I like the idea. But for me, it keeps coming back to how hard pumping
is for most women. If the baby isn't able to suck well/properly, then
pumping is necessary, but if the baby is able to, I'd skip the pumping
part and say:
" Sometimes a mother's milk comes in a few days later than normal. This
can
> happen when: (INSERT CHECK LIST OF KNOWN RISK FACTORS AND CHECK OFF THE
> MOMS
> SPECIFICS or PUT IN A BLANK LINE AND WRITE IN HER SPECIFIC RISK FACTORS)
>
> If that happens, the baby may lose a bit more weight than usual, and
> will
> become sleepy at breast. The baby then may not be able to stimulate the
> breasts enough to bring in the milk. To make enough milk a woman's
> breasts
> must be well stimulated during Weeks 1,2 and 3.
>
> To bring in your milk, we'd like you to make sure that your baby nurses
> well, at least every _____ hours, _____ times per day plus any other
> times they are showing a desire to suck.
> << Feed the baby formula if the baby loses ________ oz of weight or
> doesn't
> have 3-4 yellow poops a day by Day 3-4.>>
I'd instead say, if the baby looses _____ oz of weight or doesn't have
4-5 yellow poops a day by Day 3-4, the baby needs some formula until
your milk comes in. To insure that your breasts are stimulated
adequately, nurse the baby, then fill the supplementer <educate on how
to use SNS> and nurse as long as baby desires.
<<
> Supplementation on Day 1---------------
> Supplementation on Day 2 ________
> Supplementation on Day 3_________
> Supplementation on Day 4_________
> Supplementation on Day 5_________
> (write in physiologic volumes for those days)
>
> A short delay in the milk coming in is a TEMPORARY problem. You will
> still
> be able to breastfeed. >>
Exactly......I'd only encourage the pumping thing if the baby
couldn't/wouldn't nurse. I wish I could express well, the
frustration and sadness I hear from mom's when they've been to see the
LC are are trying to follow the protocol given them, incl pumping post
feeds. I get their calls when they're ready to give up b/c they can't
pump and care for a nb and their other children.
ime, *if* the baby is nursing well, there's almost always a nonpumping
solution that works well and easier.
Just my .02
:)
katherine in atl
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