Dear Alice:
I understand that sometimes is difficult and feeling with dispair when we don't 
get the expected results. The baby boy is 7 days old and by this time we are 
expecting to be latching on. It comes to mind some question regarding how 
many times he is breastfeeding?, how many wet and soiled diapers?;Does the 
infant had any complications at birth? Does the mother is breastfeeding during 
the night?
Some mothers experienced delay in breastfeeding that can last hours or 
several days for which the mother needs the encouragement and feeling of 
confidence that she can breastfeed. She should continue with the previous 
advice of utilizing the hospital grade pump, and continue pumping and feeding, 
reinforcing that she express her milk at least 8 times in 24 hrs, particularly 
once during the night when the prolactin levels are higher. Reinforce the 
importance of good nutrition and drinking fluids during day and night.
If the mother is nursing and the baby is not transferring milk she can offered 
the milk that has been stored by spoon or small cup.
Establishing let down when the mother has feeling of frustration may be more 
difficult to establish milk production for which needs reassurance in positioning 
and latching.

Irma N. Martinez M.Ed.,R.D.

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