One of the first things I would mention to this mom is. "Worst case
scenario-it is posible to nurse completely on one side."  Of course, it is
very possible that both sides will initiate milk production, but there is a
possibility that lack of functioning innervation in the nipple might
interfere with ongoing production on that side.  You won't know until she
tries.  I find that many moms with "one side issues" think that if they
don't get baby nursing "well" on both sides they will have to throw in the
towel.  I would assure themthat we can continue to work on
discovering/working through whatever is causing the problem, whether it be
one sided refusal, discomfort or whatever, but knowing that it doesn't mean
the end of breastfeeding if we aren't able to work it out can be very
reassuring.  Sometimes it has made the mom relax enough that that
relaxation alone is enough to get her over the problem.  In a few cases,
she does wind up with one-sided nursing-far better than giving up entirely!
She can alternate between "football" and "cradle" on the unaffected side
and"cross-cradle" on the affected side.  Pillows can be a help, especially
when latch is well established, but active holding in cross-cradle may work
better as mom and baby are learning.  (I find c-c often works best with any
mom where attachment hasn't occurred spontaneously in other positions.)

Winnie

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