In a message dated 3/2/02 12:42:49 PM, [log in to unmask] writes:

<< -She hates the SNS and finds pumping is time-consuming. She tried nipple
shields (her idea) for a brief time when the baby was biting due to
teething (teeth finally erupted this week).  We had also considered using
nipple shields with the SNS threaded through as a transition to the nipple
alone. >>

Kathryn,
I would suggest MoreMilkPlus from Motherlove instead of the drugs or in
combination w/ domperidone. I do tell mothers about Reglan, but discourage
its use due to side effects--most of my clients prefer the herbs or
domperidone. This is also where I talk about being an opportunist--trying to
do "feedings" at the breast doesn't often work--but making the breast very
available, esp a full breast can be quite different. Also, I am a huge fan of
co-bathing to restore the nursing relationship, b/c babies don't associate
this with feeding from a bottle and will often casually take the breast in
this relaxed way. Considering the reality of three other young children, I
would imagine the most organic, least structured approach might work best for
them, if she can let go of the pacifier and a feeding-time approach to
relactation. This does not mean some tools might be useful, but it seems best
to me to teach them and use them flexibly.
Jennifer Tow, IBCLC, CT, USA

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