I do not have expertise on when to start domperidone. However, one does not need to have a local milk bank in order to receive banked milk. Texas has two milk banks, one in Austin and one in Fort Worth. With the wonders of dry ice and over night delivery, we can get milk just about anywhere in 24 hours.
The mom will need a prescription from baby’s HCP and to set up an account with the milk bank.
HMBANA milk banks are listed on our website: https://www.hmbana.org/locations
Good luck. With some donor milk and the support this mom is getting, we’re hoping things work out for her and baby.
Naomi
------------------------------------------
Naomi Bar-Yam Ph.D.
Executive Director
Mothers' Milk Bank Northeast
President
Human Milk Banking Association of North America
[log in to unmask]<mailto:[log in to unmask]>
office: 617-527-6263
direct line: 617-340-3600
www.milkbankne.org
www.facebook.com/mmbne<http://www.facebook.com/mmbne>
@MMBNorthEast
------------------------------------------
Begin forwarded message:
Date: Wed, 30 May 2018 01:21:36 -0400
From: ljb <[log in to unmask]<mailto:[log in to unmask]>>
Subject: question about age of baby for starting Domperidone
Hello All,
I have done a cursory search in the archives and found nothing that stood out about when a Mom could start domperidone.
Permission to Post: Mother just had her 3rd C/S, 2nd planned C/S, baby is 2 days old, 39wk pregnancy, previously breastfed both other children, with lots of struggle and occasional supplementation. Mother of baby has difficult to categorize breasts, not clearly hypoplastic, but not round and full, small to med and soft, nipples face outward, Her own mother (Grandmother of baby) had ordered domperidone and has it on hand, remembering the experiences with the other two. She has contacted me at the close of day 2 stating the baby had lost weight (not sure about percentage) was hungry, crying and rooting most of the time, urine had changed from pale yellow to dark and 1-2 dark stool (over the 48h). Little to no stool. Mother does not appear to have gone through Lact II, and does not appear to have fuller breasts than on day 1. There was a small amount of colostrum.
My gut tells me they should wait to start the Domperidone (no maternal risk factors) until it is clear that Lact II is, in fact, delayed or compromised. Trouble is, this will necessitate supplementation with formula. We do not have a milk bank in our region.
Does anyone know of a recommendation on when (in days of age of baby) to start Domperidone? And, in addition, is there knowledge on its effect on hypoplasia?
Thank you so much, any information is appreciated,
LjBerk, IBCLC in El Paso
------------------------------------------
Naomi Bar-Yam Ph.D.
Executive Director
Mothers' Milk Bank Northeast
President
Human Milk Banking Association of North America
[log in to unmask]<mailto:[log in to unmask]>
office: 617-527-6263
direct line: 617-340-3600
www.milkbankne.org
www.facebook.com/mmbne<http://www.facebook.com/mmbne>
@MMBNorthEast
------------------------------------------
The information contained in this email message and any attachments may be privileged and/or confidential. It is for intended addressee(s) only. If you are not the intended recipient, you are hereby notified that any review, disclosure, reproduction, distribution or other use of this communication is strictly prohibited. If you received this email in error, please notify the sender by reply and delete the message without saving, copying or disclosing it. Thank you.
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
