Failure to Thrive While Breastfeeding

The mother was a 34-year-old, white, married woman who worked as a bank cashier. She was previously well and had not had breast surgery or infertility. It was a planned, uneventful, second pregnancy. She had a spontaneous vaginal, vertex delivery at 42 weeks following a prolonged second stage. She sustained a large, second-degree tear. Following the delivery, she required intravenous oxytocin; the estimated blood loss was 1500 cc. She felt tired and dizzy but was discharged home within 48 hours of delivery.