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  • @llli*n.lea's Avatar
    Today, 12:01 AM
    My son is 9 weeks and for the last month has been steadily increasing his nighttime sleep lengths. He now sometimes will sleep for an entire 7 hour stretch (though it's usually more like 5 hours). By the time he wakes for his first night feed I am so full it's almost painful. When he does his first feed he eats for 5 to 10 minutes on one side and then falls back asleep. I'm not even sure if he's emptying the breast he feeds on. When he wakes up 2 or 3 hours later for his second night feed I'm torn between giving him the same breast he fed from last feed to make sure it gets "emptied" or giving him the breast he ignored as by this point I'm pretty sure I could knock someone out if I hit them on the head with it. My two worries with this situation are: 1. Will my supply be affected by going so long without "emptying"? He feeds a lot during the day, every 1 to 2 hours on average. He also tends to cluster feed like a madman in the few hours leading up to bedtime, tanking up for the ling sleep I assume. 2. I worry that he's getting too much foremilk in the night feeds, since they are so very full when he first feeds from them. I think this might be the case because, after the first long sleep it tends to go something like this: wake up hungry after 2-3 hours, feed, sleep; and then wake up hungry every 1-2 hours after that to feed, sleep or possibly be kept awake by massive gastric distress culminating in intense wind and/or explosive, sometimes frothy, poops.
    3 replies | 120 view(s)
  • @llli*lf64's Avatar
    Today, 07:58 AM
    Hi there, I'm having a real nightmare my baby girl is now 16 weeks and three weeks ago suddenly started refusing the breast when alert during the day times. We were previously breastfeeding in various positions, mostly more layed back biological ones as I have a fast let down etc. There was some fussiness in the early days but things had really settled and I thought we both had the hang of it. Now however when I bring her to the breast she screams, turns her face away and arches her back as if to try and get away. It's a real nightmare as she wasn't the biggest weight gainer to start with and nor we can't go or do anything- we are literally bed bound. We thought it might be thrush to begin with as the Dr. Said he could see some white at the back of her throat, however we've treated her for it and that's now gone (I'm dubious it was ever there to begin with really) and she's still refusing to feed. Has anyone had this?? Or have any ideas/advise? We're at our wits end.
    2 replies | 95 view(s)
  • @llli*bakyjjc's Avatar
    Today, 03:25 PM
    Hi, My 11wk old baby has just started to nurse only while she's asleep. If she's awake, she will start to suck for a few seconds and the pull off the breast and fuss/cry. She will do this several times before I have to get her to sleep and then I can nurse her. She does fine while she's asleep. I can tell she's hungry because she is sucking her fists like crazy. I think I do have a forceful letdown, but it wasn't a problem for her before, and it's not a problem when she's asleep. Is there a reason for this/ should I be concerned? She also will not take a bottle or pacifier. I have recently gone back to work part time. She will drink some milk out of a sippy cup, but not enough while I'm gone. I'm trying to work her up to drinking more ounces. Any advice is appreciated. Thanks!
    3 replies | 67 view(s)
  • @llli*nermal85's Avatar
    Today, 06:50 AM
    Hi ladies. I have to be away from my baby for a feed in a couple of days time so I have to express. Any of you know how many ounces a 7 week old 8lb baby should need? He feeds about 12 times in 24 hrs. I have tried expressing this morning and can only get 2 ounces outta both breasts. So it's gonna take me a few attempts to fill a bottle! Can I ask you guys another question please? He has the cold at the minute and his eyes are streaming like crazy and he's struggling to get a breath out his nose when he's feeding. Can I use breast milk instead of saline drops up his nose? I'm not sure if it would be best as Im not sure if breast milk is thicker than saline and don't wanna choke him!!
    2 replies | 79 view(s)
  • @llli*maddieb's Avatar
    Today, 11:16 PM
    Well this is possible of course. Baby may not rouse enough to nurse, and baby may wake up and not fall back asleep. But it is also quite possible baby will wake enough to nurse and go right back to sleep. For my own comfort, I have had to wake babies to nurse at night and the latter is my most common experience. But, I also bedshared with all babies, and that may make a difference in how rapidly baby would tend to settle again. If baby is gaining well and nursing frequently the rest of the day, I am not saying it is imperative to wake baby to nurse. It is just one practical option that is overlooked because parents are so strongly cautioned about never waking up a sleeping babyThat can certainly be a problem. But natural sleep? Usually not going to cause any issues and nice when you can get it, and you can deal with any discomfort you experience by hand expressing or pumping instead as needed. Shorter sleep stretches are normal. That does not mean baby is not in discomfort, that I cannot say for sure. Babies usually feel some digestive discomfort every day, but that is also normal in most cases.
