In a message dated 12/16/2004 10:16:09 AM Eastern Standard Time,  
[log in to unmask] writes:

I will tell  them now that someone who works with babies like this a lot has 
spotted this  cycle of behaviour, and that if they can hang in there, loving 
the  baby,
accepting the outburst(s), they are maximising the power of this  form
of re-connection.



Dear Friends:
    Thank you Heather. This is correct. The mother has  to be coaxed and 
supported during this process.  I've learned to tell her  to expect it as part of 
the journey. And you can expect a long time at a visit  if you are the LC with 
the mother! 
 
    Today, I narrated the baby's story to his mother as  he went through 
these cycles. (He is 6 days old.) He has a small scalp infection  from the 
internal lead. He was taken away after he was born for the weighing and  measuring 
etc. He was circumcised. He had a LOT to say. He didn't even latch  this time; 
he was able to lick and nuzzle the nipple and areola, where his  mother had 
leaked. (That is the first step. Just like with premies.) Then he  went deeply 
asleep.
 
    This young (19) woman is doing a tremendous job  already. She is 
hand-expressing 4 ounces (120 cc) every 3 hours and so he is  being exclusively 
mothers' milk fed. She is already half-way home.
 
    She has amazing breasts. If I hadn't known she was  expressing 4 ounces 
every 3 hours, I would have been worried. There is a  wide separation between 
breasts, no apparent veining, and they are more like the  'rock in a sock' 
breasts that are a red flag for lactation insufficiency. There  really are no 
rules in this business except two: the baby should get milk and  the mother should 
be comfortable.
    warmly,
    
 
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct  Faculty Union Institute and University
Film Reviews Editor, Journal of Human  Lactation
Support the WHO Code and the Mother-Friendly Childbirth  Initiative

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