I have been working for the past 10 days with a mom who has almost flat
nipples and large breasts and who delivered a baby girl 4 weeks early.
In the hosp baby nursed well, then at the day of d/c mom gave baby a
pacy, and when baby got home she only nursed for 3 - 5 minutes every 5
-6 hours. Mom went home on a Thurs and I made a follow up call to her on
a Sun, mom reported this poor nursing pattern and only 1 small BM since
the baby had been home. Mom came in for me to see her and nany, baby had
an 18% weight loss from birth and was not latching on well at all. MD
was notified and electrolyes were ordered and baby was mod dehydrated
and readmitted for IV's and to work on the nursing. Baby was very sleepy
for about 24 hours and whouldnt latch at all, despite repeated efforts
by this very patient mom, after that time baby was more alert and all
she wanted to do was cry at the breast, we took pacy away (upon moms
approval) when baby was admitted. Baby was finger fed expressed
breastmilk for the time she was in the hosp and got hooked on that... so
as a last resort , we had already been using the SNS without any luck, I
uses the SNS and the silicone nipple shield together, and got the baby
to nurse, :) but baby would only do this sporadically, baby really
wanted the ff. Baby was dc and 24 hours later had lost 2 ounces and 24
hours after that had gaoined a few ounces.... mom mostly pumping and
feeding expressed milk and suppl with formula...

Does anyone have any ideas or tips on how to get his little one to
breast again??

Also , I was wondering do any of you figure the % of weight loss in
abbies on a regular basis? and if so at what point )what % of loss
do you and / or the docs get concerned? Our docs start to get concerned
at the 10% point.



TIA

Cindy~~~
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                <*><*><*><*><*><*><*><*><*><*><*><*><*><*><*><*><*>
                {       Cindy Curtis , RN , IBCLC                 }
                {        Virginia , USA                           }
                {         mailto:[log in to unmask]              }
                {          http://www.tidalwave.net/~cindy        }
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