    3 replies | 120 view(s)
  • @llli*n.lea's Avatar
    Today, 10:38 PM
    I've been experimenting with giving him a feed before I head to bed (while he's still sleeping) but more often than not he stays completely unconscious through the whole pick up, put to breast, put back down experience, without even sort of taking any food. I think I've managed to catch him at the right part of his sleep cycle once, where he actually took the breast and fed a bit. I've been wary of trying to actively wake him up to get him to feed the other times I've tried. I figure that if picking him up and putting him to the breast isn't enough to rouse him, anything else I try will either be equally ineffective or it will work TOO well, and I'll have an awake unhappy baby on my hands. Thanks for the heads up on that, I'll worry less if he becomes more wakeful in the future. I can just see my future self without this knowledge frantically googling when I should be sleeping:). So the shorter stretches after the initial long stretch are more normal and expected, not anything to do with him being in discomfort? That's actually nice to know, thanks.
    3 replies | 120 view(s)
  • @llli*maddieb's Avatar
    Today, 09:20 PM
    There is another current thread where mom is dealing with similar issue. You might look at some of the questions I have asked on that thread and see if anything seems relevant. http://forums.llli.org/showthread.php?126097-Baby-will-only-nurse-while-sleeping This issue of baby only nursing when asleep is something that has come up several times on these forums and I have heard of it at LLL meetings once in a while. But away from the forums I have never found much of anything about it in breastfeeding literature. It's frustrating to me, I cannot imagine how frustrating it must be for you. I would suggest as a first step, go back to the beginning and think about what if anything changed in the life or habits of yourself, baby and family before this started happening. I am sure you have already done this, I would just suggest, do it again. I have heard of things as minor as mom changing her deodorant causing a baby to refuse to nurse.
    2 replies | 95 view(s)
  • @llli*mommal's Avatar
    Today, 07:57 PM
    Can you post a complete weight history for the baby, including birth weight, lowest weight, and weight at each checkup, and indicate when you started supplementing? The reason I ask is that being in the 25th %ile is not in and of itself a cause for concern or an indication of low supply.
    6 replies | 283 view(s)
  • @llli*maddieb's Avatar
    Today, 07:47 PM
    Ok, if this started after your return to work, I think it makes sense it might be related. Not for sure of course, but might. So what might cause this behavior that would be work related? Is baby in daycare? Perhaps baby caught something, very common when a baby first goes to day care. If baby is being overfed while you are gone, or fed too much at once, that can cause issues with nursing. This is probably the most common reason for this kind of behavior, but it does not fit with the fact your baby is not eating at all when you are at work. If care giver is or has been overly insistent that baby eat, that may cause a feeding aversion. Not that anyone would do this on purpose, but mom's return to work is a bit stressful and if baby was upset but not eating, I can see how a caregiver might get just a little upset or insistent, pushing bottle into babies mouth, that kind of thing. This would not bother some babies but could cause some temporary feeding aversion in others. Another thought is that your baby is simply in a different feeding and growth pattern, and just does not need to eat as much right now. But since you are understandably concerned, you are making sure baby nurses when baby is asleep. And since baby is nursing just as much as before, but now only when asleep, baby is not hungry when awake, or at least not hungry enough to fight through whatever is causing the resistance to nursing. Your milk production is clearly fine, and baby is gaining well,...
    3 replies | 67 view(s)
  • @llli*bakyjjc's Avatar
    Today, 06:41 PM
    Hi, thank you for your response. Is this behavior something that started after you returned to work, or before? This started after returning to work, so I'm wondering if it's related. You had/have a fast letdown. Do you also have overproduction? How has baby's weight gain been overall- fast, slow, average? When you pump at work, what kind of output do you get typically? Do you pump other times? With my first, I always pumped more than he would eat while I was at work. I respond very to the pump. I will get around 20 oz with 3 pumping sessions during the day while I'm at work. I don't know if that is normal or not. I do not pump outside of work. Her weight gain has been in the 70's percentile.
