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Date: | Thu, 10 Dec 1998 18:29:28 -0500 |
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>Delivered-To: [log in to unmask]
>X-Internal-ID: 3636A14800077342
>From: [log in to unmask]
>Date: Thu, 10 Dec 1998 15:08:02 EST
>To: [log in to unmask]
>Subject: Correct bottle suck?
>
>This is my first post. I'm an IBCLC in private practice in NJ, USA for one
>year with 22 years of LLL background. I'm working with 48 yr old mom of a 6
>week old baby born at 32 week gestation. Her third child. Baby weighed 4 lb.
>7oz. at birth and is 7lb. 8 oz. now. Previous children are a 17 years old whom
>she nursed 3 months then went back to work. A two year old who she tried to
>nurse but couldn't because of a what she now knows was anemia in mother
>causing low milk supply and a tight frenulum. I just came into the picture
>yesterday. Mom had horrible pregnancy using reglan pump for nausea and them
>hemorrhaged at 32 weeks. Baby was born c/sec under general, dehydrated,
>hyaline membrane disease, pneumothorax, with apgar of 2, then 5. He was on IV
>for first 5 days, tube fed for 5 days, then put on premie bottle until
>released at 2 and 1/2 weeks. Tried to nurse several times in hospital and
>latched on 2 or 3 times. Was readmitted for RSV for 8 days. Now uses
>bronchodilator several times a day. Mother has pumped and baby has never had
>anything but breast milk. Mother really wants to nurse this baby. However
>baby has other thoughts. I couldn't get this baby to even open his mouth for
>mom's nipple. We tried enticing him onto the breast with a syringe dropping
>milk into his mouth. No luck. Tried a silicone nipple shield with no luck. He
>licked the Supplemental Nursing System tubes, then became extremely
>frustrated, crying unconsolably. Mother tried 6 times with the SNS over the
>last 18 hours and is completely frustrated. Every feeding is a nightmare she
>says. Baby now cries even when she puts him in the crook of her arm. I
>suggested as much skin to skin contact as possible which she is already doing.
>Mother would try anything if she thought it would work. I would appreciate any
>suggestions. Is this case lost to the bottle?
>Gerri in Florham Park NJ, USA where it is sunny today with a slight chill in
>the air and beginning to feel like we might have winter soon.
>
>
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont, where daylight is almost gone by 4 pm....
mailto:[log in to unmask]
Check these pages out...
http://together.net/~kbruce/proj.html
http://together.net/~kbruce/answers.htm
LACTNET Archives http://library.ummed.edu/lsv/archives/lactnet.html
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