Thanks for the recommendation. I will suggest that to her. I always talk
to them about the need to feed on demand in the beginning but that thought
may need reinforcement. Nancy
-----Original Message-----
From: Margaret Bickmore [mailto:[log in to unmask]]
Sent: Monday, June 09, 2003 12:53 PM
To: [log in to unmask]
Subject: Re: supply problem
> Even
> frequent feeds (every 2-3 hours) does not seem to keep the baby satisfied.
>
> Nancy Hoehn, MSN, RNC, WHNP, IBCLC
> mailto:[log in to unmask]
>
Nancy, this is the part that caught my eye. This gives the impression that
before your assistance, feeds may have occurred less frequently than every
2-3
hours. In my experience, feeding every 2-3 hours is not really very
frequent,
especially if the baby has a longer sleep stretch at night which the mother
may
not be taking into account. Do I gather correctly that the baby is now
around 3
weeks old? It would not be at all unusual for a healthy, normal,
properly-feeding baby that age to give nursing cues hourly or more often.
My first moves would be to discontinue pacifier use (if any), discuss early
feeding cues with mom, and have mom and baby spend a few days in a
"nurse-in" --
skin-to-skin, no housework, no appointments, just mom and baby hanging out
and
cuddling. Mom should let baby feed just as often as she wants. If mom
balks at
this level of intensity, remind her that it is a temporary intervention to
bring
her supply up.
I understand that in some cases it can take several weeks to reach full
production, so you may yet see results with the interventions you're already
doing, plus the ones above.
Warmly,
Margaret
LLLL
Longmont,
CO
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