RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding

[Nicole Carver]

Hi Jo,
I'll have a look, I'm sure Barb will too.
Thanks,
Nicole.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Jo Bourne
Sent: Tuesday, February 21, 2006 8:33 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding


Just checking because of the typo in the subject line :-). DId you try
looking a the  Diabetes insipidus foundation website? They have a form you
can fill out to ask a question about DI.

http://www.diabetesinsipidus.org/

Also I couldn't access all of this article but it looks interesting:

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui
ds=8489722&dopt=Abstract

cheers
Jo

At 7:52 PM +1100 21/2/06, Nicole Carver wrote:
>Hi Jo,
>No I typed in diabetes insipidus and combined the search with breast
>feeding. All I could get was that breast feeding is protective against
>juvenile diabetes. I think it is a fairly rare condition.
>Regards,
>Nicole.
>
>-Original Message-
>From: [EMAIL PROTECTED]
>[mailto:[EMAIL PROTECTED] Behalf Of Jo Bourne
>Sent: Tuesday, February 21, 2006 6:32 PM
>To: ozmidwifery@acegraphics.com.au
>Subject: RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding
>
>
>Could it be that not results came up because of a typo? I googled the
>condtion and it is apparently spelt with an S not C. Most search engines
>fail to warn you of typos the way that google does...
>
>At 6:09 PM +1100 21/2/06, Nicole Carver wrote:
>>Hi Barb,
>>I did do a quick search of the LRC site with no luck. However, I still
>think
>>they are the best bet, as they will know 'who might know'!
>>Kind regards,
>>Nicole.
>>
>>-Original Message-
>>From: [EMAIL PROTECTED]
>>[mailto:[EMAIL PROTECTED] Behalf Of Barbara H
>>Stokes
>>Sent: Monday, February 20, 2006 8:26 PM
>>To: ozmidwifery@acegraphics.com.au
>>Subject: [ozmidwifery] Re: diabetes incipidus and breastfeeding
>>
>>
>>Dear Lactational Consultants,
>>Can anyone help with  lactation establishment for Gravida 2 Para 1 coming
>in
>>for induction tomorrow. Has diabetes incipidus, did not lactate last time,
>>takes demopressin nasal sprays?
>>Thankyou,
>>Barbara Stokes, Parkes
>>--
>>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.
>
>
>--
>Jo Bourne
>Virtual Artists Pty Ltd
>--
>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.


--
Jo Bourne
Virtual Artists Pty Ltd
--
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RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding

[Nicole Carver]

Hi All,
I followed Jo's link:

http://www.diabetesinsipidus.org/faqs4.htm

"Neither CDI nor dDAVP treatment have any known adverse effect on pregnancy
or the fetus. The incidence of miscarriage or fetal malformations appears to
be no greater than in women without CDI. A mother with CDI will not pass the
disease to her children unless she (or the father) have one of the familial
(genetic) forms. Depending on the extent of pituitary damage, some women may
have difficulties with labor or nursing, but these problems usually can be
managed quite easily by the obstetrician."(I wonder how?)

There are several other questions answered on the website. Worth a look for
those interested. Seems there are a few types of Diabetes Insipidus, and it
can be inherited by boys, and carried by females, due to the mutation being
on the x chromosome.I have only had a brief look so far.

Regards,
Nicole.



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RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding

[Jo Bourne]

Just checking because of the typo in the subject line :-). DId you try looking 
a the  Diabetes insipidus foundation website? They have a form you can fill out 
to ask a question about DI.

http://www.diabetesinsipidus.org/

Also I couldn't access all of this article but it looks interesting:

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8489722&dopt=Abstract

cheers
Jo

At 7:52 PM +1100 21/2/06, Nicole Carver wrote:
>Hi Jo,
>No I typed in diabetes insipidus and combined the search with breast
>feeding. All I could get was that breast feeding is protective against
>juvenile diabetes. I think it is a fairly rare condition.
>Regards,
>Nicole.
>
>-Original Message-
>From: [EMAIL PROTECTED]
>[mailto:[EMAIL PROTECTED] Behalf Of Jo Bourne
>Sent: Tuesday, February 21, 2006 6:32 PM
>To: ozmidwifery@acegraphics.com.au
>Subject: RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding
>
>
>Could it be that not results came up because of a typo? I googled the
>condtion and it is apparently spelt with an S not C. Most search engines
>fail to warn you of typos the way that google does...
>
>At 6:09 PM +1100 21/2/06, Nicole Carver wrote:
>>Hi Barb,
>>I did do a quick search of the LRC site with no luck. However, I still
>think
>>they are the best bet, as they will know 'who might know'!
>>Kind regards,
>>Nicole.
>>
>>-Original Message-
>>From: [EMAIL PROTECTED]
>>[mailto:[EMAIL PROTECTED] Behalf Of Barbara H
>>Stokes
>>Sent: Monday, February 20, 2006 8:26 PM
>>To: ozmidwifery@acegraphics.com.au
>>Subject: [ozmidwifery] Re: diabetes incipidus and breastfeeding
>>
>>
>>Dear Lactational Consultants,
>>Can anyone help with  lactation establishment for Gravida 2 Para 1 coming
>in
>>for induction tomorrow. Has diabetes incipidus, did not lactate last time,
>>takes demopressin nasal sprays?
>>Thankyou,
>>Barbara Stokes, Parkes
>>--
>>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.
>
>
>--
>Jo Bourne
>Virtual Artists Pty Ltd
>--
>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.


