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Subject:
From:
Lynn Shea <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 9 Dec 2000 19:52:36 EST
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Hi Melinda,  The condition that (i think) you are referring to is a PDA or
patent ductus arteriosus. As you accurately described the ductus arteriosus,
a necessary part of fetal circulation, closes shortly after birth in the
healthy, term infant. Because it hasn't closed, it puts extra work load on
the baby's heart, it has to beat faster in order to deliver enough oxygen to
the baby. This doesn't mean that the baby cannot breastfeed or breastfeed
well. As a matter of fact there have been a number of articles documenting
the appropriateness of breastfeeding for infants with cardiac defects.
 As is the case with any physically compromised infant there are often
adaptations that can and should be made to the feeding experience. As you
mentioned an SNS may be a great choice for this baby, particulary if this Mom
has a low-to-adequate milk supply. Often, however, helping Mom to achieve an
oversupply coupled with a few other "changes" such as minimizing caloric
expenditure by helping the Mom to achieve a quick, deep latch, using
compression to increase milk transfer and perhaps pumping off some "foremilk"
before latching the baby to increase tx of fattier hindmilk are all
techniques that could be used. Let me know if you would like more info.!
Lynn Shea Rn,Bsn,Ibclc
Franklin,Massachusetts

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