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Dear Bekah, I have many thoughts, but want to send you my prayers and hope that in spite of disappointment, fatigue and all the unpleasant symptoms you can hang on to your conviction that the Lord knows what He is doing, and that He never sends more than you can bear, even if it doesn’t feel like it right now. Hang in, and hang on. There are several things you can try after number nine is safely here. Hanna Klaus, M.D. From: nfpprofessionals [mailto:nfpprofessionals ] On Behalf Of kenderlove4Sent: Tuesday, August 23, 2011 8:31 PMTo: nfpprofessionals Subject: Breastfeeding twins update I'm posting from Yahoo homepage as it looks like my first attempt didn't post. Apologies if this ends up posting twice.To our shock and amazement, we confirmed this weekend that number 9 is on the way. The twins are 5.5 mo old. I had absolutely no mucus symptoms, in fact this is the first time I have ever been dry, dry, dry while nursing. I'm guessing, mostly based on the faintness of the test result and appearance of symptoms that I am barely 4 weeks. I suspected pregnancy after an episode of post-coital bleeding, followed by constant pelvic heaviness followed by nausea starting a week later. I have decided to be happy about this and not worry about the details, as I know no one else in our circle will feel the same. I trust the Lord knows what He's doing. Dh is trying but struggling, so prayers for him, please. (Update since my attempt to post yesterday: he is already feeling more optimistic.) I have had very early return of menses before, but never without any warning symptoms of fertility. I'm feeling quite disillusioned with NFP as it has always been a constant struggle for us with my cycle history, but I was convicted about the errors of contraception long before my conversion to the Catholic Church. So we have limited options.Can dehydration affect the mucus sign? I have been struggling to stay hydrated while breastfeeding the twins. I don't do internal checks as I have a history of virulent GBS infection, and temps are nonsensical when you are awakened every 30m to 2h (on a good night) all night. ~Bekah <><

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Dear Bekah,My thoughts and prayers will be with as you prepare your hearts and home for another blessing. I can only imagine the mixed emotions you must have toward using NFP. Being called to be the mother of 9 must be a most intensely joyous vocation while also being very hard to bear. I have not walked where you trod but I pray that those who have will intercede on your behalf so that you may feel peace and hope descending from Heaven, to make your steps quick and your burden light. 

With regard to feeling that you have limited options, I would encourage you to search your heart regarding cervical exams. It has been the saving grace  for many clients of mine. So that this may become a better option for you, I am pasting below a protocol given to me by a traditional midwife in Maine that we have used with great success in the prevention and treatment of GBS colonization. 

Peace, Palmer FCPville, FL_________Protocol for the prevention and treatment of GBSTake twice a day (breakfast and dinner) from 30 weeks pregnant or daily when not pregnant

Acidophilus 4 billion cells per doseEchinacea 350 mg capsules x2 capsGarlic 580 mg capsules x2 capsVit. C 500 mg w/200mg bioflavenoidsGrapefruit seed extract 15 drops or one capsule

Zinc & Vit B-6 can also be added w/beneficial results-- Mellow Moms*doula services and natural family planning*ville, FLwww.mellowmoms.com

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Bekah first of all I am happy for you and your husband even though I do not underestimate the difficulties. No doubt this will be a special child, as God delights in wrapping blessings in various kinds of difficulties and trials. He "sweetens" the burden when we least expect it.

Yes, because mucus is a hydrogel it will be more scant when dehydrated. There are times, especially in extraordinary circumstances, when we simply must do the best we can with the ordinary, not-completely-perfect measures we have at our disposal and then trust divine providence for the rest. (even in NFP circles, "providence" ought not have a bad name!) Are you in your 30s?

One bright spot is that if all goes well you have just been given about 14 months not to have to think about it. That in itself is a gift.

You all will be in my family's prayers!

Sincerely yours,

Dominic M. Pedulla MD, FACC, CNFPMC, ABVM, ACPh

Interventional Cardiologist, Endovascular Diplomate, Varicose Vein Specialist, Noncontraceptive Family Planning Consultant, Family Planning Researcher

Medical Director, The Oklahoma Vein and Endovascular Center (www.noveinok.com, veininfo@...)

Executive Director, The Edith Stein Foundation (www.theedithsteinfoundation.com)

(office)

(cell)

(FAX)

pedullad@...

"It is an indisputable fact that the Christian faith, from its origins, did not want to be only an idea, that it entered into the world endowed with institutional elements (apostolic function, apostolic succession) and that, therefore, the institutional form of the Church belongs by essence to the faith." (Cardinal ph Ratzinger, December 30, in "La Croix.")

Breastfeeding twins update

I'm posting from Yahoo homepage as it looks like my first attempt didn't post. Apologies if this ends up posting twice.

To our shock and amazement, we confirmed this weekend that number 9 is on the way. The twins are 5.5 mo old. I had absolutely no mucus symptoms, in fact this is the first time I have ever been dry, dry, dry while nursing. I'm guessing, mostly based on the faintness of the test result and appearance of symptoms that I am barely 4 weeks. I suspected pregnancy after an episode of post-coital bleeding, followed by constant pelvic heaviness followed by nausea starting a week later. I have decided to be happy about this and not worry about the details, as I know no one else in our circle will feel the same. I trust the Lord knows what He's doing. Dh is trying but struggling, so prayers for him, please. (Update since my attempt to post yesterday: he is already feeling more optimistic.) I have had very early return of menses before, but never without any warning symptoms of fertility. I'm feeling quite disillusioned with NFP as it has always been a constant struggle for us with my cycle history, but I was convicted about the errors of contraception long before my conversion to the Catholic Church. So we have limited options.

Can dehydration affect the mucus sign? I have been struggling to stay hydrated while breastfeeding the twins. I don't do internal checks as I have a history of virulent GBS infection, and temps are nonsensical when you are awakened every 30m to 2h (on a good night) all night.

~Bekah <><

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Bekah,As a mother of two I didn't know quite how to respond to you so I asked my good friend who has 9 children.  Here are some of her comments:It sounds rough to have 5 month old twins and get pregnant again so soon but since it happened just accept it and welcome the baby right now with joy

and optimism.  When we thank God for the new life, things get more optimistic and the baby feels the acceptance and happy expectation. A baby is a gift no matter when it comes and we are sometimes miffed because

it doesn't seem like we'll be able to manage but surprisingly, somehow we manage. I always thought there must be angels helping me doing things

to make the load lighter for all of a sudden you have energy to tackle this or other thing, something you knew you didn't have in you! They

can also maybe get an aupair or young girl who could help them till things settle down a bit into a routine with the kids. It's always hard at the beginning with a new little one as everything adjusts.Thank God we are creatures of habit and after a while we get used to anything.

Have patience, wait on the Lord, our blessed Mother, and the guardian angels and pray for more faith.We also grow in fortitude, patience, trust and really they are practicing Faith!I hope this helps.  I will keep you in my prayers and look forward to hearing about the new baby.

Peggy

 

I'm posting from Yahoo homepage as it looks like my first attempt didn't post. Apologies if this ends up posting twice.

To our shock and amazement, we confirmed this weekend that number 9 is on the way. The twins are 5.5 mo old. I had absolutely no mucus symptoms, in fact this is the first time I have ever been dry, dry, dry while nursing. I'm guessing, mostly based on the faintness of the test result and appearance of symptoms that I am barely 4 weeks. I suspected pregnancy after an episode of post-coital bleeding, followed by constant pelvic heaviness followed by nausea starting a week later. I have decided to be happy about this and not worry about the details, as I know no one else in our circle will feel the same. I trust the Lord knows what He's doing. Dh is trying but struggling, so prayers for him, please. (Update since my attempt to post yesterday: he is already feeling more optimistic.) I have had very early return of menses before, but never without any warning symptoms of fertility. I'm feeling quite disillusioned with NFP as it has always been a constant struggle for us with my cycle history, but I was convicted about the errors of contraception long before my conversion to the Catholic Church. So we have limited options.

Can dehydration affect the mucus sign? I have been struggling to stay hydrated while breastfeeding the twins. I don't do internal checks as I have a history of virulent GBS infection, and temps are nonsensical when you are awakened every 30m to 2h (on a good night) all night.

~Bekah <><

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Bekah,

Since many you encounter won't say it, congratulations!! :) I hope and pray

that the first trimester is gentle and kind to you!

