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12:09:59 |
Webmama_Tina |
ok....so today i am soooooo happy to welcome dr jack newman
as our guest speaker! |
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12:10:08 |
JackNewman |
Pleased to be here. |
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12:10:08 |
KristaJoy |
? |
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12:10:08 |
Webmama_Tina |
dr newman....why don' t you introduce yourself? |
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12:10:18 |
Webmama_Tina |
give us a little background on you and your expertise |
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12:10:26 |
Webmama_Tina |
don't forget to share any links and books that you have |
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12:10:33 |
KristiMetz |
? |
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12:10:41 |
Webmama_Tina |
and when you're done just let us know you're ready for your
first question |
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12:10:48 |
gretchenp |
? |
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12:10:59 |
Webmama_Tina |
angie is our queuekeeper and is gathering the names from the
question marks being posted and will let ya know who's up
when. |
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12:11:09 |
curlyfry |
? |
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12:11:17 |
Webmama_Tina |
please remember, mamas, to not go until angie says its your
turn. :) |
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12:11:24 |
the4manz3 |
? |
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12:11:28 |
nakagain |
? |
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12:11:45 |
JackNewman |
Okay, I'm a paediatrician (not English spelling). I work in
Toronto. I've run a breastfeeding clinic in various
hospitals in the Toronto area, and have done so for 21
years. In that time we've seen about 20,000 mothers with
their babies. I've written a book on breastfeeding. Dr.
Jack Newman's Guide to Breastfeeding (Ultimate Breastfeeding
Book of Answers in the US) and we've just put out a DVD, Dr
Jack Newman's Visual Guide to Breastfeeding. |
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12:12:16 |
JackNewman |
That should be note English spelling"" |
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12:14:35 |
PrincessCass |
are we now in the right spot? |
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12:14:53 |
JackNewman |
I think so, but everyone else seems to have fallen silent. |
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12:15:01 |
MOD_Angie |
upcoming chatter(s): mommyk reeran KristaJoy KristiMetz
gretchenp curlyfry the4manz3 nakagain |
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12:15:18 |
LydiaR |
? |
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12:15:45 |
Shell_ell |
? |
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12:15:52 |
MOD_Angie |
please have your question ready when your name is called,
Thank You! |
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12:15:52 |
Webmama_Tina |
we're listening to you dr newman. :) are you ready for your
first question? |
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12:16:00 |
lolarose2223 |
? |
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12:16:03 |
JackNewman |
I'm ready. |
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12:16:04 |
mishiemumma |
? |
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12:16:07 |
Webmama_Tina |
okey dokey |
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12:16:16 |
Webmama_Tina |
looks like mommyk is up first |
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12:16:19 |
mommyk |
my baby was jaundice and the doctor had her on a billy light
and also told me to only nurse every four hours and then
give her a bottle of water in between, was that necissary? |
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12:16:42 |
Webmama_Tina |
and don't mind me as i post welcomes and info for
newcomers...just keep going.... :) |
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12:17:06 |
mommyk |
we had an aweful time nursing and had to quit after 6 weeks,
just wondering if that contributed? I think our make
problem was latching on |
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12:17:23 |
Webmama_Tina |
Welcome to this week's Mothering Sponsored chat! This is a
moderated chat. Please make sure you read and fully
understand the Moderated Chat Instructions before
participating in this chat. Instructions can be found here:
http://www.mommychats.com/modrules.htm ...A Friendly
Reminder: Please do not post unless it is your turn to ask a
question. If you have a question, please post a single ?"
and you'll be added to the queue. Have your question ready
when your name is called." |
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12:17:43 |
JackNewman |
Not only wasn't it necessary, it was completely the wrong
thing to suggest. If the baby is breastfeeding well and
gaining well and the urine is clear like water, there is
nothing to do but reassure the mother. Babies should not be
fed by the clock. And they don't need water. In fact,
water, especially by bottle can make things worse. See our
patient handouts at the websites
www.thebirthden.com/Newman.html or
www.gentlemothering.ca .
