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Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 18 Nov 1999 21:29:04 EST
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>>A mom called me, she has been advised to take the medication iodoquinal
(yodoxin) 650 mg, for twenty days. so far all the sources I have checked
agree with her doctor's recomendation to pump and dump for the safety of
the  baby who is 4 months old. She had nursed her first child 4 years and
wants to nurse this baby as long as possible. The baby doesn't like finger
feeding, will take a bottle. She is going to try the haberman feeder.<<

In my humble opinion, a regular slow flow bottle teat that is straight with a
wider base is as good or maybe better than the haberman with its easier flow.
 Baby doesn't need suck training nor help with a suck problem.  A baby with a
good suck will suck correctly on a bottle and should be able to return to
breast just fine----- if she wants to.   And if she doesn't, I wouldn't be
surprised if time and work wouldn't change her mind.

I have been working with a mom since late September whose 3 month old baby
had severe reflux, refusal to eat, and colitis.  The good news is that *they
are breastfeeding* again.  Before they got to that point, baby was bottle-fed
for the majority of 6 weeks(what a story for another time!).  Breastfeeding
was tried 2 times early in that period.  Both times, baby's symptoms returned
and baby had to be taken off breast again.  At the end, baby was not at
breast for 3<4 weeks straight.  When they returned to breastfeeding, Mom said
baby went back like it was just yesterday.

(This is a baby who *loves* breastfeeding.  Fought bottles terribly each time
the breastfeeding challenge didn't work and the bottle had to come back in
the picture again--- and baby denied the breast. ...So mom decided to be sure
breastmilk was going to be ok the last time before actual *breast*feeding
again.  The emotional upheaval of repeated weaning was terrible for them
both.)  This baby would be about the same age.  So, it has been done before.

I don't know anything about the meds or mom's condition, but would it be too
risky to breastfeed once a day or once every other day just to keep baby
familiar?  If not, what about comfort breastfeeding post-pumping?  That is,
if the baby doesn't mind doing both breast and bottle.

The critical point for mom here I think is that she get a heavy duty rental
grade pump and protect her milk supply!

Hope all goes well,

Natalie Shenk, BS, IBCLC
Findlay, Ohio USA

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