I am resending parts of this as I seem to have reeived not one bit of
Lactnet mail overnight so I am not sure if it actually went through.  I
did add another question or two at the end

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Primip - age 38, had moderate breast changes during pregnancy but no
colostrum leakage, extra breast tissue and rudimentary nipples in axillary
area.  Mother had well controlled gestational
diabetes, weight gain approx 30 pounds.
The baby was born on Friday 12/19 at 9 PM, after a 4 hour
labor.  There was some meconium staining and baby was suctioned, no
obvious aspiration.  Apgar 9/9.  Baby seems alert, with good tone, nice
suck, but I don't think he is getting anything at all.  Birthweight was 8
lb, lost 1/2 pound  before discharge-( was told in the hospital that
this is fine.)
Baby sucks a little, seems to swallow a few times and then falls asleep.
Only one bowel movement and two wet diapers since midnight.
We tried pumping
with a Classic for 5 minutes one each side and there was not a drop of
moisture.  Both parents are extremely allergic.  Baby is now receiving
Nutramigen 1- 2 ounces every two hours or so- they will be using SNS to
provide supplement at the breast, double pumping 10 minutes after each
feed at least 10x per 24 hours.  Mother eats oatmeal daily, will add
fenugreek and blessed thistle starting in the morning when the stores open.
I did suggest that they talk to midwives about the possibility of
retained placental fragments.

New Questions: how are retained placental fragments diagnosed?
Would prolactin and thyroid levels shed any light on the situation and if
so what should the numbers be at approx. 3 days postpartum?

Anything else that I can suggest?

Thank you all for being there to help-
Happy Holidays

Sarah Friend Barnett   LLLL, IBCLC
Bronx (New York City), NY  -  [log in to unmask]
" You are not obliged to finish the task,
 neither are you free to neglect it."       R. Tarfon