Hi Dawn

I agree about not wanting to add any more craziness and anxiety.  It’s early
days still.  How about skin-to-skin contact and hand expressing colostrum 1
to 2 hourly during day 2 and see if things don’t turn around by day 3?  I
strongly believe in a "tincture of time" at this stage while keeping a
watchful eye on the dyad.  I have had a 53-year old induce lactation
successfully.

Kind regards

Jean Ridler  RN  RM  IBCLC
Cape Town, South Africa

> -----Original Message-----
> From: Lactation Information and Discussion
> [mailto:[log in to unmask]] On Behalf Of Dawn Kersula
> Sent: 11 June 2013 07:25 PM
> To: [log in to unmask]
> Subject: Breastfeeding at 50
> 
> I am working with a primipara, 50 years old. Perimenopausal. Of course
> <gnashes teeth> she had a three day induction followed by cesarean.
> She has been healthy; it's an in vitro pregnancy. (I did not order the
> induction, no comment....) Full term.
> 
> Her breasts are "meaty" and the baby was having a hard time getting on
> - mom "all hands" at first on top of everything else. Her edema is
> mostly below her waist. Baby of course had a big first-24-hour weight
> loss but the pedis are aware of the research about that. (I must say
> this baby had the juiciest diaper I have EVER changed in a
> newborn....yesterday) Breasts are small-ish but normal.
> 
> So overnight, mom got a nipple shield - mom is liking using it because
> her nipples are sore - some poor latching despite very good help
> (including laid back and nipple flipping and etc etc). Baby's oral
> anatomy is fine.
> 
> Her breasts are nicely veined today.
> 
> Should I start her pumping? I don't want to add layer upon layer of
> more craziness. But I want to maximize her supply.
> 
> Could not find anything anywhere about this sort of situation. Where
> did I miss it? (One post by Lisa Marasco back in 2000 about advanced
> maternal age)
> 
> Dawn Kersula
> second guessing myself in Vermont....and off to help a redhead with
> happy nipples nurse!
> 
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