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Lactation Information and Discussion <[log in to unmask]>
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Thu, 6 May 2010 12:27:56 +0100
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This must be very stressful for everyone, Ilene.

I am not a tongue tie expert at all, so I can't really comment on the 
tongue tie thing....I have seen many babies with apparent tongue tie 
who do just fine, though. I don't think we should ever assume that 
even frank TT leads to milk transfer issues, and I think the research 
backs me up on this.

You do need more definite info on his eliminations, I agree.

But I still don't see a massive issue with the weight. He's 
maintained his weight since discharge, and yes, normal progress would 
see him gaining, but he is still only a week old....and the baby 
appears well and to be behaving normally (ie no long sleeps). There 
is every reason to believe that with support and continued frequent 
effective feeding things will just become normal in every way.

I don't recognise that way of diagnosing insufficient glandular 
tissue, but that is possibly a lack of training in me. I have seen 
breasts of every shape and angle (!) and most of them produce just 
fine if everything else is done right - I have seen some which fit 
the classic conical, widely-spaced picture and which I have thought 
could impact on supply, too, so I do see it could be a factor. I 
share with you concern that discussing this at such an early stage is 
likely to have an impact on confidence and emotional well-being, so 
it obv needs careful handling.

I dunno....you are there and you can see a lot. But I don't see it as 
a serious, knife-edge situation. I would not even think it necessary 
to offer supplements at this stage, of whatever kind, though if the 
baby started to become uninterested in bf, and very sleepy, I'd 
certainly discuss frequent expressing to preserve the milk supply and 
to offer as a supplement, and it would be useful to have a decent 
pump already there.  My main focus would be to ensure frequent feeds, 
lots of skin to skin, very rapid response to all feeding cues, day 
and night, and to essentially support the normal.  At this stage. 
This baby and mother have you there - this means you can respond and 
change tactics straight away if necessary.

The risk with over-intervention is that confidence is affected and bf 
becomes a mechanistic process, afflicted with stress and worry. And 
in my experience, this is a major factor in early switch to formula 
feeding. We know the risks of not intervening when it's needed, of 
course.


Heather Welford Neil
NCT bfc, tutor, UK
-- 
http://www.heatherwelford.co.uk

http://heatherwelford.posterous.com

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