolonged period. She
continued to take the drug
through her 1st pregnancy 7 yrs ago, but was advised against breastfeeding
and did not breastfeed that child. She is now pregnant again, and on a low
dose (30mg/day). She would like to breastfeed this time, and would like
current information about Nardil and breastfeeding.
Discontinuing Nardil is not an option, she is struggling on the low dose.
Trials with different antidepressants have not been successful.
I searched the LacNet Archives, but found only one relevant post dated '97.
Does anyone have more current information?
Please reply to me directly and cc the list. I cannot keep current with the
list volume. Thanks in advance.
Sincerely,
Jan Nusche,
Doula and Breastfeeding Counsellor
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Date: Fri, 30 Apr 1999 17:45:54 -0600
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
Sender: Lactation Information and Discussion
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From: jhroibal <[log in to unmask]>
Subject: Border's response
Comments: To: Lactation Information and Discussion <[log in to unmask]>
MIME-Version: 1.0
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Dear Lactnetters,
I read the article about the Border's Bookstore incident and fired off
an e-mail. Less than 8 hours later, I received a call from a Border's
representative. She gave me permission to use the Border's official
response. She said that they were swamped with calls, e-mails and faxes.
See how much of a difference we can make?
Heidi S. Roibal
Albuquerque, NM
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by smtp9.gateway.net (8.9.3/8.9.3) with ESMTP id KAA18215
for <[log in to unmask]>; Fri, 30 Apr 1999 10:13:40 -0400 (EDT)
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From: "BordersStores.Com Ccare" <[log in to unmask]>
To: "[log in to unmask]" <[log in to unmask]>
Subject: RE: Nursing Moms Welcome at Borders
Date: Fri, 30 Apr 1999 10:10:30 -0400
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> Hi,
>
> Here's the statement we're sending out. Feel free to pass it on to
> others.
> Thanks for taking time to talk this afternoon!
>
> Margaret
>
>
> We would like to clarify and respond to a recent newspaper article that
> discusses our policy on breast-feeding in our stores. California and many
> other states have laws that protect the right of nursing mothers to
> breast-feed in public areas.
>
> We are very proud to be recognized as a family-oriented, community
> resource
> and we have always welcomed breast-feeding in our stores. Our customers
> have incredibly diverse backgrounds, interests and values, and our goal is
> to serve all their needs. Because we are a family center, we have many
> nursing mothers and their families visit our stores and they are
> especially
> valued customers.
>
> In California, a Borders bookseller was approached by a customer who
> complained that a mother was openly nursing her infant in the children's
> section of the store. The customer ( who was shopping with her 7 year
> old)
> asked the bookseller to speak to the mother. The store manager offered
> the
> mother alternative locations in the store to nurse her child, including
> the
> privacy and comfort of an office. Unfortunately, our manager was unaware
> of
> a law passed last year that protects a nursing mother's right to breast
> feed
> in public areas. In the manager's desire to resolve this issue for the
> first customer, we misstepped.
>
> We regret and apologize for the confusion over this single incident. We
> want all our customers, and especially nursing moms, to know that we value
> you as customers, and we want to make your visits to our stores as
> comfortable and as inviting a place to visit as your own homes. We want
> you
> to know that we recognize and respect the rights of mothers to breast-feed
> their babies in our stores. We have conducted an employee education
> effort
> in every Borders store nationwide so that our booksellers can help make
> the
> visits by these very special customers an enjoyable, rewarding one. We
> welcome nursing mothers at Borders.
>
--------------CAB15C3D835FD216DAD8F680--
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Date: Fri, 30 Apr 1999 19:48:42 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Patrica Young <[log in to unmask]>
Subject: Re: fussy until finger fed
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> Why would a baby who was put to breast when feeding cues were seen become
> fussy and refuse to latch until he was finger fed about 5cc/kg of milk?
He
> would then calm and latch on mom?
Sometimes just sucking on a finger, no milk is enough to calm them and
remind them of what they really want to do ie: be in suck mode.
