Thank you for your input, Karen. I don't think I am ready to do that yet.
She is still trying, is not belligerent or abusive, and I do not want to
abandon her. I know she "owns" the breastfeeding, but she is willing to
comply to a certain extent. I am not anxious, just a bit frustrated.
Often "high need" clients need more attention.

I am going to help her a little more.

Mary Jozwiak IBCLC, RLC, LLLL, AAPL
Private Practice


On Mon, 15 Dec 2003 08:26:34 -0800, Karen Querna <[log in to unmask]>
wrote:

>Dear Mary,
>You have one other option - stop seeing her- You have given her lots of
help
>and options , she is an adult. She needs to own the breastfeeding, not you.
>I sense you are caught up in her anxiety and she is not compliant.
>Good luck with your private practice -
>Karen Querna, RN, BSN, IBCLC
>Spokane, WA
>
>>
>> Date:    Mon, 15 Dec 2003 09:10:40 -0500
>> From:    Mary Jozwiak IBCLC <[log in to unmask]>
>> Subject: Almost out of options, sheild AND SNS together?
>>
>> I have permission from the mother to post.
>>
>> Long story. Saw baby at 3 weeks, mom says "not enough milk." Observed
>baby,
>> found moderately tight frenulum.
>Again the fact that she has a 2 year old is used to excuse lack of
>> compliance.)
>>
>> Yesterday, called in a near panic. <<snip>>
>> She is going to need a supplementer. I can't count on her to pump. BUT
she
>> is STILL nursing. (Amazing!) This is the only ray of light in this
>> situation, the fact that this baby LOVES to nurse. <<snip>> My
hairbrained scheme. Try a shield to see if he latches more deeply.
>> THEN, Thread an SNS tube THROUGH the hole in the sheild and have her use
>it
>> (this contraption) at ever OTHER feeding, and then really stress she HAS
>to
>> pump after she does this. Do every other feeding on the bare breast.
>>
>>

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