Pat,
 
Sounds as if this baby and mother have been through a lot and both super  
stressed.  Has baby had any bodywork?  CST might help baby to work  through 
emotional trauma and waken muscles not used before frenotomy, and mother  
could benefit from it, too.  Rescue remedy for both, for baby a drop or two  
applied to sole of foot, and mom could take it before attempting to nurse.   
Walking while offering breast sometimes has helped babies I've worked  with.  
Cathy Genna's sensory issues technique of swinging baby in a  blanket; 
described in her book Supporting Sucking Skills...might also  help.
 
I find dyads like this do best with support in a consult so mom can be  
guided by a non stressed person.  I've had success with baby in sling (if  mom 
doesn't own a sling, I've made one from one of those muslin swaddle  
blankets) and I walk with mom behind her and hum and gently rub mom's  back giving 
her encouragement and a bit of calming to decrease her  stress.  I've also 
had baby upright in sling, low enough to come from under  mom's breast and 
well secured which has worked.  Of course skin-to-skin and  baby on mom's 
chest for napping so breast offered before baby totally  awake.  I wouldn't give 
up on co-bathing and add rescue remedy drops to  bath water; also, no 
pressure to latch or feed, just apologies to baby and lots  of sweet nothings 
whispered.   
Letting mom know it can happen, but may take time.  Supplementing at  
breast may provide baby with that immediate gratification and incentive to suck  
more.
 
Good luck with this baby and mom and of course, they're in good  hands.
 
Barbara Latterner, BSN, RN, IBCLC
 
 
 
 
 
PTP:Failed induction, C-sec for pre-eclampsia 38 wks 4 d.  Baby  sleepy, 
would latch, never nursed more than few min, lost 11% body wt, began  supp and 
pumping, 34 days in hosp, mom readm 2 days later, baby with mom &  dad, mom 
on mag for 4 days, tried nsg, but baby didn't latch well or suck  strongly, 
TT discovered, after dischg had a clip @ 12 days for tt & lip tie.  I first 
saw her,  re-attached @ about 18days &  Dr suggested  seeing someone with 
laser. so she had laser done at 18 days.  Baby began to  refuse to suck, 
angry after stretches.  I suggested  backing off, let  her forget why mad, give 
paced bottle feeding in BF position.  (Mom was  also sent back to ER twice 
for increased B/P.  on Procardia)   Suggested co bathing at about 6 weeks, 
1st x or 2 latched and sucked best ever,  now refusing  again even in bath.  
Mom routinely has gotten 5-6  oz/day, now 10-12, all along abt 1/3 of what 
baby takes per day.  Was   gaining rapidly and I had suggested getting too 
much formula, so tried to back  off and use paci-which she won't take,  Mom 
thinks baby has difficulty  getting herself organized to suck. Now 7 wks  old.


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