Hi All

I would really like some input please.

I looked after a mum and baby yesterday.  when i checked the feed chart I noticed that the baby hadnt successfully latched at the breast since the first feed after delivery.baby was just coming up to 24 hrs old. born by emergency section for small pelvic inlet
Mum stated that baby was sleepy, and lethargic throught the day.
When baby  was woken for feeding he went to the breast he was keen,opened wide, latched but slipped off at each attempt. The nipple never looked elongated.
with mums permission I did an suck assessment and the tongue curled around the tip of my finger.
I introduced a nipple sheild in the hope that the baby would have to put his tongue down to suck. Mum had very little colostrum.so we hand expressed the smallest amount of ebm and gave by spoon.
What could I have done instead of the nipple shield. can anyone recommend any books  or techinques that would be useful for a new lactation consultant to use.

Thankyou for your support and replies.


June Nicholls
IBCLC


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