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  • @llli*gotta.latch.em.all's Avatar
    Today, 01:20 PM
    Hi all, I would appreciate any advice on this as I feel like I've exhausted all options. My daughter turned 5 weeks old yesterday and I'm still struggling with her inability to open wide enough for a deep latch. In fact, the only time I've seen her open wide is when either crying or yawning. She's never opened wide in response to any specific positioning or placing/dragging of nipple anywhere on her mouth or nose. This is frustrating because all the literature and advice says "wait for baby to open wide" to flip the nipple in. Except she never does the gape. Holding the nipple to her lip either results in a tiny pursed mouth or ignoring the breast or wailing. :cry The only time I get anywhere close to a deep latch is if she wails and I manage to shove in the nipple sandwich/flipple, aiming for the roof of her mouth for the asymmetric latch. Even then, she clamps down so quickly and eventually slides back to just having the nipple tip in her mouth. She will suck and swallow but the result is lipstick nip, pain, line across nipple, cracks. It seems the best I can do is the sandwich to get the nipple in, hold her super close and tight to try to prevent her sliding back and then doing compressions directly into her mouth the whole feed. I've done weighted feeds and she does get 4-5 oz this way if I manage to get her to take both breasts. 2-3 oz if I can only get her to take one side. I've seen 3 pediatricians who've confirmed no tongue or lip ties and 3 IBCLCs who...
    0 replies | 0 view(s)
  • @llli*carm3's Avatar
    Today, 12:11 PM
    :hug mama, I wish I could make it all better for you. You've worked so hard! Did you ever try emailing Dr. Newman? Is your pain completely gone when you're on the diflucan? IIRC, you said you didn't have vasospasms, but I'm wondering if maybe you're having them without the blanching. I know you're probably so sick of trying new things, but it might be worth it to try the protocol for vasospasms (Magnesium and vitamin B6 and lots of dry heat to your nipples) to see if that's part of the problem. That's what really made the big difference for me, in addition to the diflucan. Like you said, it's possible that this isn't even thrush, and I'm really glad that you're going to see an IBCLC. I'll definitely keep my fingers crossed for you, and please keep us posted!
    17 replies | 1180 view(s)
  • @llli*maddieb's Avatar
    Today, 11:50 AM
    How many times in 24 hours does baby get a bottle? 4 ounces every meal is a lot. Have you tried smaller bottles given more frequently? Also you can try paced bottle feeding as this normalizes the bottles a bit...makes them more like breastfeeding in how long they take to eat, as rapid eating also causes spit up. 10 ounces per side is certainly quite a lot to be pumping. And yes, for multiple reasons an eping mom with an established milk production wants to be pumping 6-8 times in 24 hours not less. The longer milk sits in the breast, the more foremilk builds up. This is not going to hurt your baby, but it might explain the copious spit up and a few other things like green poop that are caused by baby getting a little too much foremilk all at once. It has nothing to do with baby not getting enough hindmilk, and again, there is nothing wring with your milk and it is not hurting your baby. I would suggest you may want to cut down on how long you pump- in other words, do not pump so much out each time, and to also immediately increase how often you pump up to 6 times per day. So, OP and fast letdown would cause the issues your baby was experiencing while nursing including latch difficulty. There are many ways to reduce and eliminate that problem while continuing to nurse your baby. Also a shield may no longer be needed, but if it is, I wonder if the fast letdown was causing the problems not the shield, or if baby needed a smaller shield? Nursing at the breast has...
