(RESEND WITH SUBJECT)
I absolutely concur with Jennifer about relactation this early in the
"game." It should not be terribly difficult IF you promote a multi-faceted
approach. Here is an outline of the one I use with patients and teach in
professional presentations (Note: this is only an excerpt and it is not
comprehensive, but it will give you an idea of what I mean by multifaceted):
IV. Actions:
A. Proper positioning, latch, frequency, pumping & devices (sns, etc
B. Breast compression & Breast Massage
C. Skin to skin contact; Co-sleep, babywearing, Infant Massage
D. Dietary Factors, Protein & fluid intake requirements; Dietary
Supplements for mom (herbs?) necessary for relactation success
1-Fenugreek, Blessed Thistle, Goats Rue=supply
2-Hops, Passionflower, Chamiomille=MER enhancement
3-Herbs for iron def anemia (in cases of hemorrhage): alfalfa,
dandelion, use citrus to chelate iron in diet, cook high acid foods
in cast iron pots
E. Medicinal Approaches
1. Domperidone
2. Reglan
3. Homeopathics: especially for MER
4. Synocinon
F. Relaxation Techniques: Music, Guided Imagery, Aromatherapy, Color
V. Educate parents on what to expect
A. Provide a detailed & comprehensive care plan for getting baby back to
the breast and decreasing amt. formula
B. Follow-up & Feedback:
-- If you need more assistance, let me know. Also, there is a great WHO
paper on relactation.
Warmly,
--Chris Hafner-Eaton, PhD, MPH, CHES, IBCLC [log in to unmask]
INFANT CUISINE AND MOTHER CARE: Lactation Consulting, Perinatal Health
Education and Attachment Parenting Classes for parents and practitioners
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