Re: [ozmidwifery] weight loss
Hi Susan, how long since the motilium started? Can take up to a week to get good response. I would consider supply line rather than bottling the suppliments especially as it may be for a prolonged time. How is her iron level? Maybe iron suppliments and a multivitamin as well as expressing post 3-4 hrly feeds Cheers, Diane - Original Message - From: Susan Cudlipp To: ozmidwifery@acegraphics.com.au Sent: Thursday, May 25, 2006 6:30 PM Subject: Re: [ozmidwifery] weight loss Thanks for all the replies to my question. To answer: Baby did have bag urine and full paed check on readmission, as far as I know nothing abnormal was found. No tongue tie and no projectile vomitting. He was reviewed by paeds daily while back in hospital. He was breast fed and supplemented with formula for 3 days whereupon he started to regain weight and have bowel movements, also woke up and started behaving more normally. Was discharged again with EDP follow-up, fully b/f. Lost weight again over 5 days and again no bowel movements. On Tuesday I recommended mum re-start formula top-ups again post feeds if he wasn't settling - she had been feeding for long periods and he was still not settling so was keen to do this. Her diet appears to be adequate, she has good family support and is a calm, confident mum - I observed feeding on a number of occasions and saw good latching and swallowing happening, appears quite content at the breast.Yesterday bub had put on 120gms and was polishing off 60ml formula top-ups post feeds (3 hourly) Had an enormous bowel action - first for 4-5 days. Today weight was static - maybe due to huge BM. I advised her to offer more a/f and let him decide how much he needed if he was not satisfied post b/f. I have discharged her to the CHN who visited yesterday but we can visit in the interim if she has any worries. He appeared well, has never been jaundiced, and is well hydrated but looks 'skinny', not much body fat yet. I do wonder about this bub though because I just felt that something was not 'right' with him and perhaps down the track he may be found to have some other issues as yet un diagnosed. I also agree with Andrea that the tegretol may be part of the answer - she is also on carbimazine for ulcerative colitis (that was the med that I couldn't remember) Many times I have heard women say 'I had to stop feeding because my milk was 'no good'' and I have never thought this could be true but this one did have me stumped and I wonder if there is anypossibility that sometimes mum's milk is not high enough in calories for a particluar baby (diet issues aside) Thanks again for all your input Sue "The only thing necessary for the triumph of evil is for good men to do nothing"Edmund Burke - Original Message - From: Andrea Quanchi To: ozmidwifery@acegraphics.com.au Sent: Thursday, May 25, 2006 2:40 PM Subject: Re: [ozmidwifery] weight loss I have personal experience of another Mum who was on tegratol and lamictal and had similar scenario. Bub really struggled for some months as Mum perservered but eventually bub needed to be comped and has never looked back. Give it a bit longer if bub is happy as weight is not everything but if bub is showing signs that he is hungry then offering a comp will allow him to tell you whether this is what he needs or not. If it isnt he wont take it. He might only need a small amount once or twice a day to tope up what he is getting from mum and this will allow them all to relax and get on with it. Worrying about him being unhappy will not do anything for her supply Andrea On 25/05/2006, at 6:29 AM, Nicole Carver wrote: Hi Susan, This is indeed puzzling. The babe needs a visit to the doctor to have medical reasons excluded, if it hasn't already been done, including bag urine for culture etc. However, the fact that the baby regained wt in hospital and then lost it again at home does seem to point to a feeding management issue. Is Mum feeding the baby often enough, or leaving the baby on the breast long enough? Does the baby have a tongue tie (these babies feed well from the bottle, but find it hard to strip a breast)? Is Mum hearing baby at night or is she slightly sedated by the Tegretol, or the baby sedated by it? I assume someone has checked if Tegretol is ok with BF? Warm regards,Nicole Carver. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Susan CudlippSent: Wednesday, May 24, 2006 11:44 PMTo: midwifery listSubject: [ozmidwifery] weight loss Dear wise women I have been following a
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Hi all, I have just started working at a new health facility that tends to give hep B injections on day 2 or 3. I have come from a facility that gives hep B at birth when vitamin k is given. Can anyone shed some light as to why the might do it this way. Any articles. They seem to not know why they do it. I just want to change practice so that can be done at the same time as the vitamin k. Thanks. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Quote of the week.