    1 replies | 38 view(s)
  • @llli*maddieb's Avatar
    Today, 11:31 AM
    It sounds like things are going so much better! Progress is like this...some things get a little better, then other questions/concerns arise. Overall this sounds very good to me. If you had never had to supplement your baby or had any concerns, then this: would be considered entirely normal. This is how newborns nurse, including those that are getting enough and even more than enough milk. In my experience one of the hardest things for a mom who has needed to supplement her baby for any amount of time to do, is to let go of the idea that her baby may not be getting enough milk at the breast- to relax and allow herself to stop supplementing and pumping. And this is good- to an extent. Of course it is important to make sure baby is getting enough and that milk production is protected. Absolutely. But, it is also true that continued supplementing and pumping is going to interfere with the situation normalizing. Pumping and supplementing takes moms time and at energy at a point she has none to spare. And a baby who is getting supplements is not going to be nursing as much as is normal...either they will nurse less often or less efficiently or less amount of time each time, or a combo of these, because they are getting food elsewhere. So weaning off the supplementing and the pumping sometimes takes quite a leap of faith by mom. And this is really hard to do. But it has to happen, in order for you and baby to settle into the "normal" breastfeeding rhythm of very frequent...
    10 replies | 344 view(s)
  • @llli*danielst15's Avatar
    Today, 09:18 AM
    My son was hospitalized for a month when he was 4.5 months old. He had acute respitory failure and pneumonia from two viruses and a bacterial infection. He was a pretty sick little boy. He is now almost 8 months and happy as a clam, though we still have to nebulize him with Albuterol and Budesonide three times a day. We just can't shake this cough. He has not gained much since he left the hospital. He went in at about 14 lbs and is currently 16.1 lbs. His Ped has been worried and we go in once a month for a well check. She has him on 36 oz per day, though I can only manage to get him to eat about 32 oz a day. I have him on an iron-rich multivitamin and we are working hard on purses, but he doesn't have much interest. I read that babies that have been sick for an extended period of time tend to have a higher metabolism to fight the illness. Our Ped mentioned that we might have to start putting formula in his BM to calorie load him. I want to avoid this and go a more natural route to get more calories in him. Has anyone had experience with this? Is he just not absorbing the calories well enough? Any other ideas on how to put some weight on him?
    0 replies | 14 view(s)
  • @llli*deja's Avatar
    Today, 07:04 AM
    Just to give an update... The last few days things have been getting better in regards of her accepting the breast. I've been offering constantly and she's been refusing less so things were looking up. Yesterday we went to see the LC. She helped with latch and positioning, managing to get a pretty good latch. Not perfect but a great improvement. She observed DD's behavior on the breast, there was a lot of grunting, agitation, crying and such. Usually after the initial let down she'd slow down the sucking and practically just waited for the next one, which wasn't really coming, or not fast enough. She checked her mouth, her suck, we talked a lot, about her birth and the days after that, her nursing, my breasts.... and after everything she said there was no need for a shield at all. So we didn't try that. We we're limited with time also. She was very optimistic about things, said it should work out fine with time and persistence, that DD is still recovering from the trauma of birth, hence her behavior.
    10 replies | 344 view(s)
  • @llli*cw42917's Avatar
    Today, 02:10 AM
    So I had to switch to exclusively pumping since my 2mo old will not latch and chokes and spits up like crazy while using a shield. He wasn't always doing that but it had become increasingly more frequent and seemed to really stress him out so I tried a bottle and he did great with it. He'll still have his upsiodes of spit up but yesterday he threw up, like multiple heaves, almost at every feeding but was able to hold down some frozen milk I had from a month ago. I thought it was from something I ate but now I'm wondering if it's cause I'm pumping too much and he's getting too much foremilk. I'm able to pump 5, sometimes 6 oz per breast and have only been pumping 3x a day and once in the middle of the night. Should I pump more frequently to lessen the amount of milk I get per session and lessen the amount of foremilk? Or do you think he's throwing up for an unrelated reason? Possibly something I ate? (I give him 4 oz bottles)
    1 replies | 38 view(s)
  • @llli*maddieb's Avatar
    Today, 02:05 AM
    Well except for the slow gain this sounds a bit like the four month fussies. I am confused how much of this behavior and the needing to be swaddled etc. is from the last week only? How was nursing behavior before that? Also was the nursing frequency ever more than 7-8 times a day? I think the therapist might make sense, but I wonder if it is possible baby has very little appetite due to some other issue...super low iron, low B12 are both causes of poor appetite, I imagine there may be more.
