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Gave birth to premature baby. Not getting milk to feed baby. Suggest? - Online Doctor Chats

Date : 07-Jun-2013
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:hi Dr XXXXXXX
User:XXXXXfrom XXXXXXX tech
Doctor:How can I help?
User:i had a concern 2 months back my wife gave birth to a pre-term baby
User:still she is not getting milk to feed baby any assistance please
Doctor:at how many weeks was the child born?
User:30-31 weeks
Doctor:was there any major blood loss or any such issue?
User:and it was a normal delivery
Doctor:In some cases , XXXXXX, lactation as such fails
Doctor:and there is no reason behind it
Doctor:its called primary lactation failure
User:can nothing be done... she jes gets a couple of drops
Doctor:also, in some cases, when you put the child on bottled milk
Doctor:This is how it works XXXXXX
Doctor:the child's crying stimulates milk production
Doctor:if we feed the child by other means
Doctor:then automatically child does not demand more milk
Doctor:it is also important that the child latches on effectively
User:actually we are giving pre-NAN
Doctor:for this the child should be held in the proper position
Doctor:what you need to do XXXXXX
Doctor:is take your wife to a gynaecologist
Doctor:She needs to be shown practically how things are to be done
User:will it make any differnec as we are not feeding him mothers milk
Doctor:there are a lot of advantages of mother's milk
Doctor:it has antibodies which no other milk can provide
User:wat are afects please
Doctor:it is actually customozed to the child's requirement
User:will it be a major problem
Doctor:Some children will have problems in bonding,
Doctor:but hygeine should be superb if you're using a formula
Doctor:there are no 2 ways about that
Doctor:but still
Doctor:its best to give mother's milk
Doctor:so take her to a gynaecologist
Doctor:a pediatrician's opinion may also be required
User:we have tried our best
User:he is in my house from a months and from a couple of days he is crying in the night
Doctor:to evaluate the child
Doctor:thats because he is hungry
Doctor:and he needs to be fed every 2 hours
User:after feeding also he crys
Doctor:so she needs to hold him and let him latch on
Doctor:That means she is not holding him properly
Doctor:children need to be given proper back support
Doctor:their neck also has to be supported
Doctor:they need to be held with both hands
User:when we are giving him formula we are taking care of all this, and also hygeine is maintained
User:any medication u prescribe
Doctor:the bottles need to be boiled
User:we are not giving bottle milk
Doctor:how are you giving the formula?
Doctor:This is a good link which tells a mother how to hold a child
Doctor:the positions described here are correct
User:we have small boul
Doctor:so that needs to be sterilized
Doctor:boiled in hot water for 15-20 minutes
Doctor:and use only RO water for reconstitution
User:what is ro water please?
Doctor:Reverse osmosis
Doctor:a filter is available in the market
Doctor:that gives the purest water
Doctor:but the basic issue is XXXXXX
Doctor:that your child needs breast milk
User:corrrect any advice for that
Doctor:and since it seems to be a very basic problem
Doctor:It can be corrected
Doctor:by some very practical measures
Doctor:no medication is required
Doctor:till we institute those measure
Doctor:she needs to hold the child
Doctor:withold formula for some time
Doctor:she needs to be taught these things in person
Doctor:thats why I urge you to take her to a gynaecologist
User:can i talk to you please over phone
Doctor:What is your number
Doctor:I'll get customer care to call you
User:no i want to talke to you
Doctor:they will connect you to me
User:also i vl bring my wife on call
Doctor:do you want the call right now
User:if you can
Doctor:we'll end this chat then
User:bye Dr
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