Cindi,
Re the BF: could the baby have some degree of tongue-tie (ankyloglossia)?
Re the PPD: definitely talk to the  OB; ask for a referral to a psych doc
(MD or therapist). I was just talking to my colleague and saying that we
(the LC) spend so much more time with the mother/baby  dyad and observe so
much more than the MD. Often the MD just doesn't get as much info/assessment
as we do. Share your findings/concerns as you did in your lactnet post and
specifically state that you feel the mother needs a referral; then f/u with
a written note/fax to the doc.

<<Mother is extremely emotionaly labile.  Crying one minute and laughing the
next.  Dressed for the 1st time at 2 weeks pp.  Shaky, hyper, exhausted.
We're thinking maybe thyroid now or PPD or a combination.  Mother is
educated and intelligent, but states that she can't seem to remember
anything or concentrate anymore.  She is almost obsessive about making lists
so that she can remember.>>

Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA

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