If you were consistently charting and completely dry, this could be one of those

" miracle " babies. :) The deydration question is a good one, though. I will keep

you in my prayers as you guys get used to the idea!

Fuller

>

> Dear Bekah,

>

>

>

> I have many thoughts, but want to send you my prayers and hope that in

> spite of disappointment, fatigue and all the unpleasant symptoms you can

> hang on to your conviction that the Lord knows what He is doing, and that He

> never sends more than you can bear, even if it doesn't feel like it right

> now.

>

>

>

> Hang in, and hang on. There are several things you can try after number

> nine is safely here.

>

>

>

> Hanna Klaus, M.D.

>

>

>

> From: nfpprofessionals

> [mailto:nfpprofessionals ] On Behalf Of kenderlove4

> Sent: Tuesday, August 23, 2011 8:31 PM

> To: nfpprofessionals

> Subject: Breastfeeding twins update

>

>

>

>

>

> I'm posting from Yahoo homepage as it looks like my first attempt didn't

> post. Apologies if this ends up posting twice.

>

> To our shock and amazement, we confirmed this weekend that number 9 is on

> the way. The twins are 5.5 mo old. I had absolutely no mucus symptoms, in

> fact this is the first time I have ever been dry, dry, dry while nursing.

> I'm guessing, mostly based on the faintness of the test result and

> appearance of symptoms that I am barely 4 weeks. I suspected pregnancy after

> an episode of post-coital bleeding, followed by constant pelvic heaviness

> followed by nausea starting a week later. I have decided to be happy about

> this and not worry about the details, as I know no one else in our circle

> will feel the same. I trust the Lord knows what He's doing. Dh is trying but

> struggling, so prayers for him, please. (Update since my attempt to post

> yesterday: he is already feeling more optimistic.) I have had very early

> return of menses before, but never without any warning symptoms of

> fertility. I'm feeling quite disillusioned with NFP as it has always been a

> constant struggle for us with my cycle history, but I was convicted about

> the errors of contraception long before my conversion to the Catholic

> Church. So we have limited options.

>

> Can dehydration affect the mucus sign? I have been struggling to stay

> hydrated while breastfeeding the twins. I don't do internal checks as I have

> a history of virulent GBS infection, and temps are nonsensical when you are

> awakened every 30m to 2h (on a good night) all night.

>

> ~Bekah <><

>

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Also Bekah,

If you're still charting the NWFS method, feel free to send in your charts to

me, and I'd be happy to have a chart review with you and go through the process

of what we do when an unintended pregnancy occurs.

>

> I'm posting from Yahoo homepage as it looks like my first attempt didn't post.

Apologies if this ends up posting twice.

>

> To our shock and amazement, we confirmed this weekend that number 9 is on the

way. The twins are 5.5 mo old. I had absolutely no mucus symptoms, in fact

this is the first time I have ever been dry, dry, dry while nursing. I'm

guessing, mostly based on the faintness of the test result and appearance of

symptoms that I am barely 4 weeks. I suspected pregnancy after an episode of

post-coital bleeding, followed by constant pelvic heaviness followed by nausea

starting a week later. I have decided to be happy about this and not worry

about the details, as I know no one else in our circle will feel the same. I

trust the Lord knows what He's doing. Dh is trying but struggling, so prayers

for him, please. (Update since my attempt to post yesterday: he is already

feeling more optimistic.) I have had very early return of menses before, but

never without any warning symptoms of fertility. I'm feeling quite

disillusioned with NFP as it has always been a constant struggle for us with my

cycle history, but I was convicted about the errors of contraception long before

my conversion to the Catholic Church. So we have limited options.

>

> Can dehydration affect the mucus sign? I have been struggling to stay

hydrated while breastfeeding the twins. I don't do internal checks as I have a

history of virulent GBS infection, and temps are nonsensical when you are

awakened every 30m to 2h (on a good night) all night.

>

> ~Bekah <><

>

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" I'm feeling quite disillusioned with NFP as it has always been a constant

struggle for us with my cycle history, but I was convicted about the errors of

contraception long before my conversion to the Catholic Church. "

Dear Bekah:

Sorry to hear about your disillusionment with the use of NFP during the

breastfeeding transition. However, thank you (and congratulations) on welcoming

your new baby -- although a " shock and amazement. " The fact is that current NFP

methods do not do to well in helping couples avoid pregnancy during the

post-partum breastfeeding transition and in some studies the conclusion was that

NFP use actually increased the unintended pregnancy rate. The traditional signs

of cervical mucus and temperature shift do not always correlate well with

fertility during the transition.

We have been studying the breastfeeding transition at Marquette University for

the past few years. I have a PhD student working on the transition as a part of

her doctoral work. We developed a breastfeeding protocol that was published

in the journal Fertility and Sterility -- and over the past two years has been

downloaded over 1,000 times. We have a data set of 200 plus women who have

used the protocol and we (along with Dr. Bouchard, MD - at the University

of Calgary) are currently analyzing the data and working on modifying/updating

the protocol. Right now we have only " one " perfect use unintended pregnancy.

Most of the unintended pregnancies -- were due to not consistent use or not

following the instructions of the protocol -- and most occured during the first

menstrual cycle post-partum. Dr. Bouchard might comment on this -- since I

think he follows this list.

If you are interested, you can contact us towards the date of the birth of your

new baby.

I wish you well in keeping you, your baby, and your family healthy and holy.

J. Fehring, PhD, RN,FAAN

Professor

Marquette University

College of Nursing

Breastfeeding twins update

I'm posting from Yahoo homepage as it looks like my first attempt didn't post.

Apologies if this ends up posting twice.

To our shock and amazement, we confirmed this weekend that number 9 is on the

way. The twins are 5.5 mo old. I had absolutely no mucus symptoms, in fact

this is the first time I have ever been dry, dry, dry while nursing. I'm

guessing, mostly based on the faintness of the test result and appearance of

symptoms that I am barely 4 weeks. I suspected pregnancy after an episode of

post-coital bleeding, followed by constant pelvic heaviness followed by nausea

starting a week later. I have decided to be happy about this and not worry

about the details, as I know no one else in our circle will feel the same. I

trust the Lord knows what He's doing. Dh is trying but struggling, so prayers

for him, please. (Update since my attempt to post yesterday: he is already

feeling more optimistic.) I have had very early return of menses before, but

never without any warning symptoms of fertility. I'm feeling quite

disillusioned with NFP as it has always been a constant struggle for us with my

cycle history, but I was convicted about the errors of contraception long before

my conversion to the Catholic Church. So we have limited options.

Can dehydration affect the mucus sign? I have been struggling to stay hydrated

while breastfeeding the twins. I don't do internal checks as I have a history

of virulent GBS infection, and temps are nonsensical when you are awakened every

30m to 2h (on a good night) all night.

~Bekah <><

------------------------------------

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This sounds very promising , and I and am sure others would most definitely like to hear more. I would agree that "current NFP methods do not do to well in helping couples avoid pregnancy during the post-partum breastfeeding transition...." as you've said.

Sincerely yours,

Dominic M. Pedulla MD, FACC, CNFPMC, ABVM, ACPh

Interventional Cardiologist, Endovascular Diplomate, Varicose Vein Specialist, Noncontraceptive Family Planning Consultant, Family Planning Researcher

Medical Director, The Oklahoma Vein and Endovascular Center (www.noveinok.com, veininfo@...)

Executive Director, The Edith Stein Foundation (www.theedithsteinfoundation.com)

(office)

(cell)

(FAX)

pedullad@...

"It is an indisputable fact that the Christian faith, from its origins, did not want to be only an idea, that it entered into the world endowed with institutional elements (apostolic function, apostolic succession) and that, therefore, the institutional form of the Church belongs by essence to the faith." (Cardinal ph Ratzinger, December 30, in "La Croix.")

Breastfeeding twins update

I'm posting from Yahoo homepage as it looks like my first attempt didn't post. Apologies if this ends up posting twice.

To our shock and amazement, we confirmed this weekend that number 9 is on the way. The twins are 5.5 mo old. I had absolutely no mucus symptoms, in fact this is the first time I have ever been dry, dry, dry while nursing. I'm guessing, mostly based on the faintness of the test result and appearance of symptoms that I am barely 4 weeks. I suspected pregnancy after an episode of post-coital bleeding, followed by constant pelvic heaviness followed by nausea starting a week later. I have decided to be happy about this and not worry about the details, as I know no one else in our circle will feel the same. I trust the Lord knows what He's doing. Dh is trying but struggling, so prayers for him, please. (Update since my attempt to post yesterday: he is already feeling more optimistic.) I have had very early return of menses before, but never without any warning symptoms of fertility. I'm feeling quite disillusioned with NFP as it has always been a constant struggle for us with my cycle history, but I was convicted about the errors of contraception long before my conversion to the Catholic Church. So we have limited options.

