This is such a touchy diagnosis. I'd like to know how you consultants bring up the issue upon meeting a woman with IGT. How to balance an honest assessment with encouragement but no unrealistic expectations, and respect their desire to breastfeed?
Melinda Harris-Moulton
IBCLC FNP
Olympia, WA

Sent from my iPad

> On May 22, 2015, at 5:26 AM, SUBSCRIBE LACTNET Jacalyn <[log in to unmask]> wrote:
> 
> I just had a Mom with this.  I would be interested in more information as well
> So far for the Mom I had, at first weight check post discharge the baby's weight was stable. (not >10%)
> 
> During her hospital stay, I did discuss with her the potential for inadequate supply but to continue frequent feedings.  She did immediate skin to skin and spent much of first 24hrs skin to skin.  She did have breast changes with pregnancy, so remaining hopeful for her.   She was surprised...shows the lack of breast assessment prenatally :(   Fortunately she attended the prenatal BF class and knew skin to skin, early feedings, feed on demand.
> 
> I would encourage this mom- skin to skin, frequent feedings, pumping early if poor feeds.  
> Hopefully, one of the LC experts will provide us both more information :)  
> 
> I referred to  Breastfeeding and Human Lactation 4th edition - Riordan & Wambach and Breastfeeding Atlas 5th edition- Wilson-Clay & Hoover.  sorry not good at actual links.  
> 
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