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Date: | Thu, 22 Nov 2001 07:19:16 EST |
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> What would you say to a group of pediatricians if they wanted guidelines in
> terms of when to refer patients to you?
Any mother who is anxious about breastfeeding.
Latch-on and/or audible swallowing has not occurred by 24 hours
after birth
Infant has loss more than 7-10% of birth weight
Infant has difficulty breastfeeding (Latch-on and swallowing not
consistent, feedings last more than 1 hour, infant is hungry
after
most feedings)
Infant over 3 days old who has inadequate output (Less than 3
stools or less than 5 wet/urine in 24 hours)
Infant has inadequate weight gain or has not regained birth weight
by 2 weeks of age
Infant displays signs of suck (nipple) confusion (accepts bottle but
not breast)
Actual or perceived low milk supply
Mother is experiencing unrelieved pathologic engorgement
Mother is experiencing cracked, bleeding, or blistered nipples or
nipple soreness has not improved within 7-10 days
Mother has flat or inverted nipples
Mother returning to work and needs information on introducing
bottles, scheduling, pumping milk while in work place, and
handling and storage of human milk
Induced or relactation lactation (adoptive nursing)
Special circumstances (premature, multiples, congenital anomalies,
neurological impairment, maternal illness)
Family requiring time-intensive support and assistance
It would be wonderful if every mother was giving a length visit to fine tune
skills and teach on day 2-5 by a LC. We offer this to all our breastfeeding
moms in our pediatric practice.
Warm regards,
Pat Lindsey, IBCLC - Lactation Services www.PatLC.com
Pediatrics Plus' Staff Lactation Consultant www.pedsplus.com
Orlando, FL
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