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Date: | Mon, 23 Feb 1998 16:04:10 -0600 |
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VERY IMPORTANT!
Are these mothers pumping to keep their milk supply established?
They need to pump as though they are separated from their babies (every 2-3
hours) with an industrial quality pump, i.e.. Medela or Ameda Egnell.
Methods that have worked for me:
* Make sure the mom stays calm and assure her that a lot of babies act like
this.
* Use the slow turkey method (mom bottlefeeds in the breastfeeding
positions if possible and slowly tricks baby to breast).
* Offer the breast as a pacifier in between bottlefeedings given by
significant other. (This has been my most successful: sometimes we have to
get the baby on a silicon bottle nipple and then switch to a silicon nipple
shield).
* Give the baby 15cc of EBM or ABM then switch to the breast when baby is
not frantic over being hungry.
* Make sure the parents are watching for feeding cues and not letting the
baby get too hungry. This includes making sure the parents are not using a
pacifier.
P.S., I have seen a lot of babies who refused suddenly start nursing on the
eighth day, don't ask me why. If my parents have been persistent, it just
happens. (Check their let-down reflex).
Good Luck!
Marguerite Kelly, IBCLC
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