39 years old
10th delivery 13th pregnancy
3.450kg
ending first day
40 weeks
contractions and epidural
baby was low blood sugar
baby was high in the womb breech position
long labor because it took baby a long time to come down
mom has very large nipples – concerns baby couldn't get it all in her mouth
expressed some colostrum
mom said she typically has a hard time getting the milk to come in
baby also has a tongue tie – gave a name of dr to see
good suck but constantly falling asleep at the breast
supplementing with formula
discussed latching every 2-2.5 hours and supplementing remainder of the feed with formula and discussed how the baby is exhausted from using her tongue as well as being on a big nipple.
they came to take baby for a sugar test
I returned about 3 hours later and mom said they told her baby has jaundice now.
I attempted SNS with her to get baby to want to feed from the breast as well as get what she needs for jaundice, growth and bringing in milk supply.
Baby then took about 15cc with the tube
Mom said it seemed hard to do in the beginning but will try – tried showing her an easy way with tape on her also if she wants to keep feeding tubes
lots of skin to skin
discussed breastfeeding management