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Lactation Information and Discussion

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From:
laurie wheeler <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 27 Sep 1999 12:18:19 PDT
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I agree that we may think something is a really bad idea, yet we would give
the mother info on how to succeed (e.g. the MBA class); HOWEVER isn't it our
job to counsel her re all the negative possibilities like compromised
supply, nipple confusion/preference, etc the consequences of early
separation, use of pump vs baby at breast, possibility of not pumping
frequently, plugged ducts, mastitis etc? To illustrate this, I
Recently had a mom w/ breast implants, wide spaced breasts (primary
insufficiency?) and baby born at 37 wks. Working w/ low supply. She had a
good pump and a pretty good nursing baby, and a husband very strongly
pro-bf. But she said that since she had been on bedrest since 29 wks, she
wanted to go out everyday now. So she did not get to bf much and missed
pumping often too. I had seen her several times in office and had a good
rapport w/ her. I had to tell her that doing all this w/i the first 3 wks of
birth was not conducive to her baby learning to bf well, nor her milk supply
to increase. I debated whether or not to tell her this, or should I just
keep saying bf often, deep latch, pump etc. I decided I had to tell her -
gently - what I felt a big part of the problem was - I felt she needed to
bed-in w/ the baby. The next day she changed to formula feeding. Was I
wrong?

Laurie Wheeler, RN, MN, IBCLC
Violet Louisiana, s.e. USA

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