Forwarded with permission from my Aussie midwifery list:Kathy is happy to
have replies sent to her as well

Kirsten



> > > >From: "simsarch" <[log in to unmask]>
> > > >To: <[log in to unmask]>
> > > >Subject: breast feeding advice
> > > >Date: Monday, 7 January 2002 8:49 AM
> > > >
> > > >Like Jackie, I was the sister/auntie/midwife when my sister birthed
her
> > > >second baby in the same Birthing Centre in November.  What a great
> > > >experience it was for me, really inspiring and a great encouragement
to
> >my
> > > >midwifery practice.  A beautiful normal birth without unnecessary
> > > >intervention and so empowering not only for my sister, but also for
me
> >as
> >a
> > > >midwife.  I felt truly blessed that I was able to share such a
> >wonderful
> > > >experience with my sister and her partner.
> > > >Unfortunately baby Nick was born with a cystic hygroma which was a
> >complete
> > > >surprise to us all, and it is now that I write to this list to seek
any
> > > >advice regarding his breastfeeding.  His cystic hygroma is a fluid
> >filled
> > > >sac (500mls) around his neck which goes into his mouth and protrudes
> >under
> > > >his tongue.  Thankfully it is just a cosmetic problem which will be
> >treated
> > > >with surgery when he is around 6 months old. He cannot be operated on
> >any
> > > >earlier than this.
> > > >He went straight to the breast at birth and appeared to suckle well
and
> >as
> > > >my sister had a drug free labour he was lovely and alert, and for the
> >first
> > > >week of life it seemed as though breast feeding wouldn't present a
> >problem.
> > > >  However he is now 7 weeks old and is still only 50 grams above his
> >birth
> > > >weight of 4520g. He is now starting to look pretty skinny, but not
> > > >obviously dehydrated, and still has lots of wet and dirty nappies,
and
> >is
> > > >usually settled in between feeds (other than between the 5-10pm
feeding
> > > >frenzy time). He appears to attach and feed well @ every 2-3 hours at
> >the
> > > >breast and has had the advice of an independent L.C. who agrees with
me
> >on
> > > >this.  My sister has been expressing and giving Nick a top up 4 times
a
> >day
> > > >of 60mls of Ebm via a syringe (she cant manage a cup) yet his weight
> >gain
> > > >is no more than 10gs per day.
> > > >I think that the cyst is preventing Nick from getting a really good
> > > >attachment, and other than expressing more frequently and topping him
> >up
> > > >(which I am sure she will find overwhelming as she has a very active
23
> > > >month old at home) can think of no other advice to give her.  The
paed
> >she
> > > >is seeing, and is influenced by, is not breastfeeding aware and I
feel
> >is
> > > >on the verge of telling her to supplement with formula. Can anyone
> >offer
> > > >any advice?
> > > >Kathy
> > > >


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