Along with the tear-jerking topic,smile at the end of the Legal report.. I
saw a 4 month old today who had never had a Lactation assessment in spite
of these ongoing problems:(AND I live 7 miles away,the resources are
available,just not communicated,or not deemed important or useful???)
  Baby lost 1 pound within 3 days after scheduled C-birth
  Baby lost an additional 1 pound before 1 month of age. The hospital
 where mom birthed at has a "Breastfeeding Center" and yet mom was unaware
that it existed, and was not referred to it by baby's HCP.
  Remedy: Feed the baby X amount "I don't care how you do it,just do
it...."

Mom had BF first babe to 2 years without a gliche( in spite of 40 hours of
pitocin,c/s,pain meds and early return to work,daycare and it was a boy AND
her first child, plus one truly inverted  nipple-----red flags for
potential lactation problems

Mom never started out as a "We're going to do the family bed thing..." She
just found it worked best for her IN spite of frowns and lack of spouse
support/relative comments....Mom did not find it necessary to join or
attend any LLL or mom's support groups.(Too bad)

Now,baby #2 today has been a very sleepy baby from day one  (Baby #1 "Never
slept and at age 4 is just now sleeping 6+ hours at noc) Mom had
cracked,bleeding nipples from day 4 and on until she couldn't stand it and
baby lost too much weight....
At which point rented a pump from the hospital which has a BF CENTER...to
provide the milk to baby via bottle.

Baby has been receiving bottles for 3.5 months now,and occasionally nurses
twice at night.No nipple trauma now.Mom called me thanks to a referral from
LLL--mom decided to call for help because her supply was so low that baby
needed formula.

Besides suck and latch problems,the milk supply problem could have been
avoided>>>Mom has been single pumping(Lactina)  only 2-3 times/day because
she could "get twice as much milk single sided-pumping and in half the time
as double pumping".With that,I checked and sure enough: the blue silicone
ring was ON the white cylinder for single pumping (not recommended for
single)

Customer service couldn't help me on my concern,but I wonder just how much
extra suction improper single sided pumping generates.
Does anyone use a gauge? I'm going to ask my area rep if he can find this
out for me. No tissue trauma or pain reported from this mom.  I recommended
mom switch to the  Classic(double pumping) to help step up milk
production....plus the usual Q 2 hr.stuff.

Why she hung on this long ??? A positive locus of control and self-esteem
plus the successful example of her own mom who nursed 9 out of 10
 etc.,etc.   I will try to find out who did or didnot set up her pump for
her as she apparently didn't read the directions.


Denise Ferrell,IBCLC   Indiana          Calgon  bath would be nice,and I
did recommend it to this mom (minus Calgon,plus baby)