    1 replies | 62 view(s)
  • @llli*cw42917's Avatar
    Today, 01:55 AM
    My 2 mo old threw up what looked like the entire contents of what he ate starting at 7am and continuing to 8 pm. (He held some of my milk down around noon time but only a couple oz.) It wasn't just spit up, it was multiple heaves resulting in both me and him getting covered and enough to make a little puddle on the floor. I pump and use a bottle due to latch issues. The bottles i gave him had 4oz in them and when he finished, I went to burp him and it all came up. He tends to get air trapped sometimes and spit up but this was a whole new level and I would categorize it as throw up. I have some older frozen milk I gave him and he held that down just fine. The only thing I can think of that I changed in my diet was that I ate these mini gluten and dairy free cupcakes that actually gave me diarrhea (sorry, tmi) so idk if it did something to my milk? What else would cause him to throw up like this all day but be fine with frozen milk?
    0 replies | 32 view(s)
  • @llli*maddieb's Avatar
    Today, 01:52 AM
    Hi serenda. I am sorry you are having this difficulty. Can you see a lactation consultant? (IBCLC) Or have you? if a mother is not able to make much milk, there is a reason. And figuring out the reason may help you find a solution. So what you are pumping is a little thick and golden? A little like honey maybe? No white, no liquidy milk? If so, what you are describing is a very specific issue where the lactation process is very delayed or perhaps prevented from moving to the next stage. This is not all that common and I think seeing a professional with training and experience in breastfeeding issues is your best bet. An excellent book on milk production concerns is Making More Milk This article is good too: http://kellymom.com/hot-topics/low-supply/ To help you here, we would need much more information. I have many questions but we can start with these.
    1 replies | 39 view(s)
  • @llli*maddieb's Avatar
    Today, 01:24 AM
    Hi. Usually small amounts of blood is simply a passing phase and not a health concern. I do not have personal experience but mommal does...unfortunately she has not been able to post in a while but maybe you can find her comments on this in another thread. Blood in stool can be serious and it is good you took baby to the doctor. But if your baby is growing normally and is otherwise healthy, most likely relatively small amounts of blood is not an issue that requires any intervention...and certainly not an intervention as drastic as taking away breastfeeding when there are many proven health related drawbacks to eliminating either breastmilk or breastfeeding! Also, your pediatrician must not be all that concerned if they were fine to wait a month to see baby again. If your baby's pediatrician continues to suggest formula and you do not think that is the answer, I think a second opinion makes good sense. Not all doctors are going to suggest formula in such a case. Even the AAP does not suggest formula as a solution when allergies are suspected- which is the only reason I can think of for the "special" formula, which just means it is dairy and soy free- and you have already demonstrated that the problem was not dairy or soy. Also if the dairy and soy elimination did not make a difference then that is not the problem and you can eat those again if you want. You can try eliminating other things, but that may not even be necessary. Do you mean over supply? Sometimes...
    1 replies | 58 view(s)
  • @llli*seranada's Avatar
    Yesterday, 10:55 PM
    Hello, this is my first post here. My baby is 9 days old, I've been pumping and getting small amounts of colostrum, but no milk. Is there a point where I should just give up? It's really starting to feel hopeless.
    1 replies | 39 view(s)
  • @llli*jhart's Avatar
    Yesterday, 06:42 PM
    Actually, we moved two years ago, but I don't have anyone here treating my PCOS. I go to midwives for birth/gyn, and their training is not in PCOS. The IBCLC said Domperidone. I need to get it from Canada. Obviously it's not the first thing they suggest but I've been doing all the usual suggestions. I joined a Facebook group for women with PCOS who have low supply. They are big into Dom. Also ketosis diets seem to be big. Basically, the keto diet addresses the insulin resistance aspects of PCOS. There is some interplay between insulin and prolactin, so if your insulin is misregulated (as is the case with PCOS), your brain does not release enough prolactin in response to the baby's sucking and emptying of the breast. The keto diet down-regulates your insulin so that your brain can properly release prolactin. The Dom promotes prolactin release. Basically, talking to both the LC and the FB group, it sounds like the PCOS is inhibiting the usual feedback loop in which more emptying leads to more production. All this was very interesting to me, and I think I'm going to aim for Dom and the keto diet.
