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Date: | Sun, 23 Mar 2008 08:25:00 -0700 |
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Well, the first 24 hours of pre/post weighs came back: 18 ounces. That is
it. Obviously not enough for a 4.5 month old. I advised mom to start
supplementing right away. She will be coming for a pump today - she says
that after baby is done nursing, she can still hand express a bit. So - we
will be getting her pumping and supplementing with as much breastmilk as
possible and adding ABM as needed.
I did some more questioning with mom and we think we may have a baby who was
'living on let-down'.not good. Mom reports that baby's suck isn't tight and
strong - that it is very relaxed.sigh. So - how do we strengthen a 4 month
old's suck? The last baby I worked with in this scenario never got it
together - she was 5 months old when her mom called me. Interestingly
enough I got a call from another mom I'm working with whose baby, at 2.5
wks, has started to only really suck when her breasts are less full - but
when full latches, sucks once then does nothing.just swallows. Mom caught
this potential problem very early, so we can get this taken care of now.
:-)
Thanks for all input - I am not done investigating. I am not 100% that this
is only a baby caused issue. I need to look more.any other thoughts?
Warmly,
J
Jaye Simpson, IBCLC, CIIM
Breastfeeding Network
Sacramento, CA
www.breastfeedingnetwork.net
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