Mary Kay,
your msg comes the day after one home visit that stumped me just like
you.
Mom aged about 40, breast augmentation, 1st son, elective C-sec at
37wk-4dys in one very exclusive private clinic, baby bottle-feeded day 1
"because I was too tired". At home she is pumping 2 times a day just a
few drops, baby eats every 4- 4,5 hrs his bottle of formula.
When I explained her what we had to do to solve the problem (baby at day
6) she started to say that she doesn't want to "stress" the baby, she
wants him to be happy and satisfied, she cannot hear him crying. He's
totally nipple-confused and has no idea what to do when put at the
breast.
Sigh. Yes M'm, the strategy is *not* to put him at breast when crazy for
hunger... ok, she said, but I can't pump more than twice because it is
too much stressful (in the meanwihle her mom and the waitress were
cleaning home, putting the cleaned and ironed clothes in drawsers and so
on... Mom told me 'ok, I'll think about that'.... I went away thinking
what else I could do for that baby...
Hugs
martina


 Il giorno lun, 29/07/2013 alle 10.19 -0400, Smith, Mary Kay ha scritto:
> Good morning all,
> 
> The usual Monday morning fiasco here; everyone "wanted" to breastfeed...now they are day three and four, no one is pumping...baby has been to breast once, nipples are sore.....blah, blah. And of course they are going home today.
> 
>  I'm trying to come up with a simple care plan to send mom home with, like a "to do" list. Other than starting them to pump to get the milk moving, try to latch a baby who is expecting a fast flow, and maybe using a nipple shield briefly, does anyone have any other easy tips for me to put on paper?
> 
> I'm not going to completely pin it on the nurses; two of the moms told me "I just haven't gotten any sleep" and gave me the usual excuses. I just say, "those are your choices and this is the outcome. It's going to be a little difficult but it can be done if you follow our suggestions and get some help in the next few days."
> 
> Other than a magic wand, I'm stumped!
> 
> MK
> 
> 
> Mary Kay Smith, RN, IBCLC, FILCA
> Lactation Consultant
> Henry Ford Hospital
> Detroit MI
> 313-916-8363 office
> 146-4333 in house pager
> 313-990-4333 long range pager
> 
> "Babies are born to breastfeed"
> 
> [cid:image001.png@01CE8C45.1151AB00]
> 
> 
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