Dear Friends:
Here is a case where the baby seems to be angry with the mother.
First baby; failed induction ---->cesarean section. (This is becoming a
common birth scenario in the USA.) I came as mother-baby nurse to see them 5
days after the birth. She wanted to breastfeed; the baby would have none of
it.
At first I suspected that the hospital style method of "helping"
breastfeeding had derailed attachment. Baby would go to breast and scream, arch
back, and refuse. The mother does have grade I inverted nipples, which will
protrude after stimulation. This baby quickly became overwhelmed when placed s2s
on mother's chest. No way would he even approach the breast. She told me that
he didn't even want to be held by her at times.
She worked for a week with a hospital grade electric pump and a nipple
shield. She established a full supply. She comes from Bermuda, where
breastfeeding is the norm.
I went to see them again after 1 week. The baby will, thanks to mother
and father co-bedding, will now snuggle with mom. He has latched on exactly
twice (for good feeds) but usually freaks out and refuses the breast. She can
bottle feed him, and does it in breastfeeding style, holding him and the
bottle next to her naked breast. She has tried giving him 1/4 to 1/2 oz via bottle
before offering the breast, so he will have something in his tummy and be
calmer. He still won't latch. He will root vigorously on his dad, but not on
her.
We did get him to latch briefly on a nipple shield when he was held in
an entirely new position: sitting upright, facing the breast.
Meanwhile, he is a pound over birthweight on a diet of exclusive
mother's milk, and cute and alert.
I wish I knew what was going on. I have encouraged continued pumping,
safe co-bedding, s2s, patience and persistence, no battles at breast. CST while
in her arms did not matter to this fellow. We didn't try remedial co-bathing
because they don't have a bathtub; we did s2s again, and he did tolerate
that much better than when I first met him.
Any other ideas?
warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct Faculty Union Institute and University
Film Reviews Editor, Journal of Human Lactation
www.breastfeedingalwaysbest.com
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