Linda,
Re your post below:
<<I asked if she had seen another lactation consultant...they stated that
...when baby was 3 days...it was a "bad" visit and so never saw one again.
... baby hadnt gained any weight yet and the LC had the mom pump and they
didnt get anything out, and so mom was told to supplement, rent a pump ....
at 3 days it is normal to not see weight gain, and not all breasts respond
to pumps ... >>
It could very well be that the LC had done a thorough assessment, history,
etc and at that 3 day point felt the baby needed supps and the mom a rental
pump. Perhaps they had a very problematic hospital course, baby had no milk
transferat the visit, excess wt loss, jaundice, etc. Likely the LC offered
options and follow-up but the family did not take her up on it. You are
hearing only the mom's side of the story. I'm sure that is the true way mom
perceived her visit. Nurses have occasionally reported crazy things mothers
say I've told them, but fortunately I document carefully my phone
conversations, consults, etc.
I'm just making the point that perhaps the present situation could have been
averted with early aggressive interventions. Also this could be a situation
where mother is not making enough milk due to a physical situation on her
part, OR it could be a baby problem where baby is not removing enough milk.
One thing I look for is whether there was a very noticeable increase in
breast fullness on or about day 3 or 4 (onset of copious milk production).
If there is a copious increase, it is less likely to be a maternal problem.
Laurie Wheeler, IBCLC, MN, RN
New Albany Mississippi, s.e. USA
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