If those members of LactNet with clinical expertise could help this woman,
I'd be grateful.  Please respond directly to her by private email.


>Return-Path: <[log in to unmask]>
>Date: Mon, 06 Oct 1997 09:35:11 +0000
>X-PH-4.4-To: [log in to unmask]
>From: [log in to unmask] (Tlx - Bill Kennedy)
>Reply-To: [log in to unmask]
>Organization: bill kennedy
>To: [log in to unmask]
>Subject: questions about breastfeeding.....
>
>Dear Dr. Dettwyler:
>Goodmorning, my name is Cindy and I am an RN working in
>Toronto, Ont in Post Partum and also in Level II NICU.
>Thismorning (after a long night shift!)  I was searching
>for articles Re: breastfeeding.  I found plenty including
>yours.  I am having a problem finding anything addressing
>the problem of flat, inverted, short nipples and also
>when the baby is not interested in breastfeeding and
>appears to have developed an aversion to it from previous
>unsuccessful attempts.  This is a huge problem on our unit
>especially with the pressure of mothers having the impression
>that it is supposed to come naturally, when in fact their
>anatomy may make it extremely difficult.  We are currently
>using breast pumps, lactation aids and finger feeding.  We
>always send a visiting nurse to check on anyone who is discharged
>and having feeding problems.  I wonder if you are aware of any
>articles addressing these issues, as I have just been searching
>the net for two hours and come up with nothing.  My co workers
>and I cannot help but become frustrated with this ongoing
>problem and sometimes feel as frustrated as the mothers.  I have had a
>recent experience spending one hour and fifty five minutes helping
>a mom trying to get the baby to latch (she had very short nipples)
>and out of that 2 hrs and 55 mins. the baby only sucked for a total
>of 12 minutes (baby was two days old, already lost 300grams and
>already under single phototherapy for jaundice, hadn't really
>latched or sucked at all)
>I, and my co-workers would be forever greatful for any help
>or references for help you might have to offer.
>Thank you for your time.
>Sincerely,
>Cindy, RN
>
>
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Katherine A. Dettwyler, Ph.D.                         email: [log in to unmask]
Anthropology Department                               phone: (409) 845-5256
Texas A&M University                                    fax: (409) 845-4070
College Station, TX  77843-4352
http://www.prairienet.org/laleche/dettwyler.html