    6 replies | 195 view(s)
  • @llli*sheasmom4's Avatar
    Yesterday, 03:55 PM
    My 9 week old EBF girl has had streaks of blood in her poop since about 5 weeks. I have eliminated dairy and soy and it has made minimal difference. She poops about 6-8x per day still, this hasn't decreased since birth. Her pediatrician suggested cutting dairy when she was 5 weeks old and said if it didn't improve in 2 weeks we should put her on special formula. I will be seeing the pediatrician tomorrow and I know she is going to bring up formula again. I was mostly only feeding off one breast but after reading dr jack Newman's advice I am now offering both. This has changed her poops from ranging in green/orange/brown in colour to mostly yellow but there is still blood. I don't think it's an under supply issue. She was 6lbs14oz at birth, 7 lbs 3oz at 2 weeks, 8 lbs 3 oz at 4 weeks and 12 lbs at 2 months. She is very content and sleeps well, does not spit up a ton with the exception of the occasional large puke-like spit up. Has anyone experienced something similar and found a way to control it? Thank you.
    1 replies | 58 view(s)
  • @llli*snackycake's Avatar
    Yesterday, 01:16 PM
    Just checking in with an update. I went to see a family physician shortly after moving in the hopes that both the baby and I could be treated at once, but since his medical records haven't arrived yet there was nothing she could do for him. :cry In any event she didn't seem to be particularly knowledgeable about thrush, so she just checked her reference materials and prescribed me more Diflucan and sent me on my way, which I suppose bought me another 14 days of breastfeeding to figure this out (7 left now . . .). I have an appointment with an IBCLC on Friday who works out of a nearby center specializing in women's health. Maybe she can help me sort this out. I'm wondering if what I thought was returning thrush on the baby is actually just milk tongue - it's just toward the back, not on the whole tongue anymore, and it doesn't seem to be responding to Gentian Violet but also doesn't appear to be spreading. Maybe we had thrush before but got rid of it and now I just have some other nipple issue? Who knows? I just want it resolved, I feel like I spend half my time sterilizing things and swabbing my nipples and the baby's mouth and trying to keep our linens from getting purple stains and shopping for probiotics and on and on and on . . . I'm on maternity leave but as I mentioned, I've just moved and have plenty of other things I need to be doing rather than fighting a never-ending (and losing!) battle with yeast. Thank you all for your encouragement, at any rate. Please...
    17 replies | 1180 view(s)
  • @llli*parakeet's Avatar
    Yesterday, 12:33 PM
    My son is turning four months this week. For the past week or so he has taken to screaming at the breast. It looks like he simply does not want to nurse. Same with the bottle. Just doesn't want it in his mouth. The only time he will actually eat is when he's sleepy or he is swaddled and there's white noise. Otherwise he just fights and fights feedings. Nursing was never easy with this one. He was born a month early, had jaundice, had a tongue tie, had excessive sleepiness. Just when I thought things are getting better the screaming has started. A typical feed looks like this - offer breast, eats 3-4 minutes, starts screaming. Let him play, then offer breast again and more screaming. Then swaddle, and put white noise, eats for 5 minutes. Then unswaddle and play more. Then feed more as he gets close to his nap time. Another 5 minutes of food. An IBCLC did a home visit yesterday and he took 2.2 ounces over the course of one feed. He gets one bottle of expressed milk a day while I sleep and that too he drinks 2-2.5 oz. He eats 7-8x a day. His weight gain has always been minimal. First three months he was averaging 5oz/ week and during this fourth month he has gained 12oz. From what I understand this is the lowest range of acceptable. The LC mentioned something about oral aversion and was going to get back to me with occupational therapist names.