I have to make myself open for a woman to be open to me. Mabel Dzata
[ozmidwifery] pain
I wonder if this works? The Art of Midwifery For all kinds of pain, including postpartum pains, using the index finger, tap firmly (not hard enough to leave marks/bruises) right on, around and under the cheek bone, going back and forth on each side of your face. Tap, tap, tap tap on the right side, then tap, tap, tap tap on the left, and back again. If you do this while nursing, the pain slides away. It's a cheap and easy remedy. All you need is a finger! Anon Midwifery Today Forums
Re: [ozmidwifery] Hep B, vit K
Dear Mary and Amanda Exactly Mary! Amanda have you read Sara Wickham's work on Vit K? What is the consent process for Hep B, Are parents aware of the specific populations of risk? I must say the Hep B at birth really shocks me. What are the risk factors for babies who are not in contact with those in high risk groups such as those already infected or sex workers and intravenous drug users? It seems like a capture theory to me and I worry about the level of informed consent. JC -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Hep B, vit K
A Jus, but they may just be going to enroll in a contact sport! Jo -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Justine Caines Sent: Thursday, 25 May 2006 9:08 PM To: OzMid List Subject: Re: [ozmidwifery] Hep B, vit K Dear Mary and Amanda Exactly Mary! Amanda have you read Sara Wickham's work on Vit K? What is the consent process for Hep B, Are parents aware of the specific populations of risk? I must say the Hep B at birth really shocks me. What are the risk factors for babies who are not in contact with those in high risk groups such as those already infected or sex workers and intravenous drug users? It seems like a capture theory to me and I worry about the level of informed consent. JC -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] pain
This is EFT. Have a look at http://www.emofree.com It works on a lot more than just nursing pain !! Tracy http://www.DoulaIreland.com From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mary Murphy Sent: Thursday, May 25, 2006 12:03 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] pain I wonder if this works? The Art of Midwifery For all kinds of pain, including postpartum pains, using the index finger, tap firmly (not hard enough to leave marks/bruises) right on, around and under the cheek bone, going back and forth on each side of your face. Tap, tap, tap tap on the right side, then tap, tap, tap tap on the left, and back again. If you do this while nursing, the pain slides away. It's a cheap and easy remedy. All you need is a finger! Anon Midwifery Today Forums
Re: [ozmidwifery] pain
Sounds like an activity to take your mind off the other pain, although many years ago I attended a forum on Chinese medicine and the medical doctor who spoke, encouraged people to tap the lower 3rd of the sternum daily for good health. I did it for a while but felt no different. Regards Linda - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Thursday, May 25, 2006 9:03 PM Subject: [ozmidwifery] pain I wonder if this works? The Art of Midwifery For all kinds of pain, including postpartum pains, using the index finger, tap firmly (not hard enough to leave marks/bruises) right on, around and under the cheek bone, going back and forth on each side of your face. Tap, tap, tap tap on the right side, then tap, tap, tap tap on the left, and back again. If you do this while nursing, the pain slides away. It's a cheap and easy remedy. All you need is a finger! Anon Midwifery Today Forums
Re: [ozmidwifery] Hep B, vit K
