Hi there,
I mostly lurk and thoroughly enjoy the discussions. I look forward to
meeting some of you at the IlCA conference. This will be my second one. I am
keen to get some more gentian violet 1% - could someone coming from North
America to conference bring me some? Please let me know-I would really be
appreciated- here in NZ we cannot access it- however (in comparison)
domperidone is easily accessed here- in fact any midwife can prescribe this
herself.

I wish to give a brief up date on a case I posted last Aug/Sept, "an unusual
case" (the baby is 1 year old this month).
I first met this babe at approx the third day of life (in the hospital)-term
baby, normal birth, no drugs, born to a competent para2 who had previously
fed for 18 months.
At our breastfeeding group on the p/n ward, Mum stated she was concerned
that baby hadn't fed much in the previous 24 hours. I followed up later and
observed a beautiful fed.
About 1 week later her midwfe requested my input, stating that the baby
wouldn't feed. This began 7 intense months of contact between this family
and myself. The baby could breastfeed and she could bottle feed at times but
the volumes taken were small- many health professionals (paeds, speech
language therapists, childrens hospital, dietician) have been involved (and
continue to do so). However there has never been anything abnormal
identified with assessments and tests and she is a content and developing
well with her milestones. The thing is she has needed a nasogastric tube
down all this time (she's now 1 year as I mentioned)- she never had an
artificial milk in the first 7 months of life- awesome mum!...but because
she never took adequate volumes via breast/bottle etc, she had the N/G tube
and she also required extra calories be added to mum's milk (duocal) to
ensure growth (mum pumped well and had lots of milk). She is 3rd percentile
or less but growing (albeit with the extras) and she is happy and healthy.
She started solids early 4-5 months (in desperation)- at 1 year she eats a
good variety of food textures from spoon and finger foods, drinks 70-100ml
via sipper cup at each mealtime BUT STILL HAS DUOCAL ADDED TO 2 MEALS/DAY
AND 30ML TOP-UPS VIA THE N/G TUBE AT 1 YEAR OF AGE. (the team are having
another attempt at weaning this lovely baby off the duocal and n/g tube).
Sorry this hasn't been that brief ...I would love all your comments. I did
not have much feedback from lactnet when I first posted but I can truly say
it has been the most intersting case that I have worked with (I've been
working with families for about 20 years).
kind regards,
TrishWarder, IBCLC
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