Hi Morgan
If the mother birthed at King Edward Memorial Hospital she can access the
Breastfeeding Centre free and may be able to have baby assessed by
ultrasound for tongue tie or other suck related issues. This is same
location where Professor Peter Hartmann, Dr Donna Geddes and Dr Jackie Kent
all work.
If "all concerned" suspect a tongue tie, why hasn't something been done
about it?? There are good paediatric surgeons here in Perth and from what I
am told tongue tie is being dealt with quite well here. This makes me
suspect it's NOT the KEMH as well as other things you said and so someone
needs perhaps to help her get in touch with another IBCLC.
There are also many very experienced IBCLCs here. I can provide you with a
list if you wish. And there are several free through our health system if
she is unable or unwilling to pay. Many of these will travel TO the mother
in the early weeks.
I would think retained placenta has been ruled out??
Unless she knows someone personally I think she is unlikely to get donated
EBM here - our milk bank here is only just started and all donated milk is
being used with prem bubs at KEMH (to my knowledge).
Australian Breastfeeding Association is very active in Perth so if she
needs/wants this support she can call the helpline 9340 1200 for
breastfeeding counselling and to find her local group. Electric Breastpump
Hire is also available through ABA.
From my own experience CST and Osteopathy seem fairly "new" here and not
well known. She may not get a recommendation and may just have to select one
locally and give it a go. Does she sound responsive to this suggestion??
Of course I agree the baby needs to be fed, at this stage it seems to be
that this "milk" will have to be infant formula as there is no other
alternative. If she is violently opposed to formula, is there a risk of her
not feeding the baby?? She does need to realise at this stage there is no
other alternative - baby needs to be fed. Are mum's nipples any less
"hamburgerish" now than day 4 - might she use a supplemental nursing system,
or if they are still too mangled could she finger feed while S2S Kangaroo
Care?? This may be a really positive step for Mum??
I hope this helps, email me privately if I can help put her in touch with
other contacts,
and you're welcome to give her my email address too,
Del
in Perth Western Australia
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*~*~*~*~*~*~*~*~*~**~*~*~*~*~*~*~*~*~**~*~*~*~*~*~*~*~*~*
Del Smith
Breastfeeding Counsellor
Australian Breastfeeding Association www.breastfeeding.asn.au
----- Original Message -----
From: "Morgan Gallagher" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, July 05, 2007 12:10 AM
Subject: Specialist tongue tie/lactation support in Perth, Western
Australia?
>I have a young mother, with an initially non-latching, passive baby, who
>now has wrecked nipples and practically no milk during pumping.
> I have no birth details other than that baby was born on Saturday 30th.
> just under 6lbs, and unresponsive to breast and feeding. No lactation
> support given for first 10 hours. Baby finger fed colostrum. On Day 2,
> latching occurred after extreme support, including nipple shields, and
> mother's nipple turned to hamburger by Day 4. All concerned have stated
> there is a suspected tongue tie. Mother appears unresponsive to pumps,
> and what milk she has been getting is reducing, with several pumping
> sessions being completely dry. 'Supportive' midwives and peds are
> advising formula top ups 'til the situation sorts itself out. No plans
> have been made to assess and/or treat suspected tongue tie. She has spent
> time with an LC, and still no plans are in place to be pro-active on the
> problems other than to heal the nipples. She's been told to give top up
> with 40mls of formula every 6 hours, take Domperidone and keep pumping,
> and they will check on her on Friday, by which time baby will be 7 days
> old.
>
> I've asked her to try hand expression to see if her milk can get out that
> way, and suggested she try Cranial-Sacral Therapy in the immediate term
> to help with baby. I've also asked for permission to post here:
>
> So who can I send her to for immediate tongue tie help, and does anyone
> have any CST contacts in this area?
> She is in Bullsbrook, between Joondulup and Midland, but will travel
> "anywhere". Mother violently opposed to formula, and feels like a compete
> failure. She feels everyone has been helpful and supportive, but that
> nothing is actually being achieved.
>
> If you are the person who can help her, or knows where she can go, email
> me and I will pass on contact details.
>
> Anyone else really worried by a system that prescribes Domperidone on day
> 4 to a mother with bleeding and mashed nipples and a suspected tongue tie
> baby? Or am I missing something...?
>
> Morgan Gallagher
>
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