Guest guest Posted June 28, 2009 Report Share Posted June 28, 2009 hi all, i just wrote a longish lette to a local pediatrician with whom our lactation group is collaborating, regarding some feedback we've received from clients and others about some (mis)information he's giving out. he has responded, inviting further information, and i'd love some tips on great resources on the following subjects, that i might share with him: normal and healthy (yet variable) infant growth patterns for the exclusively breastfed baby some possible misunderstandings regarding the variability in normal milk volume intake for breastfed babies (breastfed babies cannot overeat) nighttime parenting and the normalcy of frequent waking the detrimental neurological and emotional effects of leaving a baby to "cry it out" or other sleep training methods i have some resources already, but many are geared toward families/LCs and if there were more scientific/physician oriented journal articles, etc. that you all are aware of and could point me to, it'd save me a lot of time and might help others here. thanks! Lyla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2009 Report Share Posted June 28, 2009 Hi Lyla, My vote would be for buying him/her the Fourth Edition of Breastfeeding and Human Lac. by Jan Riordan and Wambach. It is pricey but really current. I would consider tagging the salient pages you want the ped to read. Since you are collaborating with this ped, this could be a great investment for your business. All the below info is in it. I just got my new book and love it. Star Siegfried Arcata > hi all, > > i just wrote a longish lette to a local pediatrician with whom our lactation group is collaborating, regarding some feedback we've received from clients and others about some (mis)information he's giving out. he has responded, inviting further information, and i'd love some tips on great resources on the following subjects, that i might share with him: > > a.. normal and healthy (yet variable) infant growth patterns for the exclusively breastfed baby > b.. some possible misunderstandings regarding the variability in normal milk volume intake for breastfed babies (breastfed babies cannot overeat) > c.. nighttime parenting and the normalcy of frequent waking > d.. the detrimental neurological and emotional effects of leaving a baby to " cry it out " or other sleep training methods > i have some resources already, but many are geared toward families/LCs and if there were more scientific/physician oriented journal articles, etc. that you all are aware of and could point me to, it'd save me a lot of time and might help others here. > > thanks! > > Lyla > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2009 Report Share Posted June 28, 2009 thanks star! great idea! Re: info for a pediatrician Hi Lyla,My vote would be for buying him/her the Fourth Edition of Breastfeeding and Human Lac. by Jan Riordan and Wambach. It is pricey but really current. I would consider tagging the salient pages you want the ped to read. Since you are collaborating with this ped, this could be a great investment for your business. All the below info is in it.I just got my new book and love it.Star SiegfriedArcata> hi all,> > i just wrote a longish lette to a local pediatrician with whom our lactation group is collaborating, regarding some feedback we've received from clients and others about some (mis)information he's giving out. he has responded, inviting further information, and i'd love some tips on great resources on the following subjects, that i might share with him:> > a.. normal and healthy (yet variable) infant growth patterns for the exclusively breastfed baby > b.. some possible misunderstandings regarding the variability in normal milk volume intake for breastfed babies (breastfed babies cannot overeat) > c.. nighttime parenting and the normalcy of frequent waking > d.. the detrimental neurological and emotional effects of leaving a baby to "cry it out" or other sleep training methods> i have some resources already, but many are geared toward families/LCs and if there were more scientific/physician oriented journal articles, etc. that you all are aware of and could point me to, it'd save me a lot of time and might help others here.> > thanks!> > Lyla> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2009 Report Share Posted June 30, 2009 I'm studying for the IBCLE so I'm thumbing through old Journal of Human Lactation articles. I came across Belly Models as Teaching Tools: What is their Utility by Spangler, Randenberg, Brenner and Howett (J Hum Lact 24(2), 2008. I like how she points out that "The most common explanation for small feeding volumes ingested by breastfeeding infants in the hours following birth is the limited availability of colostrum in the maternal breast; however, the normal delay of the breast in supplying copious amounts of milk may instead represent one part of a complex physiologic process of assimilating the newborn to the outside world". This goes on to explain physiologic capacity. They go on to say "During the first 3 days after birth, the newborn stomach becomes more compliant and develops greater perceptive relaxation, associated with larger volume capacity." This article suggests to use a household teaspoon (or plastic one in the hospital) to demonstrate that a teaspoon (could be) about the average feeding volume on day 1.I suppose my reason for this post is to remind pediatricians to tell their moms, relax. I am sure I'm not alone in hearing, I didn't breastfeed because there was nothing there or he was hungry because he was only getting the colostrum. In the absense of any other risk factors, less is ok. Breastfeeding Home Visit Services, LLCDana A. Schmidt, RN, CLC, CLEwww.breastfeedinghomevisitservices.comProviding the minimum amount of intervention for the minimum amount of time for maximum benefit to mother and babyTo: Cc: pplc Sent: Saturday, June 27, 2009 11:29:58 PMSubject: info for a pediatrician hi all, i just wrote a longish lette to a local pediatrician with whom our lactation group is collaborating, regarding some feedback we've received from clients and others about some (mis)information he's giving out. he has responded, inviting further information, and i'd love some tips on great resources on the following subjects, that i might share with him: normal and healthy (yet variable) infant growth patterns for the exclusively breastfed baby some possible