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Date: | Tue, 19 Jun 2007 19:18:39 EDT |
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hello fellow lactnetters,
i just wanted to update on the prenatal hydronephrosis diagnosis we're
dealing with. we saw the pediatric urologist today and he did another ultrasound.
it looks like the abnormality is the same at 23 wks as 19 wks w/ no other
changes noted. he agrees w/ the ped and ob that i can still homebirth and the
voiding test can be done up to a cpl months after the baby is born on an
outpatient basis in the hospital.
i asked what his recommendation is for prophylactic abx and he says if
reflux of urine back into the kidney is discovered during testing, he wants babies
on abx. but if there is no reflux evident and the kidney is still enlarged
w/ extra fluid, he may be willing to wait and see and let me monitor the baby
before wanting him on abx.
which was somewhat of a relief and not quite the 'abx as soon as the baby is
born if there is any extra fluid or dilation at all, even before testing'
approach my ped uses.
my relief was short-lived however as the urologist next told me, 'and i
highly recommend circumcising your son to help further prevent infections.'
yikes! talk about from the frying pan into the fire. i go in concerned about abx
and get told to chop off part of his penis! i tried to ask if he had any
knowledge that exclusive bfing can help prevent infections - intact or not - and
he said he'd never heard of any studies showing how what a newborn baby ate
impacted uti rates. i showed him the references i'd printed from the
responses i got here and left him copies, asking him to help me research the matter.
i'm not sure how open he'll be to it, but i certainly felt very supported and
bolstered in my concerns to have black and white info to show him.
so thanks again for all your responses - both onlist and off - and i
continue to value and collect every bit of info i get to help back me up in case i
do have to show any precedents for not wanting the abx. as for the
circumcision, i'm not even considering it - i have to b/l the same protective and
antibacterial properties in breastmilk that would help protect the kidneys and
bladder will help protect the foreskin and urethral opening.
can you imagine if we told women, "well, bfing might lead to mastitis, so
you should really consider a mastectomy instead." ???!!! but i suppose this is
a rant for another forum (INTACTNET?).
~jacqui gruttadauria, bsw
near detroit michigan (where i am nonetheless upbeat today as i have just
been assigned to help my FIRST tandem nursing mother of diff aged sibs in the
SIX YEARS i've been working for this hospital !!)
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