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  • @llli*mommal's Avatar
    Today, 08:20 PM
    Yeah, I am also thinking reflux could be a problem here, if only because I know a kid who was very slow to gain despite being breastfed on demand and having an average-sized older sister, and he had severe silent reflux. He just did not want to eat because using his digestive system hurt too much. I wouldn't worry about your LO not taking food from the spoon. Not all kids are interested in solids at <1 year. Mine didn't get interested in eating solids until 14-15 months, and neither one of them would take anything from a spoon. It was self-feeding or nothing.
    2 replies | 112 view(s)
  • @llli*mommal's Avatar
    Today, 08:15 PM
    Hi Carolsf, welcome to the forum! With a 3 week old, the best gauge of intake is diaper out out and weight gain. If baby is having sufficient wet/poop diapers and is gaining weight at a normal rate, then she's getting enough. If you have offered both breasts and baby is pushing away and refusing to latch, just let her be. If she's hungry, she'll ask to be picked up and nursed some more. Can you tell us more about the rough nights?
    11 replies | 309 view(s)
  • @llli*mommal's Avatar
    Today, 08:05 PM
    I think that if you want him to go longer during the day, you might want to feed him more often at night. Terrific solution, right? :duck Seriously, though, I think he needs to get his daily allowance of calories in somehow, and you don't want to encourage him to really stuff himself every time he eats, because that's not a healthy pattern to set up for the long term. I would just roll with it! He'll eventually go longer between sessions- but he's quite young to expect it. FWIW, my kids nursed every 1-2 hours during the day until they were around a year old, and would go longer only when we were out of the house and in some new and exciting locale.
    1 replies | 64 view(s)
  • @llli*mommal's Avatar
    Today, 08:00 PM
    Welcome to the forum! Some questions for you: - How is baby's weight gain? - Has baby always been like this, or is the fussiness/burping/back arching/etc. new? - Does the fussiness at certain times of day, perhaps in the later afternoon/evening?
    1 replies | 12 view(s)
  • @llli*mommal's Avatar
    Today, 07:58 PM
    You could always put it in a smoothie with fresh fruit. Yum! My friends who make yogurt say it's really easy- just stir in a spoonful of a previous batch, and then keep it warm in a water bath. If you are seriously overflowing your fridge, it could be something fun to try!
    5 replies | 174 view(s)
  • @llli*mommal's Avatar
    Today, 07:53 PM
    :ita Most people give you the benefit of the doubt, particularly if there's a big shawl tossed over you.
    7 replies | 289 view(s)
  • @llli*maddieb's Avatar
    Today, 07:47 PM
    Just a couple of points. Paced bottle feeding does not mean that the caregiver holds baby. It is also not dependent on a particular type of nipple, although generally the slowest flow that "works" is probably a good place to start. But paced bottle feeding is a very specific way of positioning both the baby and the bottle, as well as allowing/encouraging a baby to take natural pauses during a feeding. It is designed to make bottles more "like" breastfeeding in that baby is given more control over milk flow and that is why it helps prevent overfeeding and "flow confusion" . Here is more information: http://www.llli.org/docs/0000000000000001WAB/WAB_Tear_sheet_Toolkit/22_bfabreastfedbaby.pdf and video: https://www.youtube.com/watch?v=UH4T70OSzGs Also, daycare is offering a bottle every 2 hours? Is this based on baby's cues or other? Cue feeding remains important even when a baby is bottle fed. Yes it is not always easy for a day care to provide this level of attention to a baby in their care. But sometimes all that is needed is education about how to promote normal feeding. I have also always wondered if the rule of thumb that a baby needs about 1 to 1.5 ounces per hour of separation changes if a baby is not nursing at night. As far as I know, this amount is based on the average total daily intake of a breastfed baby, which is (for a baby living entirely or nearly so on breastmilk) about 25-35ounces per day generally.
