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Date: | Wed, 8 Nov 2006 09:49:06 -0500 |
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Rachel: Sounds like a case of really OALD (overactive let-down) to me. If
the baby is gaining weight well and has plenty of diapers, he is getting
enough. The other, more important piece of this picture, is whether eating
is a pleasant, enjoyable experience for both mom and baby. In this case,
no, so what can mom do to make feedings more enjoyable for herself and her
baby? I've had good luck with having the mom pump or hand express thru the
1st big spray (let-down) and then offer the breast. I'm also betting that
baby would prefer only one breast a feeding - better to drown once rather
than twice! I would recommend to her one breast/feed. The appearance of
the BMs are pretty indicative of OALD, also.
If mom or baby do not perceive breastfeeding as an enjoyable experience,
mom will quit, no matter how well breastfeeding is going mechanically. And
I think the way breastfeeding tends to be "managed" especially in the USA
(micromanaging position/latch is a big one; overuse and overrecommendation
of pumps and other gadgets, another)plays a bigger role in shortening
duration of breastfeeding than LCs may want to admit. To increase
duration, a happy mom and a happy baby are key! It is my job as the LC to
help her achieve that goal!
Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL USA
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