Hi all,
I have an interesting case and not enough details. Permission to post. Baby 
was nursing well in hospital and starting to gain before discharge. At one 
week appointment with pediatrician still gaining. At this appointment 
parents were told their baby has a biotin deficiency. What the parents heard 
was that their baby could die from this in 2 months. Mom continued to nurse 
the baby but was very upset and mostly stayed in bed for 2 days. They later 
went to a specialist who told them it wasn't a complete deficiency. At day 
10 baby went 12 hours with no diapers. Pediatrician said to feed baby and 
call LC. When they came in at 11 days baby was almost one pound under birth 
weight. Baby transferred 0.1 ounces at breast.
Instructions to FEED the baby and pump breasts given. 48 hours later mom 
calls to say she is only getting 5-12cc per pumping. She is using Lactina 
and pumping every 3 hours for approximately 15 minutes, both breasts 
together.
Questions that I have: Do you think she could have been so upset by the 
diagnosis that she just dried up? Would you try fenugreek or reglan? Any 
thoughts about the biotin deficiency?  I will be seeing her tomorrow.
Thanks for any insight.
Mimi O'Donnell, RN, IBCLC
York, PA 

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