Has she tried using a nipple shield to blunt the force of the MER?

Sharon Knorr, IBCLC
Loveland, CO

On Thu, Aug 30, 2012 at 2:52 PM, Christine Choong <[log in to unmask]>wrote:

> I would really appreciate some help for this mother. Baby is now 10
> weeks old. Mother has a very forceful milk ejection reflex, initially
> linked with oversupply as she also had with her 1st baby. From the
> beginning baby strugggled with the rapid MER although for the 2-3
> weeks she was able to settle between feeds. Mother's milk supply was
> reduced by using block feeding, often with up to 10-12 hour stretches
> on one breast. However, the forceful milk ejection persisted & baby
> struggled with feeds despite trying many different feeding positions.
> By the 4th week the baby was distressed & crying for much of the day &
> needed to be carried in upright positions. Mother then decided to
> express her milk & bottle feed in order to make the feeds more
> comfortable for baby. Dr prescribed infant gaviscon which was added to
> all bottle feeds along with lipase drops. Baby was able to tolerate
> some feeds on the breast after mom had expressed.
> Baby was more settled with this regime apart from colicky episodes
> which she experiences for about 2 hours every evening.
> As there is a 2 year old sibling it is becoming increasingly difficult
> to manage expressing, caring  for a baby who needs to be carried for
> much of the time & looking after an active toddler. As she feels it is
> becoming impractical to continue expressing & bottle feeding  she
> tried to resume full breastfeeding  but this has resulted in a
> distressed & uncomfortable baby once more. She is also trying CST
> although has only had one session so far.
> Mom also has dysphoric milk ejection reflex. Are there any links
> between D MER & forceful milk ejection ? I wasn't able to find any
> discussion on this topic. Would be very grateful for suggestions or
> advice in dealing these issues.
> This mother/ baby are my daughter & grand daughter which is making it
> even more difficult to deal with objectively as I see all the emotions
> involved.
> Many thanks.
> Christine Choong IBCLC
>
>              ***********************************************
>
> Archives: http://community.lsoft.com/archives/LACTNET.html
> To reach list owners: [log in to unmask]
> Mail all list management commands to: [log in to unmask]
> COMMANDS:
> 1. To temporarily stop your subscription write in the body of an email:
> set lactnet nomail
> 2. To start it again: set lactnet mail
> 3. To unsubscribe: unsubscribe lactnet
> 4. To get a comprehensive list of rules and directions: get lactnet welcome
>

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome