My question is for those of you practicing in hospital settings and with 
permission of patient.  Patient is 33yo first baby delivered by C-section.  
Discharged on 4th day.  Complained of pain and difficulty breathing on 5 and 6th.  
On the seventh day patient was told to go to ER by OB.  After tests, she was 
admitted to hospital with pulmonary embolism.  I was working with her concerning 
severe engorgement, which was resolved and baby was finally nursing 
beautifully on the day of her rehospitalization.
 
I called patient's nurse on 8th day to stress getting the patient a hospital 
grade pump and what the complications would be if she didn't.  It came within 
two hours.  Previously patient was using a hand pump.  Lactation consultant 
came once.  No other support has been given.  This is the 5th day of 
hospitalization.  Patient briefly saw baby two days ago.  Now she is experiencing a great 
deal of depression and crying all day.  Finally seen by a new pulmonologist 
who is very grudgingly sending mom home tomorrow with directions to come in 
every day for lab tests.  He told her he dosen't want to see her develop 
postpartum depression.

My question concerns hospitals making accommodations for such mothers and 
babies.  Are there any institutions that do treat such mothers with knowledge of 
the total patient and make accommodations accordingly.  She would like the 
information to hopefully educate the staff and help such patients in the future.

Thanks

Jeanine Barsamian in NJ
RN, IBCLC, LLLL

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