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Date: | Sun, 31 Mar 1996 08:57:15 EST |
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Saw a mother today who is having problems. Baby is 4 days old, has only had 2
'good' feeds, plus some cup feeds . Baby is showing signs of dehydration
(midwife gave some water by bottle). Mother is sore, some cracking, engorged,
and thoroughly miserable. Baby - no wet nappy for 14 hours. Still meconium. I
encouraged to get medical help if midwife doesn't visit again today.
Baby is keen to be at breast, but obviously not sucking properly at all. Does a
few strange sucks with huge in out movement at corner of mouth, then comes off,
but wants to be at breast and feeding. I did not check mouth other than to
observe that no tongue tie. (more outside lay counsellor remit IMO). V rapid
delivery, 1 hour, following induction (reason history of precipitate labour).
Don't see any signs of unusual moulding of head - in fact I was surprised to see
so little. Induction was attempted with prostaglandin gel, and both mother and
baby reacted badly to this. Mother's lungs were affected, and baby's heartbeat
went v low, almost an emergency cs. Mother says she was told it was an allergic
reaction.
My question is - has anyone heard of this before? Is anyone surprised that this
baby is having problems? I suggested pumping to keep options open, I'm not sure
she will do this.
TIA
Mary Broadfoot, Paisley, Scotland
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