Terri asks:
<snip>
I called just to see how the pumping was going and if she had
any concerns or questions. She said she is still pumping but freezing the milk.
When I asked why she wasn't feeding the baby her milk she said that he
keeps throwing it up. Dr. told her to freeze it because her milk was too thin.
She didn't give her any explanations of why, how long or suggestions of
adding cereal or anything. She seemed to be ok with what her instructions
were. I asked how he was doing with the formula and she said he was keeping
it down well.

Well, either this is one more myth perpetuated by a ped OR mom might have an oversupply and baby is
getting high lactose load ("thin milk" according to the ped) OR more likely the baby is allergic to something in
mom's diet.


Also:
"Baby is premie of 36 wks. Nursing with nipple shield to keep at the breast,
without he latches but loses the latch and falls asleep. He can nurse 10-20
minutes using the shield. He has an IV, of D10, Came off nasal O2 today. He
was 5#15 at birth and was down to 5# 3. The last three days he is 5#9, he is
not gaining. Mom has losts of milk. I have had her pumping after feedings to
keep up her supply and because of using the shield. Today I tried supplementing
her pumped milk at the breast during feedings. He would nurse 10-15 min one
side and take up to 4ml. He is waking every 2-3 hrs. Do you think I am on the
right track? I'm thinking that because of all the milk she has he is not getting
the fat. He is voiding and stooling well."

Baby generally would not be stooling well w/o getting enough fat. If she pumps after feedings and you
supplement that at breast, then he should be getting plenty of fat---assuming he eats more than 4 ml. Baby
may be able to stay on with shield, but some babies do not transfer well with a shield. Have you talked to
mom about normalizing her supply? Lots of babies on D10 do not get hungry while they are on the iv.
Have you looked at why the baby is falling off the breast w/o the shield? Perhaps the same mechanism is
keeping him from removing milk. And certainly, a baby not getting enough calories is going to be low on energy--
I would try to get the baby efficient with the supplementer and if that doesn't work, supplement additional
milk by cup, finger or bottle, depending on which seems most beneficial to him. He needs to have energy to eat.




Jennifer Tow, IBCLC, CT, USA
Intuitive Parenting Network LLC





Jennifer Tow, IBCLC, CT, USA
Intuitive Parenting Network LLC

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