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Subject:
From:
"Jaye Simpson, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 10 Jul 2011 10:15:49 -0700
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Hi All,



I have a question about gut damage and a case I am working on.



There is a lot of talk about if baby has gut damage then so does mom and the
only way to correct this is to heal moms gut and then baby's gut will in
turn be healed.  Am I right there?



If this is the case, then is it not also the case that since the vast
majority of humans have damaged guts already, that our babies are being BORN
with gut damage?



The case I am working with is extremely rare and I'd like a bit of input on
it.



Baby born full term (39wks 4 days) on 6/28 via c-section (planned - mother
had prior c-sec and family history of uterine rupture).  Within the first
hour, after a good breastfeed, baby threw up 'neon' green.baby was
immediately admitted to NICU and diagnosed with NEC (but no obstructions) -
put on antibiotics and nothing by mouth.  I know how rare this is for a baby
to be born WITH NEC on board.very rare!  She is receiving oral care with
colostrum.  Mom's milk is coming in nicely with pumping.



Baby is progressing nicely (and is adorable!).  She was started on Pedialyte
7/9 (which I do NOT understand!  Why pedialyte?)  and after seeing how she
does on that, they will start oral feeds of breastmilk ONLY.  Baby is
expected to be in the hospital another week.



What steps can I take (other than the typical breastfeeding stuffs I do
already) to assist this dyad?  Given that baby was born with NEC, is there
anything specific I need to know after she comes home, or would this just be
'business as usual'?



Thank you in advance!



Warmly,

Jaye



Jaye Simpson, IBCLC, CIIM

Breastfeeding Network

Sacramento, CA

www.breastfeedingnetwork.net




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