Dear Colleagues,

I'm seeking your help on this very important case...

My grandson, now 7 1/2 mos old, (adjusted age about 6 mos; he was born at 34 
1/2 wk) has been on a nursing strike for a week or more.  Never a good nurser 
in the first place, due to posterior tongue tie (clipped by Dr Coryllos), high 
palate, low oral and upper body tone, he started totally refusing the breast 
after a fairly severe URI (he nursed during his cold congestion, but not as 
well). My daughter said a couple of weeks ago he started actively pushing away 
from the breast, hitting the breast, crying at breast and it progressed quickly 
to total refusal.

My daughter has PCOS, and this whole breastfeeding experience has been a 
difficult one for her; and yet she pretty much persists. One success a few days 
ago at breast where she was bottle feeding him, he was pretty much asleep, and 
she just gave him the breast which he nursed on sleepily for 10-15 min.  Since 
then nothing tho yesterday, he was here at my house all day and she could get 
him to breast for a sec or two without fussing but he would not suck but blow 
into breast (she also uses a nipple shield as her breasts are very flaccid) 
and coo and hum.

Guess I'm looking for a magic bullet here but willing to try anything; she 
really still wants him to breastfeed, even if for comfort mostly.  Have you any 
suggestions?  She's tried all the usuals for strike, co-bathing, skin contact, 
upright in sling (used to work for few months), giving him teething 
homeopathics prior to nursing, talking to him, etc.  She co-sleeps, carries him alot, 
and he's basically a happy guy.

Maybe it'll be consistent trying and tincture of time that turns this around, 
but just want to see if there's something I could be suggesting.  Thank you 
so much.  I think this is more than sharing a personal experience since I've 
not stopped learning things by helping my daughter and these have helped me in 
my work, as well.

Hope you enjoyed a warm and happy holiday!

Barbara Latterner, BSN, RN, IBCLC




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