Ingrid and Pat,

Those are excellent points. Drinking plenty of breastmilk will soon help 
with the bili levels.  It's wonderful to see these little ones wake up and 
suddenly realise what it is all about. Having a bottle introduced at such as 
early age, the baby may have come to expect continuous flow, drip, drip, 
drip (or gush, gush, gush) and be de-skilled at breast. Any bottle use 
should be paused or alternative methods of supplementation used.

I would add the suggestion of pausing breastfeeding if the baby is finding 
the flow fast - just stopping for a moment or so and then resuming.

Virginia
in Brisbane, QLD Australia

----- Original Message ----- 
From: "Ingrid Tilstra" <>
To: <[log in to unmask]>
Sent: Saturday, March 22, 2014 5:46 AM
Subject: Re: Need help encouraging a baby to nurse!


How was baby fed the night under the lights? Is it possible that that was 
her first exposure to the bottle, resulting in an unwillingness to do the 
work it takes to breastfeed?

I think this is a situation where a 'bed in' (safely, of course) would be 
useful. Mom topless, baby in just a diaper. Hang out in laid-back 
breastfeeding position, let baby nip and nap as much she wants. Keep an eye 
on diapers to make sure milk is going in. Use something other than a bottle 
if more pumped milk seems needed or use paced bottle feeding extremely 
judiciously.

This mom could also benefit from a gentle exploration of her expectations - 
breastfeeding all the time is what she will be doing even (especially) if 
all is going well.

Ingrid
LLLL, IBCLC

From: Pat Young
Sent: Friday, March 21, 2014 12:35 PM
To: [log in to unmask]
Reply To: Lactation Information and Discussion
Subject: Re: Need help encouraging a baby to nurse!

Bili makes them tired and disorganized. As it comes down she will wake up 
and figure it out. Tell mom to hang inthere! Pat in SNJ

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