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Subject:
From:
Marty & Jeanette Panchula <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 9 Jun 1998 08:03:00 -0300
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Linda,

I felt the same way last Friday - mom called to say her baby had blood in
his urine and the first doctor she saw (in the ER) said this was because
she didn't have enough milk, so she should add formula after every bf.
(This is a small but healthy, chunky legs 4 month old).

The Pediatrician she saw said that even if she did have low milk supply
causing blood in the urine, formula was not the answer, but she could
supplement with solids...

After verifying the NUMBER of wet diapers and stools / day (over 8 and over
3), I explained that I thought she had enough milk, and suggested she watch
and wait the next 24 hours, carefully counting diapers (never am sure moms
are really counting diapers at this stage and age).

Well Saturday night another hysterical call - baby had blood in the urine -
insert foot in mouth - "Well, with what you have told me, you do NOT have a
breastfeeding problem, but a health problem with your baby.  I'm a
Lactation Consultant, not a doctor and I can't tell you what IS wrong, but
I'm pretty sure the problem is not BF..."

Spent the rest of the weekend worrying about what I had said and how...

Monday she came to the support group I run in our hospital (thank God - or
I'd be sleepless still...).  Her husband took my assurance to heart and
took a good look at the diaper area - and found the baby was bleeding from
the penis, due to pressure exerted by the Ped in pushing back the prepuce
of their non-circumcised baby.  Well, the support group got a talk from me
on the care of non-circ'd penises... (No I'm not an expert in this, but
sometimes...)

Jeanette Panchula, BSW, RN, IBCLC, LLLL
mailto:[log in to unmask]
Project Director - Proyecto Lacta - Puerto Rico
http://netdial.caribe.net/~prlacta/
Lactancia Materna '98 - La Mejor Inversion

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