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Tue, 30 Jul 1996 16:28:04 PDT |
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I am becoming frustrated with this situation !!! Maybe someone has
some new ideas to help me......... Any advice will be appreciated!
Saw mom and baby last Thursday and baby had been getting 6 ounces
formula every day via the SNS and had went to ped and had gained 1
ounce per day! :) Everyone is happy. Told mom to decrease
supplement to 3 ounces per day, mom did this on thursday and Friday
but felt like bfreatfeeding was going so well that she didnt give
any supplement on saturday or sunday except for baby very fussy sun
night and cried for a ling time so she gave baby 2 ounces via the
SNS that night, she went back to ped on Monday and baby had only
gained one and half ounce from Thurs to Monday and ped told her to
increase the amount of formula in the SNS again.... so mom increased
it to 6 ounces per day again, and takes baby to Ped on Friday. I
talked to this mom today and this is the plan:
15 cc via the SNS in the morning and 15 cc in the afternoon and 30
cc in the evening (this was moms idea) for total of 2 ounces per
day. Mom has obtained Fuengreek and is going to take 3 tablets in
the morning and the afternoon and 5 at night (again moms dosing
schedule) I am at a loss on this one. The baby had a gain, a small
one, when she had decreased amount of supplement, a gain is better
than a loss. The only other thing I can think of is that this mom
is very stressed out and is letting down well or is too stressed to
fully produce.... no signs of thrush on mom or baby. Mom rented
breast pump but didnt have time to pump so she brought it back. Mom
has some feelings of fullness between feeds. Minimal leaking.
Denies ever having breast trauma, no breast surgeries....
***************WHAT AM I MISSING??????????****************
Any ideas appreciated.
******************************cindy
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~ [log in to unmask] ~
* RN , IBCLC *
~ VIRGINIA , USA ~
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