Can dehydration affect the mucus sign? I have been struggling to stay hydrated while breastfeeding the twins. I don't do internal checks as I have a history of virulent GBS infection, and temps are nonsensical when you are awakened every 30m to 2h (on a good night) all night.

~Bekah <><

------------------------------------

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Dr Fehring,Where can we found the breastfeeding protocol?ThanksGod Bless Liliana Cote de Bejarano MD, MPH, FCPTo: "nfpprofessionals " <nfpprofessionals >Sent: Wednesday, August 24, 2011 12:05 PMSubject: RE: Breastfeeding twins update

" I'm feeling quite disillusioned with NFP as it has always been a constant struggle for us with my cycle history, but I was convicted about the errors of contraception long before my conversion to the Catholic Church. "

Dear Bekah:

Sorry to hear about your disillusionment with the use of NFP during the breastfeeding transition. However, thank you (and congratulations) on welcoming your new baby -- although a "shock and amazement." The fact is that current NFP methods do not do to well in helping couples avoid pregnancy during the post-partum breastfeeding transition and in some studies the conclusion was that NFP use actually increased the unintended pregnancy rate. The traditional signs of cervical mucus and temperature shift do not always correlate well with fertility during the transition.

We have been studying the breastfeeding transition at Marquette University for the past few years. I have a PhD student working on the transition as a part of her doctoral work. We developed a breastfeeding protocol that was published in the journal Fertility and Sterility -- and over the past two years has been downloaded over 1,000 times. We have a data set of 200 plus women who have used the protocol and we (along with Dr. Bouchard, MD - at the University of Calgary) are currently analyzing the data and working on modifying/updating the protocol. Right now we have only "one" perfect use unintended pregnancy. Most of the unintended pregnancies -- were due to not consistent use or not following the instructions of the protocol -- and most occured during the first menstrual cycle post-partum. Dr. Bouchard might comment on this -- since I think he follows this list.

If you are interested, you can contact us towards the date of the birth of your new baby.

I wish you well in keeping you, your baby, and your family healthy and holy.

J. Fehring, PhD, RN,FAAN

Professor

Marquette University

College of Nursing

Breastfeeding twins update

I'm posting from Yahoo homepage as it looks like my first attempt didn't post. Apologies if this ends up posting twice.

To our shock and amazement, we confirmed this weekend that number 9 is on the way. The twins are 5.5 mo old. I had absolutely no mucus symptoms, in fact this is the first time I have ever been dry, dry, dry while nursing. I'm guessing, mostly based on the faintness of the test result and appearance of symptoms that I am barely 4 weeks. I suspected pregnancy after an episode of post-coital bleeding, followed by constant pelvic heaviness followed by nausea starting a week later. I have decided to be happy about this and not worry about the details, as I know no one else in our circle will feel the same. I trust the Lord knows what He's doing. Dh is trying but struggling, so prayers for him, please. (Update since my attempt to post yesterday: he is already feeling more optimistic.) I have had very early return of menses before, but never without any warning symptoms of fertility. I'm feeling quite disillusioned with NFP as it has always been a

constant struggle for us with my cycle history, but I was convicted about the errors of contraception long before my conversion to the Catholic Church. So we have limited options.

Can dehydration affect the mucus sign? I have been struggling to stay hydrated while breastfeeding the twins. I don't do internal checks as I have a history of virulent GBS infection, and temps are nonsensical when you are awakened every 30m to 2h (on a good night) all night.

~Bekah <><

------------------------------------

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This was a problem in the Sixties. Two breastfeeding mothers (in different states) heard about Dr. Keefe's work with the cervix and wrote me about the benefits. One of those mothers achieved pregnancy while in amenorrhea and she wanted to discern ovulation before the return of menstruation. The cervix sign helped her do this. Both wrote me frequently about the advantage of observing the cervix sign to discern the return of fertility, that it was much more helpful than the mucus sign. That is why we taught the cervix sign when we began our NFP teaching in the late Sixties.

I was disappointed in the last NFP conference I attended about two years ago because there was not one word on the cervix sign. It is absent at this discussion also.

Usually a breastfeeding mother will have an abundant of mucus before her first ovulation or first postpartum period --whichever comes first.

Sheila K. KippleyNFP Internationalwww.NFPandmore.orgThe Seven Standards of Ecological BreastfeedingBreastfeeding and Catholic Motherhood

RE: Breastfeeding twins update

" I'm feeling quite disillusioned with NFP as it has always been a constant struggle for us with my cycle history, but I was convicted about the errors of contraception long before my conversion to the Catholic Church. "Dear Bekah:Sorry to hear about your disillusionment with the use of NFP during the breastfeeding transition. However, thank you (and congratulations) on welcoming your new baby -- although a "shock and amazement." The fact is that current NFP methods do not do to well in helping couples avoid pregnancy during the post-partum breastfeeding transition and in some studies the conclusion was that NFP use actually increased the unintended pregnancy rate. The traditional signs of cervical mucus and temperature shift do not always correlate well with fertility during the transition.We have been studying the breastfeeding transition at Marquette University for the past few years. I have a PhD student working on the transition as a part of her doctoral work. We developed a breastfeeding protocol that was published in the journal Fertility and Sterility -- and over the past two years has been downloaded over 1,000 times. We have a data set of 200 plus women who have used the protocol and we (along with Dr. Bouchard, MD - at the University of Calgary) are currently analyzing the data and working on modifying/updating the protocol. Right now we have only "one" perfect use unintended pregnancy. Most of the unintended pregnancies -- were due to not consistent use or not following the instructions of the protocol -- and most occured during the first menstrual cycle post-partum. Dr. Bouchard might comment on this -- since I think he follows this list.If you are interested, you can contact us towards the date of the birth of your new baby. I wish you well in keeping you, your baby, and your family healthy and holy. J. Fehring, PhD, RN,FAANProfessorMarquette UniversityCollege of Nursing-----Original Message-----From: nfpprofessionals [mailto:nfpprofessionals ] On Behalf Of kenderlove4Sent: Tuesday, August 23, 2011 7:31 PMTo: nfpprofessionals Subject: Breastfeeding twins updateI'm posting from Yahoo homepage as it looks like my first attempt didn't post. Apologies if this ends up posting twice.To our shock and amazement, we confirmed this weekend that number 9 is on the way. The twins are 5.5 mo old. I had absolutely no mucus symptoms, in fact this is the first time I have ever been dry, dry, dry while nursing. I'm guessing, mostly based on the faintness of the test result and appearance of symptoms that I am barely 4 weeks. I suspected pregnancy after an episode of post-coital bleeding, followed by constant pelvic heaviness followed by nausea starting a week later. I have decided to be happy about this and not worry about the details, as I know no one else in our circle will feel the same. I trust the Lord knows what He's doing. Dh is trying but struggling, so prayers for him, please. (Update since my attempt to post yesterday: he is already feeling more optimistic.) I have had very early return of menses before, but never without any warning symptoms of fertility. I'm feeling quite disillusioned with NFP as it has always been a constant struggle for us with my cycle history, but I was convicted about the errors of contraception long before my conversion to the Catholic Church. So we have limited options.Can dehydration affect the mucus sign? I have been struggling to stay hydrated while breastfeeding the twins. I don't do internal checks as I have a history of virulent GBS infection, and temps are nonsensical when you are awakened every 30m to 2h (on a good night) all night. ~Bekah <><------------------------------------

