Hi Cindy,
Glad you are posting and learning from us!
I would definitely recommend double elec. pump (hosp grade pump) every 2-3
hrs, you could add herbs too if mom willing. But the efficient removal of
the milk is key. Then she could give it to baby so that he doesn't need to
get other milks.
Remember our rules:
1. feed the baby generously - mother's ebm best, then donor milk, then
formula if needed.
2. protect (maximize) the milk supply
3. get the two bf together
I would guess that the problems are from difficult birth, drugs, epidural.
Probably some mother baby separation and several days of suboptimal milk
removal. Time should correct the suck. Finger training is fine, even bottle
feeds at this point if it makes it easier on mom to get the pumping done,
which is essential. I recommend a soft, silicone teat with wide base and
slow flow. Make sure baby's lips flange over the base part and not just seal
on the long teat. A little sucking on finger or bottle and if appears
organized see if he will transfer to breast. The nursing supplementer (sns)
could be used here, if baby will latch, to "jump start" things if needed.
Better yet, have mom elicit MER and have milk dripping if possible when she
offers breast. Really good positioning helps here too and having mom and
baby undressed from waist up.
You could also refer her to a chiropractor if skilled in treating babies or
a craniosacral therapist. Make sure she continues lots of "kangaroo care"
such as skin to skin contact (baby wearing), cosleeping, cobathing,
continues to offer breast. The key to getting baby on breast is keeping him
familiar with it, and having a good milk supply. And of course mother's
willingness to persist with this.
Laurie Wheeler, RN, MN, IBCLC
Violet Louisiana, s.e. USA
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