<If not acceptable for me to post about myself, please remove.>
I am an RN, IBCLC,
40 yo, G10, P 7 with a baby born one month ago. (Aside: live in rural WA
state, homeschool, and have a seven month-old foster baby in our home, whom
we plan to adopt)
Birth:
Vaginal, home waterbirth
Labor start/stop, lasting 6 hours
Nuchal cord X2
Military/brow presentation
Precipitous delivery
Birth weight 9 pounds 2 ounces
Postpartum:
Significant events:
1. blood clot left calf developed at 2 days pp, treated w/ daily aspirin
2. IM progesterone given on day 4 for PPD symptoms, 200 mg IM loading dose,
followed by 100 mg IM every other day X 8 doses (was supposed to have a
total of ten doses, but I was concerned that it was responsible for low milk
supply, so stopped it)
3. Baby to chiropractor twice for adjustment of atlas due to
presentation/birth trauma
Meconium passed within two days.
First week: milk in at 36 hours; tight jaw excursion, suboptimal/shallow
latch. No audible swallowing. Infrequent/light urinations and stools. Very
frequent feeding.
Baby weights: 8 pounds 7.5 ounces, to 8 pounds 11 ounces, to 9 pounds 1/2
ounce, where it stayed for four days. Started using SNS, pumping after some
feeds; weight to 9 pounds 5.5 ounces, and two days later to 9 pounds 2
ounces.
Suck eval shows inability to maintain seal, smallish buccal pads, not a
strong suck. Swallowing ONLY with breast compression. Stopped SNS, now
pumping 8-10 times/day, bottle feed (2+/- ounces) after BF attempts. Minute
transfer of milk via pre-/post-weights. Supply diminished - started pumping
and got 4-8 ounces/day...now getting 20 ounces/day.
Baby to craniosacral therapist - much improved temperament and jaw
excursion, still unable to transfer milk.
Will latch and "hang out" at breast when not frantically hungry, and also
after bottle feeds as a way to get sucking needs met.
Weight now, 11 pounds, 2 weeks after start of weight issues.
Domperidone en route.
Using donor milk, my milk, occasional AIM.
I would love to hear your ideas about further evaluations for this baby,
and/or what I can do to get him to transfer milk...so we can one day be
BREASTfeeding. I hope this is something he will outgrow, but I will pump as
long as I can.
Again, my apologies if this is an inappropriate post. Thanks to those of
you who replied to my earlier posts about PPD and progesterone.
Ann Marie
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