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Subject:
From:
Pamela Morrison IBCLC <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 26 Sep 1998 10:05:31 +0200
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DeDe -  It sounds like this baby is at least willing to give nursing a small
try, which is a giant step in the right direction!  Encourage the mom by
identifying for her that her baby is demonstrating a grief reaction for the
loss of something he had come to depend on.  He needs massive reassurance.
The suggestions you have already made are good.  My protocol for a nursing
strike is (1) Do *not* attempt to force the baby to breastfeed (2) keep on
expressing/pumping to maintain supply - as you have suggested  (3) "wear"
the baby all day long - lots of cuddling/holding, carrying on the hip while
doing other things, playing with him a lot, lots of focused attention etc
(4) sleep with the baby (5) keep the baby as full and happy as possible, i e
continue to offer weaning foods if he has started these already, and EBM in
bottle if that's what it takes, but gradually get closer and closer to the
nursing position, skin to skin etc.  (6) wear clothing that allows very easy
access to the breasts - babies who are "striking" get very impatient in the
split-second it takes for mom to lift the blouse and undo the  bra - spend
time if possible in a warm place that allows both mom and baby to be naked
from the waist up  (7) offer the breast in an ultra-casual way *often* but
pretend you didn't mean it if he refuses (easier said than done, but it is
important not to show any frustration) - in his favourite place, in his
favourite position, in the bath, while walking around,  while lying down,
baby upright, baby flat on his back, in his sleep, just as he is waking, any
time he looks as if he might be interested, any other way she can think of,
i e any time, anywhere. (8) you are working to *seduce* this baby back to
breast (9) Repeat - coax, don't force!

Personally I have not worked with a mom/baby pair who took longer than two
days to reclaim their nursing relationship with these kind of methods.  It
takes great patience and dogged persistence on the mom's part, but I point
out that she is cleverer than her baby and can hoodwink him back to nursing
in the end. My personal favourite couplet was a mom who had had no success
nursing her first two babies, and whose third had a high arched palate and
it was a close thing, but she made it and was ecstatic.  At 10 months the
baby went on strike, but having come this far, mom was not ready to wean.
After a harrowing couple of days she got him back to the breast.  I lost
touch with her after she left the country three years later - and he was
still happily nursing!  After this experience I always joke with moms of
striking babies, Be careful of what you want, because you might get it!

Good wishes to this mom, please let us know what happens!

Pamela Morrison IBCLC, Zimbabwe

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