>...  I do explain that I don't think babies were meant
> to get very large volumes of milk at first, as this can cause problems. I
> say that the thicker colostrum and smaller volumes, gradually increasing
> over first few days, is the perfect scenario for baby to gradually learn
to
> coordinate suck/swallow/breathe with larger amounts. I remind them babies
> were sucking and swallowing in utero but not 'breathing' per se.

Would that I could explain this to moms. But if I'm lucky, I see 2-3
English-speaking moms per week. Our census is 500+ a month. My limited
Spanish amounts to a little more than "Yes, you do but baby needs help to
get it." Many of you have suggested excellent ways to explain and teach,
but when there is a language barrier, there is a brick wall. We do have
interpreters, but they are busy helping with Consents, Discharges, and
other calls all over the hospital. They come to explain an event but cannot
facilitate a half-hour conversation, or wait around while mom and I work on
waking up a "sleepy" baby because it's "time to eat".

Sorry. Pity-Party time. My frustration is showing. I'll suck it up and
smile before going to work tomorrow.

--- Phyllis Adamson, IBCLC
--- Glendale, AZ, USA
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