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Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 30 Jan 2008 15:31:47 -0500
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I had a similar couplet last week. On exam, the baby had definite oral
thrush and was obviously uncomfortable sucking, even though very hungry.
Mom was nursing a toddler also, so all 3 got treated. Baby is back to
the breast now, as far as I know.

Nancy

Nancy Albrecht RN IBCLC
Clinic Nurse/Lactation Consultant
Women's Birth and Wellness Center
919-933-3301
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-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Fleur Bickford
Sent: Wednesday, January 30, 2008 12:15 PM
To: [log in to unmask]
Subject: Sudden Refusal to Nurse at 7 Days

Permission to post. I've been talking to a mom whose 7 day old baby had
been
latching and nursing "perfectly" up until early yesterday morning. This
baby
will now latch and suck a bit for a few seconds, and then comes off and
doesn't want to go back on. This is mom's third baby, and her other two
were
both breastfed. Mom had a vaginal delivery with an epidural, and baby
was
born very quickly (minimal pushing). Mom states baby was mucousy at
birth,
and has been mucousy at home, but doesn't appear to be congested. Baby
nursed within an hour of delivery, and mom states that baby has been
nursing
and latching with no problems until now. States baby nursed through
mom's
engorgement and mild bout of mastitis with no problems. Monday night,
mom
states baby was mucousy and spit up, and sneezed up a lot of mucous. Mom
also had given baby a pacifier Monday night. The refusal to nurse
started
around 2:00 in the morning on Tuesday. Mom has been doing skin-to-skin,
and
allowing baby unrestricted access to the breast. Talked to mom about
allowing baby to self attach. Mom is also pumping to protect milk
production
and cup feeding expressed milk to baby. She is seeing an IBCLC tomorrow,
and
is making an appointment with her baby's doctor, but in the mean time,
this
mom is very worried and desperate to get baby back to breast. Any
suggestions?

Fleur Bickford BSc., RN, LLLL
Ontario, Canada

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