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Date: | Tue, 17 Jul 2007 08:59:22 EDT |
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Dear Friends:
Anne Hinze asks about counseling the pregnant woman who looks like she
won't make much milk.
Derrick Jelliffe MD was, as far as I know, the first to say that
breastfeeding is a confidence game. I want the mothers' confidence to be at the
highest level.
I say go for it all, keep the baby s2s after birth, bf as much as
possible. Women will have colostrum. (I've not met a woman yet that didn't have
Lactogenesis I. What are other's experience here?)
The key will be if lactation progresses to stage II. Make sure the mother
knows to look for poop color changes (Shrago published a nice article about
this, and the Diaper Diary is a lovely visual to illustrate it), with the goal
of yellow poops by day 5-7. Make sure the baby is weighed twice the first
week, naked on a calibrated scale, and that the mother knows to expect some weight
loss and then to see gain after day 4-5.
This is the follow-up that ALL mothers in the US need, because giving
birth in the US is a risk factor for premature weaning and/or low supply. No one
mother is singled out with this practice.
However, the healthcare professionals working with this mother are aware
that she could have some impairment to lactogenesis II; what we know as
practitioners we don't necessarily have to share with mothers. The organ we are
targeting is her brain, the master endocrine gland of all.
warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE, CIMI
_http://www.breastfeedingalwaysbest.com/_
(http://www.breastfeedingalwaysbest.com/)
www.myspace/AdonicaLee
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