Dear Jennifer,
May I suggest re-checking this baby for tongue tie, good compression, deep
off-centered latch, and perhaps giving baby 1/2 to 1 ounce of expressed milk
prior to nursing to give baby the calories/energy to do a better job at
breast.  Hour long nursings often - but not always -  indicate that baby
fatigues and doesn't finish feeds.  Hope this helps.
Anne Grider, IBCLC


On 3/21/07, [log in to unmask] <[log in to unmask]> wrote:
>
> Hello, I have a problem that I would love some help with. A mom, who has
> done a fantastic job making a nice milk supply for her now full term baby
> girl,
> is now home from the NICU. She is struggling to get her baby
> to  take  milk
> from her breasts, and is still continuing to pump and feed the baby
> with  slow
> flow bottles. Mom is getting very exhausted with the full  time job of
> pumping
> as she has a 3 1/2 year old at home. She is starting  to use formula when
> she
> is overwhelmed.  She has done a fantastic  job keeping the baby happy to
> latch
> on and even suck a little, but the baby  screams at breast when she is
> really
> hungry, demanding the bottle.The baby  will nurse for about an hour then
> still take 2 ounces of milk from the  bottle. Mom uses  breast compression
> while
> baby is  nursing.She has tried but didn't have much success with the  SNS,
> or
> nipple shields. She does lots of skin to skin time. Her baby  has a nice
> suck
> on exam.She is now 7 lbs 4 oz and is 3 weeks past her due  date. she was
> born
> at 28 weeks 2 lbs 7 oz. and had no complications. She is  hoping that
> someone
> else has had some experience that might shed some light on  how to get
> this
> transiton to happen. any ideas? Thanks for your help.
> Jennifer Davidson RN IBCLC
> Los Angeles, California
>
>
>
>
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