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Mon, 28 Jan 2013 23:19:02 -0500
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Lactation Information and Discussion <[log in to unmask]>
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Lactation Information and Discussion <[log in to unmask]>
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Mandy Ball <[log in to unmask]>
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Mother of a 3 day old has inverted nipples and is having a difficult time getting baby to transfer milk. Moms milk is just coming in and baby latches and sucks. But after a pre and post feed weigh, there was no increase in weight. I was really surprised! I heard swallows , saw good jaw motion with sucks, and baby "nursed" for about 40 minutes total.  I tested my scale and it is right on! Mom pumped after feeding for about 10 minutes and got about 3-4 ml. About 20 minutes after feeding, the baby was crying and fussy. We gave her the pumped milk in a syringe. 
I suggested mom pump after feeds to help increase supply, help baby get a deeper latch, and suggested a pumping to help pull nipples put before feeds. I know this seems textbook, but I really expected to see a weight increase of some sort after the feeding I saw. 
Any other suggestions out there? The baby also has a bilirubin of 17 and is under bililights for tonight. 
Thank you! 

Mandy 

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