Dear Breastfeeding Supporters;
I had a very difficult case the last three days. Primary c/s delivery at 
39 wks. breech presentation. Baby first delayed in breastfeeding due to 
respiratory distress. O2 x 6 hrs then finally out to mom to feed. First 
day post op I encouraged skin to skin. Mom could not deal with it due to 
pain. Had Morphine pca and toradol but not effective. Would not express 
colostrum wanted cold cloths and rest. Mother is of Korean disent. Father 
of baby Caucasion. Highly educated but scared to death to hold or touch 
the baby. Nurses fed infant in nursery using a bottle. I have asked them 
to use the Nuk orthodonic nipples that are slower flow which have been 
helpful. Mom was not into baby whatsoever. Next day she was more awake, 
would let baby nurse. Baby really wanted to nurse. I would revisit her 
room every 2-3 hours and ask her to waken the baby to see if she would be 
interested in feeding again. Mom now had headache and pain and wanted 
nothing to do with baby. Third day mom is filling and breast swelling 
noted. Baby wanted to nurse and nursed well but mom again by afternoon 
wanted baby fed bottle and nothing to do with her. Convinced her to use 
wmc and pump and cold compresses to help with edema. When I returned today 
she had only pumped once after I left and baby was given bottles. I sat 
down with both she and her husband and asked her if she wanted to bottle 
feed or breastfeed. Her body will no longer make breastmilk if she doesn't 
feed her baby or pump. She wanted to pump not feed the baby. Her insurance 
will cover a pump in style so I tried to obtain that for her.  She still 
has no interest in baby. Vital signs are all good. We had anesthesia 
consult with her regarding a blood patch in case of spinal headache. Ms 
was discontinued and was given Vicodin q4 hrs around the clock. I have 
never felt like such a failure. I spend alot of time with my moms teaching 
but she was so disinterested I couldn't stay with her. She would shut me 
out. Do you think she still has hope when she is discharged and maybe then 
becomes interested?
Terri Klein RN CLE CLC

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