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Subject:
From:
Helen Vermilya <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 23 Aug 1997 20:33:11 -0400
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A Grav 3 Para 1 woman delivered a 7 lb 5 oz baby via spontaneous vaginal
delivery. When seen in the hospital she had pain while nursing and had sore
nipples related to poor latch-on. Was advised to take baby off breast if had
pain with nursing and relatch baby. She was seen once in the hospital. I did
not see her because I was on vacation.
On followup phone calls, she was unable to be reached and never called to
state she was having any problems.
Approximately 10 weeks later, I was called by this mother. I returned the
called and was told she had stopped breastfeeding because baby had only
gained 6 oz over birth weight in 10 weeks. Her primary physician had the
mother give abm via nipple. Breastfeeding was eventually discontinued.
If I had been notified of situation before mother discontinued
breastfeeding, perhaps I could have made a difference. I could have inquired
on frequency of breastfeeding, length of nursings, hydration status of baby,
had her come in for office visit to determine if baby had good latch-on and
good suck. I'm sure I have missed some other things I could have done, but
what are your suggestions. What are some of the other reasons this occurred?
Could it have been a decreased fat content in the breast milk?
I wish I was informed, but credibility as a profession still is not there.
Would we go to a medical doctor with an animal illness or to a veterinarian
with a human illness. I bet not. So if we have more education in this field,
why are we not consulted? I know this is a problem all over, so I am just
venting my frustration.
I also look forward to the digest daily. The information is benefical. The
networking is great. To get information from around the world. Marvelous.
I will be looking forward to your information.
Helen, IBCLC, from PA

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