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Subject:
From:
Pamela Morrison IBCLC <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 14 Nov 1998 23:23:23 +0200
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I saw a mom this morning whose baby was behaving in a very similar way to
what has been described.  Baby was 12 hours old, born by Caesarean after
induced labour, stained liquor.  Mom was still glassy-eyed from the
pethidine and worried about her "flat nipples" (actually protruberant on
stimulation, but areolas not very elastic).  Baby (weight 3450g) had made a
few half-hearted attempts at latching, but had not actually breastfed yet,
was actually showing mucousy Sx, obviously *not* hungry, wanting to sleep,
and mom was becoming concerned, but no-one else was.  I went through
positioning/latching techniques, showed her how to express the very scanty
colostrum being produced and suggested she make a gentle attempt to rouse
baby to feed every 2 hours or so, express and spoonfeed colostrum if he
wasn't yet breastfeeding, and just have patience.  On the way out I reported
to the Sister that the baby looked mucousy, she said she would keep an eye
on him, and that was that. This is so commonplace that I am not worried
either.  The baby will not want to breastfeed until he stops feeling sick,
then he will want to make up for lost time. He was examined earlier this
morning by a paediatrician and seems healthy so there have been no tests for
blood-sugar, no supplements, everyone will just wait.

Pamela Morrison IBCLC, Zimbabwe

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