LACTNET Archives

Lactation Information and Discussion

LACTNET@COMMUNITY.LSOFT.COM

Options: Use Forum View

Use Monospaced Font
Show Text Part by Default
Show All Mail Headers

Message: [<< First] [< Prev] [Next >] [Last >>]
Topic: [<< First] [< Prev] [Next >] [Last >>]
Author: [<< First] [< Prev] [Next >] [Last >>]

Print Reply
Subject:
From:
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 10 Mar 2003 16:34:47 -0500
Content-Type:
text/plain
Parts/Attachments:
text/plain (56 lines)
I have a mom who has had Type 1 diabetes since childhood.  She uses an
insulin pump and maintains tight control over her blood sugar, testing
herself perhaps ten times a day.  She tends, if anything, to stay on the low
side, but she stays in the normal range.  Her health otherwise is fine and
she is of normal weight.

Her first child was born 3 years ago, at about 36 1/2 weeks, weighing 5 lb
10 oz.  Lactogenesis was not delayed, but it took her several months to wean
completely from supplements.  She is still nursing her three-year-old.

Her second child is 7 days old (born 3/3).  Breast changes were among her
first signs of pregnancy.  Her baby was born at about 38 weeks, weighing 6
lb 11 oz.

She had been "fighting some kind of virus" for about a month before the
birth - cold, sinus infection, lingering cough - and she had a stomach virus
2 days before she began labor.  That night she had difficulty keeping her
blood sugar up that night because of vomiting.  In trying to stabilize it,
she ended up a bit high, then stabilized.  She entered labor very
sleep-deprived and got very little rest in the hospital.

She was diagnosed with pneumonia within hours of the birth, and was
hospitalized for several days because of her illness.  The day following
this baby's birth, her blood sugar was very high and her intake was very
low.  The fever and nausea associated with her pneumonia are gone, but she
still has a headache and very little energy.

She breastfed for a few days following the birth until it was clear that
nothing was happening.  She did have colostrum at first, but by 3 days could
express nothing at all, either by hand or by pump.  She has continued to
pump 6 times per day (the most she felt she could manage), and now, at one
week, she still obtains nothing with the pump and has no sense of fullness.

There are no signs of retained placenta.  Thyroid was tested at the
beginning of her pregnancy and was normal.  Although there was substantial
blood loss with the first birth, that wasn't true this time.  Both births
were vaginal.

Is this most likely connected with maternal illness and all we need is
patience?  Is there anything we could be doing?  Domperidone?
--
Diane Wiessinger, MS, IBCLC  Ithaca, NY
www.wiessinger.baka.com

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

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 mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html

ATOM RSS1 RSS2