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Date: | Sun, 20 Jan 2008 10:52:50 -0500 |
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Having just got back from a months leave my first case to deal with is a
surrogacy situation where twin girls have been born at 37 weeks gestation.
Babies are doing well and the new Mom has indicated that she wants to
induce lactation to feed her two new babies. She was told by her GP to
express her breasts twice a day about 3 weeks before the babies would be
delivered, well of course they arrive a little earlier and this is when I got called
in. I have started her on pumping with a double pump 2 to 3 hourly, breast
massaging and her doctor has prescribed domperidone and Fenugreek. She
does not want to go on any hormone regime, due to her history of trying to
fall pregnant.
I have looked at the archives and see that we are on the right course but am
anxious to get the babies on the breast with a supplementer.
Please help, is there anything else I should be doing to assist this Mom?, she
is so excited after waiting 22 years for her babies.
I am finding it quite difficult to keep the Doctors and staff motivated regarding
the inducing of lactation as they all feel it would be so much easier to bottle
feed and especially as it is twins. She realises that she will probably not have
enough milk to feed both babies but is so anxious to try and breastfeed them .
Hope you can help.
Janine Johnson
RN RM IBCLC
George
South Africa.
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