>
> Jennifer,

My one thought would be that it would depend on the cow milk the baby was
getting.  Was it warm, raw milk with sugar added or store bought
pasteurized? Raw milk is quite thick, store milk in Italy vs. Uganda may be
different anyway.  If mom is having an easy time of pumping, she can offer
her warm, fresh pumped milk and it may be more similar to what baby was
getting?  Is baby coming to the new home with all the same bottles, etc?
If you can encourage the mom to use attachment friendly options, it could
help.
This site has some general tips if you search for helping baby adjust.
www.adoptivefamilies.com

Naomi Hambleton, LLL Leader Charleston, SC



Dear Colleagues,
>
> I have permission to post from a friend who lives in Uganda and is
> adopting a 4-5 month old, bringing her home in the next few days.  She has
> induced lactation and pumps over 30 oz per day!  She has learned that the
> infant is fed cow's milk with sugar added by bottle with large hole in the
> nipple about every 1.5 hours or so.  On one occasion recently, the infant
> refused formula by bottle.
>
> Question is, how should this mother go about changing infant's diet from
> cow's milk to breast milk?  Would like to hear from LCs with some expertise
> in adoptive nursing.  Is it better to try a gradual approach or is the
> cow's milk/sugar harmful enough to warrant a cold turkey change in diet.
>  Keep in mind the infant will be traumatized by the sudden change in
> caregivers, language and environment as well.
>
> Thanks for your input,
> Jennifer Cooper, RN, BSN, IBCLC
> Aviano AB, Italy
>
>              *******

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