Saw 2 babies born by c-section today Baby#1 seen on day#9 after birth in office. Not breastfeeding at all. Never really latched on per mom. Mom is pumping with a medela hand pump that they got in the hospital once a day and getting about 2 oz which she is giving in a bottle. Supplementing with formula that they went home with from the hospital. I discussed at length the importance of frequent emptying of the breasts, putting the baby to the breast, skin to skin etc. Both parents resisted the idea renting hospital grade pump or going to see an LC. mom wants to bf but doesn't seem to be very motivated Baby #2 Seen 4 hrs after birth. Looked like the typical, zoned out, not interested in doing anything, semi-awake baby that promptly went to sleep as soon as she nuzzled close to mom. Hasn't latched on so far. I will see her again tommorrow but I'm afaid she's going to get a bottle tonight. How do you keep baby 2 from going the same way as baby 1. What kind of hospital policies do you have to preserve breastfeeding in situations like these. I have requested that mom #2 should start pumping by morning if baby is still not nursing well. I would like to send this mom home with a hospital grade pump if this baby doesn't start doing better before discharge and continue with a baby-led attachment while feeding with a slow flow nipple. She might just wake up tommmorow and start nursing but I want to have a plan B if she doesn't. Any suggestions would be welcome. Thank you for all your kind advice Vaishali Kute, MD FAAP Atlanta GA *********************************************** 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(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html