Wonderful suggestions, Debbie!!!
Thank you so much!  Very helpful!
Take care,
Amy

Sent from my iPad

> On Apr 11, 2016, at 9:17 AM, Debbie Tobin <[log in to unmask]> wrote:
> 
> Hi Amy,
> 
> Common with babies overwhelmed with flow to 1) clamp on nipple to slow  
> flow... 
> 2) catch their breath
> 
> In this case of a 2 day old, as you suspect is likely to be frustration  
> with slow flow, ...smart baby trying to stimulate the nipple to elicit MER. 
> 
> Suggestions for LC/nurse then support person to help mom  with:
> 
> Before feedings: 
> -comfortable relaxed supported positioning
> -warm decaf tea and soothing atmosphere
> -warm compresses to breast 
> -gentle and thorough breast massage
> 
> During feedings:
> -mom can intermittently take a deep breath, relax her shoulders and  
> visualize "rivers of milk flowing towards your nipple" - if LC is there; lightly  
> stroke/effleurage towards nipple and show support person how
> -gentle breast compression and stroking towards the nipple; *well away*  
> from nipple, high up on breast, from the sides, and even more carefully  
> underneath areas of breast, in such a way as to not interfere with the deep  
> latch or pull on breast away from baby's deep latch.
> 
> If anyone gets anxious and things were to progress to the point of someone  
> asking about or insisting on supplementing, opt for a 5 french at breast.
> 
> 
> Debbie Tobin RN BSN
> Lake of the Woods, VA
> 
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