In a message dated 4/25/2003 9:13:40 PM Pacific Daylight Time,
[log in to unmask] writes:

>  Doctor spoke with the mother. "All the placenta came out; I saw it.
> Ultrasound doesn't always work. If you are soaking one pad per hour, come
> to the ER. Babies can breastfeed when a mother is pregnant, so there is no
> connection between the bleeding (which is within normal limits) and the low
> milk supply."
>   Mother is now caught between me and the physician. Feels like a pingpong
> ball. Meanwhile, breastfeeding is being compromised, because baby will
> catch on instantly that nourishment comes from the cup or bottle, and not
> the breast.
>   Mother has requested that I not page the physician to talk directly,
> because physician is very busy today. I shall make a home visit tomorrow to
> set them up with a SNS so that baby will still want to go to breast.
>   AAARGH!! What about prevention? Why does this mother have to hemorrhage
> before she is taken seriously? Why doesn't the physican know the difference
> between autocrine control and the milk-stat setting in the first few weeks
> postpartum?
>   Thanks for listening.
>

You know I wholeheartedly agree with you on this aspect, but is there some
reason mom WON'T present to the ER? It seems the quickest route past an OB
that doesn't seem to care and for her to get treated.  At less than two weeks
postpartum, we can often get a dr from the L&D floor to come down to see mom
if there is an issue that needs addressing (provided it's done during
daylight hours...).  If you are in an area with a women's health clinic,
often a woman can call and do a walk-in there, as well. I hope this resolves
well.
Shannon Mitchell

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