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Date: | Mon, 13 Jan 2014 18:40:49 -0600 |
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Hi Hoda, You could check her testosterone levels. They are usually elevated
with PCOS and one might also see more abdominal weight gain, insulin
resistance, and hirsutism. Also skin tags can be a common finding. If
mother can get the book Making More Milk by West and Marasco, it could be
very helpful. The mother's physiology may contribute to a marginal supply,
and then baby's anatomy will compound this problem. Possibly the mother
taking metformin could be helpful, and I would suggest she breastfeed with
a nursing supplementer, I like the homemade one with the #5 Fr tubing. She
can also express with a hospital grade pump after feeds, as many times as
she is able. The baby should be generously fed, of course, by whatever
route mother feels comfortable with, perhaps she will try the supplementer.
Mothers in these situations need a lot of emotional support as they often
feel like they've starved their baby.
Laurie Wheeler RN MN IBCLC
Mississippi USA
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