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Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 17 Jan 2005 17:43:51 -0600
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----- Forwarded message from Amy Kotler MD <[log in to unmask]> -----
    Date: Mon, 17 Jan 2005 12:17:37 -0600
    From: Amy Kotler MD <[log in to unmask]>
Reply-To: Amy Kotler MD <[log in to unmask]>
 Subject: input appreciated
      To: [log in to unmask]

I have a mom who came to me today for the first time at 5 days of life.  She's
on Effexor 75 mg po QD, she wanted to breastfeed and her OB had said it would
be okay so she didn't switch or wean off the med but then when the baby was
born she was told that she couldn't breastfeed, so the baby was not put on the
breast at all.  Mom feels that the baby has been "looking for the nipple" and
she is leaking milk.  So, Hale puts Effexor as an L3, we decided to go ahead
and try breastfeeding.  The baby latched on GREAT! and appeared satisfied
after! She is starting out with out jaundice and minimal wt loss, but very
infrequent stools b/c of the formula.  Mom appears a bit engorged. I told mom
to do some warm compresses and to pump to relieve engorgement and help keep up/
bring up her supply.  I also demonstrated for her the lactaid (Newman's) We are
going to try breastfeeding only today/ tonite and f/u tommorrow to see how it
went. I don't trust my scale enough to do pre and post wts since it has been
unreliable in the past (a Seca supposed to be accurate to 10 g but
repeatability os horrible)

My questions are:  What can we expect from not having latched at all for the
first 5 days? And should the mom try to switch antidepressants to something of
a lower classification ie Paxil?

By the way- the mom is extremely excited and happy! She said I made her day- she
made mine!

Amy M. Kotler, MD FAAP
Dover Pediatrics
LLLI Breastfeeding Resource Center
Doctors Park 369 W. Blackwell St
Dover NJ 07801
ph 973 328 8300
fx 973 328 8315

----- End forwarded message -----

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