Optimizing Own Mother’s Milk Supply for NICU Babies

All babies, including the ones admitted to NICU, should receive their mother’s milk for their reduced morbidity and mortality in short-term and optimal growth and cognitive development in the long run. NICU babies are at the highest risk of lactational failure and formula feeding due to a variety of reasons. Various barriers for exclusive breastfeeding, the quality indicators of optimal lactational supply, and interventions to improve own mother’s milk supply for NICU babies is discussed in this article.

Sheehan's Syndrome Presenting with Hyponatraemia: A Case Report

Sheehan syndrome (SS), or post partum necrosis of the pituitary gland, is a rare complication of post partum haemorrhage usually presenting with failure of lactation and subsequent amenorrhoea. We report a case of a 30-year-old woman with history of secondary amenorrhea and lactational failure following childbirth complicated with severe post partum hemorrhage, who presented to us with anemia, hypotension, acute confusion, neuropsychiatric manifestations, abnormal posturing and severe hyponatraemia. Hormonal assays revealed low pituitary hormones, subnormal levels of cortisol and thyroid hormones, with magnetic resonance imaging of the brain suggestive of SS. Hyponatraemia and late onset neuro-psychiatric manifestations are uncommon presentations of SS. Hence, there should be a high index of clinical suspicion for Sheehan’s syndrome in women with secondary amenorrhea and lactational failure following childbirth, who present with late onset neuro-psychiatric manifestations and hyponatremia.