As far as I am award it IS the capture theory. Stick thousands of babies with Hep B vax to maybe save one. For those who do consent at our hospital we give on the day of the Neonatal screening. One of our midwives has looked into the perinatal data in Qld and found that there were not figures for babies who missed the birth dose and caught Hep B in the first few months. We work on the premise that if it says on the hospital supplied literature that babies may feel unwell and need extra fluids after an immunisation, why are we doing that before they even know how to suckle properly? Birth dose is classified as given in the first week. The pressure to give 'at birth', before the poor kid has had time to even draw breath properly, is so they don't get lost in the system. With midwifery clinics we are aware of women who live high risk lifestyles and are at risk of defaulting when it may not be best to do so and we just make sure that it is done before they go home if it is before the neonatal screening. Cheers Judy --- Justine Caines [EMAIL PROTECTED] wrote: Dear Mary and Amanda Exactly Mary! Amanda have you read Sara Wickham's work on Vit K? What is the consent process for Hep B, Are parents aware of the specific populations of risk? I must say the Hep B at birth really shocks me. What are the risk factors for babies who are not in contact with those in high risk groups such as those already infected or sex workers and intravenous drug users? It seems like a capture theory to me and I worry about the level of informed consent. JC -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Send instant messages to your online friends http://au.messenger.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Hep B, vit K
I agree, Mary. There is not sufficient evidence to support the use of either as routine at birth. Just sounds like more potential trauma and unnecessary chemicals going into babies IMO. J htmldivPFONT face=Lucida Handwriting color=#9900ffSTRONGJoyous Birthnbsp;IMG height=19 src=http://graphics.hotmail.com/i.p.emlove.gif; width=19Home birthnbsp;forum./STRONG/FONT/P PSTRONGFONT face=Lucida Handwriting color=#9900ffA href=http://www://joyousbirth.info/forums;http://www://joyousbirth.info/forums/A/FONT/STRONG/P PFONT color=#9900ffSTRONGFONT face=Times New Roman, Times, SerifFONT size=2Attending births is like growing roses. You have to marvel at the ones that just open up and bloom at the first kiss of the sun but you wouldn't dream of pulling open the petals of the tightly closed buds and forcing them to blossom to your time line.?XML:NAMESPACE PREFIX = O /O:P /O:P/FONT/FONT/STRONG/FONT/P P align=centerFONT face=Lucida Handwriting color=#9900ffSTRONGO:P/O:PFONT face=Times New Roman, Times, Serif size=2~Gloria Lemay~/FONT/P/STRONG/FONT/div/html From: Mary Murphy [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Hep B, vit K Date: Thu, 25 May 2006 18:47:59 +0800 Changing practice to not giving it at all would be better. Unless the baby is in an at risk situation, they will get the full course with their other vaccinations from 8 weeks on. Why the hurry to give such a potent vaccination so soon after birth? In fact why the rush to give Vit k IM? Reading the literature doesn't support it, even tho recommendations do. Oral x 3 is just as effective, just takes a little post natal follow-up, which women are missing out on anyway. MM just want to change practice so that can be done at the same time as the vitamin k. . -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Fw: E-News 8:11 - Postdates Pregnancies (May 24, 2006)
