hello,
 
i am writing to see if anyone might know of any info out there at all that  a 
baby born w/ hydronephrosis who is exclusively breastfed need not be put on  
antibiotics. i am writing on behalf of myself this particular time, but in my  
work as a bfing volunteer for a large hospital here (detroit area) i have  
actually worked w/ several moms whose babies were diagnosed w/ this issue. as i  
expect i shall run into more in future, i am certain that obtaining info for 
my  personal situation is going to end up also benefiting the moms i work with 
 when i am able to share w/ them what i have learned  - when needed!
 
the ob dx'ed hydronephrosis at the 19 wk u/s...he says we are going to keep  
an eye on it and do an u/s every few wks. this puts a slight kink in my plans 
to  switch over to midwife care in anticipation of my 3rd homebirth (as my mw 
does  not do ultrasounds) but we need to follow the progress of this 
complication. at  this point it is the left kidney only, 5mm of fluid, kidney enlarged. 
bladder,  genitals, everything else looks totally normal. (it's another boy - 
our  4th!)
 
since my 3rd son was born w/ some defects (polydactyly and a cpl  other minor 
genetic anomalies) i consulted our genetic specialist and he  recommends 
seeing a peds urologist asap for a 2nd opinion and more detailed  examination... 
at which point i am learning i can still homebirth w/ this issue  but if it 
doesn't spontaneously clear up prenatally, the baby will need to be  admitted to 
the hospital a cpl days after birth. my ped would then do scans and  tests and 
put him on antibiotics until such time as the problem cleared up (they  would 
give it until 2 yrs to do so on its own - the first 2 yrs on  antibiotics !!! 
 :-O ) or he has surgery to fix it.
 
oddly enough, even more than the thought of prenatal surgery in the event  
the problem worsens during the remainder of the pgc (22 wks now) or the thought  
of my 2 yr old having kidney surgery, the thought of antibiotics from birth  
until 2 just horrifies me ! i can deal w/ anything else - give birth in the  
hospital, let them do tests, let him be admitted...if i knew it was all in his  
best interest...but long-term antibiotic use b/c he *might* get 
kidney/bladder  infections just doesn't sit right w/ me w/out researching all i can. 
 
so my question is, does exclusive breastfeeding offer any extra protection  
here? would i have a leg to stand on in asking that he not be put on abx right  
at birth b/c he will be given absolutely nothing but the breast for 8ish  
mos? any input is greatly appreciated, i'm finding the dr.s i've asked here  so 
far just stare at me blankly when i've asked !
 
~jacqui gruttadauria, bsw
near detroit, michigan
(where i am totally jazzed that i finally got approved for the license  
plates, 'LACT84M')



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