_____
Ann, I'm sorry I'm few days behind on my e-mail, so someone else may
have suggested this. But I don't think it is the multiples that causes
the milk delay , but thc c-section. At least if it was a planned
c-section. I see this daily. Without going through labor and all it's
attending hormonnl releases, there seems to be delayed lactogenesis II.
That can be combated in most cases with early and frequent feeding
and/or pumping. But it often isn't until day five or more that any milk
comes in. and many mothers are not patient enough. Also formula does
have to be given for awhile and when mothers see baby satisfied after
the bottle and screaming at the breast, they often give up.
Cheryl Muller RNC IBCLCccc
Date: Thu, 5 Sep 2002 01:04:31 EDT
From: Ann Conlon-Smith <[log in to unmask]>
Subject: Walking on Eggshells
Am currently trying to help a mom with 35 week old twins born by
c-section. I have seen repeated cases of multiple moms with c-sections,
have a real lag in their milk supply. It seems to take weeks and
sometimes months for an adequate supply to build up. This happened to
me, actually -- never had a bit of trouble with my first four babies --
lots of milk. Then, I had my first c-section with 38 week twins and --
whammo -- extremely low milk supply supplemented for months with banked
milk! I was stunned and scared. So now, lots of multiple moms call me.
This one was particularly teary. Because my twins are only four -- I
don't do many consults, but I went to see her. She had both babies
latched on with twin pillow, SNS hooked up filled with formula and
husband squeezing away on it to be sure the babies got lots. Got her a
pump, discussed , many options and recommendations..... but -- here's
the eggshell part -- I have this feeling that I am trying to convince
the mom that this is a good thing to do. She is looking at me like I
must be out of my mind cause why don't I realize that having twins is
stressful enough so why should she also worry about an ailing milk
supply when there is --
FORMULA AND BOTTLES! Besides she says, "I will be returning to work
in
four or five months." Wanted to review the reasons why she had chosen
to bf in the first place... but still she and dad are looking at me like
I am mad... Tonight, I ran over with Mothering Multiples and a sheet I
wrote up with Reminders, yet she really wasn't wanting to see me cause
they were entertaining guests and the babies were no where to be seen.
It is a fine line, I find and though I do not want to be in this role --
I find myself over and over, being the "convincer". How do you all
avoid that? Thanks, Ann IBCLC, LLLL
Ann Conlon-Smith, mama to six sons!
"You may forget with whom you laughed, but you will never forget with
whom you wept." ---Carie O'Leary
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