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  • @llli*hbwmom's Avatar
    Today, 06:44 PM
    3 month is old is 10 lb 9 oz and should be close to 12. I'm finding LO and I are lazy with feeding and she is content without being absolutely full. Our pediatrician wants us to supplement (1 tsp to 1 oz x 3/daily). Clearly my supply isn't given her the calories she needs. So now I'm making sure to offer her the other side, taking fenugreek, mothers milk tea and pumping 3 times a day. My breasts are feeling empty. She falls asleep at the breast all the time. I'm torn. Any advice to increase my supply? Anyone been in this situation? Thank you for the help!
    0 replies | 8 view(s)
  • @llli*livingtemple's Avatar
    Today, 08:00 PM
    Thanks, all for your responses and help. Yes, LO is still getting up 1-3x per night but typically not nursing a full feed. Sometimes (more especially the first wake up) he will take a little more, but I've taken to not offering both breasts over night so as to gently encourage night weaning, also unlatching him perhaps a few moments before he might truly want. Usually he nurses a few minutes, I lay him down, he adjusts a bit and goes back to sleep. Work situation has been going on for a few weeks now, but baby has been fed bottles before (date nights, errands, etc.). Yes, parents and husband are doing pacing as much as they know how - holding bottle so nipple is more horizontal and not totally full of milk, giving him little "breaks," not encouraging him to drink and drink. I've asked that they also "switch sides" which I'm not sure is happening. @lli*maddieb, how often should one do the technique you mention (let all milk drain out of nipple and wait for baby to signal he wants more)? Every 3 minutes? 5 minutes? I agree that perhaps an "ounce limit" is in order to try other comfort measures to see if milk is being used as a "go-to." But not sure what that limit should be?
    4 replies | 93 view(s)
  • @llli*maddieb's Avatar
    Today, 03:47 PM
    So, not familiar with bottles. Curious if baby this age even needs a bottle rather than maybe a cup? Paced bottle feeding properly done is going to be your best bet for slowing down flow. All nipples drip. I suspect paced feeding is not being properly done as far as how baby and bottle are positioned. HOWEVER. A baby this age should really be able to 'pace' themselves. Paced feeding is really more for younger babies, I am not even sure it will work with an almost one year old. But I would suggest have caregivers making sure bottle and baby are being positioned properly (so the nipple is never full of milk and rate of flow is reduced by gravity) and that pauses in drinking (by tipping nipple up/bottle down so the milk drains out of the nipple, in order to stop flow all together for a few moments) are being encouraged. If baby wants more, bottle can be re-tipped up just enough so there is a little milk in the nipple. Sometimes the key is to not totally remove the nipple from baby's mouth, but to instead stop the flow for a bit to see if baby really wants more or not while tip of nipple rests on baby's bottom lip or gently in the mouth. If baby does not start 'reaching' to take the nipple again, then bottle can be gently removed. If this is not making sense let me know, may be I can find a video. I suspect perhaps a little laziness is going on, and baby is being fed bottle after bottle rather than caregiver engaging in other comfort measures or baby entertaining...
    4 replies | 93 view(s)
  • @llli*maddieb's Avatar
    Today, 03:28 PM
    Unfortunately there have not been good studies on the impact on breastfeeding from tongue tie nor lip tie and whether surgical correction helps. Even the definitions/diagnosing criteria of tongue and lip ties is not agreed upon. What appears to be the consensus among breastfeeding experts including doctors who are also breastfeeding experts is that tongue tie CAN (but does not always) cause issues for nursing- meaning primarily, pain and injury from latch for mom and/or poor milk transfer by baby, and that surgical correction CAN (but does not always) improve the situation. There is less such consensus as regards lip tie. There is also consensus that properly performed surgeries are not likely to cause any harm. But no harm does not mean there will be improvement. I would suggest talking to whoever is recommending surgery and whoever is going to do the surgery for the experience of their clients and their recommendations for after care. This protocol on treatment of tongue tie from the Academy of Breastfeeding Medicine (doctors writing for doctors) may also be helpful to you: http://www.bfmed.org/Media/Files/Protocols/ankyloglossia.pdf I do not know anything about gag reflex tongue tie, but certainly a nipple shield might cause a baby to gag if it is too big (the tip is too long) for baby. A nipple shield would also cause air swallowing, particularly if it is too large. Colic occurs in babies with no feeding issues. It is very common. I know that some say air...
    3 replies | 119 view(s)
  • @llli*scoob626's Avatar
    Yesterday, 08:50 PM
    Hi, how long has your work situation been going on? I am just wondering if he is still adjusting to your absence? And just to clarify, everyone is doing paced bottle feeding techniques, right?
    4 replies | 93 view(s)
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