Hi, Michelle:  I would suggest skin-to-skin, co-sleeping, co-bathing,
anything that will put this mom and baby together in a calm relaxed
manner.  She should also feed the baby in whatever manner they both find
comfortable if breast alone is not working - bottle, cup, etc.  The most
important thought here is:  FEEDING/EATING IS AN ENJOYABLE EXPERIENCE.
Your job is to help the mom/baby figure out how to make it happen. Explore
with her her comfort level with pumping, as well as how often she can
realistically pump each day.  I find in these situations, some of mom's
greatest stress lies in pumping and the state of her milk supply.  I have
also had some good success in giving the mom "permission" to stop pumping
in order that she may spend more quality time with her baby.  In many
instances, I get a phone call from mom that baby is now exclusively
nursing!  What happened?  I think nursing happened because mom/baby relaxed
enough to allow it to happen.  Kind of like a couple who is trying to get
pregnant - when they stop obsessing, it happens!
Good luck.

Pam Hirsch, RN,BSN,CLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL   USA

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