Yes, it's not only possible, but very enjoyable (speaking from personal
experience).
Does this baby have a heart defect? (About half of all babies with DS do.)
If yes, then getting tired feeding from the heart defect is half the
problem, and that'll be better after corrective surgery. Does mom have a
good MER? The stress of having a baby that wasn't quite what was expected
can sure inhibit it. Some oxytocin nasal spray works wonders. Also gives
mom a fast enough MER that baby won't get frustrated and give up too soon.
Lots of skin to skin, herbals, reglan if necessary (not contraindicated
unless baby had to have surgery for duodenal atresia at birth; may still be
okay this far later). Optimize pumping regimen (120 minutes/day divided
into 10-15 min sessions.) Keep me posted; email privately if you like!
Becky
At 11:44 AM 10/8/99 -0700, you wrote:
>Hello all of you lactation experts. I know that someone out there can help
>me with this!
>
>I am an IBCLC who has never dealt hands on with a Downs baby. I have my
>first Downs baby and her mom coming in to see me and a fellow CLC in my WIC
>office next week. Mom and baby were referred to me by her midwife. The baby
>is now 2 months old and mom received conflicting advice from baby's
>birth....and of course, the baby was bottle fed right at birth. She has a
>milk supply (yay!) because she has been pumping for 2 months, but she is
>very concerend because her milk supply is dropping down to 65 ccs per
>pumping session. She pumps with a Lactina for 45 minutes per pumping
>session. I told her that was way too long to double pump, and to go for
>shorter (15-minute) pumping sessions at a more freqeunt pace. I also told
>her my Fenugreek/Blessed Thistle recipe.
>
>Baby was 5-8 at birth and last week weighed in at 5-13. She is now
>supplementing with Nutramigen, since her supply is going down. Baby has not
>really nursed actively at the breast for one month. Mom does attempt baby
>at the breast twice very day.
>
>Since neither of us has worked with these special children before, I am
>asking for any tips you may have. I couldn't find much on the archives (not
>sure why). I know certain basics: low tone problems, dancer hand hold for
>chin support. Anything else we can do? And do you think it is possible for
>this mom to relactate at this point and be able to breastfeed. She is SOOOO
>committed.
>
>Thank you so very much in advance,
>Brenda Phipps, BS, IBCLC
>Flagstaff, AZ
>
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