Sheena the Aropax wouldn't be a problem and in these circumstance should not go off them. I would try  expressing and finger feeding so the baby relearns to feed comfortably feel satisfied and to start putting on weight. I have dealt with many serious and distressing cases of refusal and so far have been successful with them. It needs the scream try to feed scream frustration and finally sleep (not well usually) cycle to be broken. I start by finger feeding the baby until she is full for a few feeds (breast milk preferably). Mum can do this with the baby skin to skin (or dad or grandma). This helps ease some tension which is usually going on by now in that mums usually feel quite helpless and distraught and worried and confused etc etc!! So after about 12 24 hours or more if needed start the feed next to the breast and after a small amount of food slip the baby on to the breast (easier said than done often!, good attachment is sill essential otherwise feeding will remain a trauma). If the baby starts to get upset then cease and finish with a finger feed. This is done slowly but depends on the babys reaction. Some get very distraught so you would try only once each feed until they stayed calm and some get a bit restless but can try a few times in the one feed. The main thing is to re teach the baby she can get comfort and food at the breast without fighting. I know this is long and am happy to talk to you about this (0883692338) as I have successfully worked with many very difficult cases. Finger feeding is a specific technique as well so let me know if you need more info. There is also a way which involved bathing with the baby but many of my clients have not had access to one so it is not something I am confident discussing. It can be overcome
good luck Belinda
----- Original Message -----
Sent: 20 September, 2002 6:47
Subject: [ozmidwifery] Refusing the breast

Hi List
 
Ruby Rainbow our 10 week old (3 weeks prem) baby grand-daughter is now refusing the breast most feeds. We have been through colic and reflux. Mum has had mastitis twice and a vaginal infection. Ruby started to refuse the breast the same time that her Mum started her ?period. She has had an ultra sound that is inconclusive, the doctor says that what is showing could just be the uterus involuting, but the Mum says that babe has been refusing the breast since she has been losing blood. Have also resorted to glycerine on the dummy and on the nipple to entice her to feed. She only put on a couple of ounces last week. Babe seems to feed ok during the night, but in the daytime, starts crying and won't feed. Any advice out there. I favour going back to her obstetrician and asking for a second opinion on the ultrasound reading. This Mum is on Aropax 30mg a day.
 
Appreciate any advice going
 
Thanks Sheena Johnson

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