LACTNET Archives

Lactation Information and Discussion

LACTNET@COMMUNITY.LSOFT.COM

Options: Use Forum View

Use Monospaced Font
Show Text Part by Default
Show All Mail Headers

Message: [<< First] [< Prev] [Next >] [Last >>]
Topic: [<< First] [< Prev] [Next >] [Last >>]
Author: [<< First] [< Prev] [Next >] [Last >>]

Print Reply
Subject:
From:
Virginia Bobro <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 6 Jul 2003 16:13:25 -0700
Content-Type:
text/plain
Parts/Attachments:
text/plain (77 lines)
I have been helping a mother whose baby has become very
particular about what she allows in her mouth. I am reaching
the end of my skills and knowledge, so I am asking for help!

Unmedicated birth, with brief suctioning, then to mother's
breast within 10 minutes of birth. Baby nursed very well for
about 20 min on each side. Mother had no pain, and latch was
good.

Medical staff then do prolonged, deep suctioning (removing
several tbsp of fluid). Baby otherwise healthy, and promptly
refuses to nurse. (surprise!)

Mother continues to attempt to latch baby on. She has wide,
flattish nipples (evert well while pumping), and baby does
have a small mouth. Baby sometimes takes nipple into her
mouth, but it is painful for mother. She pushes out the
breast in a minute or two anyway. Baby will open mouth but
not wide. She sucks her fingers and her lower lip as well.

Staff worked with finger and cup feeding. Finger feeding
worked fairly well. Baby will eventually accept finger, but
purses her lips around finger, gags if goes "too deep" and
thrusts her tongue.
Staff suggest nipple shield and eventually mom tries it (had
negative experience with n.s. with first baby). Baby hates it
and gags. Outright refusal of Avent nipple.

At this point (5 days pp):
Baby has good rooting reflex and opens mouth readily, just
not wide.

After trying many nipples in the hospital, baby is only
willingly taking the bottle with a Playtex breastfeeding
orthodontic nipple.

Baby also feeds very slowly--up to 30 minutes to take 2 oz
from bottle or finger feeding. Mom must actively feed her,
moving the nipple around in her mouth.

Mom is sore with cracked nipples after trying to feed baby
for first 4 days. Pumping doesn't really bother her (Purely
Yours).

Mother expressing lots of milk, and doing some
skin-to-skin/co-sleeping (she is caring for her 15 month old
too). She is frustrated, but also extremely dedicated to
breastmilk--pumping for 8 months for her first. But she
really wants to directly breastfeed this time.

Brilliant ideas, anyone?

Thank you.

Virginia Bobro
IBCLC in private practice




__________________________________
Do you Yahoo!?
SBC Yahoo! DSL - Now only $29.95 per month!
http://sbc.yahoo.com

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html

ATOM RSS1 RSS2