    1 replies | 62 view(s)
  • @llli*maddieb's Avatar
    June 26th, 2017, 06:33 PM
    Hi kellena, I agree with carm3, you would have to up your milk production by, first and foremost, increasing how often you pump - possibly by quite a lot. And that would probably mean pumping more often at work unless you work part time. Of course you want to help this mom, but at this point, assuming you even can, do you want to increase your milk production to the extent needed? You might want to think about how this would impact you- your work, your time, your fertility etc. I also wonder why the mom needs donor milk and how much she needs. If is a lot, she may want to line up several donors.
    2 replies | 71 view(s)
  • @llli*maddieb's Avatar
    June 26th, 2017, 06:13 PM
    Well the good news is that if your baby is already not nursing much overnight, that will help, as the typical gentle weaning tips are much easier to implement when you are awake. Also your child is nursing with a fairly low frequency already- meaning, the weaning process that began when baby started eating solids is already well on its way. So maybe it will help you to think of this as not making your child wean but rather, as speeding up the process that is already happening. LLL has long suggested that, when possible, weaning goes best when it is allowed to occur gradually. This is deliberately vague, because how gradual is gradual? It depends on the situation. It sounds like you would like the weaning process to be over fairly soon, but you are also not contemplating needing to abruptly wean in just a few days...do I have that right? Anyway, there are two excellent books on weaning I would recommend. The Nursing Mother's Guide to Weaning and How Weaning Happens. They will be able to give you may ideas and also specific information about what is happening both for mom and child during the weaning process. You do not need both, one is fine. If you just want some quick suggestions, the typical and most recommended weaning strategies can be summed up like this: Don't offer, don't refuse. Avoid: (situations or position that cause child to want to nurse or expect to nurse.) Distract: say "Let's do..." (anything aside nursing your child might want to do or...
    1 replies | 66 view(s)
  • @llli*mamer3's Avatar
    June 26th, 2017, 03:33 PM
    Just wanted to update and fill you in maddieb after all your help. So 2 days after my last post, DD got a simple cold but it meant she went off her solids and so the doctor decided it was time to go to the children's hospital. His referral letter stated that she was severe failure to thrive with fine and gross motor delay :( She was admitted and we stayed there for 5 nights. She had chest xray, bloods, pre and post feeding weight check (she went up 6oz's) and lots of assessment and discussion with a paediatrician and dietitian. In the end nothing was found! Which was great but still quite confusing how she ended up so small. The dietitian was very pro breastfeeding and very supportive, the paediatrician less so and appeared to be frustrated with not being able to tell what her intake was and had been, but overall there was good support. The paed at one point mentioned giving formula but was leaving that to the dietitian to decide and thankfully she was having none of it. Whilst in there her weight went from 5.38kg (she'd lost weight in the few days before being admitted and a different scales too I suppose) to 5.77kg :) So the paed said we needed to see now if that continues and if not further tests on her kidneys etc will be done. So we were sent home to have weekly weights and follow up appointments. The dietitian wants a 4oz weight gain a week. And gave lots of info on high calorie foods etc plus minimum of 6 feeds/day and not to let her go more than 6 hours...
    8 replies | 684 view(s)
  • @llli*iveehill's Avatar
    June 26th, 2017, 02:52 PM
    I am having some health issues that may require me to start the weaning process. :cry I have systemic candida and heavy metal toxicity, which has resulted in severe thyroid issues and other symptoms. It might not sound bad, but the symptoms are debilitating. My daughter is 17 months old. I cannot treat these issues as long as she is breastfeeding, and I have put off the treatment now for about 10 months. I'm afraid that my health is going to suffer permanently if I put off treatment much longer. I always told myself that I would breastfeed until my daughter self-weaned, but now that does not seem to be an option. I am having a very hard time emotionally. Can anyone give some gentle weaning tips for me? I won't be able to do it if it is traumatic. Her nursing schedule is as follows: 6:00 am wake up and nurse 10:00 am bottle of breast milk (work days) or nurse on off days 2:00 pm bottle of breast milk (work days) or nurse on off days 6:00 pm nurse 9:00 pm nurse and bed Sometimes she also asks to nurse at other random times.
    1 replies | 66 view(s)
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