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Date: | Tue, 26 Oct 2010 21:37:05 -0400 |
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I posted about a very similiar situation that happened to my colleagues
daughter about 6 months ago. I'm sure it is in the archives. It took
several weeks to establish Lactogenesis ll. She did go on to have a full
supply.
I feel like the mothers body needs to heal itself and come out of it's own
emergency state before it can produce any real volume of milk.
Donna Goggin-Dolwick, BSN, IBCLC
Michigan
_____________________________________________
From: Lactatio
Sent: Tuesday, October 26, 2010 12:06 PM
To: [log in to unmask]
Subject: Sedation and breastfeeding
I have a request for information from an IBCLC colleague. Her daughter
delivered a baby girl October 21 and had a respiratory arrest and hemorrhage
of about 1500-2000ml during the delivery, presumably from HELLP Syndrome and
DIC. She is still in Intensive Care and on a ventilator so is being sedated
around the clock with Fentanyl and Versed. She is also getting Lasix for
edema and pulmonary fluid. Her mom and sisters have been pumping her
breasts regularly and are still getting colostrum with no increase in volume
yet. Baby is fortunate enough to be receiving banked human donor milk.
Her question is this: Is the IV sedation having an effect on her prolactin
and oxytocin levels. Could damage to the pituitary gland be the reason
there is no increase in volume yet? I called the Infant Risk Center and
they said that pumping should maintain her prolactin levels but she may need
skin to skin to initiate the oxytocin response. She is anxious and restless
on the ventilator so that may have an effect too.
Any information you Wise Ones could share would be greatly appreciated,
especially from Dr. Sarah if she is reading.
Linda Anderegg, BSN, RNC, IBCLC
Lactation Consultant
Silver Cross Hospital
1200 Maple Road
Joliet, Il 60432
[log in to unmask]<mailto:[log in to unmask]>
Phone: 815.740.1234 ext. 7321
Fax: 815.740.4958
A Thompson Reuters 100 Top Hospitals National Award Winner
2004, 2005, 2006, 2007, 2008, 2009
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