Saturday evening I received a call from a Mom who had been my patient in  the 
hospital 3 months ago.  She called to discuss her baby and how it  seemed not 
to be satisfied for the last few days....constantly nursing.   After 
listening to how the baby was doing I was pleased to hear that this dear  child 
refuses a bottle. But that her pedi was thinking it needed rice cereal  with formula 
because a sibling had reflux and she thought this baby might be the  same. 
Mom's concerns went from did she have enough milk (has implants behind the  
muscle) and she only pumped 3 oz. of EBM and maybe she didn't have enough. We  
discussed and reviewed a lot of what she had heard in hospital and also what 
she  had read and what the pedi (which she said really didn't support 
breastfeeding)  and that the pedi Pulmono
logist told her to keep breastfeeding no matter what that it was the best  
thing for all the allergies and reflux and everything. (Did I want to kiss that  
man!!) I told her to keep his words foremost and to repeat them to the pedi  
every time she heard the rice and formula solution...
Told her to keep pumping and freeze milk for when she wants a break and  
teach someone to feed the baby by cup since nipples weren't in this kid's  pattern 
of feeding. Referred to the outside LC referral list and asked her to  keep 
in touch. We discussed using EBM to dilute cereal when the time is  appropriate.
Now, did I contradict a MD ?  Could be....but I really think this Mom  
figured it out with a little help of her friends and they included a MD, RN  IBCLC, 
and the baby and a good dose of common sense...she tasted the cereal with  
formula and said it made her gag...it was nasty stuff and that her milk was  
sweet and nice. She credits her baby for showing her the way and just needed  
reassurance.
So often we get the hard calls and sometimes we just need to realize we  
don't contradict the desires of the Mom and baby.  And in this case I say a  well 
read Pediatric Pulmonary doc trumps a non informed pediatrician  anyday.!
Leanne Jewell RNC, IBCLC, LCCE, FACCE
S FL
 

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

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET email list is powered by LISTSERV (R).
There is only one LISTSERV. To learn more, visit:
http://www.lsoft.com/LISTSERV-powered.html