"We need to remember that the subject originally came up in regard to
leakage in a mother on bedrest due to placenta previa, which is a
separate classification of very high risk. (Since Rachel was away at a
conference and didn't see Nikki's question about placenta previa, I am
at least going to interject that there are degrees. Complete placenta
previa is a totally different, much riskier situation, different from
marginal placenta previa, where the lower part of the placenta is
implanted close enough to the opening of the cervix to begin tearing
away from the cervical tissues if/when they begin early effacement. Even
this implantation site presents potential for hemorrhage of
unpredictable amount, often precipitating imminent danger for mother and
baby, and need for emergency C.S., hoping there is time to save both, or
at least, one. Calculating relative risk is totally the province of
high-risk OB.)"
This is exactly what happened to my daughter Maya in the 36th week.
When she had that last episode of bleeding in the hospital, I thought of
taking some colostrum, and tried when she was on the fetal monitor.
Just the gentlest breast massage caused uterine activity which she did
not feel, but I saw on the monitor, so I stopped immediately.
What I did was immediately after the c-section, when there was a tizzy
about the baby's glucose levels ( in the first 3 hours, his glucose was
42 which is fine in most of the world, but in our hospital is yet
another reason to push artificially processed cow's milk), I ran to the
recovery room where Maya was still hooked up to all the machinery, and
squeezed out a small amount into a sterile test tube. I gave it to Itai
and within minutes the glucose jumped to 48. I don't know if non-staff
would be allowed to go into recovery room, but I intend to talk to the
head nurse in recovery about expressing colostrum from moms after CS to
send to their babies, especially if the babies are born early and are in
danger of getting artificially processed cow's milk.
The baby never did get even one drop of artificial milk.
Esther Grunis, IBCLC
Lis Maternity Hospital
Tel Aviv, Israel
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