4 wk old term baby seen at home.  Mom concerned that nursing has never
been easy.  This babe was 7-0 at delivery and 7-8 now.  Test weight
increased by 84 gms after nursing.  He NEVER seemed calm, happy &
satiated.  Mom described a horror labor & CS, separated from babe x 6
hrs, Apgars 2/1 & 9/5, hosp x 3 days, babe had IV until d/c.  Dad on
"temp duty" for last week.  Palate seemed a little high, otherwise all
OK. I did hear gulping.  I am assuming (I hate it when I do that) that
probs are due to stress, Mom's & Babe's.  I have suggested rebirthing
bath, lots of skin to skin (mom says he has never really liked being
close), decreased external stim, freq unlimited feeds, finish 1st breast
1st & breast compression.  Am I missing something?

Royce Anderson, RN, IBCLC Oklahoma City

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