Well, the first 24 hours of pre/post weighs came back:  18 ounces.  That is
it.  Obviously not enough for a 4.5 month old.  I advised mom to start
supplementing right away.  She will be coming for a pump today - she says
that after baby is done nursing, she can still hand express a bit.  So - we
will be getting her pumping and supplementing with as much breastmilk as
possible and adding ABM as needed.  

 

I did some more questioning with mom and we think we may have a baby who was
'living on let-down'.not good.  Mom reports that baby's suck isn't tight and
strong - that it is very relaxed.sigh.  So - how do we strengthen a 4 month
old's suck?  The last baby I worked with in this scenario never got it
together - she was 5 months old when her mom called me.  Interestingly
enough I got a call from another mom I'm working with whose baby, at 2.5
wks, has started to only really suck when her breasts are less full - but
when full latches, sucks once then does nothing.just swallows.  Mom caught
this potential problem very early, so we can get this taken care of now.
:-)

 

Thanks for all input - I am not done investigating.  I am not 100% that this
is only a baby caused issue.  I need to look more.any other thoughts?

 

Warmly,

J

 

 

Jaye Simpson, IBCLC, CIIM

Breastfeeding Network

Sacramento, CA

www.breastfeedingnetwork.net

 


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

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