Thank you for your input, Karen. I don't think I am ready to do that yet. She is still trying, is not belligerent or abusive, and I do not want to abandon her. I know she "owns" the breastfeeding, but she is willing to comply to a certain extent. I am not anxious, just a bit frustrated. Often "high need" clients need more attention. I am going to help her a little more. Mary Jozwiak IBCLC, RLC, LLLL, AAPL Private Practice On Mon, 15 Dec 2003 08:26:34 -0800, Karen Querna <[log in to unmask]> wrote: >Dear Mary, >You have one other option - stop seeing her- You have given her lots of help >and options , she is an adult. She needs to own the breastfeeding, not you. >I sense you are caught up in her anxiety and she is not compliant. >Good luck with your private practice - >Karen Querna, RN, BSN, IBCLC >Spokane, WA > >> >> Date: Mon, 15 Dec 2003 09:10:40 -0500 >> From: Mary Jozwiak IBCLC <[log in to unmask]> >> Subject: Almost out of options, sheild AND SNS together? >> >> I have permission from the mother to post. >> >> Long story. Saw baby at 3 weeks, mom says "not enough milk." Observed >baby, >> found moderately tight frenulum. >Again the fact that she has a 2 year old is used to excuse lack of >> compliance.) >> >> Yesterday, called in a near panic. <<snip>> >> She is going to need a supplementer. I can't count on her to pump. BUT she >> is STILL nursing. (Amazing!) This is the only ray of light in this >> situation, the fact that this baby LOVES to nurse. <<snip>> My hairbrained scheme. Try a shield to see if he latches more deeply. >> THEN, Thread an SNS tube THROUGH the hole in the sheild and have her use >it >> (this contraption) at ever OTHER feeding, and then really stress she HAS >to >> pump after she does this. Do every other feeding on the bare breast. >> >> *********************************************** 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