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  • @llli*lil-as-mama's Avatar
    February 14th, 2017, 09:37 AM
    I have a 4 month old whose weight gain has been the following: Birth weight: 8 lbs 8 oz Low point (as far as we know): 8 lbs 1 oz 1 month: 10 lbs 13 oz 2 months: 12 lbs 1 oz 4 months: 14 lbs 1 oz His doctor was never concerned about his weight gain until his last appointment, at 4 months. At that point he evidently dipped into a lower percentile, and his doctor said we needed to be helping him gain more.
    4 replies | 283 view(s)
  • @llli*wayne25's Avatar
    February 13th, 2017, 11:30 AM
    Hi all, My 10 month old is scraping my areola with his new top teeth when he nurses. He has never bitten, and does not hurt my actual nipple. I believe his latch is good. I have open sores on my right areola and was trying to breastfeed through it (changing angles, etc.) but yesterday was instructed to stop completely until I heal. I continued nursing on the left side, but last night, my left areola also started to get scraped up :( Does anyone have any suggestions to stop the scraping, or heal the sores, or breastfeed with current sores without making them worse? He won't nurse with a shield. Thank you so much for any help you can provide!
    3 replies | 204 view(s)
  • @llli*allirawlins's Avatar
    February 14th, 2017, 09:11 AM
    I went back to work when baby was 4 months old and she ate fine from a bottle until she was about 6 months old. I work in a school and had winter break and was off for a week so I just breastfed and did not give bottles. When I went back to work in January my baby started to only eat about 5 oz a day from the bottle, only an oz or 2 at a time and sometimes completely refusing the bottle. When I get home from work she is starving and eats very frequently also waking to eat throughout the night. Before all of this happened she slept through the night no problem since she was about 2 months old. I really need some advice to get her to eat in the day again and help getting her to sleep in the night. We are all so tired from the very frequent night waking but I am worried she is not getting enough to eat since she is refusing the bottle in the day. She also eats about 1 tablespoon of oatmeal and 2 oz of puree during the day. We have tried several different bottles and sippy cups and different nipple flows.
    2 replies | 162 view(s)
  • @llli*laylas.momma's Avatar
    Yesterday, 08:13 AM
    My one month old recently started tugging at my nipple and stretching her whole body when she feeds as if she's trying to get more milk but is frustrated. Last night she would cry when I pulled her off and fuss even on the boob. I should add that she quickly gained back to birth weight but since that weight gain has been slow (.5 ounces a day). We get plenty of pee diapers but poop frequency varies - some days multiple smaller poops and some days 1-2 larger poops. It seems as if she wants to nurse constantly during the day, but will go 4+ hours at night if I let her. I also had mastitis about two weeks ago and was treated with an antibiotic. Are these signs my supply is low? We have a weight check on Tuesday and doc may recommend supplementing. How can I supplement while also attempting to maintain my supply so she can still benefit from the health benefits of breast milk?
    3 replies | 115 view(s)
  • @llli*scoob626's Avatar
    February 13th, 2017, 03:40 PM
    @llli*scoob626 started a thread Emotional in Weaning
    Hi there, my 17 mo finally is getting 4-5 hour stretches at night, after waking every 1.5 hour since birth. I let him cry and fuss a few nights next to me in bed until he learned to fall asleep with out boob...When he wakes at night, he nurses and he only asks to nurse a couple times during the day. I am having sadness thinking he is weaning. I stay at home with him so he has unlimited access... I am new to this, and clueless: is my body still producing when he nurses so infrequently? Should I offer more? I have always followed his lead, but am confused and emotional since I did push him toward less night waking. He has always been a demanding nurser but recently really got into solids. He is very healthy and 90th percentile in weight. Thanks.
    2 replies | 190 view(s)
  • @llli*maddox's Avatar
    February 18th, 2017, 11:47 AM
    I'm engorged every morning and I'd like to reduce the amount of this morning feed without affecting my overall supply for the remainder of the day. My baby is 6 mo and she's been sleeping through the night for the last 4 mo, so I thought the milk supply would have corrected itself by now. My lo eats 5x a day; weekdays I pump 3x and bf 2x; weekends I bf all 5 feedings. She's getting plenty to eat but she's been in the small weight range and recently stopped gaining weight and my doctor determined my milk was low calorie so now I add a scoop of formula to her bottles at daycare. (her weight gain is now back in track with this method). I'm wondering if my engorgement in the morning is causing low calorie milk because the morning milk is pretty clear compared to the rest of the day. I started pumping for less time (was doing 20 min, now only 15) but that hasn't changed anything after several weeks. I'm also prone to clogged ducts, unfortunately, so that's why I've tried gradual solutions so far. Does anyone have any tips to reduce my morning engorgement? Or does anyone have experience with low calorie milk?
