Pat this so much reminds me of my early nursing days with my son.  I 
blamed it on a number of issues, the first and still most annoying was the 
introduction of a bottle by a NICU nurse on day 3 because of jaundice 
(which was 16 for 4 weeks) - against my wishes.  Once the milk was in he 
was unable to latch (I sure wish we knew about reverse pressure then-I 
tried pumping with a LLoyd-B) because of a moderately attached frenulum 
and my perky nipples that invert on compression.  He also was on an apnea 
monitor and aminophyllin 3 times a day to keep him breathing.  It would 
take him from 10 to 90 minutes to latch and I tried every position and 
then some to get him on and he finished in 10-15 minutes.  Despite all 
this he never lost an ounce and in fact gained phenominally from my 
abundant supply.  And my mother-in-law said I would never be able to nurse 
with my nearly A cup! At seven weeks he latched on immediately and never 
had another problem BF. It was frustrating, I wish my 2 year old hadn't 
weaned when I was 20 weeks that may have helped but he finally figured it 
out.  I suggest Mom be patient, use relaxation techniques and be creative. 
 I'm assuming you assessed the oral-breast compatability?  Support milk 
supply and possibly use a nipple shield, I wish I had. 

Ann G. Cagigas, RN, MA, IBCLC
GSA Health Unit,  Room 1010
1800 F St., NW
Washington, DC 20405
202-219-1228
202-501-0028 (Fax)

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