----- Original Message ----- 
From: "laurie wheeler" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Saturday, January 05, 2008 6:33 AM
Subject: [LACTNET] mom with pain - again


> Royce,
> I don't think you need help yet - wait til you see her. It could be
> oversupply, low supply, birth control product leading to low supply, 
> nipple
> confusion/breast refusal from overuse of bottles. Pump misuse, lousy pump,
> muscle strain, poor positioning, etc.
> Let us know what you think.
> Laurie Wheeler, RN MN IBCLC
> Mississippi, southeast USA

**And it could also be a mom who has totally different problems, that have 
nothing to do with breastfeeding.
It can be a mom who doesn't want to breastfeed anymore, or a mom who does 
want to breastfeed, but has a psychological problem that interferes with a 
good analysis of what is going on with bf.
Who was it, a while ago, that opted for a frank conversation about these 
issues, about issues that make counseling hard, because a mom is not really 
willing or able to be frank...?
From your cry for help, Royce, it seems as if you're afraid you're going to 
have a difficult time to get through to this mom and keep the conversation 
comfortable for both parties.
What is the area you would like help with: bf differential diagnosis or some 
kind of mirroring or reflection about what might be going on otherwise...?

Warmly,

Marianne Vanderveen, Netherlands

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

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome