post op gastric bypass pt breast feeding (baby 10 days old)

[Guest guest]

hello

i am having trouble finding breast feeding nutrition recommendations for a post op gastric bypass pt (thank you for the nice article jeanne)

i did find in the files section of the bariatric group pregnancy recommendations and pretty much used that

prenatal mvi

500 mcg b12 daily

DHA 300 mg/day

calcium citrate 1500-2000 mg/day

iron as needed

calories around 1500 and pro needs 1.1 g/kg ibw

okay is this okay for breast feeding ..or what do i need to change..

she is having a hard time producing breast milk at this point..we just advanced her diet to bariatric full liquids (with added protein)

THANK YOU!!! Miceli MA, RD, LDNSouthern Surgical HospitalSlidell, La936-443-4123 (cell)985-661-2146 (work)

[Guest guest]

How old is the baby? Breastfeeding before surgery or after -- can't tell from your email. She needs 1500 to 1600 calories for adequate milk production. She should be feeding frequently on both breasts in order to produce additional milk. I will attach a powerpoint that I did. For milk production, she might best benefit from a lactation consultant and then have you oversee her nutrition.

Jeanne Blankenship, MS RD

-------------- Original message from melissa miceli <melmiceli@...>: --------------

hello

i am having trouble finding breast feeding nutrition recommendations for a post op gastric bypass pt (thank you for the nice article jeanne)

i did find in the files section of the bariatric group pregnancy recommendations and pretty much used that

prenatal mvi

500 mcg b12 daily

DHA 300 mg/day

calcium citrate 1500-2000 mg/day

iron as needed

calories around 1500 and pro needs 1.1 g/kg ibw

okay is this okay for breast feeding ..or what do i need to change..

she is having a hard time producing breast milk at this point..we just advanced her diet to bariatric full liquids (with added protein)

THANK YOU!!! Miceli MA, RD, LDNSouthern Surgical HospitalSlidell, La936-443-4123 (cell)985-661-2146 (work)

[Guest guest]

Is she exclusively breast feeding? What gives her the sense that she is not producing enough milk? Is the baby not gaining weight? Since the baby is 10 days old...I assume her milk has come in??Is she working with a lactation consultant?Just some thoughts.Alison Pelz ; aspenet@...; z_hallak@...; ahall@...; acnash@...; ashleyrogers79@...; beckyseverns@...; esturgi@...; vanstaveren@...; doby1279@...; jlwieser@...; jennsilverfish@...; jodirdld@...; vitaminknb@...; kristen.priore@...; ldkutra@...; elizabeth.cabrera@...; mmj1254@...; perbhjotsran@...; guidryrl@...; royaann@...; shansherm@...; spidikiti@...; lsjmoury@...From: melmiceli@...Date: Tue, 24 Mar 2009 10:43:27 -0700Subject: post op gastric bypass pt breast feeding (baby 10 days old)

hello

i am having trouble finding breast feeding nutrition recommendations for a post op gastric bypass pt (thank you for the nice article jeanne)

i did find in the files section of the bariatric group pregnancy recommendations and pretty much used that

prenatal mvi

500 mcg b12 daily

DHA 300 mg/day

calcium citrate 1500-2000 mg/day

iron as needed

calories around 1500 and pro needs 1.1 g/kg ibw

okay is this okay for breast feeding ..or what do i need to change..

she is having a hard time producing breast milk at this point..we just advanced her diet to bariatric full liquids (with added protein)

THANK YOU!!! Miceli MA, RD, LDNSouthern Surgical HospitalSlidell, La936-443-4123 (cell)985-661-2146 (work)

Hotmail® is up to 70% faster. Now good news travels really fast. Find out more.

[Guest guest]

>well this patient got discharged so no luck giving her more information

she was exclusively breast feeding until she got discharged. she was told to

dump her milk right now. she said she felt that she wasnt producing enough

because she was producing alot prior to being admitted and now shes almost dry

(per pt)

we have no lactation consultants here- we are just a surgical center...i did

provide her with with the article by jeanne..

thanks for yalls input

melissa

>

> Is she exclusively breast feeding? What gives her the sense that she is not

producing enough milk?

> Is the baby not gaining weight?

> Since the baby is 10 days old...I assume her milk has come in??

> Is she working with a lactation consultant?

> Just some thoughts.

> Alison Pelz

> ; aspenet@...; z_hallak@...;

ahall@...; acnash@...; ashleyrogers79@...; beckyseverns@...; esturgi@...;

vanstaveren@...; doby1279@...; jlwieser@...; jennsilverfish@...; jodirdld@...;

vitaminknb@...; kristen.priore@...; ldkutra@...; elizabeth.cabrera@...;

mmj1254@...; perbhjotsran@...; guidryrl@...; royaann@...; shansherm@...;

spidikiti@...; lsjmoury@...

> From: melmiceli@...

> Date: Tue, 24 Mar 2009 10:43:27 -0700

> Subject: post op gastric bypass pt breast

feeding (baby 10 days old)

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> hello

> i am having trouble finding breast feeding nutrition recommendations for a

post op gastric bypass pt (thank you for the nice article jeanne)

> i did find in the files section of the bariatric group pregnancy

recommendations and pretty much used that

> prenatal mvi

> 500 mcg b12 daily

> DHA 300 mg/day

> calcium citrate 1500-2000 mg/day

> iron as needed

>

> calories around 1500 and pro needs 1.1 g/kg ibw

>

> okay is this okay for breast feeding ..or what do i need to change..

> she is having a hard time producing breast milk at this point..we just

advanced her diet to bariatric full liquids (with added protein)

> THANK YOU!!!

> Miceli MA, RD, LDN

> Southern Surgical Hospital

> Slidell, La

> 936-443-4123 (cell)

> 985-661-2146 (work)

>

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> _________________________________________________________________

> Hotmail® is up to 70% faster. Now good news travels really fast.

> http://windowslive.com/online/hotmail?ocid=TXT_TAGLM_WL_HM_70faster_032009

>

[Guest guest]

Hi ,I not sure why she was told to dump her milk (because of medications she is taking?)...If she wants to try to keep breast feeding...she should still pump her breasts to keep whatever milk supply she has. As far as a resource for a lactation consultant...the patient can type into her Google browser lactation consultant and the city where she lives. Lactation consultants are often in private practice. La Leche League is another resource. This patient must be so overwhelmed with a new baby, problems with breast feeding and dealing with special diet...Ugh!Alison Pelz, RD, CDE, LCSW From: melmiceli@...Date: Wed, 25 Mar 2009 14:56:45 +0000Subject: Re: post op gastric bypass pt breast feeding (baby 10 days old)

>well this patient got discharged so no luck giving her more information

she was exclusively breast feeding until she got discharged. she was told to dump her milk right now. she said she felt that she wasnt producing enough because she was producing alot prior to being admitted and now shes almost dry (per pt)

we have no lactation consultants here- we are just a surgical center...i did provide her with with the article by jeanne..

thanks for yalls input

melissa

>

> Is she exclusively breast feeding? What gives her the sense that she is not producing enough milk?

> Is the baby not gaining weight?

> Since the baby is 10 days old...I assume her milk has come in??

> Is she working with a lactation consultant?

> Just some thoughts.

> Alison Pelz

> ; aspenet@...; z_hallak@...; ahall@...; acnash@...; ashleyrogers79@...; beckyseverns@...; esturgi@...; vanstaveren@...; doby1279@...; jlwieser@...; jennsilverfish@...; jodirdld@...; vitaminknb@...; kristen.priore@...; ldkutra@...; elizabeth.cabrera@...; mmj1254@...; perbhjotsran@...; guidryrl@...; royaann@...; shansherm@...; spidikiti@...; lsjmoury@...

> From: melmiceli@...

> Date: Tue, 24 Mar 2009 10:43:27 -0700

> Subject: post op gastric bypass pt breast feeding (baby 10 days old)

>

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> hello

> i am having trouble finding breast feeding nutrition recommendations for a post op gastric bypass pt (thank you for the nice article jeanne)

> i did find in the files section of the bariatric group pregnancy recommendations and pretty much used that

> prenatal mvi

> 500 mcg b12 daily

> DHA 300 mg/day

> calcium citrate 1500-2000 mg/day

> iron as needed

>

> calories around 1500 and pro needs 1.1 g/kg ibw

>

> okay is this okay for breast feeding ..or what do i need to change..

> she is having a hard time producing breast milk at this point..we just advanced her diet to bariatric full liquids (with added protein)

> THANK YOU!!!

> Miceli MA, RD, LDN

> Southern Surgical Hospital

> Slidell, La

> 936-443-4123 (cell)

> 985-661-2146 (work)

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

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> __________________________________________________________

> Hotmail® is up to 70% faster. Now good news travels really fast.

> http://windowslive.com/online/hotmail?ocid=TXT_TAGLM_WL_HM_70faster_032009

>

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