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Date: | Mon, 28 Mar 2011 07:30:32 -0500 |
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Hi Phyllis,
While I absolutely believe that kidney failure necessitating dialysis,
and the precipitating illness are affecting mother's ability to
lactate, I believe that the usual lactation factors have as much or
more of an impact. Maternal-infant separation, preterm birth, delay in
initiating expressing, infrequent expressing, etc. While most of this,
I'm sure, has been unavoidable, I would focus on getting the
expressing going as much as possible, adding galactagogues if that is
compatible with her condition and meds, and arranging as much kangaroo
care as possible. And try hard to instill in mother the belief that
gradually, as she and baby improve, so will her milk supply. Target
the due date as a realistic goal to see a more typical bf pattern.
I can just imagine the emotional trauma of having both mother and
infant in life-threatening situations as these.
Laurie Wheeler RN MN IBCLC
Mississippi USA
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