It really saddens me to see that there are daycares out there that are not 
too supportive of breastfeeding and I think some do not want to learn at 
all. (I was so lucky as mine was wonderful and I never had to worry at 
all).

The first question to come to my mind was the type of bottles and nipples 
the day care is using. Are they very different than Mom, as far as flow is 
concerned? Maybe Mom needs to think about a more slow-flow bottle (if she 
is not already doing so).

The second question refers to the part about being "hungry" and "crying 
all the time". Could the baby be getting more foremilk (than hindmilk) in 
these bottles than he does when he is nursing with Mom? That could happen 
depending on the particular fat content in any particular bottle, or 
depending on when Mom pumped that particular bottle.

As far as spitting up goes, I wonder if the day care people are propping 
the baby up in a more upright position after he eats? I can't help but 
believe that some of these observations may be directly related to the 
actual experience of the particular day care provider, not to mention the 
providers feelings about breastfeeding in general. I am always saddened by 
how little "professionals" really know about breastfeeding. most ahve no 
desire to learn, either. But that's another soap box for me!!

As one who does per-diem home visits to many moms in several communities, 
I see a huge use (by physicians) of Zantac and simethicone drops for all 
these babies with crabby tummies. This seems to be the quick fix cure when 
often I think it is not the baby, but the mom and dad that need the extra 
help. I mention this only because it sounds as if one or more of the day 
care providers in this specific place are into this quick fix as well.

Is this baby very new to day care? The atmosphere at a busy happy day care 
is not as quiet and subdued as it might be at home with Mom (even with 
other young ones about).

These are my first thoughts. I look forward to seeing what everyone else 
here thinks.

Betsy Riedel RNC,IBCLC
Connecticut

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