Sincerely, Pat in SNJ
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Date: Fri, 30 Apr 1999 19:49:04 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Patrica Young <[log in to unmask]>
Subject: Re: one month/4 weeks
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Dear Rob, 4 weeks is prime "if I don't get away from this baby and/or out
of this house soon I'll die " time. I don't know if is clastrophobic for a
US mom or what, but 30 days is about it. Moms need TLC to get over this
hump and the 5-6 wk growth spurt and then all the sudden "it's wonderful".
So let her mow the grass already (hope it is not a push mower). Sincerely,
Pat in SNJ
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Date: Fri, 30 Apr 1999 19:15:33 -0500
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Lucretia McGee Bush <[log in to unmask]>
Subject: Number of Chickenpox lesions to confer immunity
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Is there a correlation between number of lesions and adequate immunity?
I was breastfeeding my second child when the older child contracted
Chickenpox. The oldest had a major case complete with secondary infection.
My nursling, 17 months at the time, promptly broke out on the fourteenth day
after his sister. He had 8, easy to count, lesions all on his back, and
very minor other symptoms, slight temperature elevation and runny nose only
for a few days.
He is now 16 and I have repeatedly exposed him to every infected person I
ran across because I was concerned he did not have adequate immunity. He
has never had another case of chickenpox, or shingles.
-----Original Message-----
Subject: Re: chickenpox in 36 week twin
>30 lesions in premie
>twins shows excellent immunologic protection. In fact enough protection
that
>they might not mount their own response and get chickenpox in a few years
or
>develop shingles.
>
>Mary Murphy MD
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Date: Fri, 30 Apr 1999 20:38:18 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Cathy Bargar <[log in to unmask]>
Subject: long sleep @ night/hypoglycemia
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Wouldn't the more relevant question be whether the degree of "hypoglycemia"
that a healthy 3-wk. old might experience in a 7-hr. sleep stretch at night
be of any significance at all? If you interpret "hypoglycemia" in its
broadest sense, a measurable drop in blood sugar, sure; the baby's blood
glucose might drop some if you were monitoring it, but would that
necessarily mean anything in a healthy, full-term gaining baby? An adult's
fasting AM BG is lower, too, but that doesn't mean anything except that
probably you'll feel hungry and eat something soon. If the baby wakes &
nurses & carries on "normally", has anything dangerous happened?
The other question might be, is something worrisome going on that causes the
baby to sleep for that stretch without nursing? If the pedi were determined
for some reason we might not be aware of to be concerned about the baby,
might this be a more fruitful line of investigation than threatening the
mother with the "possibility" of "hypoglycemia", which does sound to me kind
of dire and also kind of smoke-and-mirrors.
This begins to sound to me more like a control issue (between mom/doc), or a
parent-confidence issue, than a medical one.
Cathy Bargar RN, IBCLC Ithaca NY
-----Original Message-----
From: heather [mailto:[log in to unmask]]
Sent: Friday, April 30, 1999 5:25 AM
Subject: Re: Addendum - 3-week old sleeping 7 hours at night
Thanks, Cindi, for additional details.
I still do not feel there is anything overtly pathological about this
baby's behaviour, and I would counsel and support the mother and affirm
her in what she is doing in responding to her baby's needs.
This seems even more important, given the history you share with us.
I base this on the information that the baby is feeding happily, and is
growing well.
**If there was any doubt about this, or if she slept long periods at any
other time, then of course it would be different.**
Personally, I know of no research that would link hypoglycaemia to
overnight sleeping of seven hours in a normal healthy, thriving
3-weeker....but of course some may exist. The better-known research looks
at newborns - not sure about the WHO statement on it, as it is not at hand
to check. There may be something in that about older babies. It is on the
web I think.
I feel I am taking up a minority position, here, though!
But if the baby has had the usual checks (heart, responses, reflexes) and
the mother (who has 4 other children) is not suspicious of
anything.....well, I still think the chances are overwhelming the baby is
fine. Clearly, there is a case for keeping in close touch, however, with
what is happening.
