Subject: | |
From: | |
Reply To: | |
Date: | Tue, 3 May 2005 08:18:36 -0500 |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
What kind of pump is mom using and how often does she use it? Every 2 hours
means how many times in 24 hours? (Moms often tell me they pump every 3
hours but that really means 4-5 times in a whole 24 hour period.) Is she
sleeping all night without nursing or pumping? Ideally, she is on a rental
pump (or hospital grade) and someone has checked that her flanges are big
enough.
How many times in 24 hours is she really nursing? Every 3 hours would be 8
times if she is doing it in the nighttime. If she is skipping feedings here
and there or sleeping all night, this could be part of the problem.
What kind of childbirth? Induction? C-section? How long on the epidural?
Long epidurals make for sleepy babies who usually don't suckle well and
stimulate mom's supply. How many weeks was pregnancy at delivery?
Check her latch on for the chin smooshed into the breast and the nose going
out. More chin and lower lip onto the breast with the nose out. More bottom
areola into baby's mouth. Check for short tongue, tongue tie, etc.
Was she given Mag. Sulfate before or after delivery?
Is mom on any kind of chemical birth control method? (the pill, shot, patch,
ring, etc.)
What is baby's birth weight, lowest weight, and current weight? Hopefully
all weighed naked or in just a dry diaper.
How much formula is baby getting in 24 hours? Depending on how poorly baby
was doing weight wise before she started supplementing, too much in the
bottles and not enough breastfeeding can result in poor milk supply.
Test weights done at the breast would be extremely helpful to see what
amounts baby is taking in. Just because baby takes 2 ounces by bottle after
nursing doesn't necessarily tell us what we need to know. After nursing, I
would have mom pump on a hospital grade electric pump with large enough
flanges and see what she gets out.
I would like to see how baby takes an Avent bottle while sitting upright and
the bottle horizontal rather than vertical so gravity pushes the liquid into
his mouth. If he can not remove milk in this way, I would suspect something
in the baby's suck that isn't right. I would look at if baby's lips grip the
breast and bottle correctly, with wide open gape and flanged lips that have
muscle tone.
Good luck to this mom! Kathy Eng, BSW, IBCLC
***********************************************
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
|
|
|