More on the baby with FTT and the mother with the overactive letdown. The
baby has been willing to stay at the breast much longer for feedings with
the shield.  She resists less when put to breast, and there is some reason
to be encouraged about that.  However, the amount of time spent in
non-nutritive sucking still exceeds the time spent nutritively sucking, and
the diaper vols are still low after 24 hours of this plan.  I read up on the
possible adverse sequelae of surgery for Meckels diverticulum (the umbilical
prolapse baby had surgery for on Day 10 pp).  Bowel blockage is a
possibility.  I have requested a swallowing study to rule out damage from
intubation during surgery, since baby gained back to birth weight by Day 10
and growth probs are subsequent to surgery.  I am sure the pedi has already
considered the possibility that a bowel blockage may be the underlying
issue, but I will make sure my report highlights that the supply is not the
problem -- baby is unwilling to feed and is deliberately liminting intake.

Barbara Wilson-Clay, BSEd, IBCLC
Austin Lactation Associates, Austin, Texas
http://www.lactnews.com

             ***********************************************
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html