At 02:23 PM 9/5/2004, you wrote:
><<which is to assume it is OALD. Have mom pump out 1 oz, preferrably
>with a manual pump (I find these don't stimulate the supply as greatly
>as the electric do). Then nurse baby and see if baby is any happier.
>Perhaps this will work. >>
>
>i'd be thinking along that as one first line of mgt.
>
Thanks Kathy and Katherine... that is exactly what we started with...
><<Also, I'd be curious to see her on a bottle to assess her ability to
>suck swallow breathe. Maybe an Avent or a Playtex clear natural latch.
>Something that she has to work to get milk out of.>>
The parents said that she gasped and choked on the Avent bottle nipple as
well. Perhaps I will be able to assess that myself, but these are not
first time parents and they do know how to bottle feed in a more
breastfeeding friendly way so I am inclined to believe them.
<snip>
>i'd also be strongly strongly encouraging the parents to buy Harvey's
>DVD and to start using the 5 s's immediately. While it's not going to
>solve all of their problems, it is going to given them some tools to
>calm this high needs/fussy/sensitive baby and that will go a long long
>way in terms of boosting confidence. His book is great too, but with
>the DVD the parents will get the best, most immediate help. I now
>recommend it to all of my doula clients and all of the mw's clients with
>whom I come into contact.
Interestingly enough, we did go over the 5 S's but they did NOT work for
this baby. I guess I did forget to mention that I did a good swaddle to
try and center this baby, thinking maybe this was contributing to the
problems... but it didn't seem to help much if at all. We did all the
other 5 S's and it still did not trigger any calming. Remember the 5 S's
are useful for a baby who does NOT have a physical problem. They don't
work for all babies. So anyway, since they didn't work at that time, there
was no point in buying the video or book.
>if this is the baby who's having trouble finger feeding (getting them
>all confused:)), i'd probably be cup/dropper feeding the baby to calm
>her if she's fussy prior to going to the breast. i'm not crazy about
>finger feeding anyway if baby will latch and nurse.
The fingerfeeding was to work on suck only... not to supplement or
anything. More to give the baby some positive reinforcement for a good
suck and only for a few minutes before latching baby to breast. In any
case, they did not take the tube and syringe home with them. I think it
will be just as useful for them to do simple suck training with Dad's
finger, then to mess with fingerfeeding.
I think I also forgot to mention that this baby won't take a pacifier, for
what that's worth.
Regarding the tongue tie or possible tongue tie... I don't really see how
that tongue could be clipped, but I do understand your point. If I can
actually talk to someone, I will try to bring that up. But this is
military and we don't have much luck with military hcps worrying about
mom's pain. Maybe if it is effecting baby eating period, they might pay
attention. Here's hoping....
Thanks for all you feedback.
Regards,
Cindi
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