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Dominic: The protocol was also co-authored by Dr. Lee Barron on this list. The abstract and citation can be found below. The actual protocol can be accessed at our NFP Web site for couples: http://nfp.marquette.edu click on the special circumstances protocol link on the right side of the computer screen. We are current analyzing data for two papers for publication 1) on the efficacy of use of the protocol for avoiding pregnancy (by months and cycles of use),and 2) indicators for the return of fertility – including first menses, first LH surge, length of first 6 cycles, length of the follicular and luteal phases of the first 6 cycles, length of luteal phase of cycle 0, first mucus high and first E3G High duringcycle 0, first high (mucus and E3G) to first LH surge and first menses, etc. We will also be investigating (qualitatively) the psycho/social/spiritual dynamics during the phases of the breastfeeding transition – and basing this on transition theory. I do not wish to give the impression that this protocol is in any way perfect. We are trying our best to understand the transition and to provide women/coupleswith information as they go through the process. Protocol for determining fertility while breastfeeding and not in cycles J. Fehring Marquette University College of Nursing Lee Barron, St. Louis University School of Nursing Schneider, Marquette UniversityAbstractA protocol was developed and evaluated for nonovulating breastfeeding women to determine potential fertility with an electronic hormonal fertility monitor.The amount of required abstinence (i.e., days of potential fertility) through the first menstrual cycle indicated by the fertility monitor was significantly lower (17% of the total days) compared with the amount of abstinence (50% of the total days) indicatedby the self-observation of cervical mucus.Suggested Citation J. Fehring, Lee Barron, and Schneider. " Protocol for determining fertility while breastfeeding and not in cycles " Fertility and Sterility84.3 (2005): 805-807. From: nfpprofessionals [mailto:nfpprofessionals ]On Behalf Of DominicSent: Wednesday, August 24, 2011 11:17 AMTo: nfpprofessionals Subject: Re: Breastfeeding twins update This sounds very promising , and I and am sure others would most definitely like to hear more. I would agree that " currentNFP methods do not do to well in helping couples avoid pregnancy during the post-partum breastfeeding transition.... " as you've said.Sincerely yours,Dominic M. Pedulla MD, FACC, CNFPMC, ABVM, ACPhInterventional Cardiologist, Endovascular Diplomate, Varicose Vein Specialist, Noncontraceptive Family Planning Consultant, Family Planning ResearcherMedical Director, The Oklahoma Vein and Endovascular Center (www.noveinok.com,veininfo@...)Executive Director, The Edith Stein Foundation (www.theedithsteinfoundation.com) (office) (cell) (FAX)pedullad@... " It is an indisputable fact that the Christian faith, from its origins, did not want to be only an idea, that it entered into theworld endowed with institutional elements (apostolic function, apostolic succession) and that, therefore, the institutional form of the Church belongs by essence to the faith. " (Cardinal ph Ratzinger, December 30, in " La Croix. " ) RE: Breastfeeding twins update " I'm feeling quite disillusioned with NFP as it has always been a constant struggle for us with my cycle history, but I was convictedabout the errors of contraception long before my conversion to the Catholic Church. " Dear Bekah:Sorry to hear about your disillusionment with the use of NFP during the breastfeeding transition. However, thank you (and congratulations) on welcoming your new baby -- although a " shock and amazement. " The fact is that current NFP methods do not do to wellin helping couples avoid pregnancy during the post-partum breastfeeding transition and in some studies the conclusion was that NFP use actually increased the unintended pregnancy rate. The traditional signs of cervical mucus and temperature shift do not alwayscorrelate well with fertility during the transition.We have been studying the breastfeeding transition at Marquette University for the past few years. I have a PhD student working on the transition as a part of her doctoral work. We developed a breastfeeding protocol that was published in the journal Fertilityand Sterility -- and over the past two years has been downloaded over 1,000 times. We have a data set of 200 plus women who have used the protocol and we (along with Dr. Bouchard, MD - at the University of Calgary) are currently analyzing the data andworking on modifying/updating the protocol. Right now we have only " one " perfect use unintended pregnancy. Most of the unintended pregnancies -- were due to not consistent use or not following the instructions of the protocol -- and most occured during thefirst menstrual cycle post-partum. Dr. Bouchard might comment on this -- since I think he follows this list.If you are interested, you can contact us towards the date of the birth of your new baby.I wish you well in keeping you, your baby, and your family healthy and holy. J. Fehring, PhD, RN,FAANProfessorMarquette UniversityCollege of Nursing-----Original Message-----From: nfpprofessionals [mailto:nfpprofessionals ] On Behalf Of kenderlove4Sent: Tuesday, August 23, 2011 7:31 PMTo: nfpprofessionals Subject: Breastfeeding twins updateI'm posting from Yahoo homepage as it looks like my first attempt didn't post. Apologies if this ends up posting twice.To our shock and amazement, we confirmed this weekend that number 9 is on the way. The twins are 5.5 mo old. I had absolutely no mucus symptoms, in fact this is the first time I have ever been dry, dry, dry while nursing. I'm guessing, mostly based on the faintnessof the test result and appearance of symptoms that I am barely 4 weeks. I suspected pregnancy after an episode of post-coital bleeding, followed by constant pelvic heaviness followed by nausea starting a week later. I have decided to be happy about this andnot worry about the details, as I know no one else in our circle will feel the same. I trust the Lord knows what He's doing. Dh is trying but struggling, so prayers for him, please. (Update since my attempt to post yesterday: he is already feeling more optimistic.)I have had very early return of menses before, but never without any warning symptoms of fertility. I'm feeling quite disillusioned with NFP as it has always been a constant struggle for us with my cycle history, but I was convicted about the errors of contraceptionlong before my conversion to the Catholic Church. So we have limited options.Can dehydration affect the mucus sign? I have been struggling to stay hydrated while breastfeeding the twins. I don't do internal checks as I have a history of virulent GBS infection, and temps are nonsensical when you are awakened every 30m to 2h (on a goodnight) all night. ~Bekah <><------------------------------------

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,

Could you give a link to your paper?

This is no help to anyone at present without a device but Jim Brown

and his team developed protocols as well for monitoring the return

to fertility after breast feeding by self measurement of urinary

hormones that worked very well. Unfortunately this work is on hold

after his death.

Your work is a beacon of hope at the moment in support of NFP users

in this sometimes difficult period.

Regards,

Len

" I'm feeling quite disillusioned with NFP as it has

always been a constant struggle for us with my cycle

history, but I was convicted about the errors of

contraception long before my conversion to the Catholic

Church. "

Dear Bekah:

Sorry to hear about your disillusionment with the use of

NFP during the breastfeeding transition. However, thank

you (and congratulations) on welcoming your new baby --

although a "shock and amazement." The fact is that current

NFP methods do not do to well in helping couples avoid

pregnancy during the post-partum breastfeeding transition

and in some studies the conclusion was that NFP use

actually increased the unintended pregnancy rate. The

traditional signs of cervical mucus and temperature shift

do not always correlate well with fertility during the

transition.

We have been studying the breastfeeding transition at

Marquette University for the past few years. I have a PhD

student working on the transition as a part of her

doctoral work. We developed a breastfeeding protocol that

was published in the journal Fertility and Sterility --

and over the past two years has been downloaded over 1,000

times. We have a data set of 200 plus women who have used

the protocol and we (along with Dr. Bouchard, MD -

at the University of Calgary) are currently analyzing the

data and working on modifying/updating the protocol. Right

now we have only "one" perfect use unintended pregnancy.

Most of the unintended pregnancies -- were due to not

consistent use or not following the instructions of the

protocol -- and most occured during the first menstrual

cycle post-partum. Dr. Bouchard might comment on this --

since I think he follows this list.

If you are interested, you can contact us towards the date

of the birth of your new baby.

I wish you well in keeping you, your baby, and your family

healthy and holy.

J. Fehring, PhD, RN,FAAN

Professor

Marquette University

College of Nursing

Breastfeeding twins update

I'm posting from Yahoo homepage as it looks like my first

attempt didn't post. Apologies if this ends up posting

twice.

To our shock and amazement, we confirmed this weekend that

number 9 is on the way. The twins are 5.5 mo old. I had

absolutely no mucus symptoms, in fact this is the first

time I have ever been dry, dry, dry while nursing. I'm

guessing, mostly based on the faintness of the test result

and appearance of symptoms that I am barely 4 weeks. I

suspected pregnancy after an episode of post-coital

bleeding, followed by constant pelvic heaviness followed

by nausea starting a week later. I have decided to be

happy about this and not worry about the details, as I

know no one else in our circle will feel the same. I trust

the Lord knows what He's doing. Dh is trying but

struggling, so prayers for him, please. (Update since my

attempt to post yesterday: he is already feeling more

optimistic.) I have had very early return of menses

before, but never without any warning symptoms of

fertility. I'm feeling quite disillusioned with NFP as it

has always been a constant struggle for us with my cycle

history, but I was convicted about the errors of

contraception long before my conversion to the Catholic

Church. So we have limited options.

Can dehydration affect the mucus sign? I have been

struggling to stay hydrated while breastfeeding the twins.

I don't do internal checks as I have a history of virulent

GBS infection, and temps are nonsensical when you are

awakened every 30m to 2h (on a good night) all night.

~Bekah <><

------------------------------------

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Len:

This is the best I can do:

http://works.bepress.com/richard_fehring/15/

I can send the actual PDF of the article only to a select few – Fertility and Sterility has not provided permission to post the actual PDF.

And yes – the protocol is based on a device --- but the device is readily available.

I would also suggest that the new Clearblue Digital OPK – that is based on a baseline change in LH can be useful tool to integrate into monitoring fertility.

Regards to the Down Under – (or is it the other way around).

From: nfpprofessionals [mailto:nfpprofessionals ]

On Behalf Of Len Blackwell

Sent: Wednesday, August 24, 2011 2:52 PM

To: nfpprofessionals

Cc: Fehring,

Subject: Re: Breastfeeding twins update

,

Could you give a link to your paper?

This is no help to anyone at present without a device but Jim Brown and his team developed protocols as well for monitoring the return to fertility after breast feeding by self measurement of urinary hormones that worked very well. Unfortunately this work is

on hold after his death.

Your work is a beacon of hope at the moment in support of NFP users in this sometimes difficult period.

Regards,

Len

" I'm feeling quite disillusioned with NFP as it has always been a constant struggle for us with my cycle history, but I was convicted about the errors of contraception long before my conversion to the Catholic Church. "

Dear Bekah:

Sorry to hear about your disillusionment with the use of NFP during the breastfeeding transition. However, thank you (and congratulations) on welcoming your new baby -- although a " shock and amazement. " The fact is that current NFP methods do not do to well

in helping couples avoid pregnancy during the post-partum breastfeeding transition and in some studies the conclusion was that NFP use actually increased the unintended pregnancy rate. The traditional signs of cervical mucus and temperature shift do not always

correlate well with fertility during the transition.

We have been studying the breastfeeding transition at Marquette University for the past few years. I have a PhD student working on the transition as a part of her doctoral work. We developed a breastfeeding protocol that was published in the journal Fertility

and Sterility -- and over the past two years has been downloaded over 1,000 times. We have a data set of 200 plus women who have used the protocol and we (along with Dr. Bouchard, MD - at the University of Calgary) are currently analyzing the data and

working on modifying/updating the protocol. Right now we have only " one " perfect use unintended pregnancy. Most of the unintended pregnancies -- were due to not consistent use or not following the instructions of the protocol -- and most occured during the

first menstrual cycle post-partum. Dr. Bouchard might comment on this -- since I think he follows this list.

If you are interested, you can contact us towards the date of the birth of your new baby.

I wish you well in keeping you, your baby, and your family healthy and holy.

J. Fehring, PhD, RN,FAAN

Professor

Marquette University

College of Nursing

Breastfeeding twins update

I'm posting from Yahoo homepage as it looks like my first attempt didn't post. Apologies if this ends up posting twice.

To our shock and amazement, we confirmed this weekend that number 9 is on the way. The twins are 5.5 mo old. I had absolutely no mucus symptoms, in fact this is the first time I have ever been dry, dry, dry while nursing. I'm guessing, mostly based on the faintness

of the test result and appearance of symptoms that I am barely 4 weeks. I suspected pregnancy after an episode of post-coital bleeding, followed by constant pelvic heaviness followed by nausea starting a week later. I have decided to be happy about this and

not worry about the details, as I know no one else in our circle will feel the same. I trust the Lord knows what He's doing. Dh is trying but struggling, so prayers for him, please. (Update since my attempt to post yesterday: he is already feeling more optimistic.)

I have had very early return of menses before, but never without any warning symptoms of fertility. I'm feeling quite disillusioned with NFP as it has always been a constant struggle for us with my cycle history, but I was convicted about the errors of contraception

long before my conversion to the Catholic Church. So we have limited options.

Can dehydration affect the mucus sign? I have been struggling to stay hydrated while breastfeeding the twins. I don't do internal checks as I have a history of virulent GBS infection, and temps are nonsensical when you are awakened every 30m to 2h (on a good

night) all night.

~Bekah <><

------------------------------------

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Share on other sites

thanks.

Yes I assumed you would be using a device. This seems to be

necessary to help difficult cases. We used the first rises in E1G

with algorithms based on extent of breast feeding and time from

lochia. We hope to continue but that is in the hands of a higher

power!

A pdf would be good if that is possible.

Keep up the good work.

Len

Len:

This is the

best I can do:

http://works.bepress.com/richard_fehring/15/

I can send the

actual PDF of the article only to a select few –

Fertility and Sterility has not provided permission to

post the actual PDF.

And yes – the

protocol is based on a device --- but the device is

readily available.

I would also

suggest that the new Clearblue Digital OPK – that is

based on a baseline change in LH can be useful tool to

integrate into monitoring fertility.

Regards to the

Down Under – (or is it the other way around).

From:

nfpprofessionals

[mailto:nfpprofessionals ]

On Behalf Of Len Blackwell

Sent: Wednesday, August 24, 2011 2:52 PM

To: nfpprofessionals

Cc: Fehring,

Subject: Re:

Breastfeeding twins update

,

Could you give a link to your paper?

This is no help to anyone at present without a device

but Jim Brown and his team developed protocols as well

for monitoring the return to fertility after breast

feeding by self measurement of urinary hormones that

worked very well. Unfortunately this work is on hold

after his death.

Your work is a beacon of hope at the moment in support

of NFP users in this sometimes difficult period.

Regards,

Len

" I'm feeling quite disillusioned with NFP as it has

always been a constant struggle for us with my cycle

history, but I was convicted about the errors of

contraception long before my conversion to the

Catholic Church. "

Dear Bekah:

Sorry to hear about your disillusionment with the use

of NFP during the breastfeeding transition. However,

thank you (and congratulations) on welcoming your new

baby -- although a "shock and amazement." The fact is

that current NFP methods do not do to well in helping

couples avoid pregnancy during the post-partum

breastfeeding transition and in some studies the

conclusion was that NFP use actually increased the

unintended pregnancy rate. The traditional signs of

cervical mucus and temperature shift do not always

correlate well with fertility during the transition.

We have been studying the breastfeeding transition at

Marquette University for the past few years. I have a

PhD student working on the transition as a part of her

doctoral work. We developed a breastfeeding protocol

that was published in the journal Fertility and

Sterility -- and over the past two years has been

downloaded over 1,000 times. We have a data set of 200

plus women who have used the protocol and we (along

with Dr. Bouchard, MD - at the University of

Calgary) are currently analyzing the data and working

on modifying/updating the protocol. Right now we have

only "one" perfect use unintended pregnancy. Most of

the unintended pregnancies -- were due to not

consistent use or not following the instructions of

the protocol -- and most occured during the first

menstrual cycle post-partum. Dr. Bouchard might

comment on this -- since I think he follows this list.

If you are interested, you can contact us towards the

date of the birth of your new baby.

I wish you well in keeping you, your baby, and your

family healthy and holy.

J. Fehring, PhD, RN,FAAN

Professor

Marquette University

College of Nursing

Breastfeeding twins update

I'm posting from Yahoo homepage as it looks like my

first attempt didn't post. Apologies if this ends up

posting twice.

To our shock and amazement, we confirmed this weekend

that number 9 is on the way. The twins are 5.5 mo old.

I had absolutely no mucus symptoms, in fact this is

the first time I have ever been dry, dry, dry while

nursing. I'm guessing, mostly based on the faintness

of the test result and appearance of symptoms that I

am barely 4 weeks. I suspected pregnancy after an

episode of post-coital bleeding, followed by constant

pelvic heaviness followed by nausea starting a week

later. I have decided to be happy about this and not

worry about the details, as I know no one else in our

circle will feel the same. I trust the Lord knows what

He's doing. Dh is trying but struggling, so prayers

for him, please. (Update since my attempt to post

yesterday: he is already feeling more optimistic.) I

have had very early return of menses before, but never

without any warning symptoms of fertility. I'm feeling

quite disillusioned with NFP as it has always been a

constant struggle for us with my cycle history, but I

was convicted about the errors of contraception long

before my conversion to the Catholic Church. So we

have limited options.

Can dehydration affect the mucus sign? I have been

struggling to stay hydrated while breastfeeding the

twins. I don't do internal checks as I have a history

of virulent GBS infection, and temps are nonsensical

when you are awakened every 30m to 2h (on a good

night) all night.

~Bekah <><

------------------------------------

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Share on other sites

Hi Len,I'm working with on analyzing the breastfeeding transition.What algorithm did you use related to estrogen rise, breastfeeding and lochia?Did you publish the algorithm anywhere?Thanks! Bouchard, MDFamily Medicine ResidentUniversity of Calgary

thanks.

Yes I assumed you would be using a device. This seems to be

necessary to help difficult cases. We used the first rises in E1G

with algorithms based on extent of breast feeding and time from

lochia. We hope to continue but that is in the hands of a higher

power!

A pdf would be good if that is possible.

Keep up the good work.

Len

Len:

This is the

best I can do:

http://works.bepress.com/richard_fehring/15/

I can send the

actual PDF of the article only to a select few –

Fertility and Sterility has not provided permission to

post the actual PDF.

And yes – the

protocol is based on a device --- but the device is

readily available.

I would also

suggest that the new Clearblue Digital OPK – that is

based on a baseline change in LH can be useful tool to

integrate into monitoring fertility.

Regards to the

Down Under – (or is it the other way around).

From:

nfpprofessionals

[mailto:nfpprofessionals ]

On Behalf Of Len Blackwell

Sent: Wednesday, August 24, 2011 2:52 PM

To: nfpprofessionals

Cc: Fehring,

Subject: Re:

Breastfeeding twins update

,

Could you give a link to your paper?

This is no help to anyone at present without a device

but Jim Brown and his team developed protocols as well

for monitoring the return to fertility after breast

feeding by self measurement of urinary hormones that

worked very well. Unfortunately this work is on hold

after his death.

Your work is a beacon of hope at the moment in support

of NFP users in this sometimes difficult period.

Regards,

Len

" I'm feeling quite disillusioned with NFP as it has

always been a constant struggle for us with my cycle

history, but I was convicted about the errors of

contraception long before my conversion to the

Catholic Church. "

Dear Bekah:

Sorry to hear about your disillusionment with the use

of NFP during the breastfeeding transition. However,

thank you (and congratulations) on welcoming your new

baby -- although a "shock and amazement." The fact is

that current NFP methods do not do to well in helping

couples avoid pregnancy during the post-partum

breastfeeding transition and in some studies the

conclusion was that NFP use actually increased the

unintended pregnancy rate. The traditional signs of

cervical mucus and temperature shift do not always

correlate well with fertility during the transition.

We have been studying the breastfeeding transition at

Marquette University for the past few years. I have a

PhD student working on the transition as a part of her

doctoral work. We developed a breastfeeding protocol

that was published in the journal Fertility and

Sterility -- and over the past two years has been

downloaded over 1,000 times. We have a data set of 200

plus women who have used the protocol and we (along

with Dr. Bouchard, MD - at the University of

Calgary) are currently analyzing the data and working

on modifying/updating the protocol. Right now we have

only "one" perfect use unintended pregnancy. Most of

the unintended pregnancies -- were due to not

consistent use or not following the instructions of

the protocol -- and most occured during the first

menstrual cycle post-partum. Dr. Bouchard might

comment on this -- since I think he follows this list.

If you are interested, you can contact us towards the

date of the birth of your new baby.

I wish you well in keeping you, your baby, and your

family healthy and holy.

J. Fehring, PhD, RN,FAAN

Professor

Marquette University

College of Nursing

Breastfeeding twins update

I'm posting from Yahoo homepage as it looks like my

first attempt didn't post. Apologies if this ends up

posting twice.

To our shock and amazement, we confirmed this weekend

that number 9 is on the way. The twins are 5.5 mo old.

I had absolutely no mucus symptoms, in fact this is

the first time I have ever been dry, dry, dry while

nursing. I'm guessing, mostly based on the faintness

of the test result and appearance of symptoms that I

am barely 4 weeks. I suspected pregnancy after an

episode of post-coital bleeding, followed by constant

pelvic heaviness followed by nausea starting a week

later. I have decided to be happy about this and not

worry about the details, as I know no one else in our

circle will feel the same. I trust the Lord knows what

He's doing. Dh is trying but struggling, so prayers

for him, please. (Update since my attempt to post

yesterday: he is already feeling more optimistic.) I

have had very early return of menses before, but never

without any warning symptoms of fertility. I'm feeling

quite disillusioned with NFP as it has always been a

constant struggle for us with my cycle history, but I

was convicted about the errors of contraception long

before my conversion to the Catholic Church. So we

have limited options.

Can dehydration affect the mucus sign? I have been

struggling to stay hydrated while breastfeeding the

twins. I don't do internal checks as I have a history

of virulent GBS infection, and temps are nonsensical

when you are awakened every 30m to 2h (on a good

night) all night.

~Bekah <><

------------------------------------

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Hi ,

I will dig out the protocols for you.

The women measured their E1G levels at home once a week at the

beginning of breast feeding depending on the frequency etc and like

you increased the frequency of the measurements if there was any

ovarian activity.

The mucus and E1G were only correlated about 50% of the time so it

was better to measure the E1G.

Of course you have to be able to do this!

It may take me a day or two so please bear with me.

I am happy to help.

Regards,

Len

At 10:41 a.m. 25/08/2011, you wrote:

>

>

>Hi Len,

>I'm working with on analyzing the breastfeeding transition.

>

>What algorithm did you use related to estrogen rise, breastfeeding and lochia?

>

>Did you publish the algorithm anywhere?

>

>Thanks!

>

> Bouchard, MD

>Family Medicine Resident

>University of Calgary

>

>

>

Associate Professor Len Blackwell

Chemistry

Institute of Fundamental Sciences

Massey University

Palmerston North FAX: +64 6 350-5682

New Zealand email: L.F.Blackwell@...

http://www.forty-two.co.nz/om/

Organising academics is like herding cats!

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Share on other sites

Oops sorry.

Len

At 01:32 p.m. 25/08/2011, you wrote:

Hi ,

I will dig out the protocols for you.

The women measured their E1G levels at home once a week at the

beginning of breast feeding depending on the frequency etc and like

you increased the frequency of the measurements if there was any

ovarian activity.

The mucus and E1G were only correlated about 50% of the time so it

was better to measure the E1G.

Of course you have to be able to do this!

It may take me a day or two so please bear with me.

I am happy to help.

Regards,

Len

At 10:41 a.m. 25/08/2011, you wrote:

>

>

>Hi Len,

>I'm working with on analyzing the breastfeeding

transition.

>

>What algorithm did you use related to estrogen rise, breastfeeding

and lochia?

>

>Did you publish the algorithm anywhere?

>

>Thanks!

>

> Bouchard, MD

>Family Medicine Resident

>University of Calgary

>

>

>

Associate Professor Len Blackwell

Chemistry

Institute of Fundamental Sciences

Massey University

Palmerston North FAX: +64 6 350-5682

New Zealand email:

L.F.Blackwell@...

http://www.forty-two.co.nz/om/

Organising academics is like herding cats!

Link to comment
Share on other sites

,DH and I will be very interested.  At the moment he is contemplating how to gear up for months of abstinence in the future.  Not very exciting.  Thank you for your work.--Bekah<><

Family website: http://leachfamilytree.wordpress.com/Learn about Home Birth: morebabiespreferhomebirth.com

" I'm feeling quite disillusioned with NFP as it has always been a constant struggle for us with my cycle history, but I was convicted about the errors of contraception long before my conversion to the Catholic Church. "

Dear Bekah:

Sorry to hear about your disillusionment with the use of NFP during the breastfeeding transition.  However, thank you (and congratulations) on welcoming your new baby -- although a " shock and amazement. "  The fact is that current NFP methods do not do to well in helping couples avoid pregnancy during the post-partum breastfeeding transition and in some studies the conclusion was that NFP use actually increased the unintended pregnancy rate.  The traditional signs of cervical mucus and temperature shift do not always correlate well with fertility during the transition.