    3 replies | 67 view(s)
  • @llli*maddieb's Avatar
    Today, 05:20 PM
    Hi and welcome, Distraction and "partial" breast refusal (baby refusing to nurse some of the time, or changing nursing patterns so they nurse less often or for shorter periods) are fairly common issues around this age, and if it is extreme it is usually temporary. However, I think it does make sense to take this seriously as you do not want it developing into something more long lived and serious. Also, it always worries me a bit more when a baby will ONLY nurse when asleep. This could be so many things I am going to ask a bunch of questions to try to narrow things down. But sometimes no clear cause presents itself. Is this behavior something that started after you returned to work, or before? You had/have a fast letdown. Do you also have overproduction? How has baby's weight gain been overall- fast, slow, average? When you pump at work, what kind of output do you get typically? Do you pump other times?
    3 replies | 67 view(s)
  • @llli*marysmommy's Avatar
    Today, 10:57 AM
    I'm sure the ladies here will have good advice for you. We're going through the same thing. I have OALD, so we nurse laying down. I can sometimes get her to nurse on the couch, but she is often fussy or distracted even in a quiet and dark room. We can't nurse in public, because she will look around the whole time. She nurses much better in the evening when we snuggle in the living room while she cluster feeds/snoozes. She also wants to nurse ALL night long, because I think she's not getting much during the day though I offer the breast often. It's exhausting. Part of this is developmental. Babies at this age can't do two things at once. I've read that by 6 months or so they can take in their surroundings while BF. I wanted to tell you that I understand completely.
    2 replies | 95 view(s)
  • @llli*nermal85's Avatar
    Today, 09:48 AM
    Thank you maddieb. I'm gonna be gone for 6hrs. I was planning on tanking him up before I leave. I will give a drop of milk a go. Good job he's too young to remember me trying to get breast milk up his nose, something to tell him on his 18th lol x
    2 replies | 79 view(s)
  • @llli*maddieb's Avatar
    Today, 09:43 AM
    5 -7 hours sleep stretch at this age is not common but may be perfectly ok, but it is not so much the length of time baby goes without nursing but instead, how your body reacts to it. If you are waking up full and painful, no matter how long it has been, then your breasts are getting too full and have long been full enough to give your body the signal to reduce milk production. Plus this is a situation that might cause plugs or even mastitis. If you are currently making more milk than baby needs, then milk production reducing somewhat is normal and expected. However, generally speaking, breastfeeding issues are not caused by baby nursing more, and are caused by baby nursing less. In other words, for longevity of the breastfeeding relationship, encouraging frequent nursing day and night tends to be helpful. There is no need for a baby to "empty" a breast in the normal course of breastfeeding. This myth will not die and it causes all kinds of confusion. Babies are not machines and neither are you. Of course there will be times baby wants to eat less, or the breast is more full to begin with. That is normal, and at those times the breast will be less 'empty' after nursing than others. Normal. So called "Emptying" the breast is a technique for increasing milk production and is only needed if mom has low milk production and needs to increase it. And even then it probably does not need to happen every time baby nurses. When baby wants to nurse overnight, or really at...
    3 replies | 120 view(s)
  • @llli*maddieb's Avatar
    Today, 09:28 AM
    Yes you can try using breastmilk instead of saline to moisten and soothe irritated nasal passages. This is commonly done. You only need enough to moisten the passages, so this is not going to choke baby, and if you think it is clogging his nose just stop using it. I have never heard of that happening but I suppose it is possible if the milk had chunks of fat in it. I am unclear for how long a period of time baby will need bottles. The rule of thumb for separations is that a baby typically needs between 1 and 1.5 ounces per hour away from mom. So, for an 8 hour separation, leave 8-12 ounces. But there is wiggle room there. If you are certain your baby can nurse right before you leave and right after you return, then your baby may not need that much. This is especially true if the separation is going to be short, like 3-4 hours. In that case, I do not see why there is a need to leave more than 3-4 ounces as baby might only need one feeding of about 2-3 ounces while you are gone, if that.
    2 replies | 79 view(s)
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