Look for Jaundice. |
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12:17:43 |
PrincessCass |
? |
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12:17:55 |
amica |
? |
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12:18:18 |
mommyk |
she was not gaining weight |
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12:18:20 |
JackNewman |
Also www.breastfeedingonline.com. These are not my websites
incidentally, but have my material on them. There are also
video clips that show breastfeeding techniques. |
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12:18:33 |
mommyk |
thanks |
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12:19:03 |
JackNewman |
Then the idea is not to feed by the clock and give water,
but rather fix the breastfeeding. See the Protocol to
increase breastmilk intake by the baby, which you can find
at those websites, and use the video clips to help you use
the Protocol. Get good hands on help as well. |
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12:19:03 |
reeran |
My daughter is 15 mos and I conceived her doing infertility
iui. I would like to have another since I'm already 41 but
hate to stop bfeeding. The RE tells me I have to stop cause
of meds. Is this so? And can you share your thoughts about
this, if any? |
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12:19:40 |
Webmama_Tina |
hold on reeran.... |
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12:19:41 |
mommyk |
? |
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12:19:45 |
Webmama_Tina |
we're taking turns |
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12:19:51 |
reeran |
sorry |
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12:19:51 |
Webmama_Tina |
right now it is mommyk's turn with dr newman |
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12:19:54 |
Webmama_Tina |
no worries |
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12:19:57 |
JackNewman |
Not true. There is hardly any medication that requires you
to stop breastfeeding, including medications for induce
pregnancies. Some of these medications can decrease milk
supply, but is not a reason to stop breastfeeding. |
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12:20:18 |
mommyk |
I also had a quetsions about the shape and make up of my
breat contributing to our difficulty |
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12:20:56 |
Webmama_Tina |
ok mommyk...did your first question get answered? |
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12:21:02 |
mommyk |
there is very little fatty tissue and the areola's are very
large, about 4 inch in diameter and there is hair around on
my nipple around the edge |
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12:21:06 |
JackNewman |
Well, go ahead, but let me tell you that most of these
things about shapes of breasts probably mean very little.
The reason mothers have difficulties is that they get advice
like feed the baby on a schedule and give water. |
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12:21:24 |
debbiej74 |
? |
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12:21:40 |
Webmama_Tina |
dr newman...it can be confusing when others jump in out of
turn...some people are new to these chats...so just defer to
angie as to who's turn it is to ask a question and we can
keep things organized. :) |
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12:21:45 |
Webmama_Tina |
and mommies, here's the info again... |
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12:21:46 |
JackNewman |
You may have what some people call insufficient breast
tissue". I've seen this often, and often enough the mothers
produce plenty of milk anyway. But see the Protocol." |
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12:21:49 |
Webmama_Tina |
Welcome to this week's Mothering Sponsored chat! This is a
moderated chat. Please make sure you read and fully
understand the Moderated Chat Instructions before
participating in this chat. Instructions can be found here:
http://www.mommychats.com/modrules.htm ...A Friendly
Reminder: Please do not post unless it is your turn to ask a
question. If you have a question, please post a single ?"
and you'll be added to the queue. Have your question ready
when your name is called." |
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12:22:02 |
Tziona |
? |
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12:22:25 |
mommyk |
thanks, just happy to have such an expert in front" of us !" |
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12:23:14 |
Webmama_Tina |
ok mamas, we have TONS of questions today...lets do this
orderly so that we can get to as many as possible |
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12:23:24 |
Webmama_Tina |
At this time, the queue is full. Questions already in line
will be asked, but we cannot take anymore today. Sorry for
the inconvenience. |
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12:23:34 |
Webmama_Tina |
if we get to all these questions then we'll take more |
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12:23:35 |
Webmama_Tina |
:) |
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12:23:51 |
Webmama_Tina |
ok who's next angie? |
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12:24:20 |
MOD_Angie |
upcoming chatter(s): KristaJoy KristiMetz gretchenp
curlyfry the4manz3 nakagain LydiaR Shell_ell
lolarose2223 mishiemumma PrincessCass amica
debbiej74 Tziona |
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12:24:37 |
KristaJoy |
me now? |
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12:24:42 |
MOD_Angie |
yes |
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12:24:50 |
KristaJoy |
great! First of all, I'm honoured to be chatting with you,
Dr. Newman. :-) I'm across Lake Ontario from you in
Rochester, NY, but a native of Saskatchewan. |
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12:25:03 |
Webmama_Tina |
Friendly Reminder: Please do not post unless it is your turn
to ask a question. If you have a question, please post a
single ?" and you'll be added to the queue. Have your
question ready when your name is called. THANKYOU! :)" |
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12:25:12 |
JackNewman |
Great. Maybe I'll take the boat over one day. |
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12:25:17 |
Webmama_Tina |
(just posting reminders since we are so busy today.) :) |
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12:25:24 |
KristaJoy |
My question is one concerned bm composition |
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12:25:36 |
KristaJoy |
I recently did some research regarding nutrition/diet and
fat in dairy cows. It is generally accepted in that field
that diet can affect fat content, poor diet meaning lower
fat and better diet higher fat up to a biologically
pre-determined percentage |
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12:26:20 |
KristaJoy |
LL and other sources say that unless a mother is severaly
malnourished, diet doesn't affect composition |
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12:26:30 |
KristaJoy |
This seems counter-intuitive to me on many levels and
especially now that I have found out that other mammals' fat
content can be varied according to diet |
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12:26:38 |
KristaJoy |
I'm wondering what your views are on this? Do you believe
that nutrition/diet is important to maintain high quality
bm? Should this be something emphasized more in bfding
education? |
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12:27:04 |
Webmama_Tina |
just a note: we may or may not get to all those in the queue
today...hang tight...there's lots of mamas with questions.