    2 replies | 71 view(s)
  • @llli*tasha's Avatar
    Yesterday, 03:12 PM
    Hi My toddler has always breastfed on demand. She has pretty bad tooth decay even if we have always brushed her teeth 3 times a day, she doesn't have juice or a bottle but she does nurse through the night. One of her teeth has almost completly disintegrated now and the three dentists we have consulted have all said that she has an enamel defect and I have to wean her ASAP, i really dont want to so i am cleaning her teeth during the day but during the night it's impossible without waking her I am currently trying to night wean her and to be honest it is breaking my heart. She is crying and miserable. I don't know how to help her with this. Can anyone give me some suggestions?
    2 replies | 49 view(s)
  • @llli*cb05's Avatar
    February 15th, 2017, 07:11 PM
    Hi! My 5 month old has always had trouble with her latch, yet has gained weight and is growing. She is EBF and I am able to pump at work. Since the beginning of January, I developed a milk bleb and toward the end of January had my first clogged duct. I was able to massage it out. Since then I've had a few more and the bleb is still there. Just recently I have this lump on the underside and base of nipple (same side as bleb) and I was wondering what this was? Anyone have something similar? Also to the moms, how do you get rid of this bleb? I've done everything the internet and doc have told me to do but it has not gone away. Can anyone relate? What have you done to get this away?
    1 replies | 131 view(s)
  • @llli*andys.wife's Avatar
    February 15th, 2017, 06:43 PM
    I'm a first time mom and baby is 3 months. I've been trying to pump some but I can't get anything. In the mornings I can get .5oz total but in the afternoon I won't even get a drop. I have a brand new medela pump in style backpack. I think that the flange fits based on diagrams I looked up online but honestly I don't know for sure. Could be supply issue...I'm a stay at home mom so it's not absolutely necessary, however, I feel so tied down feeding all the time and it would be nice to be able to give a bottle on occasion and I would like to have a small freezer stash.
    1 replies | 128 view(s)
  • @llli*banu's Avatar
    February 16th, 2017, 03:51 PM
    I have a nearly 7 week old newbom and he's going through some wonder week or sleep regression Stuff I guess.whatever, the problem is I did hate pacifiers in the past with my DD I hate them now and I hate the idea of Soothing the baby with them instead of nursing.But I have to admit I need them.I'm dealing with OALD.I feel Especially at the witch hour with all the crankiness and exhaustion of the day at its heighest point the last thing my DS wants is another dip of milk!! At last I tried the paci and it worked ( no surprise,Hah?) I do afraid of having to deal with nipple confusion or supply issues (because he'll be sucking the paci instead of my nipple) but it seems to be the most rationale thing to do. Or he'll cry into tears in my arms until he falls asleep
    1 replies | 98 view(s)
  • @llli*ndw11717's Avatar
    Yesterday, 08:33 PM
    LO will be 5 weeks old on Tuesday, he is ebf. We purchased a scale when he was 2 weeks old because weight gain was slow so we wanted to make sure he was transferring enough so we are able to weigh as much as we want. That being said he weighed 8lbs 5oz on the 12th, 8lbs 10oz the 16th and today he is still 8lbs 10oz. Starting the 16th we let him sleep as long as he would at night (only happened one night for 5 hours), the other two nights he woke every 2-3 hours. The max he has gone during the day is 3 hours, and always acts content after feeding and usually falls asleep at the breast when he is done. Has had 12+ wet and 3-4 big dirty diapers daily. My understanding is he is getting enough milk from what he is showing and his wet and dirty diapers. I though I was starting to get the hang of this :cry . What do I do? Get back on a tighter schedule?
    1 replies | 50 view(s)
  • @llli*tasha's Avatar
    Today, 02:29 AM
    Hi and thanks so much for your reply. Put of interest how old is your daughter? How did you go about it? Did you just explain? I ended up giving up last night stereo a few hours we were both in tears. I'm pretty sure it is for comfort than being hungry and she loves breastfeeding. I feel terribly guilty stopping her and terribly guilty continuing. I think at this I will try again at the weekend as we all have to get up for work etc during the week.
