>A have a 3 month old patient who feeds and grows well.
>Mom had thyroid surgery last week for Graves disease. While mom was
>hospitalized the baby breastfed during visits and bottle fed expressed milk
>while home.
>Mom says since she got home about 1 week ago the baby is feeding more often,
>about q2 hours in day and about every 1 ½ at night. He had feed about every
>3 at night prior to mom's surgery.
>Baby latches well, seems very hungry when he awakes, feeds both sides and if
>mom tries to switch nurse he takes the first side again briefly then falls
>asleep only to awake again in 90 minutes.
>Mom feels full before feeds and soft afterwards. She can double electric
>pump 2+ ounces on the left and 4 on the right. If mom tries breast
>compression the baby gags on the let down.
>My thoughts are to allow him time to readjust to mom being home again and
>offer more frequent evening feeds before bed time.
>Any other ideas?


None at all -  your idea of understanding the baby and being patient is the
best, IMHO!

This poor mother is a week post surgery and as well as feeding a baby day
and night, she is pumping, doing breast compression and switch nursing.....
She doesn't need to do any of that from what I can see - her bf
relationship and success will return if she just lets the baby set the pace
without all the other stuff getting in the way. I wouldn't even mention the
offer of more frequent feeds before bed time - just let mother and baby go
with the flow. It will all work out soon.

Heather Welford Neil
NVCT bfc Newcastle upon Tyne UK

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