Breastfeeding

Breastfeeding & Galactosemia

Breastfeeding & Galactosemia

This past year our practice had two newborn metabolic screenings return with abnormal findings. One child was found to be a carrier for galactosemia, and another was found to have a variant form of galactosemia. When the call came in, the messenger informed me in a very emergent voice that it was absolutely pertinent that […]

Mammary Hypoplasia

Mammary Hypoplasia

Our practice takes great pride in our high breastfeeding success rates, with nearly 100% initiation rate and more than 90% exclusively breastfeeding through six weeks of age. We have a significant number who are still lactating upon return with a subsequent pregnancy. However, as important as encouraging and supporting families in optimizing their breastfeeding experience […]

Sore Nipples? We can help.

Sore Nipples? We can help.

Our practice has minimal issues with sore nipples, and I am not confident we’ve seen more than a handful of cracked or bleeding nipples. Our births are fairly uncomplicated, all are unmedicated, and all babies remain on mom’s chest through the first two hours of life unless there was a brief need to offer resuscitative […]

Yeast, Thrush & Candida

Yeast, Thrush & Candida

Candida infections of the nipples may occur at any time during the breastfeeding relationship. Candida albicans is the culprit for both yeast infections and thrush. It likes warm, moist, dark areas and normally lives on the human body, but when the skin breaks down, yeast can become a problem. Achieving the best latch possible is […]

Doctor Seuss for Nursing Mothers

Doctor Seuss for Nursing Mothers

Would you nurse her in the park? Would you nurse him in the dark? Would you nurse him with a Bobby? And when you boobs are feeling floppy? I would nurse him in the park, I would nurse her in the dark. I’d nurse with or without a Bobby. Floppy boobs will never stop me. […]

Hirkani’s Daughters- a Book Review

Hirkani’s Daughters- a Book Review

  The title of this wonderful collection of memoirs comes from an Indian folktale, in which a mother’s love for her child is so strong that she escapes a walled city at night and climbs down a cliff in order to feed her child.  Though modern mothers may not often encounter these same sorts of […]

Balancing Breast & Bottle: Reaching Breastfeeding Goals

Balancing Breast & Bottle: Reaching Breastfeeding Goals

A book review by Sarah O’Neill Bailey. Author Amy Peterson BS, IBCLC and Mindy Harmer MA, CCC-SLP This excellent book is aimed at mothers returning to work or to school who need reassurance and information on how to best combine breastfeeding and bottle feeding. The book is divided into chapters which discuss particular concerns most […]

Dysphoric Milk Ejection Reflex

Dysphoric Milk Ejection Reflex

D-MER is a rather new condition recognized by lactation experts. It is characterized by an abrupt dysphoria or negative emotions just prior to let-down and continues no more than a few minutes. These feelings are not to be confused with depression or mood disorders and are isolated to this situation only. It is important to […]

Skin Conditions and Breastfeeding

Skin Conditions and Breastfeeding

When my daughter first told me she was pregnant, we talked about her psoriasis and her concerns with whether she would successfully breastfeed. She was diagnosed with guttate psoriasis following a round of antibiotics for a strep infection in her leg. Although I hadn’t shared this with her, I too was concerned about whether her […]

Food For Thought

Food for Thought

"It is much more important to know what sort of patient has a disease than what sort of disease a patient has."

Sir William Osler

 

Food for Thought

"Happiness is underrated and critically important to health. Seriously! Unfortunately, many people just have no idea how to be happy."

Aviva Romm

Food for Thought

"Physicians simply do not have time to be what patients want them to be: open-minded, knowledgeable teachers and caregivers who can hear and understand their needs."

Snyderman and Weil

Food for Thought #1

"They say that time changes things. But you actually have to change them yourselves."

Andy Warhol

Food for Thought

"To think is easy. To act is hard. But the hardest thing in the world is to act in accordance with your thinking."

Johann Wolfgang von Goether

Food for Thought

"Birth isn’t about avoiding one set of realities in favor of another. It’s about embracing all facets of birth--contradictory, messy, or unpleasant as some might be--as vital to the whole."

Rixa Freeze PhD

Food for Thought

"Why I appreciate being a certified nurse-midwife, as opposed to choosing another route for midwifery: I feel learning the science is vital so the art of midwifery is safe and effective."

Dr. Penny Lane, nurse-midwife

Food for Thought

"When the debate is lost, slander becomes the tool of the loser."

Socrates

Food for Thought

"To accomplish great things, we must not only act but also dream; not only plan, but also believe."

Anatole France

Food for Thought

"Science and uncertainty are inseparable companions. Beware of those who are very certain about things. There are no absolute truths in biological sciences - only hypotheses... 'We need to train medical students and residents more in the art of uncertainty and less in the spirit that everything can be known or that it even needs to be known.'"

Grimes (1986)

Food for Thought

"American physicians are rewarded for doing things to patients, not for keeping them well."

Grimes, 1986

Food for Thought

"The false idol of technology. 'Having a widget screwed into one's scalp has become an American birthright.'"

Grimes, 1986

Food for Thought

"Between 1985 and 1987, a hospital instituted a successful program to reduce its cesarean rate. The rate fell from 18% to 12%, losing the hospital $1 million in revenues - no small sum in those days."

Goer & Romano, 2012, p 37

Food for Thought

"Obstetricians are much more likely to perform a cesarean when they wrongly believe the baby weighs 4000 g or more based on sonographic estimates than when the baby actually weighs this much but the obstetrician did not suspect it."

Goer & Romaro, 2012, p 35

Food for Thought

"If you play God, you will be blamed for natural disasters."

Marsden Wagner (2006)

Food for Thought

"An education isn't how much you have committed to memory, or even how much you know. It's being able to differentiate between what you know and what you don't."

Anatole France

Food for Thought #3

"Birth is not only about making babies. Birth also is about making mothers - strong, competent, capable mothers, who trust themselves and know their inner strength."

Barbara Katz Rothman PhD (1996)

Food for Thought #4

"Believe there is always, always, always a way. When you have exhausted all possibilities, remember this: you haven't."

Thomas Edison

Food for Thought #5

"All truth passes through three stages. First, it is ridiculed. Second, it is violently opposed. Third, it is accepted as being self-evident."

Arthur Schopenhauer

Food for Thought #2

"Yet you brought me safely from my mother’s womb and led me to trust you at my mother’s breast."

Psalm 22:9