Marjorie,
Has this mom considered trying to turn this baby's day/night schedule
around, and sleep with baby so baby gets lots of skin to skin cuddling and
ad lib nursing during the night. I have heard of some children who are then
able to get by on fewer feedings during the day while at the caregiver's,
especially if mom can come in and nurse during her lunch hour.
Kristeen Rogers, RN, IBCLC
Crystal Lake, IL
----- Original Message -----
From: "Marjorie Vera, LLLL" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, November 12, 2003 1:21 PM
Subject: Refusing bottle, back to work (again)
> Okay, wise ones. I know this topic has been brought up probably countless
> times, and I have delved into the archives, but I wondered if anyone had
> any further helpful musings to contribute for this distraught mom.
>
> Baby girl is seven weeks old; mother breastfed two of her three other
> children. Baby had been on bottle for first (?) two weeks due to mother's
> antibiotics (I know, I know; but I didn't go there on this call), but
> since going to breast has been attached nonstop (smart girl). Now, mom has
> to go back to work in one week and has been trying to get baby to take
> other feeding methods, all without success (dropper, cup, different
> bottles given by different family members and by mom, at different times
> of day). Basically, mom is frantic and very worried that her baby will do
> nothing but cry during her absence, thereby jeopardizing her placement
> with the caregivers.
>
> Mother works for the NYC Board of Education -- for those who aren't
> familiar, this is the ultimate bureaucratic machine, so I was surprised
> this lady was even able to extend her maternity leave by two weeks. Baby
> will be cared for in a daycare setting eight blocks from mom's work. There
> are no family members available, nor is a private nanny a possibility.
> There will be 10 babies, of whom this little girl is the youngest; mom
> thinks there are around four caregivers. Just to give you an idea of the
> background.
>
> We discussed that this little one is especially sensitive and needs her
> mom very much. (Previous child had accepted bottle.) This seems to me to
> be more a case of baby needing to be in mom's arms, doing lots of comfort
> suckling, rather than a matter of feeding. But we also discussed using a
> slow-flow bottle and having caregiver simulate a breastfeeding experience
> as closely as possible (i.e. have baby initiate feed, control amount and
> pace of feed); finding a piece of mom's clothing to wrap bottle in or use
> around baby; sitting caregiver team down to discuss importance of holding
> baby; having mom come to nurse baby during lunch hour; pumping during work
> (mom said she'll be able to)...
>
> I let the mom know how vital this time is that she has to be with her
> baby, and that it is important to make the most of this exclusive nursing
> period. It's going to be stressful enough, as it is, for both of them. But
> I also would like to know if anyone has any particular recommendation for
> a slower-flow nipple, just to have something concrete to have the family
> try. And, of course, if anyone has additional suggestions that might be
> helpful...
>
> Thanks so much!
>
> Warmly,
> Marjorie
>
>
>
>
>
> Marjorie Vera
> LLLL in Brooklyn, NY
>
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