Ok, here we go with my both (breastfeeding and adoption) hats on.
1. Offer mom as much encouragement and support as you can.
2. Teach mom to TAKE HER TIME. This baby did spend 3 months in
transition. She knows how to bottle feed and even agrees to be paced -
that is great. But she has no idea why on earth someone is ushing this
strange thing (meaning breast) into her face, and even more - into her
mouth! Think about being abducted by the aliens who greet each other by
licking their faces. They concider that the most ultimate exbition of
love and affection. But would you like it (at least at first)? So for
now use the bottle and let the time settle the things.
3. Meanwhile - slowly, patiently, but surely implement "all the usual
tricks", but for now - without too much nutritive content. Skin to skin,
bathing, co-sleeping, etc, etc, etc. First the baby should learn taht
skin to skin is good, and only then she would learn that there are other
ways of getting her food, not jsut the bottle.
4. Introduce SNS or direct breatsfeeding only when the kid will be
comfortable with the VRY close body contact,
Some babies (and toddlers) will get the whole breastfeeding idea
extremely easily and quickly, but the key word here is "SOME" - meaning
"a few". Most of kids will take some time and "SOME" here will mean
"some significant time".
Even more, I had a 2 yo kid who did latch extremely easily, but was
turned off the whole latching process when mother's milk did eventually
come in. And that particular mom was absolutely right to abandon the
idea of re-lactating and going only with the "dry" latching.
Alla
On 12/2/2015 9:11 AM, Jean Ridler wrote:
> I would appreciate some input with my latest induced lactation case. In the past, all the babies I have worked with have been placed, either at birth, or within the first 2 weeks. All have breastfed with only minor challenges.
>
> This one - the baby is 3 months old. The mother has one biological child whom she breastfed for 18 months. She has induced a fairly good milk supply, has an SNS, but now we need the baby to come to the party! She is paced bottle feeding well, but screams at any attempt at the breast. She has latched once! The mother has tried all the usual tricks - breast when sleepy, co-bathing, breast as dessert, while walking etc. It has not even been a week - so baby is still adapting to the change in environment, caregivers etc. How do I reassure the mother and any other tips to share? Anyone, been-there-done-that who would be willing to offer encouragement?
>
> Many thanks.
>
> Jean Ridler RN RM IBCLC
> Cape Town, South Africa
>
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