Dear Theresa,
This situation sounds to me like the mother is overwhelmed with her own
physical pain and I highly suspect an emotional aspect to this refusal to
breastfeed.Perhaps this was an emergency birth for maternal or fetal
distress and she is feeling som post traumatic stress. Perhaps mother has
other emotional issues in her past that are interfering with her desire or
ability to bond with her baby.
It doesn't sound like you are doing anything more than can be done. Try a
giving her a listening ear. Maybe she will need some counseling from a
mental health professional regardless of whether she continues to pursue
breastfeeding.
Judy Gutowski, BA, IBCLC, RLC

-----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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