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Subject:
From:
"Mary Jozwiak BS, IBCLC, RLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 21 Apr 2008 10:19:10 -0400
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Thank you, Dr. Gordon! 

I agree. 

I don't know if you read my latest posted client, whose baby was gaining 
slowly, and erratically. But, growing in length and head circumference. (He is 
now 2 ft tall!)  He is now 6 weeks old, and as of Friday, was 7 oz over his birth 
weight! He is starting to look plump, and is happy, (he always was.....)  and 
now that he is spitting up, poor mom thinks he may have "reflux." Both her Ped 
and I have spoken to her about this not being a huge problem in an exclusively 
breastfed baby. IMO, this is just a baby who is spitting up on occasion, and on 
those occasions, not all that much. He doesn't seem all that concerned or 
pained about the spitting, and is growing more consistently than before the 
spitting up. (Mom is first time Mom at 43.) 

Mom and Dad are happy with his progress, the Ped actually read and replied to 
my Lactation Report, and agreed that Baby was not in need of any AIM, or 
great interventions,  but just "keep doing what they are doing, and he will 
gain. He looks good otherwise." (I did ask Doc to please do a good cardiac 
assessment of the baby and she did this and some of our worries about the 
unlikely cause of problems being related to Marfan's Syndrome, which was a 
thought, due to size and build of Dad and his sibs and the fact that his dad 
died of what sounded suspiciously like Aortic Dissection. Doc says baby's heart 
seems OK at present. Plus, Mom is keeping baby a lot warmer, and his blue-ish 
hands and feet have resolved.) 

Anyway, the only "intervention" we did was a twice/thrice a day (sometimes 
Mom only had time for a once a day) pump, and offering it to the baby, in a 
syringe. It has now gotten to the point where he simply doesn't want it, and 
makes it clear! :) 

Why this child was a "late bloomer" I don't know. Mom and Dad were both long 
lean babies, even on 1960s style "high protein" high sodium AIMs, and there 
was only one or two days where I was concerned, as he looked, as the Mom 
said "A little yellow and scrawny." The child was always ahead in his 
milestones, Mom is very Attached as is Dad, baby is getting all he needs, both 
in milk from her breasts, lots of time skin to skin with mom, and in attention, 
good sleep with Mom and Dad, and stimulation from parents, friends etc. 

Thank you, again. 

Mary Jozwiak IBCLC, RLC, LLLL
Private Practice 

ps, saw you on Larry King with Jen McCarthy, on Autism, great show, you, and 
Ms McCarthy did a fantastic job! (I wouldn't have been able to keep my 
temper as well as you did, nor have been as diplomatic with one of the other 
docs. :) Kudos.) Thank you again, for your help in the past.

             ***********************************************

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