Would you like me to post this to lactnet? There maybe someone with 
experience with a similar situation who can help.
Kirsten Blacker
Minnesota USA


>From: "simsarch" <[EMAIL PROTECTED]>
>To: <[EMAIL PROTECTED]>
>Subject: breast feeding advice (long)
>Date: Tue, 8 Jan 2002 09:20:00 +1030
>
>From: "simsarch" <[EMAIL PROTECTED]>
>To: <[EMAIL PROTECTED]>
>Subject: breast feeding advice
>Date: Monday, 7 January 2002 8:49 AM
>
>Like Jackie, I was the sister/auntie/midwife when my sister birthed her 
>second baby in the same Birthing Centre in November.  What a great 
>experience it was for me, really inspiring and a great encouragement to my 
>midwifery practice.  A beautiful normal birth without unnecessary 
>intervention and so empowering not only for my sister, but also for me as a 
>midwife.  I felt truly blessed that I was able to share such a wonderful 
>experience with my sister and her partner.
>Unfortunately baby Nick was born with a cystic hygroma which was a complete 
>surprise to us all, and it is now that I write to this list to seek any 
>advice regarding his breastfeeding.  His cystic hygroma is a fluid filled 
>sac (500mls) around his neck which goes into his mouth and protrudes under 
>his tongue.  Thankfully it is just a cosmetic problem which will be treated 
>with surgery when he is around 6 months old. He cannot be operated on any 
>earlier than this.
>He went straight to the breast at birth and appeared to suckle well and as 
>my sister had a drug free labour he was lovely and alert, and for the first 
>week of life it seemed as though breast feeding wouldn't present a problem. 
>  However he is now 7 weeks old and is still only 50 grams above his birth 
>weight of 4520g. He is now starting to look pretty skinny, but not 
>obviously dehydrated, and still has lots of wet and dirty nappies, and is 
>usually settled in between feeds (other than between the 5-10pm feeding 
>frenzy time). He appears to attach and feed well @ every 2-3 hours at the 
>breast and has had the advice of an independent L.C. who agrees with me on 
>this.  My sister has been expressing and giving Nick a top up 4 times a day 
>of 60mls of Ebm via a syringe (she cant manage a cup) yet his weight gain 
>is no more than 10gs per day.
>I think that the cyst is preventing Nick from getting a really good 
>attachment, and other than expressing more frequently and topping him up 
>(which I am sure she will find overwhelming as she has a very active 23 
>month old at home) can think of no other advice to give her.  The paed she 
>is seeing, and is influenced by, is not breastfeeding aware and I feel is 
>on the verge of telling her to supplement with formula. Can anyone offer 
>any advice?
>Kathy
>
>




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