Thank you, Virginia.  Yes, I did bring up the idea of breast"feeding" as a
way to nurture the baby.  And I pointed out that this is appropriate use of
formula.  And that there is more to both health and parenting than
breastfeeding.

She is still wondering about actually producing milk for the baby, and I
said I'd ask here.  I don't know if her hormones will cooperate.  Her
pituitary is perfectly fine, so there's that.

That's a good idea about tube feeding ATB.  I'll bring it up with her.  She
is open to many possibilities.

This baby and her older brother will be in very good hands.

Thanks,

Julie Tardos


On Thu, Aug 8, 2019, 3:14 PM Virginia Thorley <[log in to unmask]>
wrote:

> Induced lactation
>
> Good morning Julie,
>
> As regards that mother's history, her dosages of hormonal meds, and her
> having permission for temporary discontinuance, and the fact of a
fostering
> situation -
>
> What exactly are your client's goals? A physical milk supply? A
> mathematical calculation of desired yield? Or nurturing the baby at
breast,
> irrespective of milk yield? The third scenario takes the pressure off, and
> enables the foster mother and baby to develop a breastfeeding
relationship,
> at their own pace. Taking this line of thought, she can forget her
> "investment" of time and effort, and acknowledge that the baby is already
> gaining from the process, from the very start, and they can enjoy thre
> process more.
>
> It goes without saying that a tube-type supplemental device is the best
> way, so that the baby can be nourished at brerast, also providing
> stimulation. Using bottles is so clunky - whereas using a feeding tube at
> breast combines feeding and breast stimulation in the one action. The
> foster mother will need your support and guidance at every step of the
way.
> Some find they need help to get the feeding tube device set up the first
> few times. If would be good if she learns to hand expresss, so that she
can
> provide more stimulation after some of the feeds. There is an excellent
> breast massage video by Maya Bolman online.
>
> First steps then, are getting foster mother and baby interacting at
> breast, and building from there. See my chapter in the Core Curriculum for
> Interdisiciplinary Lactation Care. (I can declare don't receive royalties
> or any remuneration from this text.)
>
> Best regards,
> Virginia
>
> Dr Virginia TYhorley, OAM, PhD, IBCLC, FILCA
> Private Practice Lactation Consultant & Medical Historian
> Ipswich, Queensland, Australia
~~~~
Ferengi Rule of Acquisition 34: War is good for business.
Ferengi Rule of Acquisition 35: Peace is good for business.

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