Exactly!  What if this mom hadn't had close follow-up and continued to think 
things were doing great.  Then the headlines read breastfed baby starved 
to.....or whatever and BF gets blamed again.  A mother with obvious signs 
needs a warning of why close follow-up is so  important in her situation. 
Not just that it's a nice thing to do.  Sorry, I'm for disclosure.  Pat in 
SNJ

>I recently saw a mother with 3 days old baby (36 wk). The mother thought 
>that breastfeeding was going great, milk came in and she was feeding every 
>3 h ( she was instructed to do this way in a hospital by lactation 
>consultant).
> The baby was jaundiced, sleepy and lost 9.5 % from birth weight. Guess, 
> what I saw when mother started breastfeeding? Hypoplasia, probably one of 
> the worst cases I ever saw. I understand, that there were other factors as 
> prematurity. But this mother was never told anything. She was sure they 
> are doing great, baby nursed and did not cry. It was a long visit... And I 
> needed to explain to them what was going on. We started to supplement at 
> the breast and baby needed bili blanket. Mother rented a pump and started 
> herbs.
> I work for pediatric office, where we (IBCLCs) see every breastfeeding 
> mother a day or two after discharge from a hospital. We saw this mother 
> and baby 4 times. She continue to breastfeed with supplement.

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