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Subject:
From:
Melinda Hoskins <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 21 Feb 2006 17:42:26 -0800
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Suzanne Bowes <[log in to unmask]> wrote:
    I also think if we go into these
situations w/ a positive attitude; business as usual,
the moms will stay more calm. I've been thinking of
some sort of sling contraption. What have any of you
seen out there? 
  I have actually on several occasions used a receiving blanket and made a sling for large breasted women feeding preemies.  The blanket is folded diagonally, forming a triangle and the ends tied behind mom's neck.  Then the breast is lifted gently into the "pocket" of the sling and positioned so that the nipple is in a good position to bring baby to the breast in a cross-cradle or football hold--depending upon the size and stability of the infant and the mother's habitus.  Sometimes positioning of the breast requires additional support with a rolled washcloth to help get that nipple where you want it.  Pillows and chair arms have to be utilized as available and necessary to help.
   
  The first time I tried this was with a 32 week baby who showed all signs of wanting to nurse.  Mom had a wonderful milk supply and great letdown.  We agreed that she would pump off most of her usual amount and then try putting baby to breast.  Mom had breasts that were very pendulous and she was quite heavy herself.  We were very pleased with the result.  Baby went home from NICU totally breastfeeding--mom was still pumping to bring her supply into control when they left.  Last time I saw them baby was over a year-old adjusted age and still nursing.
   
  When mom is recovering from a recent c-section the positioning challenges for any new abdominal surgery can be considerable.  Some heavier mom's benefit from a belly binder to help support their abdomen when up and moving around.  A rebozo works great, or a draw sheet or bath blanket.  
   
  Melinda Hoskins, MS, RN, CNM, IBCLC

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