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Date: | Fri, 29 Jan 2010 08:21:51 EST |
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Anne writes about relactation with a 5 mos old baby and I'd suggest she
begin by breastfeeding with lactation aid, preferably the Lact Aid as it is
less obtrusive and in the longer run what moms who use one long term like
best; slower flow, too. If baby will take her breast and feed with
supplementer, no need for shield but if baby balks at going near breast then a shield
would be fine. I worked with an adoptive mom who first breastfed her 4.5
mos old in my group at my suggestion and her baby went to breast as if
she'd always been there. Oh she had sore nipples and had to tweak the latch
but it was a beautiful experience and this mom went on to breastfeed for over
a yr. She never did get much milk, despite use of domperidone and herbs
but it was the relationship that mattered; I will always think it was
because she had a close relationship with her baby to begin with that nursing her
came so readily. (She went on to nurse her second adopted child from the
beginning for two yr I think, and this time used donor milk at breast).
As far as increasing milk, I'd want to know what mom wants, to have her
baby at breast mostly or to give her baby her milk. If the former,
establishing the relationship of breastfeeding most important and the milk that
would likely ensue with breastfeeding would be a lovely bit of gravy, so to
speak. If milk is her main objective, I'd encourage the Goldfarb protocol and
use of domperidone and goat's rue and perhaps other galactagogues. Lisa
Marasco and Diana's West's book, Making More Milk, would be an excellent
resource for you, mom and midwife. Good luck to this mom who I would tend to
encourage to focus on nursing her baby and let the relationship be first and
foremost so it can be savored as it should be.
Barbara Latterner, BSN, RN, IBCLC
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