Have you tried separating the hindmilk and feeding with that? It has so
many more calories and fat for the same quantity and babies gain much
faster. You can use the hindmilk as the ebm, or have her pump a bit, nurse
and then express. This way, all the milk will be higher in calories,
including the milk he nurses directly. Just a thought.
Joanne
----- Original Message -----
From: "Kirsten Blacker" <[log in to unmask]>
Sent: Monday, January 07, 2002 7:55 PM
Subject: Your input please?
> Forwarded with permission from my Aussie midwifery list:Kathy is happy to
> have replies sent to her as well
>
> Kirsten
>
>
>
> > > > >From: "simsarch" <[log in to unmask]>
> > > > >To: <[log in to unmask]>
> > > > >Subject: breast feeding advice
> > > > >Date: Monday, 7 January 2002 8:49 AM
> > > > >
> > > > >Like Jackie, I was the sister/auntie/midwife when my sister birthed
> her
> > > > >second baby in the same Birthing Centre in November. What a great
> > > > >experience it was for me, really inspiring and a great
encouragement
> to
> > >my
> > > > >midwifery practice. A beautiful normal birth without unnecessary
> > > > >intervention and so empowering not only for my sister, but also for
> me
> > >as
> > >a
> > > > >midwife. I felt truly blessed that I was able to share such a
> > >wonderful
> > > > >experience with my sister and her partner.
> > > > >Unfortunately baby Nick was born with a cystic hygroma which was a
> > >complete
> > > > >surprise to us all, and it is now that I write to this list to seek
> any
> > > > >advice regarding his breastfeeding. His cystic hygroma is a fluid
> > >filled
> > > > >sac (500mls) around his neck which goes into his mouth and
protrudes
> > >under
> > > > >his tongue. Thankfully it is just a cosmetic problem which will be
> > >treated
> > > > >with surgery when he is around 6 months old. He cannot be operated
on
> > >any
> > > > >earlier than this.
> > > > >He went straight to the breast at birth and appeared to suckle well
> and
> > >as
> > > > >my sister had a drug free labour he was lovely and alert, and for
the
> > >first
> > > > >week of life it seemed as though breast feeding wouldn't present a
> > >problem.
> > > > > However he is now 7 weeks old and is still only 50 grams above
his
> > >birth
> > > > >weight of 4520g. He is now starting to look pretty skinny, but not
> > > > >obviously dehydrated, and still has lots of wet and dirty nappies,
> and
> > >is
> > > > >usually settled in between feeds (other than between the 5-10pm
> feeding
> > > > >frenzy time). He appears to attach and feed well @ every 2-3 hours
at
> > >the
> > > > >breast and has had the advice of an independent L.C. who agrees
with
> me
> > >on
> > > > >this. My sister has been expressing and giving Nick a top up 4
times
> a
> > >day
> > > > >of 60mls of Ebm via a syringe (she cant manage a cup) yet his
weight
> > >gain
> > > > >is no more than 10gs per day.
> > > > >I think that the cyst is preventing Nick from getting a really good
> > > > >attachment, and other than expressing more frequently and topping
him
> > >up
> > > > >(which I am sure she will find overwhelming as she has a very
active
> 23
> > > > >month old at home) can think of no other advice to give her. The
> paed
> > >she
> > > > >is seeing, and is influenced by, is not breastfeeding aware and I
> feel
> > >is
> > > > >on the verge of telling her to supplement with formula. Can anyone
> > >offer
> > > > >any advice?
> > > > >Kathy
> > > > >
>
>
> _________________________________________________________________
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>
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