I must add some info about my sweet girl who has been struggling with 
nursing. She did NOT have issues with a retained placenta as she said that 
the Dr actually said it was "beautiful" once she delivered it. I did encourage 
skin to skin contact between feeds which mom had been doing as well as dad! 
Mom prefered soy formula because she was concerned about allergies 
although she did not have a strong family history of it. Unfortunately I did not 
have a scale with me at her home so I could not assess weight but because 
we had not seen a void or stool in over 8 hrs, baby had a hoarse cry along 
with a dry looking mouth and most importantly mom's high high high anxiety 
over the baby "starving" we decided to supplement. Please believe me, I am 
the last person to encourage formula but in this case I felt it was warranted. 
(The client's mom already had a bottle cracked open upon my arrival.) I am 
glad that I was there when she did supplement as I was able to teach her 
how to feed at the breast, use small amts, not feed from a bottle, etc. Mom's 
anxiety was greatly reduced once the baby seemed more satisfied. I really 
believe no matter how much education and calming I gave mom she would 
have still gave the baby something once I left. Finally, I do realize that 
pumping is not the same as nursing but we were just trying to give extra 
stimulation and wanted to see if the pump would pull anything from the breast 
since it did not look like the baby was. I did explain to mom before she started 
pumping that she should expect to see only see a sm. amt. when first using a 
pump.
     I am happy to report that as of today (day 6 1/2), she is still nursing. She 
said she decided not to give up. YEA! She reported that she thought she 
heard swallows with this mornings with the feed for the first time. She pumped 
after the feed and had 10ccs in the bottle. I gave mom a lot of praise and 
encouragement and told her how proud I was of her. Hopefully we are turning 
the corner now. I appreciate all of the input that you have all sent me. I will 
keep you posted.
                                  Feeling better in Ohio

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