In surgery, I rarely get the opportunity to have that strong an influence
on breastfeeding, even on the breast service, but had TWO this week!
First, when taking a phone call from a post-op patient about a completely
unrelated matter (hypocalcemia after a thyroidectomy) I was able to
correct the misinformation she got that she still needed to pump and dump
24 hours after her surgery.
Second, last night I evaluated a 10 wk old baby who had a Littre hernia
repair (a groin hernia with a Meckel's diverticulum in it) a few weeks
ago, whose mom was worried when he started refusing to breastfeed,
vomited, and became listless, much like last time. He was fine after he
pooped in the waiting room, but I had the opportunity to talk with her
about breastfeeding for over 30 minutes (to the chagrin of my chief, who
went ahead and saw my next consult!). I reassured her about feeding on
demand, extended breastfeeding, good resources for information like
kellymom, cosleeping, and several other parenting matters.
It was quite reenergizing, especially after this week on night float,
doing ED consults mostly on drunk trauma patients.
Shannon McElearney, MD, MS
Resident
Department of Surgery
UVA
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