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Sat, 14 Jul 2007 21:31:34 -0400 |
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HI Ladies,
Very perplexing case today. A one month old male child seen in ER for poor
feeding a low urinary output. Baby born by CD with initial latch problems.
Infant has a shelved, anterior palate and fair tongue excursion. With crying
baby has tongue curl and retraction. Birth weight was 8-2 and dropped down
15% early on which was recovered by 2 weeks of age with pumping and
supplementing with 95% expressed milk. Mom felt things were fine at home
until about a week ago
Last night in ER baby was noted to be 7-5 and immediately took 2 ounces of
expressed milk by bottle. mom claims to be unable to feed the baby at home,
even though he is very fussy. Temp was 99.7. This poor guy is so
dehydrated and the yet the test weight in the office was noted as a2.1 ounce
intake a regular feeding. . Mom feels this baby is "sick" and doesn't like
to eat. She told the doctors in the ER the baby only feeds q 6 hours. To me
he is very capable. Mom denies, depression, seems to care for her baby, but
is very quick to use a pacifier.
Maternal anatomy is WNL, and she denies birth control, and she is looks
well nourished.
What would keep a one month old baby from eating. I'm wondering if this baby
is ill? The stools are avacado green according to mom. I'm anxious to
return to work to see what tomorrow brings as this little guy was admitted
for observation.
LuAnn Smith RN,BSN,IBCLC
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