I have this mother's permission to post.  I am a tad puzzled.   Baby is 11 
days old, full term male.  Mother is a very large woman with  very large, floppy 
breasts.  I saw her on Day 5, post vaginal birth.   Breasts were not full, 
seemed floppy.  Baby fussed terribly at breast and  came on and off her very 
sore nipples, which of course was making them more  sore.  I tried supplementing 
with tubing at breast, which did little to  improve situation.  Even when I 
got the best latch with baby's mouth wide  open, he pulled off rapidly and 
repeated same.  He often pulls in his lower  lip.  Did not appear to have a tight 
frenulum and even asked ped. to check  and he agreed that that was not the 
problem. Chin is recessed which takes work  to bring into breast correctly.  There 
is so much limp, breast tissue that  it is difficult to see what baby is 
doing.  Mother is now pumping and  getting more than the initial 1/2 ounce she got 
then.  Is now up to approx.  2 ounces per session and is pumping every 2-3 
hours.  She is also taking  More Milk Plus.  Baby is being supplemented with 
expressed milk when  available or formula when not.  Dad finger feeds, uses 
bottle, or mom tries  to keep him at breast with tube supplementation.  In her 
tearful call to me  today, she says her "breasts are still not hard or really 
feeling  full."   She is getting very discouraged and I am getting  confused.  I 
asked her today to check with OB to determine if by any chace  there could be 
any retained placenta, though she claims there cannot be.   Any ideas? What am 
I missing?  Thanks, Ann
 
Ann  Conlon-Smith, IBCLC Triangle Lactation Consultants 
_www.trianglelactation.com_ (http://www.trianglelactation.com/) 


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