Sorry not to answer sooner, but had to check mom's chart to be sure, as I
only did a home visit for "reassurance" as the Public Health Nurse had done
such a great job that baby and mom were doing wonderfully.  I only made a
visit to reassure the PHN - the mom was doing great!

Not only does this mom have Osteogenesis imperfecta, but she also was born
with a bladder outside her abdomen, so that now she has a ureterostomy. 
She was worried as at times there is some "leaking".  

My suggestion on the leaking - use a rubberized pad under the baby - like I
used under all my kids (the cloth diapers never held the stools in well,
and whenever they breastfed I would have to change MY clothes if I didn't
...) to protect the baby's skin.

AND baby's tongue has a frenulum that is "borderline" - as there was no
pain, I said nothing - and baby is gaining beautifully,  

A few weeks later, I got a note from the WIC Nutritionist (a man) concerned
about seeing that the baby was tongue-tied and asking for my evaluation.  I
was so pleased to know he was looking!  It feels like I'm doing my job some
days - I'd rather be called and provide additional information than have no
one notice and no one refer when there ARE problems...

In summary,  this mom did not have problems with breastfeeding, however, I
have recommended that she begin using the cloth baby carrier early to help
her with carrying and coping with this fast-growing baby.

Jeanette Panchula, BSW, RN, IBCLC
Vacaville, CA
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