> Hi!
> Yesterday I saw a primi-gravida mom of a 1 day who couldn't latch well due
> to an obvious lip tie and tongue tie.

My concern is that despite her attempts all night and mine all morning to
> try to express colostrum, close to nothing came out.
> Her left breast had very little glandular tissue and only produced a
> pinpoint drop after lots of prolonged attempts.
>
> As for the right, there was a normal amount of tissue, appeared pendulus.
> Slightly larger than normal space between both breasts was noted.
> After stimulation by baby and by hand (
> while she was relaxed and distracted),
> the most I saw were 4 tiny drops - not even large enough to catch on a
> spoon. Today she used a hospital grade pump and wasn't able to get anything.
>
> Hx:
> 41 wk gestation, no diabetes, normal thyroid screening tests before
> pregnancy(but her doctors wanted to pursue it further),
>
Denied much increase in breast size but they were sore, and areola changed
during pregnancy,

> no breast surgeries/trauma, no infertility treatment but I suspect
> possible un-diagnosed PCOS because of overweight and she was told to
> "expect difficulty trying to become pregnant".
>
> Water birth, 41 hr labor, about 3 hrs active labor
> She denies  very heavy bleeding  or clotting but reports cramping.
>
> Question:
> If her midwife rules out a retained placenta and thyroid abnormalities,
> what can I do for her?
> Is little/no drops at 24 and 48 hrs normal for PCOS, and does the
> colostrum come in later? I have her pumping q 2 hrs and encouraging skin to
> skin.

To top it all off, the baby is admitted for jaundice and hypoglycemia; on
> IV fluids, formula, and under the lights.
>
> Thank you!
>
>
> Hoda Shawky, RN, MSN, CPNP, IBCLC
> *Owner, Baby's First Nurse*
> (424) 26-BABY-7 OR  262-2297
> www.BabysFirstNurse.com
> [log in to unmask] <javascript:_e({}, 'cvml',
> [log in to unmask]);>
>
>
>
> "Whenever kindness touches something it beautifies it, and whenever it is
> removed, it disfigures it."  (Prophet Muhammed, narrated by his beloved
> wife Aisha)
>
>

-- 


Hoda Shawky, RN, MSN, CPNP, IBCLC
*Owner, Baby's First Nurse*
(424) 26-BABY-7 OR  262-2297
www.BabysFirstNurse.com
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"Whenever kindness touches something it beautifies it, and whenever it is
removed, it disfigures it."  (Prophet Muhammed, narrated by his beloved
wife Aisha)

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