Saw the mom and baby today who's milk had not come in at 6 days.  She never
got a pump, did pick up the Reglan prescription and read all the cautions
the pharmacist gave her which included Do Not Use If You Are Breastfeeding.
 So she took 2 doses of Reglan, then panicked and quit putting baby to
breast at all in case the Reglan would harm her.  Baby getting only formula
for last 4 days now.  Mom pumping with single, handheld battery operated
pump about twice a day now, getting just drops of yellow liquid which she
has been throwing out.  Baby still naturally turns to her and roots when she
picks her up and mom says she has wanted to put her to breast, but was
worried about the Reglan. (Why, oh why did I ever suggest that stuff!)  Of
course she never called me, the labor and delivery unit, the IBCLC at WIC,
or the LLL leader to ask about the Reglan (all numbers I wrote down for her
at the last visit.)  I reassured mom that baby certainly could nurse for
comfort if she likes.  Encouraged her that if she wants to try to work on
her milk supply, she could still nurse the baby or pump if she wanted.  I'm
guessing, though, that this is a done deal.
My little 36 weeker latched and nursed well with a shield today.  His
mother, bless her heart, has been hanging in there with him, roomed in all
day and put him to breast whenever he so much as twitched.  She's a 17 year
old high school sophomore and has had pretty much a miserable pregnancy,
traumatic delivery experience (early induction for severe pre-eclampsia,
long labor, and baby needing major resuscitation at birth), and now a sick
baby.  I'm really hoping to get this breastfeeding experience to work for her!
I saw another of my teen moms today in follow up.  She's an 18 year old high
school junior and baby is 9 days old.  Baby was 10 oz over discharge weight,
and mom handles him like a pro.  She has already started pumping and
stashing some milk in her freezer since she's returning to high school in 4
weeks.  She has had absolutely no issues at all and restores my faith
considerably.  She delivered in the wee hours of the morning (pushed her
over 8 lb baby out in just 13 minutes over an intact perineum!) and I left
her after delivery with her naked baby at breast, the lights dim, both of
them wrapped in a warm blanket with her beaming from ear to ear, and they
have been a happy nursing couple ever since.  If only they all were so easy!
Jennifer Tieman
Family Physician
Mom to 4, including nursling Caroline Rose born 5/31/03

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