Hi All,

Thanks everyone for your wonderful ideas and theories as to why this primip 
mom and 1 month old baby found themselves in this situation. To date we have 
a baby who is now at birth weight once again and gained about 3/4 pound in 
the 3 days in the hospital. Many testes were done and a neurologist says the 
baby is fine and this is a person I generally trust with his knowledge base. 
Interestingly enough the head sonogram did show some evidence of a cyst or 
old "bleed" and this baby was another yet another vacuum assisted delivery.  
CT was not classified as abnormal.

This mom still notes that the baby does not waken for feeds and is still 
concerned about this excessive sleepiness which she said was not typical the 
first 2 weeks of life.  She has re-lactated well and as of this date she is 
about 1 ounce shy of what baby needs per feeding based on calculations.The 
baby is tolerating alimentum extremely well with no regurging or reflux 
symptoms. She is taking a scale home to assess ac/pc weights, at least 2 x 
daily and is continuing to  pump. I am usually the last person to recommend 
this approach (scale rental), but this mom is scared this baby will lose 
weight again if just breastfeeding and hopefully this will allow her to gain 
confidence as baby continues to gain and transfer milk better. The baby is 
being cared for by a family practice physician. I hope they continue to 
observe very closely for developmental milestones and refer to early 
Intervention programs if required. Anyone think this is totally off base?

Rachel's post on starvation and appetite we quite helpful and I hope that 
the appetite switch is turned on soon. If not, I'm afraid this mom is in for 
quite a struggle. Personally I am still quite concerned re: the neurological 
status of this baby. Mom feels his tone is way too relaxed. I, did not see 
this baby today, just talked to mom via phone.

Thanks everyone,
LuAnn Smith RN, BSN,IBCLC

_________________________________________________________________
http://imagine-windowslive.com/hotmail/?locale=en-us&ocid=TXT_TAGHM_migration_HM_mini_2G_0507

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
Mail all commands to [log in to unmask]
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or [log in to unmask])
To unsubscribe: unsubscribe lactnet or ([log in to unmask])
To reach list owners: [log in to unmask]