Re: [ozmidwifery] weight loss

[Andrea Quanchi]

I have personal experience of another Mum who was on tegratol and lamictal and had similar scenario. Bub really struggled for some months as Mum perservered but eventually bub needed to be comped and has never looked back. Give it a bit longer if bub is happy as weight is not everything but if bub is showing signs that he is hungry then offering a comp will allow him to tell you whether this is what he needs or not. If it isnt he wont take it.  He might only need a small amount once or twice a day to tope up what he is getting from mum and this will allow them all to relax and get on with it.  Worrying about him being unhappy will not do anything for her supply Andrea On 25/05/2006, at 6:29 AM, Nicole Carver wrote: Hi Susan, This is indeed puzzling. The babe needs a visit to the doctor to have medical reasons excluded, if it hasn't already been done, including bag urine for culture etc. However, the fact that the baby regained wt in hospital and then lost it again at home does seem to point to a feeding management issue. Is Mum feeding the baby often enough, or leaving the baby on the breast long enough? Does the baby have a tongue tie (these babies feed well from the bottle, but find it hard to strip a breast)? Is Mum hearing baby at night or is she slightly sedated by the Tegretol, or the baby sedated by it? I assume someone has checked if Tegretol is ok with BF? Warm regards, Nicole Carver. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Susan Cudlipp Sent: Wednesday, May 24, 2006 11:44 PM To: midwifery list 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