Annie,

 I would think possible brain trauma. This baby could have a bleed. Perhaps
the doctor should look into this.

I had a baby that did just this - about 10 years ago. By day 3, the baby was
very jaundiced and vomiting up all feedings. He also wasn't feeding as well
on day 3 as he had on day one.

 I personally thought the baby was sick and called the pediatrician for a
CBC. (It was night shift so he was not very happy with me.)He wouldn't give
the order until he came in and saw the baby. He specifically told me he
didn't think the baby looked jaundiced (we're talking orange) and he looked
fine, but since I made "such a big deal" he would have the neonatologist
look at him. A good thing. I was wrong. He wasn't sick. He had a bleed.  He
had had a large cephalhematoma (hence the jaundice). I think he stayed in
the NICU almost a week until he could keep feedings down. 

 I've always wondered what happened to that baby.

Cheryl Muller RNC  IBCLC

 

 

 

 

 

Date:    Sat, 15 Oct 2005 16:07:34 -0700

From:    Annie VerSteeg <[log in to unmask]>

Subject: HELP

 

i have permission to post.

Saw a mother and a 2.5 day old baby today. When I got there the baby hadn't
eaten in an hour. When I held her she vomited 3 times. Mom said this has
been going on since about 12 hours PP. Exclusive BFing.  

We pumped and finger fed about 5-7 cc's to see if that would some how stay
down. I recommended he do these small frequent feeds whenever the baby made
any sort of hunger cue. The baby has had 3 wet diapers and 2 meconium
stools (no stools today) Baby has a large hematoma on her head from asynclit
presentation and 3 hour pushing stage. We called the ped, she said Pyloric
Stenosis shows up mostly in boys and not until 2 weeks. Could it be some
other kind of blockage?? The baby does have some jaundice and great turgor
and LOOKS good.. not crying a bunch. Very sleepy at the breast. I have never
seen a baby at 2.5 days vomit like this, it is not immediate. It takes a
while, that is why I am thinking blockage.. Any ideas??

TIA

 

 

Annie VerSteeg IBCLC

 


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