Just saw one mom of a singleton with gastric bypass.  She did fine with 
milk supply.  My sister (an RD) provided dietary counselling for her.  
The basic approach was to make every mouthful of food count - very 
nutrient dense and high in the fat soluble vitamins, lots of protein.  
Perhaps you have a registered dietician or clinical nutritionist in the 
area who could work with mom on an eating plan.

If the baby has club foot, it will be casted after birth.  Mom will need 
help with creative positioning.
Best wishes to her.
Catherine Watson Genna, IBCLC  NYC

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