Hi everyone,
This is my first post. I am an IBCLC in Beijing, China, helping a
perviously healthy 25-year-old mom who developed acute fatty liver disease
at the very end of her pregnancy. It was not diagnosed until she gave birth
by cesarean at term 15 days ago. Baby was hypoxic, had aspirated
meconium-stained amniotic fluid, was resuscitated and sent to NICU and is
still there overcoming pneumonia, pulmonary hemmorage, kidney failure.
Mom's life was in danger until just 5 days ago. She has been jaundiced and
had severe systemic edema due to being in IV meds while kidneys were
recovering from damage. Liver function is finally stabilizing and she is
starting to be able to move around. She really wants to breastfeed but was
not able to start Pumping until today.  She expressed three times and got
just a few Milliliters.

Does anyone have experience working with such a mother to relactate?  Both
may be discharged in a week.

Ivy Makelin
IBCLC, Beijing


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