<<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