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:
"Steve, Sue & Eliza" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 16 Sep 2003 00:14:09 +1000
Content-Type:
text/plain
Parts/Attachments:
text/plain (81 lines)
First of all thanks to those who replied on and off list to my post on
relactation.  Each of your posts has given me something to consider and
pursue and I appreciate your time and efforts in replying.

By reading the replies I did realise that I wasn't clear about whether or
not the mother had been exclusively breastfeeding after she came home from
hospital, nor was I clear about the same with her breastfeeding history.

I rang the mum and had a long conversation and found out much more
information.

From the time the baby came home from hospital until around day 23-25 the
mother was exclusively breastfeeding.  Baby was gaining very well during
this time (320g from 2 weeks to 3 weeks).  Baby was frequently fussy and had
a feeding pattern of 10mins one side, baby came off, 10 mins other side,
baby came off, 10 mins crying and then start feeding again, repeating the
pattern.  This was the same pattern that child #1 had as an infant.

Child number #1 breastfed exclusively on or soon after coming home from
hospital until 5 months and 3 weeks.  Further conversation elicited
information regarding frothy, explosive and frequent stools, lots of
spitting up, lots of crying, hiccupping when laid flat for more than a few
minutes, vomiting if laid flat for more than a few minutes, much happier
child when he was held or supported in an upright position. Mother slept for
many months with child in arms or attached to breast in bed and unable to
move.

Baby #2 is now starting to be distressed after feeds of formula or
attachment to the breast.  Mother is going to discuss reflux with GP at 6
week check up.  Good news is that baby is now attaching for 3 mins each side
quite happily, with best times being when he is sleepy.  Mother is taking
Fenugreek and was going to look into Blessed Thistle and More Milk tea which
she had seen at the health food shop.  She is not wanting to go against GP's
advice of no reglan long term and no domperidone at all.  Mother is hand
expressing and was looking to hire a pump this afternoon.  It was the
discussion about avoiding pacifiers and encouraging comfort at the breast
that elicited the information about how fussy both boys have been.

Although mum is keen she seems nervous about putting too much energy into
something that may not work.  She has obviously worked hard at solving her
own breastfeeding difficulties both times and is understandably cautious
about it all this time and is just taking it one day at a time. Although she
has suggested she's not sure it's worth the effort she continues to do
things to get back to a nursing relationship.  Mum has been concerned about
the amount of work involved in relactation.  However, as mum has expressed
how much easier breastfeeding is when she is out and about (which she likes
to do) I have been suggesting a short term challenge will reap benefits in
ease of lifestyle along with health benefits for baby and for herself.

As the baby was gaining well when exclusively breastfed, I feel that once a
nursing relationship is re-established then working on a "finish the first
breast first" approach along with breast compression, should address the
nursing issues, including fussiness, frothy stools etc..  Keeping in mind
reflux and perhaps dairy issues and continuing to monitor supply.  I realise
this goes against a couple of responses I received but I'm assuming the
clarification above supports this approach.

Mother had been planning on commencing (returning to?) metformin, for help
with weight control, and commencing birth control pill at 6 weeks checkup.
I have pointed out that any birth control pill may interfere with supply and
mother has decided to delay on that score.  Mother is still considering
metformin.

If there is anything that it seems I have missed, or got wrong I would again
value any input.

warmly
Suzie Heaton

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

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

ATOM RSS1 RSS2