I would appreciate some input with my latest induced lactation case.  In the past, all the babies I have worked with have been placed, either at birth, or within the first 2 weeks.  All have breastfed with only minor challenges.

This one - the baby is 3 months old.  The mother has one biological child whom she breastfed for 18 months.  She has induced a fairly good milk supply, has an SNS, but now we need the baby to come to the party!  She is paced bottle feeding well, but screams at any attempt at the breast. She has latched once!  The mother has tried all the usual tricks - breast when sleepy, co-bathing, breast as dessert, while walking etc.  It has not even been a week - so baby is still adapting to the change in environment, caregivers etc.  How do I reassure the mother and any other tips to share?  Anyone, been-there-done-that who would be willing to offer encouragement?

Many thanks.

Jean Ridler  RN  RM  IBCLC
Cape Town, South Africa

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