Oh Wise One's,

I have a client, actually a friend, now, who has given me permission to
post.  I was still a hospital based LC when she had her first baby.  Altho'
she was doing well with the exception of needing a little fenugreek/blessed
thistle boost for supply, she was very insecure.  She came to my office 2-3
times a week to have the baby weighed.  Finally, during one visit I sold her
a sling, snuggled the little darlin' in, got him latched on and sent her
downstairs to the LLL meeting.  She went on to nurse for years, through
another pregnancy, plus another six months after the new babe was born.

She asked that I Doula her 2nd child.  Everything went beautifully with the
exception that we nearly did NOT make it to the hospital!  She nursed her
daughter for 4.5 years, weaning only 1 year ago.  Seven months into her 2nd
pregnancy she had an episode of tachycardia; reason unknown.  She had
another episode on her 5th pp day; she was nursing @ the time.  She's had
approximately 5 episodes, all stopped spontaneously or with the valsalva
movement.  Her cardiologist discussed the possibility of beta-blockers, but
they were never necessary.

She is now "fostering" a two week old baby, and hopes to adopt this child.
Bio mom exposed him to Hepatitis plus Lord knows what else.  My client feels
very strongly that baby needs mother's milk.  Her Pediatrician supports her
in this effort.  She has been pumping with a Lactina to no avail, she is
taking Fenugreek only.  She wants to take Dom, but is concerned about the
cardiac issues.  She is SCARED TO DEATH to put babe to breast b/c she has
been told or has read that a foster/adoptive mother was arrested and jailed
for doing so.  

Are there any suggestions out there re: Dom and tachycardia and BRF a
foster/adopted child?

Thanks,

Royce Anderson, RN, IBCLC, RLC, CD (DONA)



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