I am an L&D RN and have been lurking on Lactnet for about 15 months. I
am amazed at what I have learned and even more amazed at how little I
really know about breastfeeding. My involvement with breastfeeding is
primarily as a mom, though I make it a priority to have all of my
breastfeeding moms and babies latch on in the delivery room. I also
clandestinely toss any formula paraphenilia that finds its way to our
unit. I know enough to be nosy and concerned but not enough to be truly
helpful in problematic situations, and I am concerned about the
following:
Mom is a 34 yo g3p3 who delivered at 38 wks by scheduled RCS. Baby went
to the NICU for 3-4 hours for IV antibiotics secondary to fluid in her
lungs. Baby weighed 8-8 at birth and had lost "about a pound" by
discharge on Day 3. Baby was sent home with iron drops, though mom
doesn't know why. Mom d/c'd them at about 2 wks of age. Mom was put on
Atenolol, 50 mg qd, on Day 5 (same day Dad went out of town for 4+
weeks) for elevated bp. Baby had hearing test at 1 week. No wt was done.

Next follow up was at 5 weeks, baby wt 8-0. Not even back to
birthweight!!?? Mom said ped was unconcerned as baby is in 50th
percentile for wt. Mom reports more than 5-6 wet diapers a day, 1-2
poops, a good amt each time. Baby is alert. Fontenel not sunken. Baby
nurses 5-10 minutes every 1.5-2 hrs during the day, until she falls
asleep, one side per feeding generally. Mom denies sore nipples. At
night she goes 4 hrs between 2 feedings. Mom stopped taking Atenolol
today. Baby uses a pacifier. Mom says she gives it to her when baby
starts "gumming" at the breast. Mom successfully breastfed older 2 kids
for 9-10 months. States she feels letdown but does not notice milk
coming out of other breast when nursing and never got "engorged or full
like other times". Output sounds fine, pedi is unconcerned. I am
concerned, so I am asking you who are wiser to validate or relieve my
concerns. Any advice or opinions?
Thanks,
Jennifer
San Diego

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