Thursday, October 29, 2020

Death Rates Have Dropped for Seriously Ill Covid Patients


By Roni Caryn Rabin from NYT Health https://ift.tt/34DCT7a
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Lactation Diary during NICU

Finally, I have a chance to write about my experience with my firstborn while he was staying in NICU. This time I am focusing on my lactation story. My son was admitted to NICU because of his breathing and other abnormalities, and he was there for exactly three weeks. I went to visit him 12 hours a day to give him company and provide him the best nutrition in the world, breast milk. I spend 3 hours back and forth commuting by bus-train between my house and hospital. I was exhausted and travel-worn even more because I just had my delivery, but that struggle was nothing than my longing for him.

The nurse recommended a helpful lactation diary book, “NICUに赤ちゃんがいるお母さんのための搾乳ダイアリー” written by Makiko Oyama, a Lactation specialist doctor in Japan, to track my every 2-3 hours pumping. This book helped me a lot to get through the hurdles of breastmilk pumping and encourage me with lots of heartfelt messages. From today onwards, I shall challenge myself to translate those messages from Japanese to English or Bahasa Indonesia. I hope you can found it helpful as well ;).

There it is “Lactation Diary for Moms with Babies in NICU”

<<Bahasa Indonesia>>

Diari Laktasi Ibu untuk Si Kecil di NICU

Segala puji untuk Allah yang telah memberikanku kesempatan untuk menulis pengalaman menyusui anak pertamaku yang dirawat di NICU selama 3 minggu di tahun 2016.

Selalu ada cerita dan hikmah di tiap kelahiran anak.
Itulah yang kurasakan saat aku melahirkan anak pertama di tahun 2016. Aku dan bayi berjuang melalui proses panjang 40 jam kontraksi. Ibu lelah, si kecil pun juga.
Begitu bidan memberi aba “sudah keluar!” aku tak mendengar tangis lahirnya. Dia terlihat lemah biru keunguan, tak bernafas. Dokter langsung memberikan tindakan pertama dan Alhamdulillah, hanya dengan ijin Allah dia bisa kembali bernafas. Karena beberapa kondisi kesehatannya, si kecil harus dirawat di NICU. Duh jadi ke mana-mana kalau cerita proses kelahiran.

Singkat cerita, si kecil dirawat di NICU karena problem utama pernafasan. Selama di NICU, si kecil dapat ASIP dari stok yang saya perah di rumah maupun selama jam kunjung dan susu formula di waktu tertentu. Rumah sakit si kecil dirawat itu sangat pro-ASI, jadi sebisa mungkin kalau ada stok ASIP diutamakan. Tapi, ada juga waktu di mana bayi mendadak lapar, *cemilan kali ya :p, yang mana waktu pencairan/penyiapan ASIP tidak terkejar sehingga di situlah peran susu formula dibutuhkan. Tentang sufor, Alhamdulillah, setelah berdiskusi dengan pihak RS, mereka bisa menyediakan sufor yang muslim-friendly.

Aku berjuang untuk memompa ASI bagaimana caranya agar melimpah, apalagi di awal produksi asi itu sedikit sekali. Tidak sampai 0.1 ml!
Kaget, kok hanya segini. Lalu perawat menenangkan saya dengan berkata bahwa hal itu memang wajar di hari pertama lahir. Tiga hari pertama bayi lahir itulah ASI VIP aka ASI penuh colostrum. Colostrum sangat penting bagi pertumbuhan dan kesehatan si kecil. Sedikit tapi padat gizi. Setelahnya, produksi susu akan bertambah sesuai kebutuhan bayi. Lambung bayi baru lahir masih kecil sekali, sehingga mereka minum sedikit tapi sering. Dengan jumlah segitu InsyaAllah cukup. Yang penting lanjutkan!

Memompa ASI itu perjuangan! Aku harus berjibaku untuk tepat waktu memerah karena satu kunci sukses ASIP: peras/pompa setiap 2-3 jam dengan lama waktu sekitar 30 menit. Perawat di rumah sakit si kecil dirawat merekomendasikan buku diari laktasi karya dokter Makiko Oyama, seorang spesialis laktasi di Jepang. Buku ini sangat membantu saya untuk mencatat waktu pompa, jumlah perahan, dan sebagainya. Karena dicatat, jadi memudahkan untuk lihat jumlah kenaikan produksi ASIP. Selain itu, pesan-pesan dan catatan penting tertulis di tiap halaman jadi motivasi para pejuang ASIP agar pantang menyerah. InsyaAllah saya akan terjemahkan dalam bahasa Inggris dan bahasa Indonesia.

Semoga membantu ;)



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article sponsered by Northern Michigan certified lactation consulting and Mother Hubbards Country Cupboard

Tuesday, October 27, 2020

Monday, October 26, 2020

A Case study of early postpartum excessive breast engorgement: is it related to feedback inhibition of lactation?

There is limited information about problems of feedback inhibition of lactation which should be considered as a rare cause of breast engorgement. We report the management of excessive breast engorgement in a mother with a presumptive diagnosis of a defect in the feedback inhibition of lactation.

Abstract available in Journal of Human Lactation, 8 October 2020.
(subscription and log in required to see the full article)



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Sunday, October 25, 2020

Why False Positives Merit Concern, Too


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Friday, October 23, 2020

Schoolchildren Seem Unlikely to Fuel Coronavirus Surges, Scientists Say


By Apoorva Mandavilli from NYT Health https://ift.tt/31znwun
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The Man Cave Part 1

This week’s post is going to be a little different. This is part 1 of a short erotic story I wrote. It’s based on a fun dream I had, so enjoy and stay tuned next week for part 2!

