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Date: | Sun, 11 Jan 2009 13:33:32 -0500 |
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Hi Rachel,
Just for the record, I did all the usual assessments on baby and yes she was a
bit behind in fluids, it did resolve when I sent her home using sns feeding q 2 -
3 hours with ABM 30 to 50 cc. And once I corrected the latch baby could be
seen swallowing which I always teach parents to notice before being
discharged from hospital. I didn't see her in the hospital. 1. Correct latch
and positiong first, 2. get some food into baby so she had enough stamina to
do some breastFEEDING instead of pretending to feed.3 Protect moms milk
supply and once we got some food into this baby it reallly resolved on its own
and pumping It was fabulous to see the turnaround the next day. from 12cc
to 70cc. They also never saw the babies eyes open and that nice calm look
from a well fed baby who just sits and looks at you, in the quiet alert state.
Parents had never experienced this before. I know you have seen the
senereo a hundred times before. Baby's eat and then go to sleep immediately
reserving their calories and just shutting down. If you would like more detail I
am more than happy to send it out, again the main point was listening to
moms and caregivers as we are in a unique setting to pick up on things that
may not have a direct relationship to breasteeding. And yes, I don't think for
one minute the 4x4 really was hindering the supply, but i do think she was
exhausted and her body wasn't healing as quickly as it could have. She did
have a dull pain and was nauseated at times. I didn't go into detail about the
baby, because my point was listening to mom and dad. I told her (being a
former L&D nurse) just about the same thing you said. The MD is a good
doctor and sometimes things get missed, i suppose it was "hidden" behind the
fornix as you described. This was just a gentle reminder for me to listen and I
wanted to share this experience with you all as a gentle reminder for us all. If
you want more info on my plan of care please e-mail me off list as I didn't
want to send a HUGE message.
Best,
Robin
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