Is this woman an immigrant to Australia?  If so she may be dealing  with 
birthing in a very different culture.  Korean society views birth and  recovery 
very differently from Western cultures.  Mother and baby  traditionally are 
cared for in a spa setting or at their own house by relatives  and/or staff around 
the clock for several weeks.  She may have several  issues to deal with as 
mentioned in other replies in addition to coping with  another culture.
I would say the most important aspect is that there is very close follow  up 
as mentioned.  Count every drop of breastmilk this baby has gotten as a  
result of your efforts as a victory.  It seems this family will have  so much more 
with which to contend in the near future.
Christie Pillado
El Paso, TX




-----Original Message-----
From: Theresa Klein  [mailto:[log in to unmask]] 
Sent: Friday, September 01, 2006 11:50  PM
Subject: difficult case

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 toda= y
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 insuranc= e
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 teachin= g
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 the= n
becomes interested?
Terri  Klein RN CLE CLC


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