Hello, I have a problem that I would love some help with. A mom, who has  
done a fantastic job making a nice milk supply for her now full term baby girl,  
is now home from the NICU. She is struggling to get her baby to  take  milk 
from her breasts, and is still continuing to pump and feed the baby with  slow 
flow bottles. Mom is getting very exhausted with the full  time job of pumping 
as she has a 3 1/2 year old at home. She is starting  to use formula when she 
is overwhelmed.  She has done a fantastic  job keeping the baby happy to latch 
on and even suck a little, but the baby  screams at breast when she is really 
hungry, demanding the bottle.The baby  will nurse for about an hour then 
still take 2 ounces of milk from the  bottle. Mom uses  breast compression while 
baby is  nursing.She has tried but didn't have much success with the  SNS, or 
nipple shields. She does lots of skin to skin time. Her baby  has a nice suck 
on exam.She is now 7 lbs 4 oz and is 3 weeks past her due  date. she was born 
at 28 weeks 2 lbs 7 oz. and had no complications. She is  hoping that someone 
else has had some experience that might shed some light on  how to get this 
transiton to happen. any ideas? Thanks for your help. 
Jennifer Davidson RN IBCLC
Los Angeles, California
 



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