Kate writes; >>I realize that I am going out on a =
limb but in this case requiring this mom to BF first was actually =
causing her to fall apart at night with no support and the infant was =
too dehydrated to do so. <<
I don't think you are going out on a limb here at all. This was clearly the
only solution at this point in time ie. the middle of the night with a "not
nursing at all" baby. What does stand out to me is how it got to this point.
I think it is very illuminating to look at the evolution of this problem as
you describe it.
>>Good BF in =
the hospital evaluated by the LC. Seen by me on 11/30 with a 10% wt =
loss, jaundice, good suck. Mom's milk coming in. Told to BF every 2 =
hours at least. Infant was sleepy and not waking to feed.<<
This baby at 2 days of age had very significant wt. loss further emphasized
by his sleepiness but was evaluated by the LC as a good feeder-this doesn't
make sense.
>>Seen on 12/1 =
with a 12% wt loss, sleepy, increased jaundice <<
 Baby has lost even more weight in 1 day, and more importantly despite Mom's
milk "coming in". This suggests a baby who is transferring little or no milk
but still the baby is sent home? Was the suck evaluated at this visit?  Where
is the Mom in this process in terms of evaluating her baby's sucking
effectiveness, has she been taught to do that?
BTW, who on earth would "require" a Mom to breastfeed first, last or at all!

Lynn SheaRn,Bsn,Ibclc
Franklin,Massachusetts

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