Hello Lactnetters,
My name is Kathy Amell, I'm an LVN, TBE, Lamaze Breastfeeding Support
Specialist and IBCLC hopeful.  I've been lurking for almost 2 years and
have come across something I couldn't locate in the archives.  1st time mom
of 34 wk preemie 9 yrs SP breast augmentation.  Mom used a hosp grade pump
while baby in NICU and has been nursing since d/c and trying to eliminate
bottle feeds with moderate success.  What's interfering is that now, 18
days PP she is having delayed let down.  The baby will latch and suckle
well (have seen this myself +suck/swallow when we saw each other last
weekend).  He will latch and suckle but mom isn't detecting swallows.
She's fearful that he's expending too much energy so will unlatch and give
EBM or ABM in a---t bottle.  Anywhere from 15 min to hr later she lets down
and "gets soaked".  ??? She denies decreased nipple sensitivity.  She is
calling her surgeon with this ? and I will call later today.  Any
thoughts?
TIA
Kathy Amell

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