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Subject:
From:
laurie wheeler <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 19 Oct 2000 16:52:54 GMT
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Kathy,
We know that pumping, instead of direct bf, makes it harder to adjust supply
to baby's needs, because the schedule the mother has for pumping is usually
arbitrary, and pumpings sometimes get missed, delayed etc. However, this mom
seems very committed and "on the program" and has a baby with adequate gain.
We all know that feeding a baby w/ cleft(s) is more difficult and time
consuming (for mom and baby) by any method than feeding a baby w/ normal
anatomy. If the baby has had some illness, which is more likely d/t the
cleft, this can affect growth too. If the baby does not seem hungry and the
mother has extra stores of ebm on the side, then this seems to "prove" that
the baby is getting all the milk he needs.
I suggest the mom discuss these issues with the docs, bring all this up, and
also the infection/immunity issues, and hopefully they can all agree on a
plan. The surgery is not so far away. Sometimes the docs want a specific
weight criteria before performing the surgery, so that may be a factor too,
to get the baby there before the surg. date.
Best wishes to them.

Laurie Wheeler, RN, MN, IBCLC
Violet Louisiana, s.e. USA

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