Hello fellow lactnets,
I just wanted to share an interesting case I have had this week. Primi gravida 
mom, C/Section delivery due to rods in her back from scoliosis. She is also 
blind. Baby spent the first 10 hours in oxygen away from mom. Tachypnea, he 
was 38.2 wks gestation. I manually expressed colostrum throughout the day 
while he was in the nursery. We took her to him so she could touch and talk 
with him as soon as she felt able to be up in a wheelchair. I strongly 
encouraged the staff to let that dyad be skin to skin once he was out of 
oxygen and allow them to get to no one another again. I would be back in the 
morning. They reasurred me that they would help her breastfeed. 
Baby went to breast with very little help, just guidance in positioning. 
The next day when I got there, the physician had the baby in the nursery to 
examine and I immediately put them skin to skin after the exam. The first day 
I spent all day instructing her on what to expect, that baby could latch on by 
himself and because she could only sense by feel that instead of touching his 
cheek closer to her she should touch the cheek closest to the nipple because 
he was becoming confused by following her finger. This couple did very well. 
They went home today. They will follow up with Pediatrician tomorrow and I 
will talk with her on the phone if I don't get to see her. I asked a peer 
counselor to come in and meet her, bring her a hand pump. We taught her 
how to use it. She had purchased an evenflo but I found that I had to put it 
on max suction to just compress my arm. The one hand Ameda pump I 
thought would be very simple for her. I also taught her how to manually 
express. I wanted her to concentrate mostly on feeding baby. Expression 
would help if she is engorged or later on. 
Wonderful family, I just wanted to share the experience with you. Sorry for 
the length of the post.
Terri Klein RN IBCLC RLC

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