LACTNET Archives

Lactation Information and Discussion

LACTNET@COMMUNITY.LSOFT.COM

Options: Use Forum View

Use Monospaced Font
Show Text Part by Default
Show All Mail Headers

Message: [<< First] [< Prev] [Next >] [Last >>]
Topic: [<< First] [< Prev] [Next >] [Last >>]
Author: [<< First] [< Prev] [Next >] [Last >>]

Print Reply
Subject:
From:
"Barbara Wilson-Clay, Ibclc" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 27 Mar 1996 18:01:37 -0500
Content-Type:
text/plain
Parts/Attachments:
text/plain (30 lines)
I am always grateful when people share the "what happened next..." part of
cases they have shared on line.  Here is an update on the story of the grand
multip I was working with.  To briefly re-cap for newcommers, she was G8P7
(one miscarriage between baby # 4 and 5.)  Fully breastfed all her first 5
children for about 1 yr each.  She experienced ftt w/ baby #6, and went early
to formula when nothing she did brought her milk in beyond a low supply.  She
had her 7th baby home birth as usual, no meds, no excessive blood loss,
everyone healthy, no appar. sucking or swallowing prob. with either infant or
past baby now 24 mo. (whom I saw in office and assessed speech and oral-motor
as best I can; both seemed normal and well-functioning.)  We used
super-positioning, good feed management, freq. feeds, SNS with formula to get
baby over growth faltering and back to strength, post-feed pumping, deep
breast massage, diet and rest were always decent, mother had some stress, but
nothing really out of the ordinary.  She had thyroid levels read (including
TSH) and all are border-line low but WNL.  Endocrinologist says nothing
significant there.  I spoke to mom last week to see how things are going
(baby is approx 3 mo old).  She never felt any increase in supply, has
stopped pumping, and basically pacifies at breast and feeds formula by
bottle.  Baby is well, seems to like nursing more than Baby #6 who would not
nurse once he had bottles.  She is grateful this baby likes to be at breast.
 But we are no closer to understanding why a proven producer would stop being
capable of producing enough milk to sustain her infant.  I did come across
one old piece of reseach from Scand. lit (at office, sorry) which talks about
greater risk of maternal mortality in grand multips.  No specific mention of
physical stress creating non-fatal (to mother) risks such as depletion of
energy or physical stores which might affect lactation.  So anyway, we end no
smarter than we began.  That's the way it sometimes goes.
Barbara Wilson-Clay, BSE, IBCLC
priv. pract. Austin, Tx

ATOM RSS1 RSS2