“Welcome to my man cave” he said as he unlocked the door and let us inside.

This wasn’t at all what I had pictured when he asked me back to his man cave after dinner, but that was a pleasant surprise. My experiences with frat guys and the dank basement rooms they watched TV in had rendered me unable to imagine a man cave being so elegant. But here we were in his man cave, and it was definitely elegant. Everything was sleek dark wood and comfortable tweed. Tall bookshelves lined one wall and across from them was a well worn but attractive sofa.

“Have a seat. You like scotch?” He asked.

“I, uh, sure.” I managed to eek out, still surveying his domain. I couldn’t remember if I had ever tasted scotch, but I was in a say yes kind of mood so I went with it. He’d been full of surprises all night, so I shouldn’t have been surprised to find out he was an excellent interior decorator. But I was. Apparently he was also a musician I realized as I noticed the instruments hanging on the wall. 

I took a seat at one end of the sofa as he handed me my drink and took his seat at the other end. He chose a spot that kept a respectable distance between us, much to my dismay. I delicately took a sip and eyed him. He had the kind of sad dark eyes I could get lost in, could see myself telling my darkest secrets to, and yet…was he nervous? He sat, fidgeting with the glass in his hand barely looking at me, such a change from the charming, charismatic gentleman who had met me for dinner. 

“Nervous?” I quietly asked. 

“That obvious, huh?” He said with an embarrassed chuckle.

“Want to tell me about it?” I said, hoping to crack his shell.

“I, uh, well, it’s just that…you’re my first,” he said finally, rubbing the back of his neck.

“Your first?” I said scrunching up my eyebrows. 

“Yeah, I’ve never actually had the courage to invite someone back here,” he admitted looking away.

And there it was. If he had plucked up the courage to invite me here he must have wanted me. It gave me a glimmer of hope; men don’t invite you somewhere private to just talk, and I had no intentions to ‘just talk’. I let his confession hang in the air between us for a couple minutes while I sipped my drink and plotted a way to help his nerves. Finally I caught his gaze and asked, “well, if you weren’t nervous what would you do differently?”

“Well we’d be sitting a lot closer, for starters…”

“So do it.” I said a hint of a dare in my voice and a wry smile on my face.

He sat there for a second before he downed his drink, got up and plopped down next to me. I could feel the smooth texture of his pants against my bare thigh below my short skirt and I felt my breath catch. 

“What else would be different?” I said, taking a sip of my drink for courage.

He smiled and stretched his arm along the back of the sofa behind me caressing my neck. The chills descended down my spine and I felt my nipples harden. I’m sure it was obvious through my silk top, but he didn’t notice. He was gazing at me so intently that I felt a deep blush creep over me. 

“What?” I asked, embarrassed, batting my eyelashes for effect.

“It really doesn’t bother you that I’m old enough to be your father?”

I shook my head, and my soft curls bounced from side to side. He was devilishly handsome, and cultured, and read all the right books. Sure, his hair had a healthy streak of silver throughout, but it gave him a distinguished polish that made my heart race. Anyway, I was here for a good time and I felt certain he was good for one hell of a good time.

“So if I kissed you right now, you would like that?” He said, stirring me from my thoughts.

I slowly nodded, locked in his gaze unable to even answer. And just like that our lips met. He kissed me with a passion I hadn’t expected, a seeking, yearning, need that bubbled up from within him, caressing my lips with his like he was telling me all his secrets with his kisses. When we finally pulled apart I was breathless. He gazed at me for a moment. 

“Oh, I must have spilled your drink!” He said with a start.

Looking down I realized what he was talking about, but it wasn’t my drink. 

“Oh, no, you didn’t spill my drink. I’m leaking…”

“Leaking?” He asked.

“Yeah, I’m a wet nurse.” I said flatly. Most men weren’t into it and some men were put off by it so I hadn’t brought up my job at dinner, but now it seemed I was going to have to do some explaining-and fast. But his eyes told a different story. He wasn’t repulsed by my milk. In fact he seemed downright excited by this information. The look in his eyes was akin to a little boy on Christmas Day, so full of excitement and wonder.

“Is everything ok?” I asked.

He looked away for a moment like he was trying to come up with the right answer for me. Finally after a long pause he looked back at me and said “can I try it?”

“Try what?” I said playing dumb. I knew what he wanted, but I wanted him to say it. I loved how he blushed as his eyes darted to my bust before answering me. 

“I want to try nursing. I’ve always wanted to but I never….” He trailed off. His eyes were still locked with mine searching for an answer, for evidence that his vulnerable admission wasn’t in vain. And as he searched I slowly unbuttoned my blouse and unclipped my nursing bra letting my large, heavy breasts free. 

His eyes widened for a brief moment before he adjusted his position to lay his head in my lap. Gently he caressed me as he lifted a nipple towards his lips and carefully wrapped them around it. Slowly he began to suckle as his eyes closed and he uttered a faint moan. His joy and fulfillment were plastered across his bliss filled face as he began to suckle ever more greedily and his hands massaged me as if he was trying to get my milk to flow faster. As he nursed I ran my fingers through his hair and closed my eyes basking in the ecstasy of two people becoming so completely one together. 



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