Laurie,
Thanks to you and to all who have responded. I did suggest the pre and post
weight but mom didn't want to follow through. I think this was a case of a
day late and a dollar short. I just heard from this woman. I have not
worked with her nor have I even seen her nor her baby. This has been just
phone consults - very discouraging from my end. The warning flags have been
present from day one as mom's milk supply did not "come in for at least a
week". When using a pump after each feed and fenugreek suppplements TID,
there has been only slight increase in the milk supply. The thing that kept
the peds at bay was that the baby was so content, looking healthy and having
the wet/poopy diapers. Not much a person can do when suggestions are not
taken up on and money is an issue so that a home visit is not wanted.
Frustrating, to say the least! The other thing is that I am sure I am not
the only person that this woman has contacted and she has taken some
suggestions from others so there has been no consistency to anything. Too
many cooks.......
The good news of the day is that I was able to get a 5 day old latched on
for the first time! Not only did I have success but mom did on her own as
well. Thanks again for your help.
----- Original Message -----
From: "laurie wheeler" <[log in to unmask]>
To: <[log in to unmask]>
Cc: <[log in to unmask]>
Sent: Thursday, January 13, 2000 5:45 PM
Subject: milk needs fat analysis?
> Carol,
> I am not sure about the fat analysis, IMO I wouldn't start there. Your
case
> is one where I feel the pre and post feed weights are very useful. This
> tells you about what baby is getting at breast, and usually it is not
much.
> Soemtimes even swallowing CAN be deceiving. I realize that one test wt.
does
> not represent all fdgs (this has been discussed before), but it helps to
> extrapolate the ounces needed for supplementing.
>
> I would hazard a guess that the bf was ineffective in early days/weeks and
> mom's supply plummetted and maybe much more supplement than the 6 oz/day
was
> needed. Did she begin expressing right away to restore supply? and how is
> supply now? So I am guessing that the ebm is not deficient but just that
> more was needed. There is nothing magical about the formula (unless it is
a
> high calorie variety) but much more is being given (16-20 oz) than the ebm
> was.
>
> I realize that babies can get adeq. cals but still not gain due to high
> metabolic needs, illness etc. So this could be explored as well. But from
> the description, I would look at the EFFECTIVENESS of the bf, the milk
> supply, etc ala the rules of the road that serve me well - feed the baby,
> protect the supply, fix the bf.
>
> Laurie Wheeler, RN, MN, IBCLC
> Violet Louisiana, s.e. USA
>
> ______________________________________________________
> Get Your Private, Free Email at http://www.hotmail.com
>
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