Hi everyone,


I have reached a brick wall with a lady I have been councelling now
for four months,I really feel desparate and I am worried I and others
have missed something.
So---This lady first rang me after  a prenatal class I took.She had had
breast reduction surgery and wanted to know if she could feed.
She read all the information I could give her and was very committed.
When she delivered (normal vaginal delivery.no meds) she had
enormous problems getting baby attatched.She didn"t ring me so
I couln"t help.Wnen she was discharged on day 5,baby had never
fed from her without a nippleshield.She rang me the next week home
when she hired a breastpump.When I visited her the baby would not attatch
but loved the shield.She had a good supply baby had lots of wet nappies
but she was very distressed.I encouraged her to keep going with the shield.
Breast milk with a shield was better than the alternative!
Weeks went by,-baby very colicky gained adequate amounts.Sceams at breast
often refuses to feed.Mum has checked her diet etc.Week five baby dianosed
with U.T.I. and treated with antibiotics.-Baby reacted to them and colick
worsens,has chronic loose acid stools.Baby lost weight,but mum was told to keep
the baby on meds because he could have kidney reflux.He was investgated
3 weeks later,-all clear,but now Mum was a screaming mess and very depressed.
We got her supply back,and offered the supps of ebm with a bottle( Her choise)
She visited a clinic here for postnatal depression and one of staff got the baby
on breast without the shield(he's now15 weeks old)Weight started to increase
by the day.I thought GREAT! But -5 days later the baby woke one morning
and toally refused to feed.Mum tried the shield-no way-that evening she offered
the bottle(still ebm) and he gulped 200mls.He now srceams even if he sees
her breast-even drowsy.Sreamed in the bath with her-real aversion.She is still
expressing all his needs-this week he had a gain of 200gms in 3 days.-At
seveteen weeks this baby is very alert.
   I feel that this refusal has been brewing for a while-but  i'm stumped!
   Has anyone any ideas?
   Sorry to be so long winded.but I thought the whole picture might help.T.I.A.

    Chris Short
    NMAA Councellor Sydney Australia