Sounds like you're on the right track, with milk supply on the upswing and
baby willing to put mouth on breast.

Any chance mom could take some time off work?  Even dedicating a weekend to
no-pressure nudity around the house (okay, only topless) will probably help,
but longer would be better.

I've had moms with babies of different ages try this, and it seems to work
quite well - while at home, be topless.  The baby could be topless too, to
boost the power of skin to skin.

Mom just goes about the usual routine, doesn't offer the breast, doesn't get
excited when the baby looks at, touches, mouths or latches on to the breast,
doesn't try to make the baby nurse longer - she is just available with no
negotiation, whenever and for however long the baby wants to be at the
breast.

Of course, this means that mom has to carry baby around almost all the time
- using a sling allows moms freedom of movement (not to mention hands) while
maintaining skin-to-skin contact.

Bathing together in addition to sleeping together is very helpful too.

Ingrid 

Ingrid Tilstra
La Leche League Canada Leader
International Board Certified Lactation Consultant

-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Lisa Haughey
Sent: Thursday, March 08, 2012 6:31 AM
To: [log in to unmask]
Subject: nursing strike

Permission to Post-

I have been assisting a woman who's 4 month old baby is in his 3rd week of a
nursing strike.  It began with a cold.  Mom works full-time and baby is fed
the Breast Flow bottle while she is at work.  Her supply has never been
great and she always wears a nipple shield.  The nipple shield was being
placed on the breast correctly.  Any feedback and information is
appreciated:

Things we have tried:
1. cosleeping at night skin to skin from waist up 2.  feeding at breast
while the baby is groggy 3.  tube and syringe at the breast 4. with the
shield- without the shield 5. take a rebirthing bath while her spouse is
present

My advice has been to try, try try but stop if the baby gets upset- the
breast should be his "happy place".

I have tried the following things to increase her supply- she pumps 10-15 oz
day over 5 pumping sessions:

1.  pump more frequently
2.  use her hospital grade pump for all pumping.  (She had been using a
lactina at home and a ME pump at work) 3. Fenugreek- 2 capsules 4x day.  Her
brand includes blessed thistle.
4.  Hands on pumping using Jane Mortons technique 5.  hand express whenever
and wherever she can- (I heard this at a Dr Jane Morton talk as a way to
increase supply.

Since I began working with her a week ago- She has had a minimal increase in
supply 1-3 ounces a day.  The baby has taken the breast on occasion for a
few minutes.

Thank you!
Lisa Haughey RN BSN IBCLC

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