Dear Lactnetters,
Help! I have a NICU mom who had triplets via C-section 17 days ago (they
were 30wk + 5 days at delivery) and she cannot produce more than 1/2
ounce of milk per pumping session yet! Many times, it's not that much!
We started her pumping within the first day. She had a history of 3
bouts of preterm labor, coming at 21 wks, 28 wks and 30 wks. She was on
Terbutaline 5mg po q 4 hrs for 10 wks (!) and on Magnesium Sulfate IV
each time she was admitted for preterm labor--the last time for 3 or 4
days prior to delivery. She was strictly on IV fluids; nothing by mouth,
for 48 hrs prior to delivery. (They were trying to hold her off from
delivering, but I think were afraid she might end up with an emergency
C-secton so didn't want food in her stomach.) She states no history of
breast/chest surgery. Did experience breast changes during pregnancy.
Did not make attempts to express colostrum during pregnancy and had no
spontaneous leaking. Denies thyroid and pituitary problems. This was an
in vitro fertilization pregnancy, but she states the reason had to do
with Dad, not her. She states she pumps every 3 hours (I think she has
rental pump), drinks plenty of fluid (her swollen ankles look back to
normal) and gets rest (no other kids at home and she only comes to NICU
twice a day, being driven by a relative). She is using Mother's Milk tea
and fenugreek.
Aack! Are we missing something??????? Any and all suggestions will be
greatly appreciated. You may e-mail me privately or post to the list.
Oh, yes...the babies are doing well for their age. In isolettes, attempt
po feeds twice a day and I was able to get an order today for parents to
hold skin to skin once a day. Mild spitting, rare bradycardia episodes,
most of which are self-correcting. Cute as buttons; one boy, two girls. :^)
Thanks in advance. This one's keeping me awake at night!
Jean Macomber,RN,IBCLC
Jacksonville, Florida, USA
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