I'm getting a lot of lactation problems beyond the norm the past few days.
The most recent is a well 4 month old who will latch then about the time let
down occurs will fuss and come of the breast. Mom needs to calm her then
relatch and keep rocking her during the feed.
Baby does the same with bottle feeds so I'm thinking the let down is a
temporal event not a causal one.
When asked about reflux mom says it isn't as bad as in the past. Makes me
wonder if she (baby) refluxes 3/4 of the way while feeding.
We discussed options for empiric treatment of reflux and mom decided to keep
rocking while feeding.
One of the recent problematic moms was apologetic but I reassured her it was
good practice for me, "With newer vaccines soon my practice will be
lactation and ADHD."
Any other ideas why the baby wants to be rocked while feeding?
Rob

Rob Cordes, DO, FAAP, FACOP
general pediatrician
Wilkes Barre PA
mailto:[log in to unmask]

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