Apologies for the long post and even more apologies if this 'FW:' infringes on normal list etiquette,but I am interested in what others think of the topic raised by Debby Gedal-Beer in the 'feedback' section. Personally I beleive this is something that is of interest to the globe which is my rationale for posting this copy of E Midwifery Today here Cheers Alesa - Original Message - From: Midwifery Today [EMAIL PROTECTED] To: E-News Subscriber Sent: Wednesday, May 24, 2006 9:44 AM Subject: E-News 8:11 - Postdates Pregnancies (May 24, 2006) MIDWIFERY TODAY E-NEWS A publication of Midwifery Today, Inc. Volume 8, Issue 11, May 24, 2006 Postdates Pregnancies This e-mail edition of E-News is shorter than the online edition. ** Read the complete HTML edition of this issue online! ** Go to http://www.midwiferytoday.com/enews/enews0811.asp Remember to share this newsletter. (Please see copyright notice for restrictions.) To stop receiving E-News or to change your e-mail address: http://www.midwiferytoday.com/redirect.asp?id=199 Promote your product or service to more than 13,000 E-News readers! To see E-News advertising details: http://www.midwiferytoday.com/ads/enews.asp Subscribe to the Birth Products RSS feed for information about the products available from Midwifery Today. Find out what's new, what's on sale and more. http://feeds.feedburner.com/MidwiferyTodayProducts Subscribe to the Web Updates RSS feed to stay on top of what's new or highlighted on the Midwifery Today Web site. Be alerted when conference programs go online, new articles are posted and more. http://feeds.feedburner.com/MidwiferyTodayUpdates ~~ In This Week's Issue ~~ ~ Quote of the Week ~ The Art of Midwifery: Relieving Pain ~ Midwifery Education: When do I call myself a midwife? ~ Postdates Pregnancies ~ Research to Remember: Mastitis ~ Products for Birth Professionals ~ Web Site Update ~ Advertising Opportunities ~ Forum Talk: Effects of Adrenaline ~ Question of the Week: Informing the Public ~ Question of the Week Responses: Urge to Push, VBAC with Vertical Cut ~ Think about It: Postpartum Care by Community ~ Feedback ~ Classified Advertising ~~ E-News Advertisers ~~ ~ Mothering ~ HypnoBirthing (R) - The Mongan Method ~ Birth, The Play ~ Babywearing Conference 2006 Look below for more info! Offers are springing up all over! Check out our special coupon page and save up to $10 on your Midwifery Today order. Or, save $4 on a one- or two-year subscription to Midwifery Today magazine. You'll also find special offers from other birth-related businesses. http://www.midwiferytoday.com/redirect.asp?id=1311 Midwifery Today Online Store Home Birth: The Spirit, The Science and The Mother (DVD) Help dispel the misconceptions about homebirth and midwives and witness the joy of homebirth as two families share their exquisite birth experiences. This DVD, which features interviews with Marsden Wagner, MD, Jeanine Tgettis, DC, and Fred R. Duhart, DO, offers convincing evidence of the safety and wisdom of having a homebirth. http://www.midwiferytoday.com/products/06VHB.htm Midwifery Today Conferences Soaking up Midwifery Knowledge Come to our conference in Bad Wildbad, Germany, October 25-29, 2006 and learn from teachers such as: ~ Barbara Harper ~ Marina Alzugaray ~ Michel Odent ~ Elizabeth Davis ~ Ina May Gaskin ~ Marsden Wagner http://www.midwiferytoday.com/redirect.asp?id=1218 Send submissions, inquiries and responses to newsletter items to: [EMAIL PROTECTED] Are you enjoying your copy of the Midwifery Today E-News? Then show your support by making a donation of $3 or more. http://www.midwiferytoday.com/redirect.asp?id=667 ~~ Quote of the Week ~~ I have to make myself open for a woman to be open to me. ~ Mabel Dzata ~~ The Art of Midwifery ~~ For all kinds of pain, including postpartum pains, using the index finger, tap firmly (not hard enough to leave marks/bruises) right on, around and under the cheek bone, going back and forth on each side of your face. Tap, tap, tap tap on the right side, then tap, tap, tap tap on the left, and back again. If you do this while nursing, the pain slides away. It's a cheap and easy remedy. All you need is a finger! ~ Anon. Midwifery Today Forums ALL BIRTH PRACTITIONERS: The techniques you've perfected over months and years of practice are valuable lessons for others to learn! Share them with E-News readers by sending them to: [EMAIL PROTECTED] ~~ Midwifery Education ~~ When do I call myself a midwife?
