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Lactation Information and Discussion

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Subject:
From:
Terri Klein <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 15 Apr 2010 15:45:22 -0400
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I have a client second day post c/section birth. Baby has his hands
tight to his face. All ultrasounds his hands were tight to his face,
feet crossed. Receding chin with sl arch in palate. Mom's nipples are
slightly flat erect with stimulation but even with pumping to do not
extend out very far to meet with palate. He holds his tongue back.
He will latch to a pacifier and finger. Makes good peristalic tongue
movements with finger feeding. I have been afraid to introduce a bottle
because I think it will be over with once he gets the fast flow of a
bottle nipple.
He screams and pushes the breast away. He won't latch to a nipple
shield. I tried a feeding tube with the nipple shield in the corner of
his mouth and only once would he let this happen. I have had twice that
he briefly latched took two sucks mom yelled out a hurray and he was
done. He even arches his back to get away.
He will allow mom to finger feed or use feeding tube with pacifier. 
I and Dad feel that he doesn't like anything in his personal space. He
will do skin to skin but sleeps or bobs his head up and down around her
chest will bob off and on the nipple or nipple shield but just won't
latch. 
Any thoughts or ideas would be greatly appreciated. Please send private
email or posting is fine.
Thank you,
Terri Klein RN IBCLC RLC

Terri Klein RN, IBCLC, RLC
Registered Lactation Consultant
Central Michigan Community Hospital
Phone 989 772 3856
Fax: 989 772 6853
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