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Sun, 19 Jun 2011 13:47:46 -0400 |
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Looking for any further suggestions for mom with large diameter, somewhat
flat nipples, very inelastic, hard nipple core and baby with very early,
hypersensitive gag reflex which combined have made breastfeeding not possible
for now. Baby had posterior, lingual tongue-tie and upper, labial tie
clipped which made bottle feeding with Haberman with shorter teat possible on
day two. Mom is using the cherry shaped German nipple shield and her
nipples fit but do not extend very far into the shield. Have tried the larger
A---- brand shield but this gags baby so the more bulbous shield she is
using is better as baby will latch and suck but then habituates. Tried filling
the shield via curved tip syringe in hopes that she would continue to suck
once milk was gone from the shield but this didn't work, she stopped
sucking. Tried feeding tube under shield with syringe to give boluses but baby
only sucked the nipple part of the shield to get this milk and mom felt no
drawing in of her nipple as she could when there was no milk in shield,
though those few drawing sucks did not produce milk transfer. Baby cannot
latch to bare breast due to gag.
For gag de-sensitizing tried CW Genna's exercise and finger feeding with
syringe and tubing so milk flow decreased gag but baby gagged and resisted
both. Have instructed mom to continue trying both of these and suggested
CST from the beginning which I hope she'll follow through with. I hope a
tincture of time and baby's mouth growth will enable breastfeeding but this is
for now a real oroboobular disproportion situation. Mom has copious
amounts of milk and is pumping and I've told her of another case where mom
finger fed for about 3-4 wk until baby could handle her mom's large nipples.
She is discouraged so am offering frequent support, just wish I could help
get baby to breast sooner for mom's sake. This baby is 11 days old now and
thriving.
Would welcome any suggestions or info on similar cases. Thank you.
Barbara Latterner
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