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Subject:
From:
Darillyn Starr <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 27 Apr 2005 15:53:32 -0600
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In suggesting use of the Lact-Aid with this mom, I was hoping to suggest a 
way that the mother could keep doing some amount of nurturing at the breast, 
not make any comment at all about her milk production, lack of it, etc..  My 
understanding is that mom wanted to be able to keep doing some amount of 
comfort nursing, but the baby who was willing to take the breast was 
becoming upset by not getting anything from the breast.  Since this baby not 
only doesn't take comfort from the breast, as is, but becomes upset at it, I 
don't think having her nurse for comfort without associating the breast with 
food is one of this mom's choices.   With a supplementer, mom could offer 
her baby comfort at the breast, without having to do anything more to try to 
produce milk, herself.   I was assuming that she wants to do this fairly 
infrequently, like a couple times a day.  This sounds like a way that she 
would achieve her desire of being able to keep some nursing time with her 
baby, allowing both to be happy with it, since having the baby upset at the 
breast is defeating the purpose of comfort nursing.

Years ago, I was asked to assist with a mom of triplet boys, 15 months old, 
and a one month old girl.  She hadn't bf the boys, but was trying to with 
her daughter.  However, she was apparently losing track of the length of 
time between feeding (understandable, with three toddlers), and baby wasn't 
gaining weight.  I gave her both the Lact-Aid and SNS, to see what she could 
do, that way.  What she ended up doing was a feeding or two a day at the 
breast, with a supplementer filled with formula, and bottles the rest of the 
time.  That was a compromise that worked for her.  She and her daughter got 
some nurturing at the breast, but she did not have to worry about how much 
milk she was producing, and her daughter started gaining weight normally.

I have always been leary of suggestions to do both pumping and bf with a 
supplementer, since it puts a lot of pressure on many moms, especially those 
with other children.  Keeping things managable is extremely important.  My 
opinion is that, of the two, the best use of time is bf with a supplementer, 
which not only provides the stimulation, but the desired emotional response, 
but allows for feeding and nurturing of the baby at the same time.  Pumping 
requires additional time to feed the baby, and baby gets no nurturing while 
mom is pumping.  Supplementers are also much more portable, and will even 
function with mom and baby asleep!

Aloha,
Darillyn

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