I write this with a mother's permission.After five days of hard work,pain and
tears,she decided to stop breastfeeding.But the story is: second baby,vacuum
X4,hematoma and laceration on baby's head.Nursed well after delivery,good
output,down only 149g by day 2.I was called in(on my day off)just to see this
mother because of severe engorgement,mom and baby were transfered to
pediatrics with suspected infection(baby's wound on the head)ruled out. When
I saw her at 3 days,about 10h since "milk came in",breasts were hard,pain on
level 10(on a scale from 1-10)She already did ice,cabbage,motrin,pumping-
"nothing comes out",baby unable to latch. She said she is ready to stop now.
The same happened 12 years ago with the first baby,she ended up having
mastitis,nursing only for 3 days. So,we talked about engorgement and she
decided to try again. I used my "russian" method of manual expression which
combines RPS with massage,and hand expression. We were able to soften
breasts and latch the baby(for 30 min on both sides),good swallows. The next
morning when I came back,baby nursed every 1-2h all day and night!,gained
30g,she kept ice,cabbage,etc.Pain level was about 6 now.However,she was
almost as engorged as the day before,but with "russian "technique" was able
to latch baby. This morning engorgement was about the same,she
just "couldn't do it anymore". Could she have a problem with oxytocin release?
What am I missing?She said she would love to find out the answer,we talked
about stress affecting let down,she was OK with her decision.I feel sad and
tired,why couldn't I help her?
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