Content-Type: |
text/plain; charset="US-ASCII" |
Date: |
Tue, 14 Jun 2011 12:59:35 EDT |
Reply-To: |
|
Subject: |
|
MIME-Version: |
1.0 |
Message-ID: |
|
Content-Transfer-Encoding: |
7bit |
Sender: |
|
From: |
|
Parts/Attachments: |
|
|
Hi Colette and all.
Some thoughts and questions:
Is baby's weight being plotted on the WHO growth charts? 4 oz per week
would be the bare minimum acceptable, but I think still is within normal
limits.
Decrease in stooling frequency is not unusual after 6 wks.
Pacifier use or thumb/finger sucking? I know my "slow to gain" baby found
her thumb early on, and should have been put to breast more frequently.
Sounds like nursing every 30 minutes is the way your baby is getting enough
calories to maintain growth. Using breast massage and compression during
feeds?
Pumping about 10 minutes after most feeds (at least 8x in 24 hours) with a
hospital grade pump, as well as taking the herbal galactogugues, if milk
supply is an issue?
Possibility of posterior tongue tie, or sub-mucosal frenulum or limiting
tongue function and mobility? Check out _www.tonguetieclipit.com_
(http://www.tonguetieclipit.com) to learn how to assess a tongue tie. "Interview with
the Expert" video is quite informative. I love the point Dr Murphy makes
that the tongue should elevate at least halfway and should have good
peristaltic motion.
Has baby been checked for a sub-mucosal cleft of the hard or soft palate?
Continued CST and suck training may be part of the treatment to improve
milk transfer. I would recommend a NDT (neuro-developmentally trained)
occupational therapist to get evaluation of suck. How about infant chiropractic
as an adjunct to the CST?
I second the baby wearing and position changes if she has difficulty
keeping up with a overactive MER.
Good luck and keep us posted on how things are going.
Mary-Jane Sackett, RN, BSN, IBCLC
Pittsfield, MA
***********************************************
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
|
|
|