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Subject:
From:
"Catherine Watson Genna, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 7 Mar 2004 10:30:14 -0500
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Marilyn,
Sounds to me like a classic case of feeding aversion initially due to
hyperlactation.  (It takes much more than pumping a little before feeds
to impact this situation).  Why don't you see a colleague for help if
you can't work it out yourself?

Some of the things that have helped moms in my practice in this situation:

first you want to impact the speed of milk production, to make sure that
your body and his needs are in sync.  Diane Wiessinger has written about
this a lot on lactnet, I'm sure you can find it in the archives.

Then, for the feeding aversion:
make sure you are not holding the baby's head when he is on the breast.
don't try to make him go back to the breast when he lets go.  feel free
to offer again later, but don't ever make him feel like you WANT him to bf.
when you do offer, try just laying him near your breast and just talking
to him.  When he realizes that he can be the one to choose whether or
not and for how long he feeds, he might just latch on voluntarily.

same with solids - make it a non-issue.  let him fingerpaint with them
and lick his fingers. Put a dab on the tip of his nose, and laugh a lot
at mealtime.  Be really careful of allergenic foods until his gut heals
(relative lactose overload from a very high milk production can irritate
the gut and precipitate allergies).

perhaps he will accept milk if it is spoon fed when you are at work.
try fractionating your milk - pump off a few ounces, change the bottle,
then pump the rest.  try giving him the fattier milk that was pumped
last.  When he realizes that milk no longer makes his belly hurt, he
might start giving it a chance again.

Babies are smart, they always have reasons for doing what they are
doing.  We just have to figure out different ways to the same goals...

--
Catherine Watson Genna, IBCLC  New York City  mailto:[log in to unmask]

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