Laura:
Do you think that mom's milk supply is adequate?
Melinda


On Wed, Feb 26, 2014 at 12:30 PM, Laura Spitzfaden
<[log in to unmask]>wrote:

> PTP.
>
> I first saw Mom and Baby three weeks ago. Baby was 4months and 11days old.
> He had gained just a little more than 2 lbs from birth-weight. He was
> content and meeting milestones. Mom was feeding him 5-6 times a day and he
> was sleeping through the night. He had a very poor suck, restrictive
> lingual and labial frenulums. He had cranial, trunk and hip asymmetry and
> intermittent strabismus.
>
> Mom had just been told by a gastroenterologist to supplement with 24
> ounces of formula daily and if baby didn't begin to gain more quickly, he
> would be hospitalized.
>
> We started with appointments for TT and LT revision, CST and very frequent
> feeds (12 a day) with side switching and breast compressions.  The more
> frequent feeding upped his gain to 1/3 an ouce a day within 3 days. He has
> CST two days after our visit  day and laser revisions of tongue and lip 4
> days after our visit. On day 6 he figured out how to use the supplementer
> and Mom began supplementing with some milk she had stored. SHe started out
> with 8 ounces a day and gradually reduced the amount over the next week due
> to his taking less from the supplementer. When she was down to just 4
> ounces of supplement, she ran out of extra milk. While she was
> supplementing, Baby was gaining over an ounce a day but when she ran out,
> he only gained an ounce a day for the next two days and is now back to 2
> ounces gain in 6 days.
>
> He is still content and is gaining normally for his age but he hasn't
> caught up enough to be even back on the WHO growth chart. Mom is willing to
> consider supplementing but isn't very comfortable with donor milk or
> formula. Baby is now just 5 months old. This mom has worked so very hard
> and done everything she can to keep him on only her milk. She is also
> taking some herbal galactagogues that she just started a week ago.
>
> My question is are the risks of formula greater than the risks of not
> catching up on the weight gain when the baby is developing normally in
> every other way, meeting milestones and content? My gut feeling is that
> supplementation would be best until he is back on the charts but I don't
> know if this is correct. Maybe starting solids early would be best?
>
> Laura Spitzfaden, LLLL, IBCLC, APL
>
>              ***********************************************
>
> Archives: http://community.lsoft.com/archives/LACTNET.html
> To reach list owners: [log in to unmask]
> Mail all list management commands to: [log in to unmask]
> COMMANDS:
> 1. To temporarily stop your subscription write in the body of an email:
> set lactnet nomail
> 2. To start it again: set lactnet mail
> 3. To unsubscribe: unsubscribe lactnet
> 4. To get a comprehensive list of rules and directions: get lactnet welcome
>

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome