Re: [ozmidwifery] weight loss

[meg]

The Tegretol could be of concern and the other medications should be checked too.   I would also have an experienced person do another baby check to exclude cardiac abnormalities. Cardiac babies can be fine in the first few days, but then become lethargic etc as thier bodies cardiac requirements increase.   Megan ----- Original Message ----- From: Susan Cudlipp To: midwifery list Sent: Wednesday, May 24, 2006 11:44 PM Subject: [ozmidwifery] weight loss Dear wise women I have been following a client on early discharge whose baby is losing weight. Now about 2 weeks old, I readmitted her on day 5 as bub was lethargic, had not had a bowel movement and had lost weight. She expressed, fed and topped up, bub 'woke up' and put on weight, started opening bowels and generally improved all round, went home again fully breast feeding, seems to have plenty of milk, plenty of wet nappies but again - no poo's, and on last 2 visits had lost weight, 50g then another 40g. Has not regained birth weight yet and does not seem satisfied despite frequent b/f.  I will be seeing her again tomorrow and am frankly puzzled by this scenario. She is on medication herself for epilepsy (low dose Tegretol and another that I can't remember) and has been taking Motilium to boost supply. Any suggestions/comments? TIA Sue "The only thing necessary for the triumph of evil is for good men to do nothing" Edmund Burke