Case Study : Getting Enough Milk?
History/Description:
Jackie calls you at Public Health requesting your assistance with breastfeeding.
She tells you she is worried about her milk supply and is not sure if she has enough.
Mary was born vaginally 3 weeks ago at 40 weeks gestation after a long labour requiring instrumental delivery using vacuum. She weighed 3,317g (7lbs 5ozs) at birth, at discharge she weighed 2,976g (6lbs 9ozs) and at her doctor's appointment this week she weighed 3,232g (7lbs 2ozs).
Jackie tells you Mary was sleepy in hospital and had some jaundice. She got off to a "slow start" but is now nursing better and is feeding every 2 hours around the clock.
Despite great family support mom is exhausted and worried about her baby.
Discussion Points:
FOR Mother:
- What assessments do you need to make?
- What do you think the problem is? (Is it a real or is it a perceived problem?)
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