:) please do not speak until angie says its your turn.
thankyou for helping us keep things orderly. :) |
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12:27:54 |
JackNewman |
This is the evidence that we have from a study done in
Ethiopia and in Sweden that showed that women in Ethiopia
had more or less the same milk composition as women in
Sweden. Only the amount they produced was less. But I
agree, this sounds counter-intuitive. Nevertheless, what is
true of dairy cattle is not necessarily true of humans.
Cows were bred to produce more milk and perhaps respond
better to diet. |
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12:28:23 |
mairead |
? |
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12:28:26 |
JackNewman |
But, I should say that most studies on breastmilk
composition are not worth much. Depending on the study you
get widely different results. |
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12:28:28 |
Webmama_Tina |
At this time, the queue is full. Questions already in line
will be asked, but we cannot take anymore today. Sorry for
the inconvenience. |
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12:28:56 |
KristaJoy |
Good point. I've heard of the Ethiopia study before. It
just does seem so.... wrong? But thanks for your thoughts.
Maybe this question will be more fully studied in the
future. my thoughts were that we might NOT want to look at
it, honestly, |
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12:29:05 |
KristaJoy |
b.c it might discourge moms with imperfect diets. |
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12:29:07 |
marcia_cunningham |
? |
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12:29:31 |
KristaJoy |
(I'm done, thanks!) |
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12:29:36 |
MOD_Angie |
upcoming chatter(s): reeran, KristiMetz, gretchenp,
curlyfry, the4manz3, nakagain, LydiaR, Shell_ell,
lolarose2223, mishiemumma, PrincessCass, amica, debbiej74,
Tziona |
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12:29:38 |
JackNewman |
I don't think so. Women in Ethiopia and other parts of
Africa have far fewer problems breastfeeding than well
nourished North American women. |
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12:29:42 |
Webmama_Tina |
ok reeran, you're up! |
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12:30:05 |
JackNewman |
I think I answered reeran's question. |
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12:30:27 |
Webmama_Tina |
okey dokey.... |
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12:31:00 |
KristiMetz |
me now? |
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12:31:05 |
reeran |
Yes I think you did. Thank you Dr. Newman. You're like a
god to the lactation consultants here in South Bay, southern
CA |
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12:31:19 |
Webmama_Tina |
yup just waiting for reeran's response...yes, go for it
kristi |
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12:31:30 |
MOD_Angie |
upcoming chatter(s): KristiMetz, gretchenp, curlyfry,
the4manz3, nakagain, LydiaR, Shell_ell, lolarose2223,
mishiemumma, PrincessCass, amica, debbiej74, Tziona |
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12:31:48 |
Webmama_Tina |
At this time, the queue is full. Questions already in line
will be asked, but we cannot take anymore today. Sorry for
the inconvenience. |
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12:32:21 |
KristiMetz |
OK. First, Dr. Newman, let me thank you for being such an
incredible resource for bf'ing moms everywhere! My question
: I've taken domperidone for 2 years and am currently
weaning myself off of it... I'm glad I took it, and have no
regrets... |
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12:32:32 |
mammameegan |
Mothering_Mag |
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12:32:35 |
KristiMetz |
(I took it due to breast reduction surgery) |
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12:32:39 |
JackNewman |
Domperidone is a great medication. |
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12:32:39 |
Webmama_Tina |
remember to have your questions ready, mamas...that will
help speed things up since there's so many that want to talk
to dr newman today. :) |
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12:33:04 |
JackNewman |
But, like all medications should only be used if necessary. |
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12:33:24 |
mommy2zavin |
? |
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12:33:28 |
KristiMetz |
However, I'm wondering to what degree taking a fairly high
dosage of domperidone (120 mg) for a long time is, in your
view, safe. I know lots of women do it... but what do we
know about its long term safety? |
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12:33:30 |
Webmama_Tina |
At this time, the queue is full. Questions already in line
will be asked, but we cannot take anymore today. Sorry for
the inconvenience. |
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12:34:30 |
JackNewman |
Well, let's put it this way. People taking domperidone for
stomach disorders, some of them, have been taking
domperidone for 20 years. It seems safe, but one can never
be 100% sure. I have had mothers on it for 2 or 3 years,
without apparent problems. |
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12:34:53 |
KristiMetz |
Ok, thank you dr. newman! |
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12:34:54 |
JackNewman |
By the way, it is common for gastroenterologists here in
Toronto to use 120 mg a day. |
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12:35:16 |
KristiMetz |
|