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Thu, 10 Feb 2005 15:41:00 EST |
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Kristen, I think you have a few options.
Having the mother breastfeed and then pump to offer her own breast milk
sounds like the best you mentioned. If you have the mother stop the
breastfeeding when there are no more signs of swallowing and then double pump for
10-15 minutes, that is not an exhausting plan for a mother. This plan is a
win-win one. The baby gets all breast milk. The pediatrician is happier knowing
the baby is getting extra milk and therefore more willing to allow the dyad
to go home. The mother does not compromise her milk supply by giving formula
supplements.
When a pediatrician orders formula supplementation after breastfeeding
without having the mother pump, is putting the mother in a weaning situation.
This also needs to be educated to the nursing staff.
You could do some test weights. If the baby did not transfer milk well,
I would not do the post weight, it could be discouraging. Pre and post
weights are great once the mature milk is in.
What I did not see in your options is what does the mother think would
be the best plan. It appears that others are making assumptions for her. I
think it is always best to give the mother all the information and allow her
to make the best decision for herself and baby.
Hope that helps.
Ann Perry, RN IBCLC
Boston, MA
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