The baby may be a little injured (sore throat) and just defending her oral
space.  Even when interventions are necessary they can be stressful and
create negative associations and require healing time before the baby feels
safe about penetration.  I would consider not trying to do too much.  Just
continue the skin-to-skin and hand expressing drops of milk onto the nipples
for the baby to lick off.  If the only bottle the baby will take has a
comparatively short teat length, it may be that it feels safe to the baby
because it doesn't trigger the gag. If the bottle feeding is working, just
feed the baby pumped milk for a few days until the baby recovers and then
start gently transitioning to breast with shield, tub bathing, trying to
nurse when baby is sleepy, standard stuff.  In the meantime, be very
positive with the mother.  Plant lots of suggestions that as the baby
recovers this will work out.

Barbara Wilson-Clay, BS, IBCLC
Austin Lactation Associates
LactNews Press
www.lactnews.com

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html