Dear Colleagues:
    What an incredibly difficult case.
    I haven't a clue, only ideas and questions. Either  this baby lacks some 
neuromuscular connection, or the baby has made a  choice.
    The worse case I ever heard of a baby with oral  aversion  (hold on to 
your seats,dear friends, this next bit is absolutely  dreadful, and the worst I 
have ever heard) was one whose mother had  rented the baby out to be used 
sexually so she could buy drugs. The  baby was 6 months old by the time Protective 
Services took it away, and the  challenge was for the baby to let anyone put 
anything in its  mouth. Another case with lack of hunger cues, lack of feeding 
ability was a  baby with severe Down's syndrome.
    When the baby bf for a few minutes at a time, what  is the situation 
then? Day or night, who is present, what has preceded the  successful feed? Maybe 
playing detective here can yield more clues.
    Maybe folks are pressuring this baby to eat so much  that she is refusing 
to let things go in her mouth? Maybe the mother could go to  bed with baby 
for 48 hours and be left alone and see what happens? She can pump  and 
tube/bottle feed if there isn't bf.
    Karen, good luck with this and let us know what  happens.
    warmly,
    
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct  Faculty Union Institute and University
Film Reviews Editor, Journal of Human  Lactation
www.breastfeedingalwaysbest.com


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