I posted a few weeks ago about a baby with breast refusal. The mom has had no luck getting the baby to breast, even with lots of skin-to-skin and amazing patience. Pumping is going well for her, she still is freezing about 15oz/day, so milk supply is solid. I just talked to her, and the baby has been presenting with feeding difficulties at the bottle. Baby is 8 weeks old, and still takes about 45 minutes to finish 3oz from a bottle. She went through a bout of bottle-refusal about 2 weeks ago, that was resolved by switching bottles (now using Avent, had been using the Playtex VentAire) and taking away all pacifier time. I hadn't thought of the pacifier earlier (kicking self), but in any case, it's gone now. She goes to see her ped tomorrow, and I am going to call him and recommend an OT evaluation. I have a suspicion that once this baby is stronger and can feed more effectively, we may still get her back to breast, so I encouraged mom to put baby to breast *after* feeding, let her spend her full-belly time lounging next to mom's skin to work on positive associations. Anyway - she does appear to have some basic feeding problem, to be struggling so even with a bottle. Weight gain is fine, if a bit slow. Birth weight was 10-0, and she is just now up to 10-14. Lowest weight was 8-12 (when bottles were introduced and started this whole mess), and it took her about 3 weeks to return to birthweight. this baby has not latched and fed at all since Jan 24, when she fed one time. Mom BF first two babies past a year, so this is very hard for her. She goes to a BF support group run through WIC that is helpful. Other than suggesting more time at breast (not trying to feed, but for positive associations) and an OT eval - does anyone have any other ideas to try? I really feel I've let this mom down - she came to us with some occasional breastfeeds, but the strain of always trying and also dealing with 2 older kids and pumping was just too much, so she's been just bottle-feeding and not offering for the past month. She did offer the breast one time during the bout of bottle-refusal, but the baby just screamed there as she was doing with the bottle. What are we missing here? Thanks!!! Kirsten Berggren, PhD, CLC *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html Mail all commands to [log in to unmask] To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or [log in to unmask]) To unsubscribe: unsubscribe lactnet or ([log in to unmask]) To reach list owners: [log in to unmask]