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From:
Jeanette Panchula <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 29 Jun 2010 05:02:56 -0700
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Yes, I have had two moms with this issue in the 10 years I've been in California.  Both were able to go to breastfeeding once the baby grew to be able to handle that sized nipple. (It helps that babies have "explosive" head growth that first year!)

Both babies were full-term, but it still took over 3 months of pumping and bottle feeding (with the largest nipple we could find).  Mom was taught to bottle feed with the nipple as deeply as baby would take it - and to have baby suck on mom or dad's THUMB for comfort.  Once it seemed to us that the baby would be able to nurse, we used a nipple shield (which barely could be stretched over the nipple) to get the baby used to being "at the breast" but in 24 hours baby was breastfeeding.  Even though it was then called the "Australian hold" we used the "laid back" position to encourage a deep latch. It worked very well.  

These cases convinced me of the fact that "nipple confusion" (now many call "flow confusion) could be overcome with adequate milk supply.  Both moms POURED milk out when baby latched on - so baby figured out quickly that this would work...

Jeanette Panchula, BSW, RN, PHN, IBCLC
California, USA

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