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From:
Lactatio <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 26 Oct 2010 14:27:32 -0500
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_____________________________________________
From: Lactatio
Sent: Tuesday, October 26, 2010 12:06 PM
To: [log in to unmask]
Subject: Sedation and breastfeeding


I have a request for information from an IBCLC colleague.  Her daughter delivered a baby girl October 21 and had a respiratory arrest and hemorrhage of about 1500-2000ml during the delivery, presumably from HELLP Syndrome and DIC.  She is still in Intensive Care and on a ventilator so is being sedated around the clock with Fentanyl and Versed.  She is also getting Lasix for edema and pulmonary fluid.  Her mom and sisters have been pumping her breasts regularly and are still getting colostrum with no increase in volume yet.  Baby is fortunate enough to be receiving banked human donor milk.
Her question is this:  Is the IV sedation having an effect on her prolactin and oxytocin levels.  Could damage to the pituitary gland be the reason there is no increase in volume yet?  I called the Infant Risk Center and they said that pumping should maintain her prolactin levels but she may need skin to skin to initiate the oxytocin response.  She is anxious and restless on the ventilator so that may have an effect too.
Any information you Wise Ones could share would be greatly appreciated, especially from Dr. Sarah if she is reading.

Linda Anderegg, BSN, RNC, IBCLC
Lactation Consultant
Silver Cross Hospital
1200 Maple Road
Joliet, Il 60432
[log in to unmask]<mailto:[log in to unmask]>
Phone: 815.740.1234 ext. 7321
Fax: 815.740.4958

A Thompson Reuters 100 Top Hospitals National Award Winner
2004, 2005, 2006, 2007, 2008, 2009





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