How to Answer Lactation Consult Watch Questions (Complete Guide)

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This topic involves lactation consult watch. A strong answer should include explanation, application, and examples.

Original Question

Lactation Consult Watch the lecture: The Lactation Consult.mp4 https://d2l.nl.edu/content/enforced/220484-30897.202530/Videos/The%20Lactation%20Consult.mp4 Then read the case below and discuss what you would do FIRST, and why. First email: “I am wondering if I will be able to breastfeed my second child if I was unable to breastfeed my first child. After my son was born he received the colostrum, but my milk never came in. I never got engorged and after about 1.5 weeks of trying to breast feed and pump I still never got any milk. I am just wondering if I should still try to breast feed our daughter when she is born, or if the same thing will happen again. I REALLY want to breast feed, but understand if I cannot. If you could help me on this situation I would greatly appreciate it. Again, I am just wondering if it is possible that my milk may not come in this second time around either.” LC Reply: The lactation consultant responded by email and offered to help the mother by phone. Second email: “I don’t have long distance on my phone, and my cell phone is out of service area for the next 2 weeks. Otherwise I would be happy to call you. I tried to breastfeed the first time, but we ended up having a c-section due to my high BP and his Heart Rate dropping…..before the c-section I was put on Magnesium-which I had to be on for a full 24 hours and it made me really sick. (vomiting, headache etc.) then I have SEVERE reactions to pain meds and was only on extra-strength Tylenol for the pain, which didn’t help very much….so they would bring Brian into me to breast feed, shove him in my face, grab and pull and tug till he latched on….he would latch for 20 minutes each breast……so I am not sure if it was because I was really stressed out with the pain, the vomiting, and it being my first baby and first breast feeding experience. But I never actually got milk…never got engorged. I also have large breasts… which I know the size doesn’t affect milk production or the ability to breast feed, but thought I would let you know that fact. I have little sensation in my breasts when they are touched as well. I can tell you this much, this time around I will have more control over my pain as we have found a pain med that I don’t get sick from and am opting for the c-section so that I don’t risk the chance of being put on Magnesium again. I will also have more control over the nurses just giving me my daughter and then asking them to leave and letting me do it myself….hoping that all of this will help me relax more and be able to breast feed. Again, I was just wondering if it will help or if I should buy bottles and get the formula of choice just in case. I am also sorry that I do not have the option of calling you at this moment.” Do not use any AI tools (ChatGPT) for this discussion.

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