Thursday, April 10, 2008

Succesful Relactation

Bev Tan, who flew all the way from Bicol to know more about relactation, is now exclusively breastfeeding her now 7 month daughter, Be-An.  It took her about 7 weeks to relactate after consultations with certified breastfeeding counselor & La Leche League Leader, Abbie Yabot, who visited her 4 consecutive times while she was in Manila and did at least once a week phone consultations.  

Giving birth in Bicol with not much breastfeeding support,  Bev wanted to really breastfeed her baby but didn't know exactly how and when and how long, etc.  She was refused breastfeeding during the 1st 3 days as was advised to rest by her doctors.  In the meanwhile,  Be-An was being given formula.  She was even asked to stimulate by pumping (which is not advised before the 6th week) but this frustrated her as she was only able to pump maximum of 1oz even by her 2nd month.  

Deciding to want to give the best for her daughter despite the lack of support, she researched about breastfeeding and came upon Abbie Yabot's number.  At this time, Be-An was approaching 3 months and was 80% formula fed. 

The assessment during the initial visit was almost predictable:  nipple confusion, refusal of the breast, inability to latch properly.  Be-An suckling was tested (tongue movement had to be detected or trained) then was trained to take milk through a cup.  In the meantime, Bev was asked to pump for 15mins per breast every 2 hours during the day and 3 hours during the night.

During the 2nd visit, suckling and latch had improved but clearly, milk supply was still low.  At this time, Abbie suggested Bev to see an IBCLC (lactation doctor) to be given medicines to increase supply (not the regular malunggay capsules).  Abbie also made a nutrition guide for Bev to increase fluids (but not to overdo), avoid contracting foods (caffeine, too sweet, too salty, fast foods), include fruits and vegetables in her 3 main meals, etc.

The visit with Dr. Pat Kho went well.  She was also explained the proper use of her improvised SNS (Supplemental Nursing System) which Bev made herself, this is how dedicated and resourceful she is.  She bought the medicines and went back home for the lactation massage that Abbie also suggested to her (you know how important relaxation is to the breastfeeding mom).

Right before they flew to Bicol, Abbie visited her one last time to thoroughly explain her breastfeeding plan, gradually lessening formula and increasing breastfeeding more.  Weekly phone follow-ups were necessary to ensure that Be-An does not lose out on her nutritional needs.

Bev religously followed the plan and to her amazement, didn't notice she wasn't buying nor mixing formula anymore after a little more than 6 weeks... she did it!  Credit goes to both Abbie & Bev for their dedication and hard work.

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