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Overcoming Nursing Problems



Dr. Jane Morton, Clinical Professor of Pediatrics at Stanford University School of Medicine, is an expert on nursing premature infants as well as a member of the Breastfeeding.com medical advisory board. Dr. Morton has answered many of your questions on getting started breastfeeding and overcoming nursing obstacles.

Dr. Morton works one-on-one with new mothers at the Lucile Packard Children's Hospital at Stanford University, teaching moms how to breastfeed successfully.  In 1997, Focus Magazine named Dr. Morton one of the "Best Doctors in the Bay Area," and she was again selected by her peers as one of "Silicon Valley's Best Physicians" as reported in The Sane Jose Magazine in 1999.






What can I do for my colicky baby?

NAME: Kelly
BABY'S NAME: Isaiah
BABY'S AGE: 2 months

I gave my son a pacifier because he's going through colic and it seems the only thing he'll take.  He wants to suck but when I offer him the breast he starts to cry and wriggle up his belly.  This only happens during the night.  During the day I don't use the pacifier at all.  But I'm worried he might refuse the breast all together if I keep using the pacifier.  I just don't know what else to do for him at night, he takes the pacy just fine and usually falls asleep.  Sometimes he'll put the breast in his mouth and suck for a half a minute, but then he turns away and starts to cry.  Help, please tell me what to do.





Usually, I think that pacifiers are a bad idea.  In the first two weeks after birth, a pacifier takes away the only cue a baby can give to tell his mother that he needs more to eat. Pharmaceutical companies that produce formula used to give gift packages to new breastfeeding mothers in the hospital that included pacifiers.  There are very good studies to show how this interfered with lactogenesis (the development of copious milk production).  Studies in older babies also suggest that the regular use of pacifiers result in abbreviated breastfeeding experiences.

Having said this, I believe that what you are doing is probably just fine.  Colicky babies are legitimately uncomfortable, and babies this age seem to think that if they eat they will feel better.  Often, they will overeat and spit up (you are probably familiar with this).  The maneuvers that tend to keep these babies more comfortable, aside from over feeding them, include allowing them to suck on your finger, an empty breast, or as you are doing, a pacifier.  Other comforting measures include heat, pressure on the abdomen, and motion.  But you are using the pacifier only at night, and usually just to put your son to sleep.  I would suggest removing the pacifier when he is comfortably asleep, and see if you can get rid of it altogether after his colic passes, before or at least by the time he is three months old.



 

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