Hello everyone,
I have been looking through the archives about breast refusal. I don't want to 
make this too long so will try to shorten the story. Long labor, pushed 2+ 
hours, epidural anethesia (pump) so continuous. Failed to descend so 
C/section delivery. Baby also has tongue tie. Mom large girth, breasts had 
some growth and glandular changes during pregnacy but hand width apart. 
Leaking colostrum and could express lots of colostrum day one. I gave the 
baby colostrum by spoon on day one. Day two baby was begining to latch. I 
could auscultate swallows during feedings. 
Pediatrician clipped tongue tie. Baby developed jaundice and then would go to 
breast and not suckle. Mom pumping and offered EBM from bottle but used 
bottle paced method to illicit sucking. Photo therapy done discharged home 
with bilibed. Baby will drink from a bottle but will not suckle at the breast. 
Tried even a nipple shield and dropped breast milk on it and tried feeding tube 
with breastmilk to bolus. She will not suck. Mom is pumping 2-4 ounces every 
2-3 hours. I was worried that she would not have a full milk supply because of 
the shape and history of her breasts but so far she is doing ok, baby now 1 
wk out. Mom does skin to skin every day. She cuddles and she hold the breast 
in her mouth but she will not suckle. 
I am no mail currently on Lactnet  so please offer your suggestions to my 
private email. 
Thank you in advance,
Theresa Klein RN, IBCLC, RLC

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