I am working with a couple who had written a birth plan and fully intended to
have a natural childbirth. She ended up with a new OB/gyn associated with the
Medical School who administered ambinum, seconal, morphine, demoral, and 3
epidurals. The father kept protesting and asked twice that his protests be
entered into the record. The OB kept trying to assure the parents that this
is standard and approved drugs for childbirth. In looking up the drugs in
Hale's book, the side effects range from depression of lactation to
respiratory depression, all of which the mom is experiencing. Her milk is
barely trickling in at 7 days postpartum. I have recommended pumping, and
using a SNS. The baby has lost   15% of her weight which the Ped   (also at
the Med school)  told them was normal weight loss for a bfing infant. The
father told the Ped that  he had read that 8-10% of birth weight was normal
and the Ped said that was not the newest recommendation.
Has anyone heard of these recommendations? Am I  missing out on these  newest
recommendations?
This baby is still so sleepy and disoriented at the breast. The parents have
been using ABM in a bottle because Mom can only get the bottom of the bottle
barely covered with EBM in 20 min of double pumping. I recommended the SNS
but the baby just falls asleep. The parents are trying  finger feeding with
the SNS also. Baby will suck 2-3 times there and then fall asleep. Then
stimulate and do another 2-3 sucks and fall asleep. Feeding is taking up to 2
hours to get 1-2 oz in the baby.
Any thoughts?
 The father said he has a great attorney and would like to insure this
doesn't happen to other parents but he doesn't have any documentation that
what happened is not normal treatment for childbirth. By the way, the mom
signed the consent for the epidural after receiving the ambinum, seconal, and
demoral, and does not remember signing it. They were not told any side
effects of these drugs.
Any thoughts, references, suggestions??

Barb Whitehead, IBLC
Ayden NC

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