Hello to everyone following this thread...

I'm sorry if my post seemed solemn...

I really was chuckling...but the printed word doesn't convey that does 
it?
I certainly didn't take an offense to Vicki's post...

I know we want to soften the blow for those moms who truly cannot make 
enough milk,
and will need to supplement with an SNS, but I am wary of having OBs do 
this during a prenatal...

For two reasons...one- even IBCLCs don't have a crystal ball and OBs 
know even less than LCs in this regard...
two- want we might regard as preparation, a mother will regard as 
prognostication, and viola
we will have created a self-fulfilling prophecy...

Take for instance the mom in Wilson-Clay and Hoover figure 173...this 
is the mom during lactation...
Can you imagine what her breasts looked like prior to, and during 
pregnancy?
Who would have predicted she could make eight ounces a day?

How many OBs examining a woman whose breasts fall out of the mainstream,
are going to take the attitude that "of course you can breastfeed",
even if it means getting a little help from an SNS?

In this vein I have a question...
What can we do for the mom who has no milk whatsoever in regard to 
nipple comfort during nursing?
And what about uterine contractions and bleeding?
I'm finding with the moms with no milk at all, these problems really 
limit how often they use an SNS as opposed to a bottle...
Interestingly the moms I've helped in this situation tell me they 
eventually just comfort nurse without the SNS because the baby will
gladly take a bottle when he is hungry but a few times a day nothing 
will do except the breast and those times he is not so much hungry
as just needing the breast...

Jen O'Quinn 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