    2 replies | 49 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 09:06 PM
    Without a complete weight history from birth I only have a limited understanding of what is going on, but if my math is correct, those specific numbers mean: That between the 12 and the 16th, 4 days, baby gained normally (very slightly over an ounce a day) and then in the 3 days between the 16th and the 19th, baby gained nothing. But we only know that because baby is being weighed very frequently. Another way to look at is that between the 12 and today, 7 days, baby gained 5 ounces, or an average of .71 ounces per day, which is below average but within normal parameters. One thing to consider is babies do not gain the same every day. The average total of gain of "about" 1 ounce a day is something that is measured over the first few months, not days. In other words, baby not gaining for 3 days may be entirely normal. But if you think your baby is not getting enough milk, there are several things to do. Another mom with a newborn about your baby's age is also having issues with slow gain. You might find that thread has some info you can use? Let me know if that is helpful at all. http://forums.llli.org/showthread.php?126759-Low-supply
    1 replies | 50 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 06:43 PM
    OK thanks for answering all those questions. So given what you report, I suspect that if there is a problem, it has more to do with baby not transferring milk well and not so much about milk production. Unfortunately, since baby not transferring milk well will LEAD to low milk production even if production starts out entirely normal (or with the potential to be normal) then it is possible that low production is starting to happen or is on the horizon unless interventions are taken. Since you had IV fluids during labor which is known to inflate birth weight, and birth weight was taken on a scale baby was never weighed on again, (as is typical) I think it makes sense to simply throw the recorded birth weight out of any consideration. Normally I would keep the next weight check, but since the next weight after that was only a day later and on the same scale used from then on, my suggestion is to measure gain from January 18. Please check my math, but here is what I have: From January 18th to February 16th, a period of 29 days, baby gained a total of 1 pound 6 ounces, or 22 ounces, or an average of .75 ounces per day. This is within normal gain specifications, but it certainly would be more reassuring if baby was gaining more like an average of an ounce a day. Also gain did not seem to get more rapid, as would be typical after about 2 weeks. Instead it seems to be slowing down. Given that you have also had nipple injury and continue to have pain when nursing, I...
    3 replies | 115 view(s)
  • @llli*orangecat88's Avatar
    Yesterday, 04:43 PM
    Hi, I'm sorry your going through this. I night weaned my daughter a while ago because I was afraid of decay. It was only rough for a night or two. We just explained to her that we can only nurse when the sun is up and we gave her lots of cuddles. She cried for almost the whole first night, but the next night she was basically fine and has been fine every since. Children are very adaptable, and a few rough nights will not cause any long-term harm. To ward off any nighttime hunger, we always give my daughter a big snack before she goes to bed and this seems to help. Please just remember that you are doing the right thing. A 21 month old is perfectly capable of going all night without nursing. I assume you're going to continue nursing during the day? Even if not, remember that nursing at this age has only marginal benefits, but tooth decay is very painful and may cause problems in the adult teeth. You are absolutely doing the right thing.
    2 replies | 49 view(s)
  • @llli*laylas.momma's Avatar
    Yesterday, 01:20 PM
    Thank you for all the helpful info on supplementing! I'd love further thoughts :) ...see below for answers to your questions. *Please give an exact weight check history, with day of life and corresponding number on scale. Please note whenever a different scale was used. 1/15 (birth) 8lbs 4oz 1/17 (discharge) 7lbs 6oz 1/18 (first pedi visit, different scale, not digital) 7lbs 9oz 1/20 (same scale) 8lbs 3oz 1/25 (same scale) 8lbs 5oz 1/30 (same scale) 8lbs 8oz 2/16 (same scale) 8lbs 15oz
    3 replies | 115 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 11:45 AM
    Hi laylas.momma. The behavior you describe could mean many things and is usually simply normal. Slow weight gain could be an indication of low milk production. But it is also possible that the problem is with how well baby can transfer milk. Or slow gain is related to baby not nursing often enough or not nursing long enough when baby nurses. Very rarely, poor gain has nothing to do with intake and indicates there is a medical concern. Also, gain is tricky to measure especially in the first several weeks for multiple reasons. Since baby is pooping within normal parameters, that would seem to indicate that baby is getting enough milk and in fact what you are seeing with the gain is scale or human error with the weight checks. Since you are concerned, my best recommendation to you is to see a board certified lactation consultant (IBCLC) for a complete breastfeeding assessment. They should watch baby nurse, do a before and after nursing weight check, take a full history and discuss with you your baby's nursing patterns. They should be both trained and experienced. If you see a competent person, they should either be able to offer reassurance, or, if there is a problem, give you a common sense and breastfeeding supportive plan for addressing the problem. They should also provide follow up appointment(s) or at the very least follow up contact. Unfortunately, too often when there is a question of gain, many pediatricians turn to supplementing baby too quickly and...
    3 replies | 115 view(s)
  • @llli*mommal's Avatar
    February 18th, 2017, 07:50 PM
    :ita The first thing to try in a situation like this is nursing the baby a lot more often, including overnight. And the first thing to avoid is reducing production. Also, there is no such thing as "low calorie milk". Where in the world did your doctor come up with that absurd idea? When it comes to weight gain, what matters is the overall volume of milk, not the quality of that milk.