-- 
Jo Bourne
Virtual Artists Pty Ltd
--
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Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.

RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding

[Nicole Carver]

Hi Jo,
No I typed in diabetes insipidus and combined the search with breast
feeding. All I could get was that breast feeding is protective against
juvenile diabetes. I think it is a fairly rare condition.
Regards,
Nicole.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Jo Bourne
Sent: Tuesday, February 21, 2006 6:32 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding


Could it be that not results came up because of a typo? I googled the
condtion and it is apparently spelt with an S not C. Most search engines
fail to warn you of typos the way that google does...

At 6:09 PM +1100 21/2/06, Nicole Carver wrote:
>Hi Barb,
>I did do a quick search of the LRC site with no luck. However, I still
think
>they are the best bet, as they will know 'who might know'!
>Kind regards,
>Nicole.
>
>-Original Message-
>From: [EMAIL PROTECTED]
>[mailto:[EMAIL PROTECTED] Behalf Of Barbara H
>Stokes
>Sent: Monday, February 20, 2006 8:26 PM
>To: ozmidwifery@acegraphics.com.au
>Subject: [ozmidwifery] Re: diabetes incipidus and breastfeeding
>
>
>Dear Lactational Consultants,
>Can anyone help with  lactation establishment for Gravida 2 Para 1 coming
in
>for induction tomorrow. Has diabetes incipidus, did not lactate last time,
>takes demopressin nasal sprays?
>Thankyou,
>Barbara Stokes, Parkes
>--
>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.


--
Jo Bourne
Virtual Artists Pty Ltd
--
This mailing list is sponsored by ACE Graphics.
Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.


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RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding

[B & G]

Title: RE: [ozmidwifery] Re:  diabetes incipidus and breastfeeding






Hi Barb,

I seem to remember something in my ICU days, another life. Sheenans Syndrome- necrosis of the anterior piturity lobe usually due to severe haemorrage. APL secretes TSH, ACTH, gonadotrophins, growth hormone, prolactin, lipotrophin and MSH.

 The posterior lobe of the piturity  secretes vasopressin and oxytocin


I have just read my ICU text (pg 451- 457 Intensive Care Manual 4th ed by T.E. Oh) and I will quote parts

DI = results from a lack of ADH anti-diuretic hormone

ADH = a nonapeptide is synthesised in neurones of the hypothalmus. It has some structural and some functional similarities to oxytocin.

Actions of ADH  = antidiuresis, vasoconstriction, coagulation, affects learning, memory and water permeability of the brain.

The enlarged piturity that occurs with pregnancy maybe more vulnerable to vasospasm. The first sign of DI maybe an inability to lactate.

You can have a transient DI of pregnancy = vasopressin-resistant caused by excessive placental-generated vasopressinase that metabolises ADH. Associated with acute fatty liver and liver failure.

 

From a hazy memory as I only saw about 3 women post partum in my near decade in a Tertiary ICU I cannot recall them being able to lactate in acute stage. I do know with proper management sniffing vasopressin and other hormones their condition improves or stabilises. With males I mainly saw them have transphenoidal resection of the pituitary.

Very rare, thanks for the question as it made me look at my books.

Cheers Barb




-Original Message-

From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] On Behalf Of Nicole Carver

Sent: Tuesday, 21 February 2006 5:09 PM

To: ozmidwifery@acegraphics.com.au

Subject: RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding



Hi Barb,

I did do a quick search of the LRC site with no luck. However, I still think they are the best bet, as they will know 'who might know'! Kind regards, Nicole.

-Original Message-

From: [EMAIL PROTECTED]

[mailto:[EMAIL PROTECTED] Behalf Of Barbara H Stokes

Sent: Monday, February 20, 2006 8:26 PM

To: ozmidwifery@acegraphics.com.au

Subject: [ozmidwifery] Re: diabetes incipidus and breastfeeding



Dear Lactational Consultants,

Can anyone help with  lactation establishment for Gravida 2 Para 1 coming in for induction tomorrow. Has diabetes incipidus, did not lactate last time, takes demopressin nasal sprays? Thankyou, Barbara Stokes, Parkes

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RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding

[Jo Bourne]

Could it be that not results came up because of a typo? I googled the condtion 
and it is apparently spelt with an S not C. Most search engines fail to warn 
you of typos the way that google does...

