1

A client experiences post partum hemorrhage eight hours after the birth of twins. Following administration of IV fluids and 500 ml of whole blood, her hemoglobin and hematocrit are within normal limits. She asks the nurse whether she should continue to breast feed the infants. Which of the following is based on sound rationale?

  • “Breastfeeding twins will take too much energy after the hemorrhage.”

  • “Lactation should be delayed until the “real milk” is secreted.”

  • “Nursing will help contract the uterus and reduce your risk of bleeding.”

  • “The blood transfusion may increase the risks to you and the babies.