Hi Rebecca,
This mum deserves congratulation for persisting with supplying milk to her
baby. Pumping is no fun and it takes great dedication.
On what can be done to facilitate breastfeeding, I have a few suggestions.
Firstly, I would encourage looking into the oral aversion. I think it will
be very difficult to have success with anything until this is done. I know
that there are a number of techniques that are used with babies to do this
and finding an expert in this area wouild be a priority.

Secondly, all of the "tricks" that mums use with adopted babies are also
worth trying. I would especially encourage as much skin-to-skin as possible
(cobathing especially) and consistently offering the breast, no pressure
just an offer. To be in environments where the baby sees breastfeeding is
also very beneficial and if not seeing actual breastfeeding seeing pictures
(posters, in books etc) will foster the idea that breastfeeding is something
babies do with their mums. There's some info on this in an article I wrote
for LLL http://www.lalecheleague.org/llleaderweb/LV/LVOctNov04p99.html but
the ABA booklet on Relactation and Adoptive Breastfeeding contains more
information and the ABA booklet on breastfeeding babies with clefts also has
some info (and might be helpful to this mum just because they are talking
about bio babies and mums who have pumped since birth). Both these booklets
are available at http://www.mothersdirect.com.au/category8_1.htm or LLL are
now selling the relactation and adoptive breastfeeding booklet
http://www.lalecheleague.org/Web_store/web_store.cgi?product=Special%20Situations&cart_id=5900570_12434
(I have no financial interest).

Thirdly, this mum would benefit from support. The relactation/adoptive
breastfeeding support group at
http://www.fourfriends.com/ubbthreads/ubbthreads.php?Cat= is a good place to
start. There the mum will find others who think that what she wishes for is
worthwhile and lots of encouragement.

But I would suggest that not just for breastfeeding that getting that
aversion overcome is a priority.

Good luck

Karleen Gribble
Australia


> Mother of a 5 month old infant who has not breastfed since he was a week
> old.  (Permission to post).  The baby was born via c-sec after 36 hour
labor.
> Mom has inverted nipples.  Baby was hospitalized at 7 days for  "virus".
Mom
> breastfed baby with nipple shield for first week but then  baby began
refusing
> after given bottles of EBM during hospitalization. Baby  diagnosed with
reflux
> soon after this.  Mom has been pumping since this  time and has gotten
into a
> routine.  She is tired but is motivated to pump  until first birthday.  My
> question to lactneters is- Is there a way to  get this baby to breast?  He
acts
> as if he has no idea what her breasts are  for.  I think that starting
with a
> supplemental system might overwhelm  Mom.  Baby seems to have strong oral
> aversion.  Doesn't even seem to  like having bottle nipple in his mouth.
Mom
> would love to begin nursing  and make it to two years but doesn't know if
she
> could pump for that long.   Did search and found much about adoptive
nursing with
> little detail about actual  techniques to try.  Thank you ahead of time.
>
> Rebbecca  Rosen RN, BSN
> [log in to unmask] (mailto:[log in to unmask])

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