Heather Welford Neil
NCT bfc Newcastle upon Tyne UK
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Date: Fri, 30 Apr 1999 20:50:07 -0400
Reply-To: Lactation Information and Discussion
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From: Nancy Holtzman <[log in to unmask]>
Subject: New Pediatrics warning: Co-sleeping
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Hi, all,
I just received the pre-copy of the Journal "Pediatrics", and there is an
abstract of a research study entitled Infant Mechanical Suffocation Deaths
in the
United States, 1980-1997
http://www.pediatrics.org/cgi/content/abstract/103/5/e59
It discusses classifications of suffocation deaths, and concludes:
Conclusions. Suffocation hazards presented by beds, bedding, pillows, and
plastic bags continue to be underrecognized by
parents and caregivers. Bed-sharing and use of adult beds for infants
should be discouraged. Only complying cribs should be
used and maintained properly to ensure structural integrity. Suffocation
deaths involving plastics should be investigated to
determine the specific material characteristics and use patterns to design
more effective interventions than selective labeling.
Key words: suffocation, infants, beds, cribs, co-sleeping.
Full text is available at the link above.
I'm sure there will be full media warnings against co-sleeping when this
hits Reuters and all.
NancyH
Nancy Holtzman RN BSN MOM
Great Beginnings New Mothers Groups
Boston MA
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Date: Fri, 30 Apr 1999 20:49:22 -0400
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: From Breast to (Liquor) Bottle?
Comments: To: Maurenne griese <[log in to unmask]>
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Re: the study Maurenne cited re: BFing <3 wks leading to increased incidence
of alcoholism -
I wonder if the "weaning before 3 weeks of age" actually means "not
recieving breast milk for the first 3 weeks", or if it specifically means
being weaned from direct nursing at the breast - is it the product or the
process?
Anyone know if this is a good study?
Cathy Bargar, RN, IBCLC Ithaca NY
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Date: Fri, 30 Apr 1999 21:01:12 -0400
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: fussy until finger fed
Comments: To: Robert Cordes DO <[log in to unmask]>
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'cause babies are funny little critters? 'cause they really haven't
identified "hunger" as a real specific feeling that is quickly fixed by
nursing, so the sucking kind of calms them down & gets them on track? Like
"oh yeah, now I remember, when I do this I feel better". Lots of babies will
calm down enough to latch & nurse just by sucking a finger, or dad's nose,
or the dog's ear, or whatever.
Bottom line - babies are just wierd sometimes. That's the technical
explanation, of course.
Enjoying your posts from daddy-land!
Cathy Bargar
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Date: Fri, 30 Apr 1999 18:49:31 PDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: laurie wheeler <[log in to unmask]>
Subject: chronic plugged ducts
Comments: To: [log in to unmask]
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I would look at oversupply issues and try to reduce her supply if that seems
to be the case, BUT I would also refer her to a breast specialist/surgeon to
r/o some obstruction/tumor.
Laurie
Laurie Wheeler, RN, MN, IBCLC
Louisiana Breastfeeding MediaWatch Campaign
Violet Louisiana, USA
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Date: Fri, 30 Apr 1999 18:57:21 PDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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<[log in to unmask]>
From: laurie wheeler <[log in to unmask]>
Subject: nipple pain/post radiation
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Cindy
Hope you find some answers from Dr. Love. I was thinking that perhaps the
scar tissue (mass) is getting impinged upon when the breasts are full and
when they empty (during feeding) this pressure on the site is relieved.
Possible scar tissue issues/nerve damage seems to be a logical explanation.
Don't know if anything could be done to remove it.
Laurie Wheeler, RN, MN, IBCLC
Louisiana Breastfeeding MediaWatch Campaign
Violet Louisiana, USA
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Date: Fri, 30 Apr 1999 19:01:13 PDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: laurie wheeler <[log in to unmask]>
Subject: depressed suck (prolonged)
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Re the baby with the prolonged depression/non-interest in bf:
I am assuming from the descriiption that the baby was in the nicu. First,
the birth was medicated, lots of interventions such as scalp electrode
placement, suctioning, lots of blood glucose draws (was the baby getting
heelstick each time?). This can kind of "shut down" a little person. Then if
the babe was not with his mother continuously, but only put to breast at say
3 hr intervals, maybe he just wasn't interested at those times. The good
news was the large amts of colostrum the mom could obtain and getting that
to the baby.
