T

Sent via BlackBerry from T-Mobile



-----Original Message-----

From:         laurie wheeler <[log in to unmask]>

Sender:       Lactation Information and Discussion <[log in to unmask]>

Date:         Tue, 10 May 2011 22:38:04 

To: <[log in to unmask]>

Reply-To:     Lactation Information and Discussion <[log in to unmask]>

Subject: [LACTNET] possible FTT baby



Hi Moe,

A few thoughts on this case. With the history you describe, I would

want a very accurate naked weight. I would want frequent follow-up

including accurate weight, for example, every day or two. I would want

baby to continue breastfeeding with what I call switch nursing

(keeping baby feeding actively and switching sides if she slows down

too much) with breast compression.

I would want baby to be supplemented GENEROUSLY with mom's previously

expressed milk. I like lactation aid at breast when it works. I would

ask mom to express regularly as much as possible until situation

resolves. I would discuss with mother what to expect as far as

effective feeding, good urine and stool output, and usual weight

patterns. She needs the frequent followup as much as baby does. Some

moms get so defeated and guilty when they find out baby is not getting

much milk in, and some moms are in denial that anything is wrong, some

are oblivious and feel that sleepy, "agreeable" babies are great, or

anything in between. So it's a journey for her too and she needs

support.

Laurie Wheeler RN MN IBCLC

Mississippi USA



             ***********************************************



Archives: http://community.lsoft.com/archives/LACTNET.html

To reach list owners: [log in to unmask]

Mail all list management commands to: [log in to unmask]

COMMANDS:

1. To temporarily stop your subscription write in the body of an email: set lactnet nomail

2. To start it again: set lactnet mail

3. To unsubscribe: unsubscribe lactnet

4. To get a comprehensive list of rules and directions: get lactnet welcome



             ***********************************************



Archives: http://community.lsoft.com/archives/LACTNET.html

To reach list owners: [log in to unmask]

Mail all list management commands to: [log in to unmask]

COMMANDS:

1. To temporarily stop your subscription write in the body of an email: set lactnet nomail

2. To start it again: set lactnet mail

3. To unsubscribe: unsubscribe lactnet

4. To get a comprehensive list of rules and directions: get lactnet welcome