One of my partner's and his wife had a new first baby on 5/3/04. He was born via elective c-section due to breech at 6 lbs 9 oz, 39 wks 2 days. I did all the prenatal care, and mom was very determined to breastfeed. They chose to deliver at a different hospital, though, once baby was persistent breech, so I was not present for first 3 days. Baby was vigorous at birth, but was given 1 oz of formula for a blood sugar of 38 (assymptomatic, never rechecked, mom not given the option to put baby to breast, grrr.) Anyway, he and mom were seen by the IBCLC at the other hospital, with some help for a shallow latch. I saw him on day 3 of life (about 72 hours, actually) and he was down to 5 lbs 12 oz. I helped mom again in the office to latch him deeper (large nipples, small mouth) Her milk had just come in and I thought he'd turn around after that. 2 days later, though, he was down to 5 lbs 9 oz and quite jaundiced. He also had had only 1 stool in 3 days. At this point, I sent the dad out for a Lactina, and had mom start pumping post every feeding and supplementing this milk by bottle (her choice of supplement method.) I saw him again 48 hours after starting the pumping, and he was up to 5 lbs 13 oz. Jaundice was gone, baby was vigorous and active, and had had 4 stools already in the early afternoon, and many wet diapers. I snipped his mildly short frenulum, too, and again helped mom with latch. I think we're doing fine, now, except that his little mouth needs to grow, and he needs a few days of good caloric intake to help him be more vigorous at the breast. Mom is a little scared about not making enough milk for this baby, but has seen her milk volumes increase greatly with the pump. Her own mom, who nursed her brother for 2 years is coming for several weeks on Saturday, and I'm hoping that will help the confidence issue. Her mother in law is my pediatrician partner, who really wants to be supportive, but has a tendency to introduce doubt at every turn. I've spent about as much time reassuring the in-laws (a pediatrician and general surgeon who are my other partners) as I have the mom! Here's the question. The pharmacist who rented them the pump was reluctant to rent it and recommended they just buy a Pump in Style. The dad (the physician) wants to know why they shouldn't just do that. I said that I always recommended a rental grade pump when establishing milk supply was at issue, but that I'd ask you all if a Pump in Style would be sufficient for this kind of situation. Mom will otherwise be a stay at home mom, and has a Medela Mini Electric which she could use if the occasional bottle is needed. Is there a significant difference between the PIS and Lactina? Jennifer Tieman Family Physician (and sometimes family counselor!) Mom to 4, including nursling Caroline Rose born 5/31/04 *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html