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Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 28 Jan 1998 20:30:52 EST
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Has anyone heard any complaints with regards to fenugreek?  I recommended it
to a mom who is pumping and after a week of taking the capsules TID she
started experiencing difficulty sleeping at night and anxious feelings.  She
stopped the fenugreek but the next day the sx were still there.
In Hale's book he describes side effects to include: dyspnea (exaggeration of
asthmatic symptoms). Would this be similiar to the side effects one can get
from Terbutaline (Brethine)?
Now just a little back ground on this mom. During pregnancy the dx of
diaphragmatic hernia was made. It was a very large hernia, the parents were
aware of the risks and proceeded with the preg. The little girl was born late
Sept and had surg right away, then placed on a heart/lung machine for a week
or so, she weaned to O2 then room air.
Her first po intake was by bottle of EBM and did not tolerate. She has no lung
on the left and had severe problems with reflux. Mom was assisted with
attempts with breastfeeding but the baby tired easily and basically was Gavage
feed. She went back to surg in early Nov for a permanent GT placement and
tightening of the stomach sphincter. She went home late Nov breastfeeding 3x
day and GT feedings during the night. She does nurse fairly well but her wt
was not doing well so she now receives GT feeds after each brfdg. Mom had
pumped and had a hugh supple, her milk is given in the tube along with a
fortifier to bring it up to now 32 CAL.  Mom now tries to pump during the day
but her supple is falling. The GT will have to be in place for at least a
year. The little girl is now 4 months and just reached 10lb.
I am working with mom on pumping but can't push her too much, since she seems
so overwhelmed  with the baby's care. Mom has been Rx Klonopin (Clonazepam)
which she has taken in the past. We hope this will help her through the night
and she will feel better drung the day.
I am trying to get this baby evaluated by an oral/speech therapist.
Sorry this is so long.
Ann Perry RN IBCLC

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