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Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 25 May 1999 08:07:29 +0100
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i All,
Has anyone heard of poorish feeding being responsible for dusky episodes
in arms and legs?
This is Mum's third child, others breastfed for 8 weeks until Mum went
back to work.
This one born 11 days ago at term, normal delivery, seemed to feed well
according to her midwife. Lost weight for one week. Apparently was
having dusky episodes, not related to feeding times, on her lower arms
and legs. Was checked out by a doctor, heart sounded normal.

I rang her last Thursday, Mum described good positioning. I suggested
breast compression over the weekend and said I would see her today,
Monday.

Baby was admitted to hospital on Saturday because of the continuuing
dusky times. Had started to gain a little weight. Urine output good.
Stools only once evey few days, normal when they did occur.

When I watched a feed today, the baby was unable to get comfortable on
one side so fed on the other. Fixed well but took a long time to get
into a good sucking rythm with sounds of swallowing, did not feed
vigorously. Took herself off the breast spontaneously, looked contented.
No tongue-tie.
I suspect that she did not take enough milk at this feed, but this is
gut instinct only, cannot put my finger on why I think this.
I suggested that Mum pump after feeds and give some of this milk as a
small supplement after feeds. To feed frequently, but baby is doing this
already. I think the sucking will become stronger when baby has gained
more weight.

Doctors say that the dusky times are due to her peripheral circulation
shutting down because she is underfed. At 11 days she is only 10g below
birthweight.
This explanation sounds like rubbish to me, I have seen many babies very
under weight and none have done this. However before I say this I need
other opinions in case I am missing something!
Thanks,
--
Carolyn Westcott RN IBCLC Southampton UK
mailto:[log in to unmask]

--
Carolyn Westcott RN IBCLC Southampton UK
mailto:[log in to unmask]

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