I'm currently working with mother of six day old male infant and she
questioned when to start Reglan to increase/maximize her milk production.
He is her third son, all of whom have had ankyloglossia, this baby included;
all have had frentomies-current infant at one day of age. This baby's
frentomy eased her nipple pain when she BF immediately after procedure, but
when seen yesterday and observed BFing had retracted tongue at times with
latch, always once began feeding, evidenced by some disconfort felt by Mom,
clicking and cheek dimpling;milk transfer noted;uncoordinated suck, only
maintains S/S/B twice before pause; intake measured via weights pre and
post-4cc R., 8cc,L.. Is supplementing with ABM, hasn't been able to pump
regularly as yet (instructed this is necessary), using SNS at breast or
finger feed; has difficulty expressing significant amt. as she did with 2nd
child who was FTT at 2 mos (with LC help, SNS use, went on to BF that babe
for 18 mos with min. ABM use; did use Reglan then with gd. results).
I feel she should give her body a chance to work on its' own by pumping after
each feed for several days and wait for Reglan use (did get very tired with
Reglan when used before), continue with Blessed Thistle and Fenugreek she's
taking (Newman's dose being used;3 caps ea.,3x's day) and work with improving
infant's sucking pattern while supplementing.
Any suggestions, thoughts on early use of Reglan would be appreciated.
She's convinced she won't have enough milk for this baby and I'm unsure since
she doesn't respond well to pump or hand expression (though hasn't had a
decent trial of any of these) and baby is currently such an ineffective
nurser.
Thank you!
Barbara Latterner, RN,IBCLC
Brewster, NY
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