In a message dated 1/29/1 3:25:04 AM, [log in to unmask] writes:
<< The lady is pumping her milk with a Medela Pump-in-Style (PIS) and
getting about 1 ounce from both breasts put together (1/2 oz each side)
per session. So she gets about 8 oz. per day.>>
Fio,
This may not be an issue, but is this mom pumping often enough and long
enough per session? Many times moms pump only until the first MER and don't
continue to stimulate once the milk slows down. I tell moms who are worried
about supply to cover the bottles w/ a towel, so they don't watch every drop
(or lack therof).
<<The baby nursed really well with great gusto to begin with, >>
Is this based on your observation or the mother's perception? Has she ever
been taught breast compression? If it is possible that her early feedings
were not as effective as she thinks, the wrong issue (reduction) could be
getting too much attention.
<snip>
<<anyhow...as latching was not going great, she started finger feeding
with the lact-aid, and he now much prefers this method of feeding. He
has had one (Avent) bottle so far, about 2-3 days ago which didn't go
any better: he promptly vomited everything back up, seemingly because
the flow was too fast and caused gas (she thinks). She was successful
at getting him to latch at a lactation clinic on thursday, but doesn't
have another appointment until tuesday next, and can't seem to get him
to latch WITH the lact-aid by herself. She also has a hard time getting
him to take in enough with the lact-aid by fingerfeeding (very slow
flow) but he hated the faster flow of the bottle.>>
So, is the problem w/ finger feeding due to the device or does this baby has
a sucking problem that is being missed?
<< I gather that the
midwife, who she says is very pro-bf, but concerned about the baby, does
not want him comfort nursing for now...which would of course stimulate
the breasts more, even if it were after he'd been well fed at a finger
feeding, but the thought is that he'll spend too much energy comfort
nursing (given that her breasts already won't be producing so much as
someone who hasn't had a reduction) and gain even less then, and he'll
only learn to suckle the "comfort suckle" rather than a "feeding
suckle", which would eventually be "bad" for him. >>
So, does this mean this baby is getting no supplement? If she is trying to
avoid AIM, she needs breastmilk from somewhere (banked or donated). This baby
will starve otherwise.
<<Does anyone have any wise ideas for this mom and baby, for them to gain
weight and get the finger-feeding behind them? >>
Is this mom taking galactogogues? Herbal or domperidone? She needs to be
doing this asap if it will even have a chance of getting her supply up.
<<She has a SNS system as well, and says she'll try this one with a
slightly thicker tube and see if that goes okay, for the finger feeding,
but doesn't have much more to try except that...and even if it goes okay
for the finger-feeding, it wouldn't be as easy to latch with probably.>>
Has anyone tried cup feeding this baby? I find it is often easiest to finger
feed with a peridontal syringe.
Again, I am very concerned, but perhaps I misunderstood, that this baby is
just plain hungry and needs to be fed.
Jennifer Tow, IBCLC, CT, USA
***********************************************
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
|
