<<The frustrating part for me, is that despite her repeatedly stated goal to
breastfeed these babies, she is frequently reluctant to feed them!  She
expresses a high level of annoyance with being
woken at night, and frequently puts the one baby off during the day.  This
has led to a lot of supplementing, because baby needs to be fed and mom
doesn't feel like nursing or pumping. >>

Hi Dr. Jen, I see this alot and it IS very frustrating. In a bottle feeding
culture (USA and the Hospital system) it IS difficult to establish bf. I
think maternal motivation is very important and some just can't seem to
overcome the barriers (embarrassment, lack of role models, lack of family
support, etc) despite stated motivation to do so. I think it is very
important to explain to the mom that her milk supply and potential for
continued lactation are at risk of being very low unless she changes her
BEHAVIOR. At the very least she needs to get going w/ expressing. In cases
like this, I usually begin to back off a little and urge the mother to
contact me with her needs. Unfortunately, many never do get back in touch
with you. It is a fine line to walk, not knowing for sure if it is better to
keep going into the room to offer your help/encourage mom to bf and to make
daily phone contact OR to just let it go. It's a tough call.
Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA




_________________________________________________________________
Help STOP SPAM with the new MSN 8 and get 2 months FREE*
http://join.msn.com/?page=features/junkmail

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html