Dear all (I have permission to post) I am caring for a woman who is 35 weeks pregnant, and who has had 1 previous C/S for breech presentation.In this pregnancy she has a low-lying placenta with vasa praevia (blood vessels very close to the servical os) and so is having a repeat elective C/S. The growth of this baby is <5% and she is being monitored closely. Current estimated weight is 1930g. I am her primary provider, and can have a lot of input post-natally. She is very keen to breastfeed and fed her older child for about 10 months. Apart from the 'usual' care of skin-to-skin in theatre, early and frequent breastfeeding and pumping to encourage supply and provide EBM, I also planning to help the mother to harvest colostrum ante-natally so as to hopefully avoid formula use. the baby may well go to the NICU, in the not-so-intensive nursery or the 'fattening' nursery. I have access to a lact-aid and will discuss that with her. We don't (yet) have a milk bank in NZ. Is there anything else anyone can think of to do either now or at birth??? Fiona Hermann midwife, IBCLC Hamilton, NZ *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html