    6 replies | 150 view(s)
  • @llli*aem307's Avatar
    Today, 07:14 PM
    Our first baby was born July 25th. She latched and nursed excellently after birth, and aside from a little difficulty with an inverted nipple in the very beginning, things have been great. In the past week, she's starting being very fussy when feeding- latching on,sucking for a few minutes, pulling off and immediately crying out to re-latch and continue feeding. I've also noticed she's exhibiting signs of silent reflux: hiccuping, coughing, sneezing, arching her back-straightening legs out, thrusting her tongue, wet burps, wanting to feed all the time, and constant crying after feeding especially at night. We have a doctors appointment tomorrow morning. My question is: while putting her to breast calms her, am I perpetuating the reflux cycle? Am I making it worse? How do I know if its hunger or just pain? I'm exhausted, feeling guilty that I could be making it worse, and devastated that my baby could be so uncomfortable. Thanks for any help!
    1 replies | 12 view(s)
  • @llli*ngs215's Avatar
    Today, 05:31 PM
    Ha ha ha ha... I laughed so hard when I read this. You have severely overestimated my culinary skills. I haven't made any changes yet. She sees the dr next week, and I want to make sure her weight gain is still good before I start cutting back. The donation suggestion got me thinking. I wonder if I could convince my toddler to drink breastmilk again. He could use an immunity boost this winter...
    5 replies | 174 view(s)
  • @llli*rainbowgoblin's Avatar
    Today, 04:51 PM
    I'm the mother of an 11-month-old boy who's happily eating everything in sight, and seems to have lost interest in breastfeeding. He has never tasted formula, but we started him on solids around 5 months, when he started reaching for whatever we were eating in his presence. We've mostly been using baby-led weaning, although we used a food mill in the early days. Over the last couple weeks, I can get him to latch on, but he quickly loses interest when he sees something he'd like to play with. I've tried moving to quieter locations, but he wants to play with EVERYTHING, so there really isn't a location with little enough stimulation. Over the last three evenings, I've tried expressing, and my production is way down (I used to get 200 mL or more, now I'm only getting about 40 mL). I suppose it could be that he's losing interest because I'm not producing enough milk, but I'd guess it's the other way around... Though it doesn't really matter, anyway. I had planned to breastfeed until he was 2! I know this isn't always something that can be planned, but 11 months seems way too early to wean. Do we need to start giving him formula? Or if I keep pumping, will my production go up again, then I could just give him expressed milk? EDIT: our son is still creeping up the weight percentiles, so I'm not concerned about that. Also, I've started leaving my breast out when he loses interest so that he can play a bit and come back to it, and he does seem to like that, though it's...
    0 replies | 46 view(s)
  • @llli*tclynx's Avatar
    Today, 04:22 PM
    Have you heard about lactation aids? I used a medela SNS to supplement my LO right at the breast instead of using bottles.
    5 replies | 221 view(s)
  • @llli*tclynx's Avatar
    Today, 04:18 PM
    and if no LLL groups in your area, look here for IBCLCs http://www.ilca.org/i4a/pages/index.cfm?pageid=3901
    3 replies | 129 view(s)
  • @llli*melusine's Avatar
    Today, 02:53 PM
    My son is 7 months old. A month and a half ago we got him sleeping in his crib overnight--previously he'd been bed-sharing. He went from feeding 4-6 times a night to only 1-2 times within about a week of sleeping in the crib (without any prompting--he just started sleeping longer on his own). Right now he rarely wakes up for a night feed more than once (usual pattern is to sleep 5-7 hours, wake to feed, then sleep until he's done 11-12 hours total). My husband has taken over the first night feed and DS usually drinks about 5 oz of expressed breast milk at that time. All that is great! The problem is that prior to this, DS was usually going at least 2 hrs during the day before he'd get fussy for a feed. Now he often gets cranky after an hour, with an hour an a half being about his maximum. We started him on solids at 6 months (he was EBF before) and he's eating a fair bit, not sure how many calories, but that hasn't seemed to make a difference. I could totally understand him needing to nurse more during the day initially after dropping the night feeds to balance things out, but I wouldn't have expected it to continue this long. It seems too long to be a growth spurt either. I don't mind when we're at home, but it makes outings difficult because I have to keep any time outside the house very short or deal with him getting cranky/finding a decent spot to feed him. Is there any reasonable way to encourage him to extend the time between feedings? I'm trying to get...
    1 replies | 64 view(s)
  • @llli*lllmamamia's Avatar
    Today, 02:51 PM
    I agree with mommal that weaning is more successfully attempted when mastitis is cleared up. Some moms work with their doctor to test their milk for bacteria to make sure that the antibiotic treatment they are getting is appropriate (strains, resistance, etc). As for recurrent plugs/mastitis, this might be helpful: http://kellymom.com/bf/concerns/mother/recurrent-mastitis/ If you do decide to nurse on one side, know that it can and is done routinely by moms of twins! Good luck!
    2 replies | 149 view(s)
  • @llli*lllmamamia's Avatar
    Today, 02:48 PM
    Here are a few resources you might review A latch video: http://www.ameda.com/breastfeeding/positioning-and-latching-on/bf-your-baby-knows-how-to-latch-on Thrush: http://www.llli.org/faq/thrush.html As far as how much milk to send at daycare, you can see this link which focuses on babies 6 months and less: http://kellymom.com/bf/pumpingmoms/pumping/milkcalc/ For older babies that get more of their calories from solid foods, they may need less breastmilk when they are away from mom.
    5 replies | 290 view(s)
  • @llli*lllmamamia's Avatar
    Today, 02:42 PM
    It's very common to have just a few drops come out the first few pumping sessions. Your body will learn to make milk for a pump. Breast compressions do wonders for breast pumps! http://www.nbci.ca/index.php?option=com_content&id=8:breast-compression&Itemid=17 Learning to use hand expression can be a wonderful accompaniment to the negative pressure of the pump. It more closely mimics how a baby extracts milk from the breast. http://newborns.stanford.edu/Breastfeeding/HandExpression.html Keep at it!
    5 replies | 258 view(s)
  • @llli*tclynx's Avatar
    Today, 02:40 PM
    UGH, Having lots of trouble getting DS to eat very much at any one feeding today. How am I ever going to find the courage to cut out the supplementing/pumping if I continue having so much trouble getting him to eat enough to gain much weight? Quite certain my supply is adequate finally since I can pump almost 8 oz in a day where we only supplement 4oz. Doesn't help that we are suffering some teething making him fussy. Daddy is away this week so I can do weighted feedings as much as I please.
    154 replies | 6856 view(s)
  • @llli*drlakshmidr's Avatar
    Today, 02:37 PM
    Hi Zaynethepain, Thanks for the reply. I did consult couple of IBCLCs and their recommendation was to get the milk supply by pumping harder. I called the local LL leader as well. I'll try to reach her again. Here are my answers..... Is there any pain when he latches? No pain. How often a day does he nurse?
    5 replies | 221 view(s)
  • @llli*lllmamamia's Avatar
    Today, 02:34 PM
    Here is the Academy of Breastfeeding Medicine's jaundice protocol: http://www.bfmed.org/Media/Files/Protocols/Protocol%2022%20Jaundice.pdf You might print it off and show your doctor. Many doctors suggest supplementing with formula to help the baby's body's process of getting the bilirubin out faster. Can this be done with mom's milk? Is there a concern that baby is not nursing effectively, so we need to use bottles? Can we check on milk transfer to make sure he is nursing effectively? Can we get lactation support first to help protect both your baby's developing gut and your milk production? Is formula medically indicated? Jaundice is more common in breastfed babies than formula fed babies. Some hypothesize that this is protective, that the low-level jaundice seen in breastfed babies is actually normal and that not having jaundice in formula fed babies is abnormal. The theory is that the bilirubin being broken down in the gut binds to iron, preventing iron-dependent bacteria from thriving in the infant's gut. On the other hand, research shows that even one bottle of formula changes the normal bacterial flora of the newborn's gut, so that it looks more like an adult's bacterial flora. La Leche League believes moms make the best decisions for their babies, given all the information :) Good luck!!
