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Thu, 27 Dec 2007 16:31:19 +1100 |
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Hi,
I am currently working with a mother whom I have known and worked with over
3 or her 4 children - but she hasn't been able to successfully breastfeed
yet, and I am not sure this is going any better, so I am appealing to you
all for any suggestions.
To go into the other 3 lactation histories would take a book. But......she
has inverted nipples (coming out more and more with each baby) The right
nipple was quite everted today - but looks like a little cauliflower.
Anyway, this baby was born Dec 23rd, vaginal breech birth (undiagnosed
breech) 10 days overdue.3600g So she is now day 4. Baby is attaching at
the breast with a nippleshield, but thrashing about and not closing his
mouth around the nipple without the shield. (we used a hand pump to get the
nipple to come out a bit) Mothers breasts are very firm. In previous
lactations she had really, really severe engorgement, but this isn't too
bad. Mother can't hand express milk, and none comes out with the pump.
There is little milk in the shield (a few smears more so than drops) I felt
that she maybe wasn't letting down so well. But today we talked and chatted
about our kids/chirstmas - we know each other quite well now. When baby was
on the left breast the right began to dribble a bit, which was great, but no
leakage from the right when baby is on the left.
Baby is being fed formula 30-50 mls at a time via a supply line (every 2-3
hrs), which he is taking quite well. Lots of skin to skin contact. But we
can't get that milk out of the breast and into the baby. With her first
baby, mother had very severe engorgement, and although baby seemed to feed
well, quickly became lethargic, jaundiced and lost more than 10% of
birthweight. Similar pattern with 2nd and 3rd. Mother is strongly
motivated to breastfeed. Any suggestions would be gratefully recieved.
Barb
IBCLC Australia
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