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 > > > > _________________________________________________________________ Chat with friends online, try MSN Messenger: http://messenger.msn.com *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html