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Dear Jennifer,
May I suggest re-checking this baby for tongue tie, good compression, deep
off-centered latch, and perhaps giving baby 1/2 to 1 ounce of expressed milk
prior to nursing to give baby the calories/energy to do a better job at
breast. Hour long nursings often - but not always - indicate that baby
fatigues and doesn't finish feeds. Hope this helps.
Anne Grider, IBCLC
On 3/21/07, [log in to unmask] <[log in to unmask]> wrote:
>
> Hello, I have a problem that I would love some help with. A mom, who has
> done a fantastic job making a nice milk supply for her now full term baby
> girl,
> is now home from the NICU. She is struggling to get her baby
> to take milk
> from her breasts, and is still continuing to pump and feed the baby
> with slow
> flow bottles. Mom is getting very exhausted with the full time job of
> pumping
> as she has a 3 1/2 year old at home. She is starting to use formula when
> she
> is overwhelmed. She has done a fantastic job keeping the baby happy to
> latch
> on and even suck a little, but the baby screams at breast when she is
> really
> hungry, demanding the bottle.The baby will nurse for about an hour then
> still take 2 ounces of milk from the bottle. Mom uses breast compression
> while
> baby is nursing.She has tried but didn't have much success with the SNS,
> or
> nipple shields. She does lots of skin to skin time. Her baby has a nice
> suck
> on exam.She is now 7 lbs 4 oz and is 3 weeks past her due date. she was
> born
> at 28 weeks 2 lbs 7 oz. and had no complications. She is hoping that
> someone
> else has had some experience that might shed some light on how to get
> this
> transiton to happen. any ideas? Thanks for your help.
> Jennifer Davidson RN IBCLC
> Los Angeles, California
>
>
>
>
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