In a message dated 7/29/03 11:57:48 AM Eastern Daylight Time,
[log in to unmask] writes:

> I did a bit of research about women with PCOD and I gather that they MAY
> produce enough, but also may not. I saw a new- 3 day old- Mom &baby today;
> Mom with a history of PCOD. Seems to me that she is doing well and
> producing nicely, and the baby is a TERRIFIC nurser. My question is;
> ethically, do I advise her that there MAY be a problem (I sort of vaguely
> hinted when I took down her medical history) or do I wait to hear from her?
>

Personally, I'd be careful telling her there "may be a problem," as it may
contribute toward self-fulfilling prophecy. IF the mom is clear on the outcomes
expected re: approximate number of feedings to expect from an alert, cueing
baby; diaper count (with expected changes for 1st week after birth); weight gain
as copious production begins, etc. AND the mother understands the importance
of staying in touch with you or another experienced BF helper until effective
BF is well-established/demonstrated, then really, what would be different?

Perhaps it's because I've just worked with a mother who was given a "warning"
by a LC prior to coming home and a different from the home health RN and was
doubting her body and her baby when she called me, I'm feeling a bit more wary
than usual! (And I usually feel somewhat wary about such things, anyway!) The
LC and the HH nurse both probably said a whole lot more, but the ONLY things
the mom heard were related to how her breasts and her baby's mouth may not
work well together. BTW, the mom and baby in the "warning" scenario are now BF
well and outcomes are great!

Karen

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