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There are lots of reasons why a baby can't seem to get the
hang of latching on and nursing well at first. While your baby
learns how, you need to: 1) keep him fed, 2) keep your milk supply
going, 3) keep in touch with breastfeeding specialists... and
4) keep the faith! Your baby will learn how. These babies
did.
Emily just didn't get it. She
would root, but she didn't seem to understand latching on. Like
almost all non-nursing babies, she could suck just fine on a finger.
Her mother worked on positioning, and began using a rental pump
to make sure her milk supply would build whether or not Emily began
nursing soon. She bottle-fed Emily, using formula to supplement
her still-low supply. Over the next few weeks, she tried
different positions, a nipple shield, a feeding tube, and finally
just stopped trying for a week. "Look, Emily," father said to daughter, "The
whole world sucks. There's no reason you can't." A
little more time with the nipple shield, and Emily started nursing. It
took her a bit longer to become fully competent, so her mother
continued to pump and offer an evening bottle. By 6 weeks,
the formula and the breast pump were gone.
Daniel just didn't get it. He
would try and try to latch on, then give up in frustration. After
just one visit from a lactation consultant, Daniel and his mom "got
it together". It was a simple matter of positioning.
Timothy just didn't get it. His
mother had "easy" nipples and plenty of milk, but Timothy couldn't
stay latched on at first. Even though she could sometimes
pump 10 oz at a sitting, once Timothy learned to latch he could
suck and suck, and not swallow a drop! Over the first month,
Timothy's nursing skills kept improving, and he began swallowing
sometimes. By 7 weeks, Timothy was pretty competent most
of the time. His mother pumped for an evening bottle for
a few weeks, but then Timothy started refusing it. The boy
who started out not knowing how to nurse ended up not liking bottles!
Laura just didn't get it. Her
mother finally was able to get her to latch on by using a nipple
shield. At first, she gave additional pumped milk in a bottle. But
Laura's mom was soon able to maintain a full supply without pumping,
even though Laura nursed with the shield. After 6 weeks of
using the nipple shield and occasionally being offered the breast
alone, Laura was able to nurse without the shield. (Caution:
for some mothers, regular use of a nipple shield without pumping
results in a lower and lower supply. Use a nipple shield
only with guidance from a breastfeeding specialist.)
Ali just didn't get it. She
latched on in the first few days but didn't nurse well, became
dehydrated, and refused from then on. Her mother pumped,
bottle-fed her, and kept trying. No luck. Ali either
screamed or slept whenever the breast was offered, and seemed to
have no idea how to draw in her mother's rather flat nipples. At
5 weeks, her mother switched to finger-feeding her with tubing,
to break the bottle habit and accustom her to the feeling of skin. A
few days later, provided she was asked and not told,
she began accepting a nipple shield with tubing to provide instant
milk. After a few days with the shield, she simply started
nursing, first on one side, then both. And that was that.
Minda just didn't get it. Her
mother had large, soft breasts, with nipples that didn't stand
out at all. Minda's mom tried many positions, a nipple shield,
finger-feeding, bottle-feeding, and by 5 weeks was ready to quit. She
tried a feeding tube at the breast as a last resort, and it turned
out to be the "latch on here" signal Minda had been looking for. It
took another week of ups and downs before Minda nursed consistently
and easily. | Alex
just didn't get it.He would fight and cry at
the breast, and his mother's milk supply dropped really low. His
mother finger-fed him with tubing, alternating time on her
finger with offering the tubing at her breast. She used
a hand pump, and supplemented her low supply with formula. By
about 4 weeks, Alex would latch on some of the time. Suddenly,
things began to click. His mother continued to use tubing
at her breast to supplement him while her own supply increased. From
the day he really began nursing, Alex sat in his mother's arms
like a different baby - relaxed and content, as if he'd found
heaven. Alex loved being a nursing baby.
Lisa just didn't get
it.Her mom kept her well-fed by using a rental
pump and cup-feeding. It was a discouraging first
week, with lots of spilled milk and the tedium of pumping,
but by the end of the week, Lisa was an accomplished nursing
baby.
Brandon just didn't get
it. He hadn't had any good nursings in the
hospital, and couldn't latch on at all after they got home,
because her breasts were engorged. She used a rental
pump to soften her breasts, and, with some positioning
help, Brandon latched on and nursed beautifully. Without
the lactation consultant's help, and with breasts still
very full, they had trouble again. But she kept pumping,
and gave Brandon her milk with an eyedropper when he couldn't
nurse. After a few days, that early engorgement was
over and nursing was easy.
Shira just didn't get
it.She would root, then make a face and push
her mother's nipple away. After a week of trying,
and offering pumped milk in a bottle, her mother began
using a nipple shield. During the next week, Shira
nursed with the nipple shield and usually enjoyed it, but
had to be supplemented by bottle. Sometimes she refused
the shield. Then her efficiency with the shield
began to improve, and she began accepting her mother's
bare breast sometimes, partway through a feeding. One
morning, at about 2 weeks, she just "seemed different" to
her mother. And she nursed well from then on.
Bruce just didn't get
it.He couldn't seem to draw his mother's
breast into his mouth and keep it there. After a
few days he managed to nurse with a nipple shield, but
he was supplemented with bottles of pumped milk as well. Day
after day went by, and his mother wondered if she would
ever be rid of the shield and bottles, but suddenly, in
the bathroom, a day before his four week birthday, Bruce
just started nursing. Just like that!
The things these babies' mothers had in common
were tears, determination, plenty of skin contact with
their babies, and help from a knowledgeable breastfeeding
specialist. Each pair followed a different path to
breastfeeding. Some babies caught on quickly, some
needed long and frustrating weeks. But all these
babies went on to enjoy breastfeeding... And
all their mothers say it was worth the wait.
©2001 Diane Wiessinger, MS, IBCLC
136 Ellis
Hollow Creek Road Ithaca, NY 14850
Used with permission
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