I like the "bait and switch with a nipple shield" trick for older
babies. Bottle feed him with a wide base nipple (Gerber comfort latch,
Playtex NaturaLatch, or the new one that comes with the Whittlestone
hand pump) right next to the breast, while mom wears a nipple shield.
She sneaks the bottle out of his mouth and presents the breast, if baby
cries, she gives the bottle back for a few seconds.
Another thing to try is distract and swoop. Mom lays baby on back on
bed. SHe gets on her hands and knees, and tickles him with the nipple on
his belly, chest, ear, cheek, then finally right above his upper lip. He
should reflexly open up his mouth, and mom can let the breast fall in
from above as he opens. It helps if she makes silly noises with every
tickle.
Self attach distraction is also good. Mom lays down on bed or floor
without a shirt or bra on. She takes some rattly, squeeky interesting
toys. Lays baby on her belly or chest and shows him one of the toys.
When he is distracted and enjoying himself she offers the breast. If he
cries, she takes it away and repeats.
THe other thing she can try is "tough love". Offer baby the breast or a
cup, and that's it. Most babies will at first choose the cup, but then
quickly try the breast again. If baby gets very upset, mom cuddles him
and then returns him to her chest.
BUT before I do any of this, I'd want to know what made babe so adamant
against breast. Was it flow issues? Difficulty coordinating swallowing
and breathing? Just unfamiliarity and he's a pretty inflexible babe?
forgive the shorthand, am stressed by a lot of projects, but wanted to
answer this!
Catherine Watson Genna, IBCLC NYC
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