Sally

Just one more idea to throw into the mix.... with all the problems 
you describe, and this being mom's fourth baby, thus obviously a very 
busy lady... I'm wondering if the baby's weight gain is good so 
far?  ie a month-old baby should have gained ~800g over the 
birthweight?   I've found, when working with low-gain/FTT babies that 
the challenges listed such as shallow latch, infection, mastitis and 
now severe nipple pain could also be pre-disposing factors for 
inadequate milk transfer, and that when this is the case the babies 
are often extremely tense, with very high muscle tone.   So just 
wondered if this could also be a reason for the clamping you describe?

Pamela Morrison IBCLC
Rustington, England
----------------------
Sally wrote:

I am trying to find some ideas re medication and vasospasm -

The mother concerned has just had her 4th baby and breastfed all the
previous three. This baby is now 1 month, she has encountered challenges
from the outset with shallow latch, clamping down, infection and
mastitis, and now has vasospasm so severe she has begun expressing to
protect her supply while deciding on next steps. We were discussing
nifedipine to see if it might alleviate the vasospasm while addressing
the clamping down/attachment. She is taking an antecoagulant Dalteparin
Sodium (so can't take ibuprofen). My questions -
could the anticoagulant be connected to the very severe vasospasm at 
all? (She does not suffer from Raynaud's Phenomenum)Would there be 
any issue in taking nifedipine while she is taking the Fragmin?
Thanks
Sally Etheridge, IBCLC, Leicester, UK

             ***********************************************

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