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Subject:
From:
Charity Pitcher-Cooper <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 5 Aug 2004 00:40:25 -0400
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Brief re-introduction-
Charity Pitcher-Cooper BSN, RN, CLC been lurking since having my first
baby in November

Just a few thoughts on this tough case-

Perhaps this little one's "sense of order" has been disrupted.  Two major
red flags- She won't eat for Mom or sleep for Mom.  I would look for
changes that have to do with Mom.   In my experience babies who are
sensitive about changes in feeding are also sensitive about other
differences.  Mothers who are preparing to return to work often make
several seemingly minor changes at once.  (They wear different clothes,
they get their hair done differently, they wear perfume, they change their
pattern of living, they re-arrange the furniture, they change their daily
diet).  Sometimes it is the absence of things that make babies upset- has
anyone significant who was helping with the baby leave?      Perhaps the
introduction of a bottle was just the last straw for a baby who was
already stressed about some other small changes.  The other things she
cannot control- but eating is something she has control over.

My second line of thinking (taking your intial thought one more step)-
Could she express/pump off some milk before offering the breast for self
attachment?  If the refusal is flow related due to a posterior tongue this
baby might like her milk to be super slow and refuse those more forceful
letdowns.

Other random suggestions...

Distraction has worked for a while- how about some white noise and
amplified heartbeat- Make the room womb-like and peaceful?

Ears have been mentioned- I would have her throat checked too.

Very Warmly,

Charity
(who has a fever of 101 this evening;-)

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