Thank you, Jean, for bringing up probably the most important fact when 
working with feeding issues.  Breastfeeding (and any other form of 
feeding/eating) is first and foremost supposed to be pleasant and enjoyable for 
both the feedee (baby) and the feeder (mom).  If either or both are indicating 
either verbally or thru body language that the feeding is NOT pleasant and 
enjoyable, then one must help the mother figure out why and work with her to 
come up with an alternate feeding plan that is both enjoyable and pleasant for 
both while working on exclusive breastfeeding as much as possible within her 
reality.
One of the main reasons I do what I do for a living is because I LOVE to eat.  
Eating is an art form and food is a religion!  And I want to help babies and 
moms to feel this way about the eating process.  And like you, Jean, I know I 
have issues about eating/food (not all of them healthy!) that were developed 
during my early (formula/bottle-fed) infancy.
One of the most helpful inservices I ever offered the staff, I did in conjunction 
with our therapists.  We had the nurses feed each other with the squirt-top 
sport bottles.  The feedee had to sit on her hands while being fed by her 
partner to prevent her from instinctively pushing the bottle away.  She had to 
act like a baby would be able to react to obnoxious feeding stimuli.  The 
nurses talked about that inservice for weeks and I have seen some practice 
changes in some of the staff - they've gotten more "sympathetic" to the 
baby's plight.


Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL    USA

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