In a message dated 1.5.05 8:12:52 PM, Vaishali writes:


> Baby#1 seen on day#9 after birth in office. Not breastfeeding at all. Never
> really latched on per mom. Mom is pumping with a medela hand pump that they
> got in the hospital once a day and getting about 2 oz which she is giving
> in a bottle. Supplementing with formula that they went home with from the
> hospital.
> 
At 9 days of age, my approach with this baby would depend on the results of 
the consult/assist. 
That is,If the baby latches well and fairly easily with assist , supply seems 
ok despite minimal emptying and parents seem to have had an AHA! moment-I 
would treat like any other nursing baby that requires monitoring of intake. 
 Otherwise, I would definitely try a nipple shield. If parents are *at all* 
skeptical about their ability to facilitate latch without assist a shield may 
provide the needed crutch-even if just there as psychological backup. I have 
used them quite successfully in similar situations.

Lynn Shea Rn,Bsn,Ibclc
formerly Franklin,Ma.......now Lakewood Ranch,Fl


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