Hello,

I am working with a mother with a 7 day old.  Baby was 6 lb 8 oz at birth
and 6 lb 2 oz at discharge.  Baby is now 5 lbs 14 ozs.  She has been
seeing an LC at her doctors office that has had her pumping and syringe
finger feeding.  I talked to her today about using the syringe at the
breast so that the baby gets more time at the breast to stimulate more of
a supply.  Baby has been getting only mother's milk through the syringe
but now her supply is dropping even further.  The baby was taking 40-50 cc
at every feeding and mother was barely keeping up.  Now mother is only
able to provide around the first 20 cc and the rest is formula.

Then the mother casually mentioned that she is "critically anemic" (her
words).  Her count was 7.8 after delivery and she was offered a
transfusion but refused as she did not know that anemia could affect milk
supply.  Her count is currently 10.2.  She has a condition called
thalysemmia that she says is hereditary.

Now my question:  If she had the transfusion now could the supply issues
be overcome and if so how quickly?

Thanks,

Tracy DeMaddalena

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