We have been studying the breastfeeding transition at Marquette University for the past few years.  I have a PhD student working on the transition as a part of her doctoral work.  We developed a   breastfeeding protocol that was published in the journal Fertility and Sterility -- and over the past two years has been downloaded over  1,000 times.  We have a data set of 200 plus women who have used the protocol and we (along with Dr. Bouchard, MD - at the University of Calgary) are currently analyzing the data and working on modifying/updating the protocol.  Right now we have only " one "  perfect use  unintended pregnancy.  Most of the unintended pregnancies -- were due to not consistent use or not following the instructions of the protocol -- and most occured during the first menstrual cycle post-partum.  Dr. Bouchard might comment on this -- since I think he follows this list.

If you are interested,  you can contact us towards the date of the birth of your new baby.

I wish you well in keeping you, your baby, and your family healthy and holy.

J. Fehring, PhD, RN,FAAN

Professor

Marquette University

College of Nursing

Breastfeeding twins update

I'm posting from Yahoo homepage as it looks like my first attempt didn't post.  Apologies if this ends up posting twice.

To our shock and amazement, we confirmed this weekend that number 9 is on the way.  The twins are 5.5 mo old.  I had absolutely no mucus symptoms, in fact this is the first time I have ever been dry, dry, dry while nursing.  I'm guessing, mostly based on the faintness of the test result and appearance of symptoms that I am barely 4 weeks.  I suspected pregnancy after an episode of post-coital bleeding, followed by constant pelvic heaviness followed by nausea starting a week later.  I have decided to be happy about this and not worry about the details, as I know no one else in our circle will feel the same.  I trust the Lord knows what He's doing.  Dh is trying but struggling, so prayers for him, please.  (Update since my attempt to post yesterday:  he is already feeling more optimistic.) I have had very early return of menses before, but never without any warning symptoms of fertility.  I'm feeling quite disillusioned with NFP as it has always been a constant struggle for us with my cycle history, but I was convicted about the errors of contraception long before my conversion to the Catholic Church.  So we have limited options.

Can dehydration affect the mucus sign?  I have been struggling to stay hydrated while breastfeeding the twins.  I don't do internal checks as I have a history of virulent GBS infection, and temps are nonsensical when you are awakened every 30m to 2h (on a good night) all night.

~Bekah <><

------------------------------------

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    " Usually a breastfeeding mother will have an abundant of mucus before her first ovulation or first postpartum period --whichever comes first. "

 Sheila K. KippleyAbundant mucus has definitely been my usual pattern.  I do trust the cervix sign, but in my particular circumstances am not really keen on risking repeated infections using it.  

--Bekah<><Family website: http://leachfamilytree.wordpress.com/Learn about Home Birth: morebabiespreferhomebirth.com

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Bekah tell him not to stoke up his imagination too much about these things before they happen. Enjoy the 14 or so blissful months and "keep it real". God has a plan, and it may not be the same as what he imagines. As the Master says, today's problems are sufficient for today, without worrying about tomorrow.

And if that sacrifice (months of abstinence) is demanded, He will prepare you both for it. Have you ever wondered why the martyrs always appear so composed before their martyrdoms?

Sincerely yours,

Dominic M. Pedulla MD, FACC, CNFPMC, ABVM, ACPh

Interventional Cardiologist, Endovascular Diplomate, Varicose Vein Specialist, Noncontraceptive Family Planning Consultant, Family Planning Researcher

Medical Director, The Oklahoma Vein and Endovascular Center (www.noveinok.com, veininfo@...)

Executive Director, The Edith Stein Foundation (www.theedithsteinfoundation.com)

(office)

(cell)

(FAX)

pedullad@...

"It is an indisputable fact that the Christian faith, from its origins, did not want to be only an idea, that it entered into the world endowed with institutional elements (apostolic function, apostolic succession) and that, therefore, the institutional form of the Church belongs by essence to the faith." (Cardinal ph Ratzinger, December 30, in "La Croix.")

Breastfeeding twins update

I'm posting from Yahoo homepage as it looks like my first attempt didn't post. Apologies if this ends up posting twice.

To our shock and amazement, we confirmed this weekend that number 9 is on the way. The twins are 5.5 mo old. I had absolutely no mucus symptoms, in fact this is the first time I have ever been dry, dry, dry while nursing. I'm guessing, mostly based on the faintness of the test result and appearance of symptoms that I am barely 4 weeks. I suspected pregnancy after an episode of post-coital bleeding, followed by constant pelvic heaviness followed by nausea starting a week later. I have decided to be happy about this and not worry about the details, as I know no one else in our circle will feel the same. I trust the Lord knows what He's doing. Dh is trying but struggling, so prayers for him, please. (Update since my attempt to post yesterday: he is already feeling more optimistic.) I have had very early return of menses before, but never without any warning symptoms of fertility. I'm feeling quite disillusioned with NFP as it has always been a constant struggle for us with my cycle history, but I was convicted about the errors of contraception long before my conversion to the Catholic Church. So we have limited options.

Can dehydration affect the mucus sign? I have been struggling to stay hydrated while breastfeeding the twins. I don't do internal checks as I have a history of virulent GBS infection, and temps are nonsensical when you are awakened every 30m to 2h (on a good night) all night.

~Bekah <><

------------------------------------

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Thank you Bekah, for your example of great faith, the sign of contradiction-for your willingness to love.  You and all will be in our family prayers.Penny and on

 

    " Usually a breastfeeding mother will have an abundant of mucus before her first ovulation or first postpartum period --whichever comes first. "

 Sheila K. KippleyAbundant mucus has definitely been my usual pattern.  I do trust the cervix sign, but in my particular circumstances am not really keen on risking repeated infections using it.  

--Bekah<><Family website: http://leachfamilytree.wordpress.com/Learn about Home Birth: morebabiespreferhomebirth.com

-- " Yo: the thing by which the skeptics, in seeking to escape the dilemma of the everlasting duel between Yes and No, have darkened the universe and dissolved the mind by trying to maintain that there is something that is both Yes and No. " ~ G.K. Chesterton in Aquinas

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Thank you very much.--Bekah<><Family website: http://leachfamilytree.wordpress.com/Learn about Home Birth: morebabiespreferhomebirth.com

Thank you Bekah, for your example of great faith, the sign of contradiction-for your willingness to love.  You and all will be in our family prayers.Penny and on

 

    " Usually a breastfeeding mother will have an abundant of mucus before her first ovulation or first postpartum period --whichever comes first. "

 Sheila K. KippleyAbundant mucus has definitely been my usual pattern.  I do trust the cervix sign, but in my particular circumstances am not really keen on risking repeated infections using it.  

--Bekah<><Family website: http://leachfamilytree.wordpress.com/Learn about Home Birth: morebabiespreferhomebirth.com

-- " Yo: the thing by which the skeptics, in seeking to escape the dilemma of the everlasting duel between Yes and No, have darkened the universe and dissolved the mind by trying to maintain that there is something that is both Yes and No. " ~ G.K. Chesterton in Aquinas

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,

I fully agree with your comment " that current NFP methods do not do to well in

helping couples avoid pregnancy during the post-partum breastfeeding

transition, " but want to question your statement that " NFP use actually

increased the unintended pregnancy rate " . Compared to what? Which studies?

If you said that pregnancy rates during NFP use with breastfeeding have been

higher than during NFP use with regular cycles in some studies, I would be in

full agreement. That's quite a different statement than saying that NFP use

increased unintended pregnancies.

I think your (plural) work on the breastfeeding transition is very important

work and wish you continued success!

Joe

> " I'm feeling quite disillusioned with NFP as it has always been a constant

struggle for us with my cycle history, but I was convicted about the errors of

contraception long before my conversion to the Catholic Church. "

>

> Dear Bekah:

>

> Sorry to hear about your disillusionment with the use of NFP during the

breastfeeding transition. However, thank you (and congratulations) on welcoming

your new baby -- although a " shock and amazement. " The fact is that current NFP

methods do not do to well in helping couples avoid pregnancy during the

post-partum breastfeeding transition and in some studies the conclusion was that

NFP use actually increased the unintended pregnancy rate. The traditional signs

of cervical mucus and temperature shift do not always correlate well with

fertility during the transition.

>

> We have been studying the breastfeeding transition at Marquette University for

the past few years. I have a PhD student working on the transition as a part of

her doctoral work. We developed a breastfeeding protocol that was published in

the journal Fertility and Sterility -- and over the past two years has been

downloaded over 1,000 times. We have a data set of 200 plus women who have used

the protocol and we (along with Dr. Bouchard, MD - at the University of

Calgary) are currently analyzing the data and working on modifying/updating the

protocol. Right now we have only " one " perfect use unintended pregnancy. Most of

the unintended pregnancies -- were due to not consistent use or not following

the instructions of the protocol -- and most occured during the first menstrual

cycle post-partum. Dr. Bouchard might comment on this -- since I think he

follows this list.

