Subject: | |
From: | |
Reply To: | |
Date: | Wed, 26 Mar 2008 19:18:08 EDT |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
As a way to reintroduce myself as I post so infrequently, I want to say
thank you for all the words of wisdom over the years. I am a hospital based LC x
10 years and have learned much over the years reading what others have had to
say. My practice and views on issues have grown because of this list. That
said, I received a call from a mother who gave me permission to share her
dilemma in order to find a solution.
This woman is a G3L3 who had breast reduction surgery in 1994. She went
from a 32EE to a B cup. She attempted BF with her 1st child 6 yrs ago and due
to weight loss issues had to supplement that child beginning around 6wo. She
did not attempt to BF #2 but is trying with this child who is now 4mo.She is
seeing milk in this baby's mouth after he feeds but he still acts hungry
afterwards. She supplements him with soy formula now after most BF. The question
is not one of supply. This baby vomits after every feeding and always more
volume and sooner if was just a BF without supplement. She told me she had a
friend who is a LLL come to her to observe a feeding who concurred with her
that the baby did BF well with swallows and the latch looked good but he did
appear hungry after that feed. She started pumping soon after birth with a
Symphony for 3 weeks. She now has a Avent. She gets nothing by pump regardless if
she pumped after or in place of a feed but she can always get a squirt with
hand expression.
This baby BF well after delivery ( a scheduled repeat c/s). Day #3 she
started to supplement with Lactofree(both her and her daughter are lactose
intolerant and she thought that would be the formula of choice) He then soon
started vomiting after feeds and she switched to Nutramigen. The vomiting
continued and then looking more like corn syrup. She turned to soy after that. The
vomit is usually clear but sometimes "chunky".
She is taking only prenatal vits and More Milk Plus at this time. Upon
recommendation by the ped, she is now on a dairy elimination diet to rule out
a dairy allergy as the cause of the baby's vomiting. She is eating turkey,
rive, peanut butter on apples, salad with cashews with balsamic vinegrette
dressing. Baby does not appear distressed as he is about to throw up. She says
he looks like he is going to burp and then volume issues forth. If he gets the
supplement, then he throws up about 1 hour later. She currently puts him an
upright position after feeds and the head of his bed is elevated.She tried
probiotics with Karo syrup in his formula at peds suggestion but that did not
change anything. She still adds Karo syrup to the formula since he stools only
with rectal stim which she does every other day with a return of a pebble of
stool.
She was given a prescription for Zantac the she has filled but not used
since she has had friends whose children have had bowel problems after
staring its use.
She will be coming to see me at weeks end as she wants to have pre and
post feed weights to decide if "BF is worth it" since the vomiting is always
worse with just BF. I Her ped does not feel it is reflux but I feel she should
persue another conversation with the ped as this situation is not normal.
I was wondering if anyone has any suggestions or ideas as to what might
be going on with this child. I recommended avoiding all nuts and shared with
her the concern of cross sensitivity of soy with other allergies. I believe
she told me that she took the probiotics as well when she was giving them to
him.
Thank you,
Allyson Michaels RN, IBCLC
Charlottesville, VA
**************Create a Home Theater Like the Pros. Watch the video on AOL
Home.
(http://home.aol.com/diy/home-improvement-eric-stromer?video=15?ncid=aolhom00030000000001)
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
|
|