I would want to know: how was the early bf? early initiation, wt loss/gain,
jaundice, milk surge during first week, wt gain patterns. what i would be
getting at is effective vs ineffective feeding that gradually down-regulated
supply. also stongue-tie etc.
if that's all ok, then i would want to know about bf patterns, intro of
other foods, liquids, feedings thru the night, co-sleeping and the like. i
also ask about meds, and medical problems like thyroid or hormonal
aberrations ike PCOS. cold and/or sinus meds, antihistamines, and birth
control products which can cause supply drops. also type and amt of pumping
she did, times away from baby, pacifier use.
lots of detective work. quite a few of these cases have taken a depo provera
birth control shot. or return to work at 6 wks messes things up.
Laurie Wheeler, IBCLC, MN, RN
Mississippi, s.e. USA
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