Hi.  I have a cute story to share since there was a discussion on Lactnet
not long ago about dads helping with engorgement.  I had a mom with severe
engorgement. Not able to pump anything for two days and baby has not
latched for two days.  She came in as an outpatient to use hospital pump
since she only had an Evenflo. I showed her RPS and alternated that with
pumping.  By the way, the RPS was very effective even though she was only
able to pump 1/2 an ounce. I had talked with this mom while she was in the
hospital so I felt comfortable mentioning how father's sometimes help.  I
said it in sort of a joking way, but mentioned that many dad's have helped-
more than we know I am sure!

The mom stated that she actually thought of that.  She said she was in so
much pain that she begged him to help out, but he couldn't bring himself to
do it--said he would probably throw up!  He was very comfortable talking
about it and we all had a good laugh.

I called her the next day. She said she feels much, much better and baby
was breastfeeding again and very happy about it too!  She asked if I wanted
to know what worked.  She said, "I begged my husband and he finally gave in
and said he would do it for his son.  After he sucked for about a minute or
two I felt an awful pain and then it was like the flood gates opened and I
was then able to pump two 8 ounce bottles!!" So there you go!  :-)

About the pitocin after delivery. After reading the recent JHL articles
about fluids and breast edema I was talking with a nurse about how much
fluids moms get in an average delivery. She mentioned that more and more
the docs are having the pitocin administered through the IV fluid. If 500
cc or more of the original bag is left from labor then that can be used
otherwise a new 1L bag is hung and the entire bag is given after delivery.
Some docs still just do the IM injection.  That sounds a bit much to me.
Most of these moms are are ready overloaded with fluid and to give an
entire liter extra just to administer pitocin when the pit may not even be
necessary in the first place! I do plan to discuss this at the staff
meeting tomorrow- I am doing a little talk about RPS.  I also plan to ask
the doctors about it.  I will let you know what I find out.

Christine Lichte, LLL Leader, IBCLC

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