Dear Dr. Gordon,
    We just had a mom come in with a similar story.  She was determined not 
to allow any bottles or formula.  She had purchased an SNS. (though I would 
use a syringe and feeding tube - easier and much cheaper!) After the baby's 
first feed at the breast she pumped and had the breastmilk ready to give so 
that baby would receive any needed intervention at the breast.  She also put 
the baby skin to skin.  She did not need to use the pumped milk and baby's 
sugars - even with our protocol of 46, did not drop.  Mom was very pleased, 
she was also firmly adamant that she was in control and had done the study 
and prep ahead of time. Though the nurses thought she was somewhat pushy 
once this episode had passed they all agreed that this delightful mom had 
done the right thing!  Good luck to your mom.  Could she hire a 
doula/lactation consultant to come with her?  Or possible have another 
support person with her to help her remain strong?  Just a thought.  Judith 
Markham IBCLC RLC 

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