    2 replies | 71 view(s)
  • @llli*maddieb's Avatar
    February 18th, 2017, 04:34 PM
    Hi maddox. Has anyone suggested nursing/feeing your baby more often? It actually would be pretty unusual for a baby to get enough to eat to gain normally nursing only 5 times in 24 hours. Normal feeding patterns for this age is 6-12 times in 24 hours. So my best suggestion is to encourage your baby to nurse more often. This is likely to help with every issue you are having- the slow gain, your feeling of being overly full in the morning, and plugs. Additionally more frequent milk removal will ensure that you make enough milk going forward for your baby. And while your expressed milk looking "watery" is actually entirely normal and does NOT mean it is "low calorie," nursing overnight at least once or twice will also probably lead to your milk not being so watery looking when you pump in the morning. I would absolutely not suggest continuing to try to decrease your milk production. In the normal course of things, milk production gradually and safely decreases on its own when and if needed as long as baby is nursing with normal frequency of 6-12 times in 24 hours. I very much doubt the problem is that you make too much milk. It is that your baby is not eating often enough.
    2 replies | 71 view(s)
  • @llli*maddieb's Avatar
    February 18th, 2017, 04:00 PM
    Hi allirawlins. How many hours are you separated from baby? I have an alternate theory of what is going on or at least, what might be contributing to the night waking. It seems unlikely to me that one week without bottles would cause bottle refusal in a baby who has been eating from bottles just fine for two months. Maybe a period of adjustment, but not something ongoing. On the other hand, a baby waking more frequently overnight at this age then they did a few weeks or months prior is entirely normal. In particular it is very common that a baby who began to "sleep through the night" earlier than average as your baby did, would start having more frequent night wakings at some point down the line. Sleep consolidation does happen as a child gets older, of course, this means that as a person ages they gradually sleep fewer hours overall but more consecutive hours at a time. But in babyhood and toddlerhood, a frequent waking pattern is entirely normal, and a child may bounce around in their sleep patterns quite a few times. If your baby is eating more at night, then they need less during the day. So the night wakings may be contributing to baby's lack of interest during the day. I would not suggest limiting your child's ability to nurse at night, but would instead suggest finding alternate ways of getting more overall sleep yourself. If baby is truly becoming hungry during the day but refusing to drink your milk, there are some things to think about.
    2 replies | 162 view(s)
  • @llli*mommal's Avatar
    February 18th, 2017, 09:44 AM
    That is fantastic news!
    21 replies | 1099 view(s)
  • @llli*mommal's Avatar
    February 18th, 2017, 09:43 AM
    Fussy evenings are the worst! Especially when you have a baby who won't nurse for comfort at that time. I think when you are in that situation, you do what you have to do. If a paci makes it possible for you to get through the evening, use it. It's probably a temporary thing. As your supply and OALD calm down and your baby gets more adept at managing the milk flow, he will probably discover how to nurse for comfort, and then you can ditch the paci.
    1 replies | 98 view(s)
  • @llli*mommal's Avatar
    February 18th, 2017, 09:41 AM
    There is a good chance that the lump is another plugged duct. What can happen with blebs is that they form a callous over the pore where the milk exits the breast. The milk backs up in the ducts behind the blocked pore, and voila, you have a plugged area. Sometimes the bleb completely seals off the ductwork behind it, and sometimes it just causes that area to drain slowly. If the lump feels softer after feedings, then you probably have a slow drain. My strategy for dealing with blebs that caused plugged ducts was to get a sterile needle and gently pick at the bleb until milk was able to flow out again. A lot of moms think that maybe a doctor or nurse should do this, but I think this is something you do yourself, as you are the only person with nerve endings on both ends of the needle and are therefore best equipped to know when you have gone too far. What have you tried so far? I know you said "everything", but there could be something you missed!
    1 replies | 131 view(s)
  • @llli*mommal's Avatar
    February 18th, 2017, 09:28 AM
    Awesome! Enjoy your trip! :D
    5 replies | 318 view(s)
  • @llli*julienne02's Avatar
    February 17th, 2017, 08:21 PM
    Sounds like your LO is developing quite the opinion about bottles. It sounds like what my first two sons did when I first went back to work--refused the bottle for a few days, then grudgingly accept (my second would only take a sippy cup made for 4 months and up), but also begin waking all night long to eat. My first one woke every hour at night, and I am not exaggerating. Thank goodness we were cosleeping or I would have been a zombie. If she is eating a lot more often at night and in general while you are home, she is making up at least some of the milk she is not drinking from the bottle while you are gone. I am not sure which sippy cups you have tried, but I would lean towards trying one or two others (Philips Avent or Tommee Tippy come to mind) and not worrying about the bottle. Also, maybe now is also the time to start doing more solid foods when you are gone?
    2 replies | 162 view(s)
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