I've worked out a simple protocol based on ABC. Like Basic Life Support, the
steps are sequential.

A stands for Access - getting or keeping the mother and baby together.

B stands for Breastmilk transfer - the infant's ability to get milk from
mother. Like in the obstructed airway sequence, if you can't get B happening
directly, then make it happen indirectly pump & cupfeed, etc) until you can
get it going naturally.

C stands for Comfort - the mother's comfortable breasts. If the breasts
hurt, either B (breastmilk transfer) is not happening correctly, or there is
a breast problem that needs fixing immediately before mom gives up on B
entirely.

Of course there are lots more details to this. The basic concept seems to be
useful.

Linda J. Smith, BSE, FACCE, IBCLC
Bright Future Lactation Resource Centre www.bflrc.com
6540 Cedarview Ct., Dayton, OH 45459-1214 USA
(937) 438-9458 email [log in to unmask]

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