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Wednesday, August 31, 2016
Qn of the Month: How Can I Tell My Baby Is Full?
A: An age old question is, “How can I tell my baby is full?” Just as important as the previous post (How Can I Tell My Baby is Hungry?) is being able to tell when your baby is full, so that baby gets just the amount of intake he/she needs for optimum growth and development.
Some signs to watch out for in the infant include:
- Falling asleep after emptying or softening at least one breast
- Infant pushing away from the breast or fussing with back arching
- Reduced sucking
- Infant drawing head away from the nipple
- Infant’s body relaxes with extended and relaxed hands/arms
Young babies under 3 months of age may not give clear signs of hunger and fullness, but these cues are usually clear by 3 to 6 months of age. For optimal health and growth, parents should check to see if their baby is still hungry after a pause in feeding by looking for satiety cues. This is important before continuing forward in the feeding, especially in babies that are bottle fed. Parents are often eager to have a baby finish an entire bottle of expressed breast milk or formula, simply because they see the contents in the bottle, instead of letting the baby decide when or how much to take at a feeding.
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article sponsered by Northern Michigan certified lactation consulting and Mother Hubbards Country Cupboard
Mosquitoes Can Pass Zika to Their Offspring
Mosquitoes Can Pass Zika to Their Offspring
Thanks to this “vertical transmission” the virus may be able to survive the winter in Aedes aegypti’s eggs.
August 31, 2016 at 03:48PM
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First Aid Cut Guide
First Aid Cut Guide
What should you do if you cut yourself? How do you know if you need to go to the ER? Here, a handy guide to dealing with a laceration.
August 31, 2016 at 03:48PM
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You Definitely Don't Need 8 Glasses Of Water Every Day
You Definitely Don't Need 8 Glasses Of Water Every Day
In fact, hydration is really nowhere near as important as certain big companies want you to think it is. Honestly, you should just drink when you're thirsty.
August 31, 2016 at 01:11PM
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Why Your Granola Is Really A Dessert
Why Your Granola Is Really A Dessert
If the health-conscious creator of granola were alive today, it’s unlikely he would recognize the modern incarnation of his creation. Despite its reputation as a breakfast health food, granola has become nothing less than a sweet dessert.
August 31, 2016 at 08:42AM
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Growing Tomatoes at My Farm
We’re having such an excellent tomato season. Every year, I love to grow a large and interesting assortment of tomatoes. I purchase many of the seeds from reputable [&hellip...
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Tuesday, August 30, 2016
Raising My HIV Family
Raising My HIV Family
When one Romanian doctor became "father" to 16 HIV-positive orphans in 1999, many thought there was no hope for them – or for the thousands of other children infected. What followed was something of a miracle.
August 30, 2016 at 01:50PM
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Seriously, Don't Come to Work If You're Sick
Seriously, Don't Come to Work If You're Sick
Nobody wants you and your gross germs.
August 30, 2016 at 10:40AM
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As Boys Get Fatter, Parents Worry One Body Part Is Too Small
As Boys Get Fatter, Parents Worry One Body Part Is Too Small
Most of the time, everything is perfectly normal. But what most of those boys have in common is their physique: They tend to be overweight.
August 30, 2016 at 09:40AM
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Repurposing a Tree on the Farm
Maintaining a landscape sometimes means cutting down trees. I always feel badly when trees are cut down. Trees are important to our environment - they are the world’s [&hellip...
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Monday, August 29, 2016
Lactation Cookies - Recipe
Need an excuse to eat cookies? Here is one! These cookies will help establish and develop your milk supply !
There are a lot of recipes online but they are all pretty much all the same. I like this one because it has chocolate chips! But you could also add raisins, or whatever ingredients you like (walnuts, almonds, cashews, macadamia nuts, pumpkin seeds, dried fruit, hemp seeds, almond butter, sesame seeds…)
The important ingredients are the oats (oatmeal contains iron and studies have shown that maternal anemia, when you have low iron levels, can cause a decrease in milk supply so always a good idea to start breakfast with oatmeal!) and the brewer’s yeast (which is also believed to be a galactagogue).
Ingredients:
- 3 cups oats
- 1 cup chocolate chip
- 1 cup sugar (normal)
- 1 cup brown sugar
- 1 cup buter
- 2 tablespoons of water
- 1 tablespoons of flaxseed / linseed meal
- 3 tablespoons of brewer’s yeast (can be found in most health shops)
- 1 teaspoon of vanilla extract
- 1 teaspoon of baking soda
- 1 teaspoon of salt
Recipe:
While you prepare the recipe below, turn on your oven to 180 degrees Celsius.
- In a glass, mix:
- 2 tablespoons of water
- 1 tablespoons of flaxseed / linseed meal
- and let it sit for a while as you prepare the rest
- In a large bowl, mix:
- 1 cup sugar (normal)
- 1 cup brown sugar
- 1 cup buter (tip: cut the butter and put it in the microwave for 20 seconds)
- Add the 2 eggs to the above mixture
- Add the flaxseed or linseed and water you had prepared above
- Add the vanilla extract
- Finally add:
- 3 cups oats
- 1 cup chocolate chip
- 1 teaspoon of baking soda
- 1 teaspoon of salt
- and mix it well
- With a big spoon, scoop onto your baking tray – in little balls – making sure you leave space in between as they tend to run a little while cooking
- Bake for 12 minutes in your pre-heated oven (180C)
- Leave out to cool down before you eat them !
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Day 2 shake
Multicolour lactation shake
- Handful Strawberries
- Large kale leaf ripped up or handful of kale leaves
- Handful of blueberries I use frozen
- 1/4cup rolled oats
- 2 Tsp Brewers yeast
- 2 Tsp flaxseed meal
- 1-2 Tsp honey
- 1 cup of cold water
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article sponsered by Northern Michigan certified lactation consulting and Mother Hubbards Country Cupboard
Facebook recommended that this psychiatrist’s patients friend each other
Facebook recommended that this psychiatrist’s patients friend each other
Facebook was inadvertently outing people with health and psychiatric issues to her network. And she couldn't figure out why.
August 29, 2016 at 08:08PM
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Almost Everything You Think You Know Is Wrong
Almost Everything You Think You Know Is Wrong
Young people hate bar soap, exercise is actually bad and smiling can’t make you happy — these are just a few commonly-accepted truths that science has overturned today.
August 29, 2016 at 05:44PM
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Born to Rest
Born to Rest
Exercise itself stands against two million years of human evolution screaming, “Don’t do it!” That is why getting people to exercise is often so difficult.
August 29, 2016 at 04:49PM
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The Paradox of Doping in Mountain Climbing
The Paradox of Doping in Mountain Climbing
In alpinism, supplemental oxygen is a matter of safety — but some say it’s doping.
August 29, 2016 at 12:43PM
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Why Mountain Dew Will Rot Your Teeth Faster Than Coca Cola
Why Mountain Dew Will Rot Your Teeth Faster Than Coca Cola
Tom Scott invited whiz kid Chase onto his channel to show off an experiment proving that, although all soda is terrible for your you, some kinds are worse than others.
August 29, 2016 at 12:00PM
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How Did Americans Get Stuck With All Of These Drug Ads?
How Did Americans Get Stuck With All Of These Drug Ads?
Drug ads give the healthcare industry an "incentive to make healthy people feel unhealthy" and often contribute to unrealistic expectations for what drugs can actually accomplish. On the other hand, these ads can also help reach those who aren't seeking help for their ailments and illnesses.
August 29, 2016 at 09:45AM
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Yellow Fever Timeline: The History Of A Long Misunderstood Disease
Yellow Fever Timeline: The History Of A Long Misunderstood Disease
No one knows for sure, but scientists believe that yellow fever began plagued humans at least 3,000 years. And this year, in 2016, troubles concerning the disease have sprung up again.
August 29, 2016 at 07:31AM
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Making Blistered Eggplant with Tomatoes, Olives and Feta Cheese on Facebook
Why not make today a “meatless Monday” and prepare a delicious summer salad for dinner? I hope you caught my special Facebook LIVE last week. I had so [&hellip...
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Sunday, August 28, 2016
Saturday, August 27, 2016
A Guest Blog from Gabe on His Vacation to the Galápagos
During this year’s summer excursion to the Galápagos with my daughter and grandchildren, we met a lot of fun and interesting people, including 11-year old Gabe. Gabe was [&hellip...
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Friday, August 26, 2016
Your Body in Extreme Heat
Your Body in Extreme Heat
An organ-by-organ breakdown of what happens inside your body when you push it in the heat.
August 26, 2016 at 02:45PM
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Dinner at Daniel
The next time you’re in New York City, and want to treat yourself to a very special and most luxurious feast, go to Daniel - you will love [&hellip...
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Thursday, August 25, 2016
Technology Has Completely Changed The Meaning Of The Word 'Death'
Technology Has Completely Changed The Meaning Of The Word 'Death'
Hundreds of years ago, if someone looked dead, they were considered dead. Since then, a number of inventions — from CPR to the defibrillator to life support — has proved that notion incorrect.
August 25, 2016 at 02:09PM
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Exercise Boosts Brain Health, But Is There A Downside?
Exercise Boosts Brain Health, But Is There A Downside?
Is it possible that exercise could be almost too much of a good thing for our brains?
