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Subject:
From:
Katherine Lilleskov <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 14 Sep 2010 10:16:02 -0400
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I see this scenario as closer to evaluating a child's eyesight. You can give the eye test and see that the child does not fall within the norms for typical vision. Then a decision has to be made about whether to fit that child for eye glasses. If the child is functioning well, then the decision to prescribe glasses might be delayed in an effort to avoid creating problems with the use of an intervention. Certainly, the opthamalogist would have a discussion with the parents about the signs of problems, headaches, squinting etc and advise that everybody return for reevaluation within a reasonable time frame. But the intervention might be withheld.

There might be the occasional instance where the baby of an oversupplied mother does better having large meals rather than frequent smaller ones. In my practice I have certainly seen babies having normal numbers of feedings but miserable due to hindmilk formilk imbalance. Now perhaps you might work on correcting the oversupply in the situation of a happy oversupplied dyad, but doing that can be a rocky path that can involve plugged ducts, pain mastitis etc. Which is why if something has been working well and everybody is happy, it might be better to keep a watchful eye on things rather than intervene. And a discussion about signs of problems should take place.
>
New Orleans was a situation where disaster was predictable and inevitable, it was just a matter of time. It does not feel to me that a baby at 5 months who is feeding infrequently is necessarily facing inevitable disaster, but just the possibility of problems and therefore a discussion of the pros and cons of intervening should ensue with the mother.
Kathy

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