>

> If you are interested, you can contact us towards the date of the birth of

your new baby.

> I wish you well in keeping you, your baby, and your family healthy and holy.

>

>

>

> J. Fehring, PhD, RN,FAAN

> Professor

> Marquette University

> College of Nursing

>

>

> Breastfeeding twins update

>

> I'm posting from Yahoo homepage as it looks like my first attempt didn't post.

Apologies if this ends up posting twice.

>

> To our shock and amazement, we confirmed this weekend that number 9 is on the

way. The twins are 5.5 mo old. I had absolutely no mucus symptoms, in fact this

is the first time I have ever been dry, dry, dry while nursing. I'm guessing,

mostly based on the faintness of the test result and appearance of symptoms that

I am barely 4 weeks. I suspected pregnancy after an episode of post-coital

bleeding, followed by constant pelvic heaviness followed by nausea starting a

week later. I have decided to be happy about this and not worry about the

details, as I know no one else in our circle will feel the same. I trust the

Lord knows what He's doing. Dh is trying but struggling, so prayers for him,

please. (Update since my attempt to post yesterday: he is already feeling more

optimistic.) I have had very early return of menses before, but never without

any warning symptoms of fertility. I'm feeling quite disillusioned with NFP as

it has always been a constant struggle for us with my cycle history, but I was

convicted about the errors of contraception long before my conversion to the

Catholic Church. So we have limited options.

>

> Can dehydration affect the mucus sign? I have been struggling to stay hydrated

while breastfeeding the twins. I don't do internal checks as I have a history of

virulent GBS infection, and temps are nonsensical when you are awakened every

30m to 2h (on a good night) all night.

>

> ~Bekah <><

>

> ------------------------------------

>

>

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In this talk about the relative effectiveness of breastfeeding in postponing

pregnancy and in the transition phase, let's not forget two old studies that

found pregnancy rates of 5 and 6 percent based on the simple criterion of

first postpartum menses. That is, without periodic abstinence and relying

only the first period as a sign of potential fertility, only 5 or 6 percent

of the mothers became pregnant before that first period. I would say that

compares quite favorably with the " imperfect " or " typical " use rates of some

forms of systematic NFP. The Remfry and Prem studies are at our website.

F Kippley

NFP International

www.NFPandmore.org

Breastfeeding twins update

>>

>> I'm posting from Yahoo homepage as it looks like my first attempt didn't

>> post. Apologies if this ends up posting twice.

>>

>> To our shock and amazement, we confirmed this weekend that number 9 is on

>> the way. The twins are 5.5 mo old. I had absolutely no mucus symptoms, in

>> fact this is the first time I have ever been dry, dry, dry while nursing.

>> I'm guessing, mostly based on the faintness of the test result and

>> appearance of symptoms that I am barely 4 weeks. I suspected pregnancy

>> after an episode of post-coital bleeding, followed by constant pelvic

>> heaviness followed by nausea starting a week later. I have decided to be

>> happy about this and not worry about the details, as I know no one else

>> in our circle will feel the same. I trust the Lord knows what He's doing.

>> Dh is trying but struggling, so prayers for him, please. (Update since my

>> attempt to post yesterday: he is already feeling more optimistic.) I have

>> had very early return of menses before, but never without any warning

>> symptoms of fertility. I'm feeling quite disillusioned with NFP as it has

>> always been a constant struggle for us with my cycle history, but I was

>> convicted about the errors of contraception long before my conversion to

>> the Catholic Church. So we have limited options.

>>

>> Can dehydration affect the mucus sign? I have been struggling to stay

>> hydrated while breastfeeding the twins. I don't do internal checks as I

>> have a history of virulent GBS infection, and temps are nonsensical when

>> you are awakened every 30m to 2h (on a good night) all night.

>>

>> ~Bekah <><

>>

>> ------------------------------------

>>

>>

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Dear Dr. Stanford,

I appreciate very much your NFP-work, but please take me off list, because I'm

not practicing NFP-teaching since years. I was already " off " list, but somehow I

got on again! By this way I'm sending my thanks, greetings and prayers to all,

that teach NFP! Anja Gerstner/Germany

-----Ursprüngliche Nachricht-----

Von: " ph Stanford "

Gesendet: 26/Ago/2011 6:01:37

An: " nfpprofessionals " <nfpprofessionals >

Betreff: Re: Breastfeeding twins update

>,

>

>I fully agree with your comment " that current NFP methods do not do to well in

helping couples avoid pregnancy during the post-partum breastfeeding

transition, " but want to question your statement that " NFP use actually

increased the unintended pregnancy rate " . Compared to what? Which studies?

>If you said that pregnancy rates during NFP use with breastfeeding have been

higher than during NFP use with regular cycles in some studies, I would be in

full agreement. That's quite a different statement than saying that NFP use

increased unintended pregnancies.

>

>I think your (plural) work on the breastfeeding transition is very important

work and wish you continued success!

>

>Joe

>

>

>

>> " I'm feeling quite disillusioned with NFP as it has always been a constant

struggle for us with my cycle history, but I was convicted about the errors of

contraception long before my conversion to the Catholic Church. "

>>

>> Dear Bekah:

>>

>> Sorry to hear about your disillusionment with the use of NFP during the

breastfeeding transition. However, thank you (and congratulations) on welcoming

your new baby -- although a " shock and amazement. " The fact is that current NFP

methods do not do to well in helping couples avoid pregnancy during the

post-partum breastfeeding transition and in some studies the conclusion was that

NFP use actually increased the unintended pregnancy rate. The traditional signs

of cervical mucus and temperature shift do not always correlate well with

fertility during the transition.

>>

>> We have been studying the breastfeeding transition at Marquette University

for the past few years. I have a PhD student working on the transition as a part

of her doctoral work. We developed a breastfeeding protocol that was published

in the journal Fertility and Sterility -- and over the past two years has been

downloaded over 1,000 times. We have a data set of 200 plus women who have used

the protocol and we (along with Dr. Bouchard, MD - at the University of

Calgary) are currently analyzing the data and working on modifying/updating the

protocol. Right now we have only " one " perfect use unintended pregnancy. Most of

the unintended pregnancies -- were due to not consistent use or not following

the instructions of the protocol -- and most occured during the first menstrual

cycle post-partum. Dr. Bouchard might comment on this -- since I think he

follows this list.

>>

>> If you are interested, you can contact us towards the date of the birth of

your new baby.

>> I wish you well in keeping you, your baby, and your family healthy and holy.

>>

>>

>>

>> J. Fehring, PhD, RN,FAAN

>> Professor

>> Marquette University

>> College of Nursing

>>

>>

>> Breastfeeding twins update

>>

>> I'm posting from Yahoo homepage as it looks like my first attempt didn't

post. Apologies if this ends up posting twice.

>>

>> To our shock and amazement, we confirmed this weekend that number 9 is on the

way. The twins are 5.5 mo old. I had absolutely no mucus symptoms, in fact this

is the first time I have ever been dry, dry, dry while nursing. I'm guessing,

mostly based on the faintness of the test result and appearance of symptoms that

I am barely 4 weeks. I suspected pregnancy after an episode of post-coital

bleeding, followed by constant pelvic heaviness followed by nausea starting a

week later. I have decided to be happy about this and not worry about the

details, as I know no one else in our circle will feel the same. I trust the

Lord knows what He's doing. Dh is trying but struggling, so prayers for him,

please. (Update since my attempt to post yesterday: he is already feeling more

optimistic.) I have had very early return of menses before, but never without

any warning symptoms of fertility. I'm feeling quite disillusioned with NFP as

it has always been a constant struggle for us with my cycle history, but I was

convicted about the errors of contraception long before my conversion to the

Catholic Church. So we have limited options.

>>

>> Can dehydration affect the mucus sign? I have been struggling to stay

hydrated while breastfeeding the twins. I don't do internal checks as I have a

history of virulent GBS infection, and temps are nonsensical when you are

awakened every 30m to 2h (on a good night) all night.

>>

>> ~Bekah <><

>>

>> ------------------------------------

>>

>>

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