I'm working with a mom who is having difficulty latching a 3 day old baby 
girl.  Mom is early 30's, 5/5,  breastfed  her first 4 (2 were preemies and 
she did very well breastfeeding each of them).  I visited her early on day 
1, baby was latching and suckling well at breast, mom very happy and 
confident.  She had contx on and off for 2 days before coming into hospital 
at 7am.  She had an epidural (with relief) at 7:30am and delivered vaginally 
at 9am.  Baby was taken to nursery at 28 hours for newborn screening, then 
returned to mom and no latching since then.  Nurse assures me "NO" bottles 
given in nursery.  Worked with mom and baby thinking baby just needed a 
little extra encouragement.  Oral assessment within normal,  mom's breasts 
larger but baby handled her anatomy fine in the first 24 hours.  Baby roots 
all over, latches, few suckles, then  comes off fighting and arching even 
with gentle continued assist, utilizing several positions and approaches. 
Expressed milk and cupfed almost an ounce.  Offered all the usual 
suggestions for skin to skin, frequent feeds, cupfeed if no latch, protect 
milk supply, bathe with baby, etc.  (No complications for mom or baby during 
labor and delivery or hospital stay.)  Mom called today (day 3), very 
frustrated after continuing with all suggestions.  Continues to pump (great 
supply), cupfeed and may try "paced bottlefeed" with big dome nipple but 
really wants to get baby to breast.  Consult set up for Monday.
Any ideas about why this baby did so well and now refuses and fights the 
breast?
Thanks for any ideas or suggestions!
Shirley Breil, RN, MSA, IBCLC 

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html