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Date: | Thu, 2 Feb 2006 20:42:18 -0500 |
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Seeking wisdom and guidance from anyone who can provde it!
Working with a FTT situation, with a 5 month old. The doctor ordered a
breastmilk analysis, since mom does not want to offer formula and is
interested in maintaining the nursing relationship. The baby started out
doing well but began to fall off the growth curve around 2 months, but was
only referred to me recently.
The breast milk sample was not a 24 hour one, for obvious reasons and so it
obviously has dubious clinical value (sigh!) however the tryglyceride
content (I'm not sure why total fat content was not measured), is 90% less
than it should be. Glucose, lactose and protein all WNL's. It was collected
with a hospital grade pump, however I am unsure of collection container,
transport, and what time of day sample was collected, etc. as I was not
involved with that process. I've spoken to another doctor in the practice
and he might be willing to give a bit more time to turn this around, however
I am at a loss to try to interpret what these values mean and even more so,
how to turn it around to have a thriving baby.
Mom has sucessfully nursed other children and has made quality milk in the
past. Can anyone tell me what the typical triglyceride level would be at 5
months? I've looked in latest Ruth Lawrence, and did not come up with the
specifics I am looking for.
I know we have all seen some stressed out moms who are not nutritionally
maintaining themselves. do any of you think that malnutrition and stress can
decrease fat cotent to the point of these amaziingly low levels.
There is more to this case that I could disucss, but seeking the most info
on interpreting results and if this mom has potential for recovery of the
fat content of her milk?
Thanks everyone for any assistance,
LuAnn Smith RN, IBCLC
York, PA
(Who's Marine son is deploying for the first time to Iraq next week!)
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