In a message dated 10/16/00 8:37:23 AM Pacific Daylight Time, [log in to unmask]
writes:
<< First of all , I'd have some questions regarding the first LC's seeming
assumption that the baby wasn't getting enough hindmilk, you didn't say -was
that based on a consult and assessment of the breasts or via the phone? >>
Based on a visit to the LC in the office at the hosp at 4 wks of age. From
what the mom was telling me, it seemed to be the LC's rxn to mom thinking
that the baby 'wasn't getting enough' and was fussy all of the time. The LC
said to the mom that perhaps she wasn't getting enough hindmilk and that's
why she wanted to nurse all fo the time and was getting increasingly fussy as
the day progressed.....it's hard to tell exactly what's accurate in this case
though as I wasn't there. This is mom's recollection of events that occured
8 wks ago.
<< The
baby's weight gain was ok (a little over 1/2oz /day for this time period), at
least according to blanket expectations but certainly doesn't suggest an
oversupply -(and thus would not support the "not enough hind milk"
suggestion)>>
Right. And mom's big concern was that she truly felt she didn't have
*enough* milk. Baby had no signs of OALD/OS issues....so I'm not sure where
the "not enough hind milk"/2-3 feeds per breast" management came from.
<<I'm also confused about why this Mom would go so far as to try Reglan but
not
breastfeeding during the day!?>>
She has been trying...unsuccessfully. The most help she's gotten from the
people she's asked is "keep trying". No mention of stopping bottles, no
mention of how to manage nursing strikes - which this essentially is....I
mean, baby *is* nursing -but only at night when baby is sleeping or getting
ready to sleep.
<<It is obvious to me that if this baby will
nurse at night,he will nurse during the day as well if hungry enough- has she
tried compression and the football hold.>>
She hasn't. I just wanted to get more info before giving specifics to her.
She has been trying to nurse often, baby screams arches away, won't latch.
I'm thinking that she should treat as she would a nursing strike.....take
baby to bed with her tonight, skin to skin, in the am, keep the blinds
closed, try to stay in bed, nurse nurse nurse and try to nurse some more.
Could be a rough couple of days (or not), but since baby can and does nurse,
mom's body should respond quickly enough wrt production. That's what I'm
thinking anyway.
My big concern though is mom's feeling that she had supply issues to begin
with..... so she won't feel comfy ditching supps completely. She did try the
SNS and had trouble with it. I'll bring it up again though. Cup, spoon,
dropper seem to be really easy once you 'get it'.
<>
B/c i'm sah right now, I will actually usually wait till dh gets home to hang
with our baby, then head over to mom's house. He's been in Seattle for 5
days, I've been here with a sick baby and loosing my mind. The mom just
called me - I'm going over there tomorrow to help get her started back on the
right track.
Thanks for your help....and thank you to those of you who replied privately
as well.
:)
katherine in atl
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