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Subject:
From:
Karen Meade <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 19 Oct 2004 11:59:18 -0400
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Hello fellow Lactnetters! I'm hoping you can offer me some insight into
a challenging case of low supply/low weight gain. I have mom's
permission to post...

This is her second baby. Baby was born at 35 wks. b/c mom had a 9 cm
uterine fibroid that caused early labor. By day 2 baby had jaundice --
bilirubin level of 17 at highest. Mom's milk came in on day 5. (Mom said
milk never came in with baby #1 who was born at 29 weeks. He's 3 1/2
yrs. now.) Current baby's birth weight was 6 pounds 1 ounce. Now, at six
weeks, baby weighs 5 pounds, 9 ounces. Baby has always had at least 5-6
wet diapers and 1 bowel movement/day. Baby breastfeeds every 3 hours --
sometimes staying latched for up to an hour. When baby fusses after an
hour at the breast, mom gives supplemental bottle -- EBM from a friend
when she has it, organic formula when she doesn't. Pre- and post-feed
test weights with visiting nurse's Baby Weigh scale show 1 ounce of
breastmilk transfer from both breasts. Mom is taking fenugreek 3
capsules 3 times/day and also drinking Mother's Milk tea. Mom also takes
Prozac. This past week mom had bright red vaginal bleeding for 3-4 days.
She said she thought it was her period b/c lochia had slowed to brown
discharge and stopped a few weeks ago.

So far I have suggested: more frequent breastfeeding for shorter
duration, pumping between feeds, using a nursing supplementer to give
supplements, having thyroid levels checked, checking with midwife about
the possibility of any remaining placental fragments, getting an Rx for
Domperidone. Is there anything else I could be missing? This mom really
wants to bf exclusively -- I wish I could find the "magic answer" for
her issues. TIA!
------
"Human Milk for Human Babies"
Karen Meade, LLL Leader
Suburban Philadelphia, PA, USA

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