RE: [ozmidwifery] weight loss
I had a Chinese woman tell me about her chicken and ginger soup that she swears by for abundant milk supply.(chicken soupcan bepretty fatty). The Asians have a reasonable level of fat in their diet, especially when feeding. I mentioned dairy because we are told to stick to the low fat, especially dairy. Sue said the baby is having good, wet nappies, I agree with the supply line in preference to bottles, having used one myself for 4 months. Maureen -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Barbara Glare Chris BrightSent: Thursday, 25 May 2006 8:10 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] weight loss Hi, This is getting off the track in of the story.. The role of diet is interesting. I wonder how the Chinese manage - no walls of dairy cabinets in Chinese supermarkets. Re the breastfeeding, it still sounds a bit like not enough milk. I feel a 2 week old breastfed baby should be having plenty of poos.and some weight gain - not loss. Lots of mums, using disposables, have a tough time working our how much wee a baby is having. How much milk was she able to express? Babies often seem to take more by bottle than they would normally need. at 60mls 3 hrly, that would seem to be more than 1/2 of his normal intake in formula. The first rule is certainly *feed the baby* But formula feeding such large amounts won't help build up her milk supply. Is there a plan to increase that? Barb - Original Message - From: Ken Ward To: ozmidwifery@acegraphics.com.au Sent: Thursday, May 25, 2006 11:04 AM Subject: RE: [ozmidwifery] weight loss He's getting enough fluid, so look at mum's diet. Is she getting enough fat and protein? Even if overweight she should be having full fat dairy. I wouldn't be worried about no poo, but theweight loss is worrying. How often is he feeding and for how long? Off hand I'd say he's not getting enough fat. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Susan CudlippSent: Wednesday, 24 May 2006 11:44 PMTo: midwifery listSubject: [ozmidwifery] weight loss Dear wise women I have been following a client on early discharge whose baby is losing weight. Now about 2 weeks old, I readmitted her on day 5 as bub was lethargic, had not had a bowel movement and had lost weight. She expressed, fed and topped up, bub 'woke up' and put on weight, started opening bowels and generally improved all round, went home again fully breast feeding, seems to have plenty of milk, plenty of wet nappies but again - no poo's, and on last 2 visits had lost weight, 50g then another 40g. Has not regained birth weight yet and does not seem satisfied despite frequent b/f. I will be seeing her again tomorrow and am frankly puzzled by this scenario. She is on medication herself for epilepsy (low dose Tegretol and another that I can't remember) and has been taking Motilium to boost supply. Any suggestions/comments? TIA Sue "The only thing necessary for the triumph of evil is for good men to do nothing"Edmund Burke
RE: [ozmidwifery] pain
Sounds dam annoying to me, like water torture. Maureen -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Alan Linda TrewernSent: Thursday, 25 May 2006 9:48 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] pain Sounds like an activity to take your mind off the other pain, although many years ago I attended a forum on Chinese medicine and the medical doctor who spoke, encouraged people to tap the lower 3rd of the sternum daily for good health. I did it for a while but felt no different. Regards Linda - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Thursday, May 25, 2006 9:03 PM Subject: [ozmidwifery] pain I wonder if this works? The Art of Midwifery For all kinds of pain, including postpartum pains, using the index finger, tap firmly (not hard enough to leave marks/bruises) right on, around and under the cheek bone, going back and forth on each side of your face. Tap, tap, tap tap on the right side, then tap, tap, tap tap on the left, and back again. If you do this while nursing, the pain slides away. It's a cheap and easy remedy. All you need is a finger! Anon Midwifery Today Forums
Re: [ozmidwifery] Hep B, vit K
