Just to clarify, when I worked with the mom it WAS in her home, on the couch
she normally nurses in. I don't have an office, LOL. :)
..· ´¨¨)) -:¦:-
¸.·´ .·´¨¨))
((¸¸.·´ ..·´ -:¦:-
-:¦:- ((¸¸.·´* ~Ann Marie
-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Pam Hirsch, BSN,RN,IBCLC
Sent: Wednesday, January 16, 2008 9:50 AM
To: [log in to unmask]
Subject: Baby Fussing before Latch
Hi, Ann Marie and Laurie: Laurie, you asked what Ann Marie might have done
differently with the feeding that occurred in her presence. She may have
done nothing different. I have discovered that many babies will nurse well
in
the office and then revert back at home. I really think that in some of
these
cases it is due to mother's high level of anxiety. Baby picks up on this
anxiety
and now we have two unhappy people at this feeding.
I like to reassure mom that when she and her baby leave my office, her baby
will have been fed. Sometimes it's not at the breast, but at least the mom
leaves with a content baby, rather than the screamer she came in with. This
statement alone often immediately reduces mom's anxiety. So often moms will
tell me, "But he won't nurse at home. Why is he nursing so well now? This
is
the way I feed at home." My answer: "When you walked into the office, you
turned the responsibility of the feeding over to me." The mom thinks that I
will
make it better, when in reality she is the one who is making it better by
coming to the feeding more relaxed than she has been at home. These types
of office visits require follow-up, sometimes over the course of several
weeks.
The follow-up mostly consists of reassurance until she feels confident to do
it
on her own. This is where support groups often come in handy. Mom can
attend and hear from other moms that she is not the only one going through
this. Also demonstrates the importance of at-home family support.
Good luck with this mom.
Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL USA
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