>Delivered-To: [log in to unmask]
>X-Internal-ID: 3636A14800077342
>From: [log in to unmask]
>Date: Thu, 10 Dec 1998 15:08:02 EST
>To: [log in to unmask]
>Subject: Correct bottle suck?
>
>This is my first post.  I'm an IBCLC in private practice in NJ, USA for one
>year with 22 years of LLL background.  I'm working with 48 yr old  mom of a 6
>week old baby born at 32 week gestation. Her third child.  Baby weighed 4 lb.
>7oz. at birth and is 7lb. 8 oz. now. Previous children are a 17 years old whom
>she nursed 3 months then went back to work.  A two year old who she tried to
>nurse but couldn't because of a what she now knows was anemia in mother
>causing low milk supply and a  tight frenulum. I just came into the picture
>yesterday.  Mom had horrible pregnancy using reglan pump for nausea and them
>hemorrhaged at 32 weeks.  Baby was born c/sec under general, dehydrated,
>hyaline membrane disease, pneumothorax, with apgar of 2, then 5.  He was on IV
>for first 5 days, tube fed for 5 days, then put on premie bottle until
>released at 2 and 1/2 weeks.  Tried to nurse several times in hospital and
>latched on 2 or 3 times. Was readmitted for RSV for 8 days.  Now uses
>bronchodilator several times a day.  Mother has pumped and baby has never had
>anything but breast milk.  Mother really wants to nurse this baby.  However
>baby has other thoughts.  I couldn't get this baby to even open his mouth for
>mom's nipple.  We tried enticing him onto the breast with a syringe dropping
>milk into his mouth. No luck. Tried a silicone nipple shield with no luck. He
>licked the Supplemental Nursing System tubes, then became extremely
>frustrated, crying unconsolably.  Mother tried 6 times with the SNS over the
>last 18 hours and is completely frustrated.  Every feeding is a nightmare she
>says.  Baby now cries even when she puts him in the crook of her arm.  I
>suggested as much skin to skin contact as possible which she is already doing.
>Mother would try anything if she thought it would work. I would appreciate any
>suggestions.  Is this case lost to the bottle?
>Gerri in Florham Park NJ, USA where it is sunny today with a slight chill in
>the air and beginning to feel like we might have winter soon.
>
>

Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont, where daylight is almost gone by 4 pm....
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