Just to add to the debate the NHMRC immunization handbook does recommend it be given as soon as the baby is physiologically stable and preferably within the first 24 hours. Rationales for giving it included preventing vertical transmission from the mother (recognizing that there may be errors or delays in maternal testing or reporting, and horizontal transmission from other household contacts). I wondered if there could be considered a small risk from staff handling the baby e.g. whilst performing neonatal screening tests etc It doesn't say that though. We give it either with the NNST or just before discharge. We have just been having this same conversation/debate at work, as some midwives are calling the birth dose an optional extra dose which is why I looked into it. Everything we do has risk/benefits and immunization debates bring out strong feelings on both sides. I am just pointing out the current National policy on the topic. The NHMRC Immunization Handbook can be downloaded in full at http://www9.health.gov.au/immhandbook/pdf/handbook.pdf if that helps. Helen - Original Message - From: Judy Chapman [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, May 26, 2006 9:03 AM Subject: Re: [ozmidwifery] Hep B, vit K As far as I am award it IS the capture theory. Stick thousands of babies with Hep B vax to maybe save one. For those who do consent at our hospital we give on the day of the Neonatal screening. One of our midwives has looked into the perinatal data in Qld and found that there were not figures for babies who missed the birth dose and caught Hep B in the first few months. We work on the premise that if it says on the hospital supplied literature that babies may feel unwell and need extra fluids after an immunisation, why are we doing that before they even know how to suckle properly? Birth dose is classified as given in the first week. The pressure to give 'at birth', before the poor kid has had time to even draw breath properly, is so they don't get lost in the system. With midwifery clinics we are aware of women who live high risk lifestyles and are at risk of defaulting when it may not be best to do so and we just make sure that it is done before they go home if it is before the neonatal screening. Cheers Judy --- Justine Caines [EMAIL PROTECTED] wrote: Dear Mary and Amanda Exactly Mary! Amanda have you read Sara Wickham's work on Vit K? What is the consent process for Hep B, Are parents aware of the specific populations of risk? I must say the Hep B at birth really shocks me. What are the risk factors for babies who are not in contact with those in high risk groups such as those already infected or sex workers and intravenous drug users? It seems like a capture theory to me and I worry about the level of informed consent. JC -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Send instant messages to your online friends http://au.messenger.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Re: hep b
Why give it at all? I object to the hep b, and have strong reservations about the vitk. Maureen -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of diane Sent: Thursday, 25 May 2006 10:12 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Re: hep b Amanda wrote. I just want to change practice so that can be done at the same time as the vitamin k... So do I only when indicated by a risk situation.. Diane - Original Message - From: Amanda W [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, May 25, 2006 8:10 PM Hi all, I have just started working at a new health facility that tends to give hep B injections on day 2 or 3. I have come from a facility that gives hep B at birth when vitamin k is given. Can anyone shed some light as to why the might do it this way. Any articles. They seem to not know why they do it. I just want to change practice so that can be done at the same time as the vitamin k. Thanks. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] weight loss
I have also heard of fish soup being used by Fijians forincreasing milk supply. It would be great if someone could do some research into it Helen - Original Message - From: Alesa Koziol To: ozmidwifery@acegraphics.com.au Sent: Friday, May 26, 2006 12:16 PM Subject: Re: [ozmidwifery] weight loss We have a big Asian population from a wide range of cultures and I've seen so many variations of the chicken and ginger soup used by different Asian cultures that I have no hesitation in recommending it to mothers with a willing mother/auntie in the background who will cook up a batch. It is amazing how effective this is at increasing milk supply Alesa Alesa KoziolClinical Midwifery EducatorMelbourne - Original Message - From: Ken Ward To: ozmidwifery@acegraphics.com.au Sent: Friday, May 26, 2006 11:41 AM Subject: RE: [ozmidwifery] weight loss I had a Chinese woman tell me about her chicken and ginger soup that she swears by for abundant milk supply.