Linda writes;
Baby is put to breast, chomps only, falls asleep. (obviously falls asleep
because he isnt getting anything d/t his chomping) I did some gum massage and
finger sucking to see if improved any. Baby grooves his tongue around my
finger, but doesnt pull it in at all. My finger is easily removed from his
mouth. Frenulum is WNL. Put back to breast with shield and SNS (with glucose water
as mom didnt bring any ebm......also going to flow faster than formula).
Baby continues to chomp at breast while I am stroking his jaw, pushing in his
cheeks, stoking his throat........ He gets the feeding down in 30 minutes, mom
never has let down.
At the risk of raising eyebrows, I'm going to try a little unconventional
advice here. How about a trial period of NO supplements ? I'm thinking 12 hours
of taking the baby to bed and simply reintroducing the breast when
interested...perhaps coupled with some squirts of EBM via syringe into the mouth's
corner while latched and some prepumping to somewhat establish flow. *IF* Mom
keeps pumping to a minimum during this time , the breast will become fuller as
well -which should make initiating flow alot easier for baby. You don't
mention but did you use compression-a definite must? Remember, this is NOT a newborn
unfamiliar with food and a full belly, this baby is accustomed to feeding
when hungry and all that it entails and now may simply be *viewing* the breast as
his appetizer. Thus the problem MAY not have anything to do with an inability
to nurse . A healthy, gaining 1 month old is very different from a newborn
in deficit status we (parents,LCs, HCPs etc) often don't make that
distinction. Also, I'm not familiar with the "soothie" pacifier but a pacifier in
general ? I 'm wondering - How is that going to help?
Case in point; I had a mother of a 6 mth old call me the other day to tell me
that baby was refusing to nurse over "past 2 days", despite numerous other
calls to pedi, friends, support groups- she had never heard the term "nursing
strike" and had been feeding EBM via an inverted straw, afraid that baby would
become dangerously dehydrated! I made a few suggestions but mostly just
reassured her that most likely baby would drink again when thirsty enough-protect
supply and continue to offer-not push, was my advice. I see far too many
parents fighting with babies to eat- its not healthy!
Lynn Shea Rn,Bsn,Ibclc
Franklin,Massachusetts
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