Update on baby with a cleft palate who was discharged on day 4 having been 
exclusively breastfed.

Mom was "insurance" pumping.  On day 7 baby was gaining weight and still 
exclusively breastfeeding.  Unfortunately baby was not seen again until day 
14.  Major weight loss, total serum bilirubin of 318 (divide by 17 for 
approx  mg/Dl/day).  Mother had stopped pumping.  Mother worked hard at 
getting calories into her baby (formula via cup) and increasing her milk 
supply and flow by pumping.  Baby looked dramatically better in a couple of 
days.  Baby is now 5 weeks old, gaining weight consistently, feeding well at 
breast and having expressed breast milk via Softcup. Paediatrician has been 
relatively supportive, but we will see what happens at 6-week paediatric 
check-up.  It is likely that the cleft repair will be done at 4 to 5 months.

Jean Ridler  RN  RM  IBCLC
South Africa   [log in to unmask] 

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

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html