Isn't HAL alot harder on the mother's body (like her liver, etc) than breastfeeding? -----Original Message----- From: Lactation Information and Discussion [mailto:[log in to unmask]]On Behalf Of Becky Buell-Silsbee Sent: Friday, October 30, 1998 9:33 PM To: [log in to unmask] Subject: HELP with mom on Hyperal Dear Wise ones, I work at a high volume (almost 10,000 del/yr) hospital so I see a lot of 'unusual' cases. We currently have a mom G3P3 whose first 2 pregnancies were uncomplicated. She nursed both babies (girls) without problem. Her last pregnancy was complicated by severe hyperemesis. She ended up on total TPN for over 5 months. She delivered vaginally at 33 wks 6 days ago. Her baby (a boy) is stable and doing well. The perinatologist who delivered her has been negative about breastfeeding. He told her she should not. Of course, I came along and told her it is her body and her baby and her choice. I was then off for 3 days (had to take some vacation time before I lost it). Today when I saw her she and her husband asked how she could maintain some milk supply (as in pump as little as possible) so she wouldn't be stressing her body too much. This mom says she had wonderful breastfeeding experiences with her other 2 children and she really wants to breastfeed this baby as well. She hopes to be able at some point to feed this baby at breast. She had some special GI studies yesterday (Thursday) that she understands to have shown that her stomach is only functioning at a limited level. Radioisotopes were involved in the study so she is currently pumping and dumping. The gastroenterologist recommended she continue on the TPN as she gradually tries to introduce more food orally. She was to start by trying a pureed diet today. She said that the perinatologist explained that the reason he didn't want her to breastfeed was that she was/is malnourished and it was too much for her body. (This particular MD rarely, if ever encourages breastfeeding.) I have had one other mom who was on TPN during her pregnancy, but she was able to resume a normal diet soon after delivery. Is there anyone on this list who has experience with breastfeeding while on TPN? I have this mom's permission to ask all of you for any input you might have. Becky B RNC IBCLC Annandale, VA a suburb of Washington, DC USA mailto:[log in to unmask] ______________________________________________________ Get Your Private, Free Email at http://www.hotmail.com