Saturday evening I received a call from a Mom who had been my patient in the hospital 3 months ago. She called to discuss her baby and how it seemed not to be satisfied for the last few days....constantly nursing. After listening to how the baby was doing I was pleased to hear that this dear child refuses a bottle. But that her pedi was thinking it needed rice cereal with formula because a sibling had reflux and she thought this baby might be the same. Mom's concerns went from did she have enough milk (has implants behind the muscle) and she only pumped 3 oz. of EBM and maybe she didn't have enough. We discussed and reviewed a lot of what she had heard in hospital and also what she had read and what the pedi (which she said really didn't support breastfeeding) and that the pedi Pulmono logist told her to keep breastfeeding no matter what that it was the best thing for all the allergies and reflux and everything. (Did I want to kiss that man!!) I told her to keep his words foremost and to repeat them to the pedi every time she heard the rice and formula solution... Told her to keep pumping and freeze milk for when she wants a break and teach someone to feed the baby by cup since nipples weren't in this kid's pattern of feeding. Referred to the outside LC referral list and asked her to keep in touch. We discussed using EBM to dilute cereal when the time is appropriate. Now, did I contradict a MD ? Could be....but I really think this Mom figured it out with a little help of her friends and they included a MD, RN IBCLC, and the baby and a good dose of common sense...she tasted the cereal with formula and said it made her gag...it was nasty stuff and that her milk was sweet and nice. She credits her baby for showing her the way and just needed reassurance. So often we get the hard calls and sometimes we just need to realize we don't contradict the desires of the Mom and baby. And in this case I say a well read Pediatric Pulmonary doc trumps a non informed pediatrician anyday.! Leanne Jewell RNC, IBCLC, LCCE, FACCE S FL *********************************************** 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 email list is powered by LISTSERV (R). There is only one LISTSERV. To learn more, visit: http://www.lsoft.com/LISTSERV-powered.html