At 6:09 PM +1100 21/2/06, Nicole Carver wrote:
>Hi Barb,
>I did do a quick search of the LRC site with no luck. However, I still think
>they are the best bet, as they will know 'who might know'!
>Kind regards,
>Nicole.
>
>-Original Message-
>From: [EMAIL PROTECTED]
>[mailto:[EMAIL PROTECTED] Behalf Of Barbara H
>Stokes
>Sent: Monday, February 20, 2006 8:26 PM
>To: ozmidwifery@acegraphics.com.au
>Subject: [ozmidwifery] Re: diabetes incipidus and breastfeeding
>
>
>Dear Lactational Consultants,
>Can anyone help with  lactation establishment for Gravida 2 Para 1 coming in
>for induction tomorrow. Has diabetes incipidus, did not lactate last time,
>takes demopressin nasal sprays?
>Thankyou,
>Barbara Stokes, Parkes
>--
>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.


-- 
Jo Bourne
Virtual Artists Pty Ltd
--
This mailing list is sponsored by ACE Graphics.
Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.

RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding

[Nicole Carver]

Hi Barb,
I did do a quick search of the LRC site with no luck. However, I still think
they are the best bet, as they will know 'who might know'!
Kind regards,
Nicole.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Barbara H
Stokes
Sent: Monday, February 20, 2006 8:26 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Re: diabetes incipidus and breastfeeding


Dear Lactational Consultants,
Can anyone help with  lactation establishment for Gravida 2 Para 1 coming in
for induction tomorrow. Has diabetes incipidus, did not lactate last time,
takes demopressin nasal sprays?
Thankyou,
Barbara Stokes, Parkes
--
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: diabetes incipidus and breastfeeding

[Barbara Stokes]

Thankyou Nicole.  Apologies for my spelling mistakes. I have membership
to the lactation resource so will continue a search through them.  I am
off duty now, so if the induction works should see her on Thursday.
Barbara (also IBCLC)

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Nicole Carver
Sent: Monday, 20 February 2006 11:34 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding

Hi Barbara,
This is a very interesting question. I have not come across diabetes
insipidus in a breast feeding woman before. I have looked up my books
and
surfed the internet.  It will be a very delicate balancing act, as
diabetes
insipidus is a lack of anti-diuretic hormone (nothing to do with
diabetes
mellitus, except you pee a lot), resulting in problems with fluid
balance.
Fluid balance obviously is important for milk production (and many other
things).It appears safe to take vasopressin and breast feed. Vasopressin
(antidiurectic hormone) is apparently similar in some ways to oxytocin,
with
each sometimes producing effects on the other. I think it may be helpful
to
contact the Lactation Resource Centre to get some quality information to
guide the mother and her care givers. There may be a small fee. I will
paste
their link  into this email. Good luck. I would be very interested to
hear
what information you find. http://www.breastfeeding.asn.au/default.htm
Regards,
Nicole IBCLC.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Barbara H
Stokes
Sent: Monday, February 20, 2006 8:26 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Re: diabetes incipidus and breastfeeding


Dear Lactational Consultants,
Can anyone help with  lactation establishment for Gravida 2 Para 1
coming in
for induction tomorrow. Has diabetes incipidus, did not lactate last
time,
takes demopressin nasal sprays?
Thankyou,
Barbara Stokes, Parkes
--
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] Re: diabetes incipidus and breastfeeding

[Nicole Carver]

Hi Barbara,
This is a very interesting question. I have not come across diabetes
insipidus in a breast feeding woman before. I have looked up my books and
surfed the internet.  It will be a very delicate balancing act, as diabetes
insipidus is a lack of anti-diuretic hormone (nothing to do with diabetes
mellitus, except you pee a lot), resulting in problems with fluid balance.
Fluid balance obviously is important for milk production (and many other
things).It appears safe to take vasopressin and breast feed. Vasopressin
(antidiurectic hormone) is apparently similar in some ways to oxytocin, with
each sometimes producing effects on the other. I think it may be helpful to
contact the Lactation Resource Centre to get some quality information to
guide the mother and her care givers. There may be a small fee. I will paste
their link  into this email. Good luck. I would be very interested to hear
what information you find. http://www.breastfeeding.asn.au/default.htm
Regards,
Nicole IBCLC.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Barbara H
Stokes
Sent: Monday, February 20, 2006 8:26 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Re: diabetes incipidus and breastfeeding


Dear Lactational Consultants,
Can anyone help with  lactation establishment for Gravida 2 Para 1 coming in
for induction tomorrow. Has diabetes incipidus, did not lactate last time,
takes demopressin nasal sprays?
Thankyou,
Barbara Stokes, Parkes
--
This mailing list is sponsored by ACE Graphics.
Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.


--
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[ozmidwifery] Re: diabetes incipidus and breastfeeding

[Barbara H Stokes]

Dear Lactational Consultants,
Can anyone help with  lactation establishment for Gravida 2 Para 1 coming in 
for induction tomorrow. Has diabetes incipidus, did not lactate last time, 
takes demopressin nasal sprays?
Thankyou,
Barbara Stokes, Parkes
--
This mailing list is sponsored by ACE Graphics.
Visit  to subscribe or unsubscribe.