Hi Kristi!

Had you thought about contacting the lactation consultant who saw this mom at the hospital and asking her if there is anything you've overlooked or perhaps the mother misunderstood? If you had mom sign the proper consent form you should be able to share information among her healthcare providers including other lactation consultants. 

I work in the hospital setting and I am still surprised sometimes how moms can get a bit confused esp right after delivery when they are not at their best for assimilating information. I would never consider giving out partial or incorect information just to CYA and that certainly wouldn't be written into any hospital policy that I know of.  I would also welcome the chance to dialogue with another lactation consultant who is following up with a mother I have seen in the hospital.

Warmly,

Holly McSpadden, IBCLC




________________________________
From: KRISTI R CONROY <[log in to unmask]>
To: [log in to unmask]
Sent: Wed, January 27, 2010 3:06:43 PM
Subject: Mom with reduction, then enhancement - now bf

I'm see a mom that had a reduction 13 yrs ago, then an enhancement 3 yrs ago.  

Her baby is about 60 hours old.

She has visible leaking and can compress obvious milk through both nipples.  The breast size has increased through pg and is now bigger since the babe was born.

The IBCLC at the hospital told her that she MUST supplement.  She assured her there was no way that the baby would get enough.  

I have not done a weight check yet, but we are planning one at the follow up visit when her milk will be "in" more.  

After the feed that I witnessed, baby appeared to be gulping at one point and was very happy and content afterward. 

What am I missing?  Why would this mom eventually need to supplement?  Would that be a "CYA" policy at the hospital?



Thanks for your help.  I feel confident in my assessment, but maybe I'm forgetting something?

Kristi

Kristi R. Conroy, BA, IBCLC, RLC
www.passivedescent.com
Home Lactation Support
BLS CPR Instructor

                        
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