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Lactation Information and Discussion

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Subject:
From:
"Mary Jozwiak BS, IBCLC, RLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 2 Apr 2008 00:06:05 -0400
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Thanks, Robin, I kind of thought it was something like that. 

I have also worked with babies who have aspirated Mec, some got terribly ill. 
(Never heard of Mec "getting in through the U Cord", though. ;) ) One, a 
number of years ago, was transferred from Loyola to Children's Memorial, 
because they thought they might have to put the baby on an ECMO. 
(Children's had one, Loyola didn't then.) This baby was as near death as any I 
have seen in 20 years.  Luckily, the baby ended up not needed the ECMO, but 
he was in NICU at Children's for months (which at the time had NO IBCLCs, and 
the mom was beside herself, because even as he recovered no one could help 
her there. "Don't worry about the breastfeeding until you get home." She was 
continually told. Talk about head banging.) 

My client/friend's baby did not get sick, nor do I believe he aspirated. But, I 
had never heard of Mec getting into the U Cord. The mom kept showing me 
the cord stump, which had a little green Mec on it, (the baby was born 
covered with it, obviously) while explaining, and I didn't want to say anything, 
as my specialty is Lactation. But, it didn't sound right. 

After this is resolved, I'll explain it to her. My guess is the cord was cut quickly 
to get the baby to the Peds table, not to prevent Mec from entering that way. 
Thank you for straightening it out. (Mom's doc is a Resident and has done all 
of 40 births, and doesn't have the best bedside manner.....yet, there's still 
hope, I hope.) 

Thanks again. :) (20 yrs in Lactation, and still something new all the time. :) ) 

Mary 

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