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Subject:
From:
Renate Rietveld IBCLC <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 18 Oct 2000 17:55:36 +0200
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Dear Ann,

I feel for you and for this mother! I know of the existance of the 'large
breasted nursing FAQ' but I doubt if there are a lot of suggestions for
this specific situation. The web-address is:
www.vireday.com/plus/Large-Breasted_Nursing_FAQ.html

I hope someone will find a workable solution for this motivated mother soon.
Would appreciate it very much if you'd keep us posted.

Renate Rietveld, IBCLC
Rijswijk, THe Netherlands


At 11:11 18-10-00 -0700, you wrote:
>I need some help in figuring out the logistics of nursing for a new mom I
worked with yesterday. This mom is very motivated but is having a difficult
time. She weighs almost five hundred pounds, and she had a c/section birth.
She is having trouble moving her legs.  Her baby is six pounds, and is
sleepy.  Her breasts are very long and large, larger than basketballs, and
the areola is underneath the bulk of the breast. Her breasts reach the top
of her thighs.It is difficult for her hands to reach her areola and
nipples, and her nipples are very flat and thick skinned.  Even with
pumping, the nipple does not protrude much and is the diameter of a
quarter. It is difficult for her to see her nipples at all. We finally
tried a nipple shield last night, but she cannot see to put it on, and it
has to be placed by someone else.  The baby will latch with it, but once he
gets tucked up close to her, falls immediately to sleep.  We would wake him
up, and he would suck a bit and then he would fall asleep.  Mom pumped
after and we fed him colostrum with a syringe.
>
>Please suggest some positions that might help this mom and baby. She does
not fit into any of our chairs at the hospital, and in the bed we can slide
a pillow alongside her and get him into football hold, yet he seems
precariously perched there, as she fills most of the hospital bed. If we
put him under her breast, he gets so cozy he doesn't suck at all, just
sighs and goes to sleep.  Hopefully he will be waking up better today and
she will be feeling better as well. If anyone could offer some suggestions
for me, I would appreciate them very much.
>Ann Calandro, RNC,IBCLC
>
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--------------------------------------------------------------
Renate Rietveld, IBCLC
E-mail  : [log in to unmask]
Homepage: http://home.wanadoo.nl/renate.rietveld.ibclc
--------------------------------------------------------------

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