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Date: | Fri, 13 Jan 2006 22:57:56 +0000 |
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karen
it is quite common for babies with cardiac anomalies to gain wt slowly.
perhaps supplementing with some hindmilk at some feeds. it is possible that
this baby is dealing with oversupply/overactive letdown issues - at least
for him. {"very unsettled baby and can only breastfeed for short spells
before coming off and fussing."} Since this is a multipara mom and
experienced breastfeeder, perhaps she has a good supply even with a less
than vigourous feeder. So you might help her manage bf with oversupply/oamer
strategies.
also the baby may need to pace his feedings. mom can be taught to watch for
stress cues and allow baby to pace for better oxygenation. it *might* even
be that the baby can be paced on a slow flow bottle of ebm, if other
measures don't work. This might be considered a somewhat extreme measure,
but I mention it because TET is a very extreme health challenge for the
baby.
Laurie Wheeler, IBCLC, MN, RN
New Albany Ms, s.e. USA
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