(chicken soupcan bepretty fatty). The Asians have a reasonable level of fat in their diet, especially when feeding. I mentioned dairy because we are told to stick to the low fat, especially dairy. Sue said the baby is having good, wet nappies, I agree with the supply line in preference to bottles, having used one myself for 4 months. Maureen -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Barbara Glare Chris BrightSent: Thursday, 25 May 2006 8:10 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] weight loss Hi, This is getting off the track in of the story.. The role of diet is interesting. I wonder how the Chinese manage - no walls of dairy cabinets in Chinese supermarkets. Re the breastfeeding, it still sounds a bit like not enough milk. I feel a 2 week old breastfed baby should be having plenty of poos.and some weight gain - not loss. Lots of mums, using disposables, have a tough time working our how much wee a baby is having. How much milk was she able to express? Babies often seem to take more by bottle than they would normally need. at 60mls 3 hrly, that would seem to be more than 1/2 of his normal intake in formula. The first rule is certainly *feed the baby* But formula feeding such large amounts won't help build up her milk supply. Is there a plan to increase that? Barb - Original Message - From: Ken Ward To: ozmidwifery@acegraphics.com.au Sent: Thursday, May 25, 2006 11:04 AM Subject: RE: [ozmidwifery] weight loss He's getting enough fluid, so look at mum's diet. Is she getting enough fat and protein? Even if overweight she should be having full fat dairy. I wouldn't be worried about no poo, but theweight loss is worrying. How often is he feeding and for how long? Off hand I'd say he's not getting enough fat. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Susan CudlippSent: Wednesday, 24 May 2006 11:44 PMTo: midwifery listSubject: [ozmidwifery] weight loss Dear wise women I have been following a client on early discharge whose baby is losing weight. Now about 2 weeks old, I readmitted her on day 5 as bub was lethargic, had not had a bowel movement and had lost weight. She expressed, fed and topped up, bub 'woke up' and put on weight, started opening bowels and generally improved all round, went home again fully breast feeding, seems to have plenty of milk, plenty of wet nappies but again - no poo's, and on last 2 visits had lost weight, 50g then another 40g. Has not regained birth weight yet and does not seem satisfied despite frequent b/f. I will be seeing her again tomorrow and am frankly puzzled by this scenario. She is on medication herself for epilepsy (low dose Tegretol and another that I can't remember) and has been taking Motilium to boost supply. Any suggestions/comments? TIA Sue "The only thing necessary for the triumph of evil is for good men to do nothing"Edmund Burke
Re: [ozmidwifery] weight loss/ chicken soup
Within Traditional Chinese Medicine (TCM), the properties of chicken are warming in nature, and builds energy (chi), with specific affects on the digestion. Improving the digestion improves the energy and blood-building qualities. As breast-milk in TCM is seen as an extension of blood the eating of chicken soup aids breast milk production.Ginger also has warming properties. I hope this is clear as it a quick crash course in TCM. Rebecca Gaiewski[EMAIL PROTECTED]Student midwife On 26/05/2006, at 1:02 PM, Helen and Graham wrote:I have also heard of fish soup being used by Fijians for increasing milk supply. It would be great if someone could do some research into it Helen- Original Message -From: Alesa KoziolTo: ozmidwifery@acegraphics.com.auSent: Friday, May 26, 2006 12:16 PMSubject: Re: [ozmidwifery] weight lossWe have a big Asian population from a wide range of cultures and I've seen so many variations of the chicken and ginger soup used by different Asian cultures that I have no hesitation in recommending it to mothers with a willing mother/auntie in the background who will cook up a batch. It is amazing how effective this is at increasing milk supply Alesa Alesa KoziolClinical Midwifery EducatorMelbourne- Original Message -From: Ken WardTo: ozmidwifery@acegraphics.com.auSent: Friday, May 26, 2006 11:41 AMSubject: RE: [ozmidwifery] weight lossI had a Chinese woman tell me about her chicken and ginger soup that she swears by for abundant milk supply.(chicken soup can be pretty fatty). The Asians have a reasonable level of fat in their diet, especially when feeding. I mentioned dairy because we are told to stick to the low fat, especially dairy. Sue said the baby is having good, wet nappies, I agree with the supply line in preference to bottles, having used one myself for 4 months. Maureen-Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Barbara Glare Chris BrightSent: Thursday, 25 May 2006 8:10 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] weight lossHi, This is getting off the track in of the story.. The role of diet is interesting. I wonder how the Chinese manage - no walls of dairy cabinets in Chinese supermarkets. Re the breastfeeding, it still sounds a bit like not enough milk. I feel a 2 week old breastfed baby should be having plenty of poos. and some weight gain - not loss. Lots of mums, using disposables, have a tough time working our how much