I realize this is very typical, but perhaps if he was just left snuggling
with his mom and closely observed, then he would have done better, quicker.
Laurie Wheeler, RN, MN, IBCLC
Louisiana Breastfeeding MediaWatch Campaign
Violet Louisiana, USA
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Date: Fri, 30 Apr 1999 22:05:11 EDT
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: [log in to unmask]
Subject: Re: headache medications
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Hi,
A mom is breastfeeding a 4 month old and gets severe headaches. Was told
to take the following to prevent them from happening.
Maxalt and Esgict tablets along with Allegra.
Can't find Maxalt and Esgict. Can you help? Her Pharmacist and her
Physician
are giving her conflicting responses.
Thanks,
Tammy Arbeter
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Date: Fri, 30 Apr 1999 22:31:28 -0400
Reply-To: Lactation Information and Discussion
<[log in to unmask]>
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From: Tim Hendrix <[log in to unmask]>
Subject: Co-workers email to LC offensive
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Hello out there! Just needing others to be as astounded as I was when I
found the following in our e-mail to our entire unit (LDRP, PP, NICU,
over 200 employees), of course this person is talking about me:
<After reading two messages from our Lactation Director, I feel that
pressure placed on "bottle feeding" mothers is totally inappropriate. I
personally bottle fed two children (happily) and breastfed one child,
happily. We need to respect our patients choices and support them
equally, bottle or breastfed. We need to educate those on "proper
feeding" and the techniques that go with either one. Bottle: burping,
amounts fed, positioning, amount is 10cc per kg. Breast: as it has been
discussed in our classes. I am appalled that my patient today was
approached when asking for a baby blanket and was advised by the "
Lactation Director" that she should think about breast feeding and that
she was over feeding her baby. Her baby took under 30 cc and weighed
2735 gm. (appropriate per standards). Please, we need to respect
patients wishes because this puts unnecessary guilt on them... Thank
you.>
(BTW this same nurse had called me at home the night before to "chew me
out" about this. I couldn't get more than two words in as she was
screaming at how appalling I was to EVER approach a bottle feeding mom
about breastfeeding)
This was the scenario:
Mom comes to desk to ask for blankets as her baby has vomited, again. I
was the only one around and of course went to help her. On the way to
her room she stated her 1st baby had horrible problems with nearly all
formulas and cost her a fortune, I guess this baby is going to do the
same. I, gently, stated that I was the Lactation Consultant and had she
thought about breastfeeding? She said "no way". I told her I wasn't
there to instill guilt on her but that the baby would do better on her
milk and if she changed her mind I was there to help. I also noted OVER
30 cc of formula was taken from the bottle and suggested (since the baby
was almost 24hrs old) that she might try just 15cc at the next couple of
feeds. She stated "my Pediatrician said the same thing this AM, that
maybe I am overfeeding the baby, but the nurses insist this is what the
baby needs to take". (More likely an intolerance, I'm sure) End of
Scenario...
My Nurse Manager saw the email before me and called this LPN up at home
and "let her have it". Well, at least that was good.
Now I feel upset at not responding to her, in an educational manner.
NOT by unit email! Maybe an informative (private) letter with a *hint*
of the unprofessionalism she displayed? Any suggestions are welcomed.
Email me here or at [log in to unmask]
Thanks for listening, I feel calmer already!
Pam (Hendrix, RN, IBCLC, ICCE) in hot s. fla!
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Date: Fri, 30 Apr 1999 23:20:31 -0400
Reply-To: Lactation Information and Discussion
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Sender: Lactation Information and Discussion
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From: Steve Salop and Judith Gelman <[log in to unmask]>
Subject: alcoholism
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Dear Friends--
I hate to be a spoilsport, but if early weaning were the "cause" of
alcoholism, well over half of the current 30-50 year olds in the US
should be alcoholic because only a tiny percentage of them were ever
breastfed. Or is this Danish study suggesting that it is "better" not to
try to breastfeed if you aren't _sure_ you can make it past 3 weeks?
And how does this relate to all the data that tells us that alcoholism
is highly genetic and also associated with familial depression?
Warmly-
Judy Gelman
Washington, DC
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