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Thu, 25 Mar 2004 16:13:22 -0500 |
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I am working with a mother who had a retained placenta which was
removed by D&C. The placenta came out in fragments and was followed by
significant blood loss. The mother's vitals crashed on day 2 and she
was given a transfusion of 3 units of blood. Pumping was initiated on
day 3, but was infrequent. Beginning on day 5, pumping was every 3
hours. Today is day 8 and pumping yields 5cc. maximum. Mother reports
never noticing primary engorgement. Baby is just beginning to nurse at
the breast (35 week preemie now 8 days old). Baby has been receiving
formula and any available EBM by bottle since birth.
What can be expected in terms of bringing in a milk supply at this
point? I set them up with an SNS for supplementing at breast and
finger feeding. I found them a Classic rather than a Lactina. I gave
info about herbal galactogogues and Domperidone. Any other
suggestions?
Thanks,
Michelle Stolow, MAT, ICCE, IBCLC
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