wee a baby is having. How much milk was she able to express? Babies often seem to take more by bottle than they would normally need. at 60mls 3 hrly, that would seem to be more than 1/2 of his normal intake in formula. The first rule is certainly *feed the baby* But formula feeding such large amounts won't help build up her milk supply. Is there a plan to increase that? Barb- Original Message -From: Ken WardTo: ozmidwifery@acegraphics.com.auSent: Thursday, May 25, 2006 11:04 AMSubject: RE: [ozmidwifery] weight lossHe's getting enough fluid, so look at mum's diet. Is she getting enough fat and protein? Even if overweight she should be having full fat dairy. I wouldn't be worried about no poo, but the weight loss is worrying. How often is he feeding and for how long? Off hand I'd say he's not getting enough fat.-Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Susan CudlippSent: Wednesday, 24 May 2006 11:44 PMTo: midwifery listSubject: [ozmidwifery] weight lossDear wise womenI have been following a client on early discharge whose baby is losing weight. Now about 2 weeks old, I readmitted her on day 5 as bub was lethargic, had not had a bowel movement and had lost weight. She expressed, fed and topped up, bub 'woke up' and put on weight, started opening bowels and generally improved all round, went home again fully breast feeding, seems to have plenty of milk, plenty of wet nappies but again - no poo's, and on last 2 visits had lost weight, 50g then another 40g. Has not regained birth weight yet and does not seem satisfied despite frequent b/f. I will be seeing her again tomorrow and am frankly puzzled by this scenario. She is on medication herself for epilepsy (low dose Tegretol and another that I can't remember) and has been taking Motilium to boost supply.Any suggestions/comments?TIA Sue"The only thing necessary for the triumph of evil is for good men to do nothing"Edmund Burke
[ozmidwifery] Re:
The place I work we give it when we do the NST. It was a midwife decision not an evidence based one. Like giving it with the vit K it is easier to do it at a predictable time so that it doesn't get overlooked. The midwives wanted not to do it at birth as they were wanting to do as little as possible to interupt Mum and baby, As we need to have a signed consent form to give it and the mothers have often not filled this is prior to birth it was very interupting to get all thisDone on the birth day and we find it not an issue later when everyone has had time to sit down read the literature and discuss it. Of course then we do have a number of mums who decline to have it which is their right and is not an issue at all. Andrea Q On 25/05/2006, at 8:10 PM, Amanda W wrote: Hi all, I have just started working at a new health facility that tends to give hep B injections on day 2 or 3. I have come from a facility that gives hep B at birth when vitamin k is given. Can anyone shed some light as to why the might do it this way. Any articles. They seem to not know why they do it. I just want to change practice so that can be done at the same time as the vitamin k. Thanks. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] RE:
Hi Amanda, I have worked places where they don't give Vit K until mum and baby have returned to the ward. They changed their practice so babies are not given any routine medication at all in birth suite (unless for resus) because their have been a few instances where baby inadvertently and tragically was given the mothers syntocinon. A way in this could happen is someone else prepared the synto, accidentally leaves it on the resus trolley. The primary midwife is unaware and gets her own synto and the second midwife thinks she is giving Vik K. Regards, Melissa - Original Message - From: Nicole Carver [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, May 26, 2006 6:35 AM Subject: [ozmidwifery] RE: Hi Amanda, Why not delay the Vit K and do both on day 1? We have just stopped giving vit K and weighing the babe in the birth suite so that there is less interruption to the early time between babe and parent/s and first breast feed. We generally give Hep B on day 2 or 3 if the parents want the babe to have it. Regards, Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Amanda W Sent: Thursday, May 25, 2006 8:11 PM To: ozmidwifery@acegraphics.com.au Subject: Hi all, I have just started working at a new health facility that tends to give hep B injections on day 2 or 3. I have come from a facility that gives hep B at birth when vitamin k is given. Can anyone shed some light as to why the might do it this way. Any articles. They seem to not know why they do it. I just want to change practice so that can be done at the same time as the vitamin k. Thanks. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