August 25, 2016 at 01:52PM
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What's The Deal With Sensory Deprivation Tanks?
What's The Deal With Sensory Deprivation Tanks?
All of the medical benefits that sensory deprivation tank practitioners claim seem a little far-fetched, but these big dark boxes filled with water and salt are still just really cool.
August 25, 2016 at 12:11PM
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An August Harvest and My Newest Book
This time of year is always fun at the farm because there’s so much to harvest in the vegetable garden. I look forward to having a new supply [&hellip...
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Wednesday, August 24, 2016
Medications for Lactating Mothers in the Emergency Department
By Liz Rozycki, PharmD, Specialty Practice Pharmacist, Emergency Medicine, OSU
There is no shortage of information regarding the benefits of breast milk for infants and mothers, likewise, there is no shortage of challenges that face a mother who is trying to breastfeed her baby through the recommended one to two years of age. Medication use during lactation, for acute or chronic conditions, poses a challenge to mothers and clinicians. Is this medication safe for my baby? Is there an alternative? Do I have to “pump and dump”? Especially for mothers who are presenting to the emergency department, if a medication is required, there is likely some reason they came in and treatment is warranted.
The easy, conservative and often unwarranted approach to medication use in lactating mothers is instructing them to pump and dump during medication use. Depending on the duration of medication therapy, this recommendation may result in a mother deferring her medical care in lieu of her child or may be the end of the breastfeeding journey. Although some mothers may have a stash of milk accumulated and may be able to pump and dump for a short period of time, this may not always be the case. The goal of this blog post is to make sure all other options have been evaluated before you discharge a patient with the recommendation to “pump and dump”.
Most drugs transfer into breast milk via passive diffusion but the concentration is relatively low and may not have any adverse effects on the infant. When evaluating the likelihood of medication transfer to breast milk, some basic pharmacokinetic properties can be reviewed (Table 1). The most important predictor of drug transfer to breast milk is maternal plasma concentration, as the level rises in maternal plasma, drug diffuses into breast milk and when the level decreases in maternal plasma, drug diffuses back into plasma. For some medications, scheduling medication administration apart from feedings may help to limit infant exposure. In addition, clinicians should evaluate the infant for risk of medication side effects. Age and clinical stability should be evaluated as premature and newborn infants may be at higher risk for medication side effects.
Table 1: Drug properties and infant factors influencing exposure to medication from breast milk
| Drug properties influencing medication concentration in breast milk | Infant factors influencing medication exposure |
| – Maternal plasma concentration
– Low protein binding – Low molecular weight – High lipid solubility – High pKa, weakly basic drugs – Oral bioavailability to infant
|
– Age, premature and newborn infants may be at higher risk for medication side effects – Frequency and amount of feedings – Renal and hepatic function
|
When determining medication therapy for lactating mothers, first, determine if your standard or first-line therapy to treat a condition is considered safe with breastfeeding. This can be accomplished by utilizing drug information resources, such as LactMed® (http://ift.tt/1XEMnGs) or consulting your clinical pharmacist. Second, if the standard therapy is not safe or the data is unclear, consider alternatives that may be safe – think out of the box if needed, alternative drug classes, routes of administration, timing medication administration apart from feedings, etc. Drug information resources, such as LactMed®, often provide alternative medications options to aid in your evaluation. Finally, if no appropriate alternative can be found, counsel the patient on risks and benefits of treatment and provide an appropriate education on how long the drug may be in the system and possibly transferred in breast milk.
The next time you care for a lactating mother, be sure to take a few extra seconds to evaluation medication therapies for safety (or call your clinical pharmacist) and ensure the best care for both the mother and her infant!
References:
1. Hale TW, Rowe HE. Medications and Mother’s Milk. 16th ed. Plano, TX: Hale Publishing; 2014.
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article sponsered by Northern Michigan certified lactation consulting and Mother Hubbards Country Cupboard
Cooking with Chef Daniel Boulud on Facebook
I love ratatouille. It’s a great dish to make with all those late-summer vegetables - and the gardens and markets are filled with them this time of year. [&hellip...
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An MIT Scientist Claims That This Pill Is the Fountain of Youth
An MIT Scientist Claims That This Pill Is the Fountain of Youth
Leonard Guarente is certain he’s succeeded where doctors (and quacks) before him have failed. His pill will either extend lives or tarnish his career.
August 24, 2016 at 04:54AM
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Tuesday, August 23, 2016
Friendships Might Not Help You Live Longer, But Family Does
Friendships Might Not Help You Live Longer, But Family Does
A large body of research has shown that loneliness in old age is linked to poorer physical and emotional health, and that, conversely, meaningful connections can improve both.
August 23, 2016 at 07:18PM
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