Denise,
I agree, this case would be an excellent case to publish with regards
breastfeeding and post-partum hemmorage. However, I also think that it would
be extremely useful as one of a case series of breastfeeding/maintaining
lactation in ICUs (including the photo!). I think that there are likely many
situations where the mother/family would wish for breastfeeding/lactation to
be factored into care in intensive care but hospitals and HCPs may not be
aware that it is possible or why it might be desirable. Obviously in this
case the care of the family, ICU staff and LC allowed this mum to breastfeed
her child however, I could also envisage that in situations where the mother
did not survive the fact that breastfeeding  happened could be quite
significant to family members and eventually to the child. During a  crisis
such as when a new mother is fighting for her life are not easy times for
families to try to explain to staff members just why it might be desirable
for breastfeeding should be factored into care and a case series that does
just this would be extremely useful to LCs asked to be involved in such a
situation.
I wonder if there are some other cases that Lactnet members know of? Could
there be a collaboration?
Karleen Gribble
Australia


> Following birthing a full term infant this particular mother had a MASSIVE
> bleed. Her entire blood volume was replaced several times. At one stage in
> theatre she had 3 surgeons working on her trying to find and stop the
> bleeding. Following this she ended up intubated in intensive care and was
> given the last rites, her family told not to expect her to live.
> Her sister knew that she wanted to breastfeed her baby... so asked if her
> baby could be brought up and put to the breast while she was unconscious
> and intubated. This happened, and photos were taken for the baby.

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