At 12:42 PM 10/15/2002 -0400, you wrote:
>"Practically" speaking, you are asking for help with this particular
>diad.......I have also found that very often constipation or stooling
>difficulty is an issue with enhanced cal EBM fds. This leads to an important
>part of the clinical pix and one that you didn't mention -how is the baby
>feeding at breast? IF he is doing well, I MIGHT make the jump to breast only
>during day and breast followed by suppmt'd EBM at night (with close f/u).
>This should cure the stooling issue but still offer some extra cals as a
>transition to full brfdng. UN fortunately this idea is often met by great
>resistance from the pediat and or family but when all agree, works well!
>Good Luck!


thanks so much, lynn for your response:

the baby is, unfortunately not doing that great at the breast, although i
haven't seen the baby personally, as they live over an hour away.  mom
describes inefficient feeds, and lots of on and off action.  i suspect
possible thrush/yeast as well, and she is looking into that.  she is not
pumping enough (although she is pumping 8 times a day!) to meet this baby's
needs, so at this time, it seems, some supplement is necessary.  i just
wonder if regular formula might be better.  she really needs hands on help,
but i don't know if that's going to happen for her.  she should be
supplementing at the breast,  but needs help getting that going.  thansk
again for your input.

Lyla


Lyla Wolfenstein
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