    4 replies | 104 view(s)
  • @llli*lllmamamia's Avatar
    Today, 02:19 PM
    You are asking good questions! Mothers in all sorts of nutritional/hydration/stress situations are able to produce high quality milk for their babies, if the babies are nursing effectively as often and for as long as they want. Based on what you described, it seems less likely that your baby's difficulties are due to stress, dehydration in mom, or laziness. Your baby has been assessed for tongue tie by more than one professional, but your baby continues to give signs that she might be tongue tied. Tongue ties, like many conditions, sometimes require more than one professional eye before they are found! They can be impossible to see sometimes, but remember that with tongues, it's function that matters not looks. I have talked with mothers in similar situations that decide to work with another IBCLC, pediatric dentist, or other tongue-tie professional. Many mothers of tongue-tied babies notice clicking sounds (indicating loss of suction), poor milk transfer, and "lazy" nursers (snack all day long without getting satisfied). Did the people you see to assess for tongue tie use the examination methods described here? http://www.drghaheri.com/blog/2014/2/15/how-to-examine-a-baby-for-tongue-tie-or-lip-tie Did they use the Hazelbaker assessment tool? What was the score given to your baby? You can find it here https://pediatrics.med.unc.edu/education/current-residents/rotation-information/newborn-nursery/hazelbaker_frenum.pdf Many mothers looking for answers about their...
    3 replies | 129 view(s)
  • @llli*maddieb's Avatar
    Today, 02:15 PM
    I think that if there is enough concerned about jaundice that a serious intervention like formula is being considered, then you have the right to ask for testing to see if the numbers are actually still abnormal. Besides how baby looks are there other symptoms? Excessive sleepiness for example? How high were the numbers? There is some discrepancy on what numbers constitute intervention. How is baby's weight gain? How is babies poop output? The reason a baby might still have jaundice would usually be because baby was not getting enough to eat. It's not like formula cures jaundice when breastmilk will not. At least that is my understanding. In other words if the baby needs an intervention may be figuring out how to get more breastmilk into baby would be considered. Jack Newman has some pretty good information on jaundice on his website. Google Jack Newman breast-feeding
    4 replies | 104 view(s)
  • @llli*lllmamamia's Avatar
    Today, 02:08 PM
    Ugh, this can be difficult!! Glad you are checking in for ideas! Have you gotten help with boosting your supply? What have you tried? What are your goals for breastfeeding? How much of her milk is breastmilk and how much is formula? Here are some ideas for boosting output when pumping: http://kellymom.com/bf/pumpingmoms/pumping/pumping_decrease/ About soy formula: Often babies who react to cow's milk dairy also react to soy. More here: http://kellymom.com/health/baby-health/food-sensitivity/ When babies have upset tummies from formula supplements, many moms find increased drive to get their supply back up so that they can get off the supplements. And it's totally possible! Check back in for ideas or contact your local La Leche League Leader! You can find one in your area here: http://www.llli.org/search/groups
    1 replies | 96 view(s)
  • @llli*tclynx's Avatar
    Today, 02:01 PM
    mommal posted a link to a jaundice protocol the other day, wish I was better at searching the forum to find these things.
    4 replies | 104 view(s)
  • @llli*tclynx's Avatar
    Today, 01:54 PM
    It does sound as if there is a problem of some sort. I'm not sure what to recommend first? Reflux or Allergy? On the topic of getting a child to eat, I'll recommend the book "My Child Won't Eat" It is more about expectations of what children should eat more than how to get them to eat. Also, instead of spoon feeding have you looked into baby led solids/baby led weaning?
    2 replies | 112 view(s)
  • @llli*tclynx's Avatar
    Today, 01:41 PM
    While you say not tongue tied but have you had baby checked for other oral motor weakness, posterior tongue tie or lip ties that might be causing the difficulty sucking? I went to a speech pathologist for a couple months with my son after getting his tongue/lip ties corrected. Now he is able to transfer milk better when he feels like it (though at 5 months now we have days that teething makes him not want to suck.)
    3 replies | 129 view(s)
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