When her incision permits her to lie on her side, this will be ideal. At present, her abdomen extends well beyond the reach of her breasts, but positioning can be worked out. Baby has more muscle tone than mom does.
Mom has already asked about using a sling and I will give family info on where to find one. They did turn the fan off for baby's feed, by their own initiative. I didn't mention it.
Baby did feed very well. All visuals were good. Mom reported strong tugging; denied feeling nipple pain. Baby looked content. s/s swallowing observed; frequency of swallows slowly increasing. In his own time, he literally popped off. I helped mom move baby up to center chest. He immediately started rooting, so I assisted with supporting him down to the opposite breast. Repeated procedure. Then he went back to the first breast for a brief "top off". Mom was smiling. OB Doc arrived, so I gave babe to Dad to hold, complete frontal contact on his chest. Babe settled in to snooze. Nsy RN had been worried because babe had been a "poor feeder" initially on breast and certainly by bottle. She insisted on a ChemStrip before this feed because 5 hours had passed since the last formula feed - 54 reading. There was nothing "poor" about this breastfeeding.
Phyllis Adamson, IBCLC, RLC
Phoenix, AZ
-----Original Message-----
>From: "Catherine Watson Genna, IBCLC" <[log in to unmask]>
>Sent: Jun 15, 2006 2:49 PM
>To: [log in to unmask]
>Subject: Re: Machado-Joseph Disease
>
>I'd teach her to let the baby self attach. Her helper can put the baby
>to her chest, under a blanket if necessary to keep him warm with that
>fan going! Fortunately, he's a good sized kid, and has some subcutaneous
>fat to help keep his temp up. If she can sidelie in a stable position,
>he can find his own way to the breast and self attach that way as well.
>She can get help to roll over or roll down at the next feeding.
>
>She can also use a sling to keep him close without having to use her
>arms much. The sling will also keep him warm.
>Catherine Watson Genna, IBCLC NYC
>
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