misunderstandings regarding the variability in normal milk volume intake for breastfed babies (breastfed babies cannot overeat) nighttime parenting and the normalcy of frequent waking the detrimental neurological and emotional effects of leaving a baby to "cry it out" or other sleep training methods i have some resources already, but many are geared toward families/LCs and if there were more scientific/physicia n oriented journal articles, etc. that you all are aware of and could point me to, it'd save me a lot of time and might help others here. thanks! Lyla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2009 Report Share Posted June 30, 2009 Dear Colleagues: I wish that the word 'colostrum' would be deleted from every childbirth class, and every teaching pamphlet and brochure. Mothers get the idea that what is in their breast at birth is insufficient. After all they don't have milk because " it hasn't come in yet " . Our language reinforces this negative model. Call it Newborn Milk. Tell mothers " You started making newborn milk around the time you felt your baby move. " " Newborn milk is there at birth for your baby. " AFter all, liquid from the breast, for the baby, and containing lactose is milk, right. So let's use the words she knows to boost her confidence. " The more newborn milk you give your baby, the faster your milk volume will increase. " Let's all do this, please? warmly, Nikki Lee Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2009 Report Share Posted June 30, 2009 I agree. i speak this way when i talk to my clients. they always say...my baby lost weight because my milk wasnt in...it drives me crazy. renee Beebe, M.Ed., IBCLC Lactation Consultant Postpartum Doula www.second9months.com--- Subject: Re: info for a pediatricianTo: Date: Tuesday, June 30, 2009, 11:14 AM Dear Colleagues:I wish that the word 'colostrum' would be deleted from every childbirth class, and every teaching pamphlet and brochure.Mothers get the idea that what is in their breast at birth is insufficient. After all they don't have milk because "it hasn't come in yet".Our language reinforces this negative model.Call it Newborn Milk. Tell mothers "You started making newborn milk around the time you felt your baby move." "Newborn milk is there at birth for your baby."AFter all, liquid from the breast, for the baby, and containing lactose is milk, right.So let's use the words she knows to boost her confidence. "The more newborn milk you give your baby, the faster your milk volume will increase."Let's all do this, please?warmly,Nikki Lee Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2009 Report Share Posted July 1, 2009 I'm on a roll tonight...... But I so agree with you Nikki..... When i'm doing hand expression or whatever on day one I just talk about her milk.... and women always correct me and say " oh it's not milk yet " . For me it's all milk......then I tell them when we go to the store do we say to our husband " honey I'm going to buy some 2% milk " . Usually we just say were going to buy milk........... cuz who cares. I just want moms to buy in to the idea that they have this magical milk and it is low volume at first, just right for a new baby who's first job is to get immunized for a day or two....then once they survive the first few days they start to grow......... I vote for removing the fancy world colostrum from the teaching pamphlets and replacing it with milk period. Love, Star (again) > > Dear Colleagues: > > I wish that the word 'colostrum' would be deleted from every childbirth class, and every teaching pamphlet and brochure. > > Mothers get the idea that what is in their breast at birth is insufficient. After all they don't have milk because " it hasn't come in yet " . > > Our language reinforces this negative model. > > Call it Newborn Milk. Tell mothers " You started making newborn milk around the time you felt your baby move. " " Newborn milk is there at birth for your baby. " > > AFter all, liquid from the breast, for the baby, and containing lactose is milk, right. > > So let's use the words she knows to boost her confidence. " The more newborn milk you give your baby, the faster your milk volume will increase. " > > Let's all do this, please? > > warmly, > Nikki Lee > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 2, 2009 Report Share Posted July 2, 2009 Star I hear the same response from mothers I work with when I refer her colostrum as 'milk'....(sigh....) Another interesting phenomenon I have experienced is the impression that many mothers have that the colostrum is 'the most beneficial', as if the subsequent milk type is 'inadequate' in comparison, or less valuable as compared to the colostrum. This is an interesting position, the result I witness is mothers who intend on breastfeeding, or breastmilk feeding (from a bottle) for a brief period immediately following the birth, as they perceive that milk is optimal opposed to formula, yet once the composition changes as their volume increases and the milk matures it is essentially the equivilent of formula, or that breastmilk is not necessarily superior (remember, their existing perception....not mine)... So it's been interesting to me to witness how the reinforcement of the qualities of colostrum has translated to the population I serve as if the qualities of the colostrum, diminish the qualities of more mature breastmilk.....making the colostrum phase the 'most important' milk, and lessening their desire to sustain breastfeeding! I love your analogy of 2% or 1% milk being milk! > > I'm on a roll tonight...... > But I so agree with you Nikki..... > When i'm doing hand expression or whatever on day one I just talk about her milk.... and women always correct me and say " oh it's not milk yet " . For me it's all milk......then I tell them when we go to the store do we say to our husband " honey I'm going to buy some 2% milk " . Usually we just say were going to buy milk........... cuz who cares. > I just want moms to buy in to the idea that they have this magical milk and it is low volume at first, just right for a new baby who's first job is to get immunized for a day or two....then once they survive the first few days they start to grow......... > I vote for removing the fancy world colostrum from the teaching pamphlets and replacing it with milk period. > Love, > Star (again) Quote Link to comment Share on other sites More sharing options...
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