Forgive me if you are also subscribed to TLC. I wanted to post the
following situation to this list too.
Dear friends,
I am currently working with a mother of twins. The babies were born at 38
weeks, healthy and no apparent problems. The mother and babies went home in
three days. Both twins were in the 5-6 pound range. These are a boy-girl
set.
The good thing is that these babies were born vaginally, with the boy being
delivered breech, second. The mother told me that the doctor grabbed his
feet and "really pulled him down hard". The girl started breastfeeding
immediately after birth, the boy was not interested in bf. immediately,
though the mom held him and attempted to nurse him, they whisked him away
for evaluation.
Anyway, I saw these babies about 2 weeks pp. at home. The boy was still
having problems staying on, etc. While I was there, the mother was showing
me that the boy had a "bump" in his neck that she thought was a little
strange. I looked at him and I wonder if the baby had a broken clavicle or
dislocated shoulder which was causing him pain to turn his head in that
direction, or be held to nurse in certain positions. He seemed to favor
that side even in being held after we observed him. I asked the mother if
she could get him to latch on and stay on if she nursed him singlely lying
on his side. She said, "Yes." I told her to try and do that with him more
often since he is lagging in weight and latching on and staying on.
Another thing, this couple has the book "Baby wise" (YUCK!) sitting there
and are trying to get the babies to nurse together and "on a schedule". I
understand that to save time that many mothers of twins do like to nurse
them together, but I think that there needs to be some extra "TLC" given to
this one in the area of breastfeeding him more often and more effectively.
(Don't worry, I gave them my thoughts on "Babywise"!)
I guess my question is: Can this be something that can be missed by a
pediatrician on exam right after delivery? Am I on the right track here?
By the way, I know this mother and gave her a copy of "Mother Multiples" a
couple of months before delivery. Unfortunately, she didn't make it her
priority to read it through beforehand.
The mother is going to talk to her pediatrician today when the babies go in
for their two-week appointment today. I saw them two days ago.
Any thoughts or ideas on this?
Thanks!
Warmly,
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Connie Chiavario
Area Coordinator of Leaders
La Leche League of Illinois
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