Liane writes of a 4 mo. old baby who yanks and pulls at breast. Dxed with
reflux but mother is not consistently giving meds.
I have a few thoughts about this. First of all I would have mom start
giving the reflux meds consistently--if baby is demonstrating discomfort
secondary to reflux it will take a week or more of consistent meds for baby to
get any relief.
I also wonder if this baby has some sensory integration issues. The babies
I've worked with with these issues are true wiggle worms, can abuse the
nipple, and tend otherwise to be very social. I would have mom try nursing
baby lying down in side lying. I'm not sure why this works but I've had
mothers report to me that their wiggly, yanking, unfocused babies do much better
in this position.
I can imagine how frustrating this must be for this mother.
And good luck to all who are taking the test. As others have advised put
the books away, have a good night's rest and remember MOST questions on the
test are not ambiguous.
Kathy Boggs, RN, IBCLC
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