Hi...I am new to the forum. I have a question about "sputtering." Here is a bit on my nursing background with my question. I am nursing my fourth child, which you could be thinking, "she should know exactly what she is doing by the time number four rolls around, especially since she nursed twin last go around..." But NOPE! I know enough to know, every child is different and so are my nursing experiences I have a dd1, twin ds, and dd2. My fourth child, dd2 is 3 weeks old and we are dealing with an OALD...perhaps I should describe it more accurately as forceful letdowns. It doesn't really matter if it's the first letdown or the third...each causes her to come off choking and coughing if she is not really careful and I am not listening for that missed swallow. I have taken to nursing in a reclined position which helps a great deal. And if she burps good after a nursing session, we can curb the spit-up issue (which was dd2 issue). But, she makes this noise when my let downs come...it's not a clicking noise and not really a slurping noise. I saw in some of the other posts that I was reading the term "sputter." That is probably a very accurate description of the noise she makes. I have been trying to think of what to call it. Why does she do this? Is there anything I can do to stop it? It's annoying! I know it is not a latch problem. I had a LC watch us a few days after she was born. I had extremely sore nipples, so I wanted to make sure we had a good latch. She wasn't latching good in the hospital. After we got home and I had some time to focus on her, we started doing great, good tongue placement, flanged lips, etc. Also, on my right side where I am a little smaller, she practically takes in the whole nipple. I nursed my twin sons, who we had to teach how to latch on. One didn't put his tongue out over his gums (ouch) and the other simply didn't want to open his mouth and take in enough. My husband, who is my biggest supporter, would work with the one, using his finger, to get him to put his tongue the right way before we latched him on. My nipples were so sore and damaged I ended up with thrush and battled it for 6 months on and off. I say all that to say, I was very careful on making sure she latched properly and went to the LC to double check. She wasn't making this noise then and didn't start making it until about day 6 or 7 when my milk really kicked in. My milk never comes in until late on day 4 or early day 5. So, I am confident in her proper latch, but just stumped on this sputtering type noise. I have unlatched her when she is making this noise and she has milk everywhere! All over her chin on her cheek, down me...it's just everywhere! She has also progressed to yanking and pulling off when the flow begins to come. Is this weird sputter noise normal for an overactive letdown? I nursed my dd1, but quit when she was 2months old, from all the throwing up she did, lack of information I had, and discouraging words from family. It was only later when I was in contact with a great gal from the LLL, that I discovered the OALD was a contributing factor. My dd1 was (and is) a guzzler. She just guzzles down drinks like nothing, so the flow didn't bother her....she took it all ...and then threw 1/2 of it back up!! My dd1 had so much trouble with formula that I ended up relactating with her when she was 3 months old. At any rate, I have had many adventures in nursing and have learned time heals everything in the world of nursing! I just wanted to know a little more about this sputter, to make sure I am not missing anything else that might be going on. My twins clicked when we had thrush and it is certainly not a clicking noise she is making...it is almost like a misfire noise or like she is slipping or missing ...this term "sputter" is the closest I have heard to what she is doing. Also, as I was reading through some of the post, I read something about a scissor hold to help with OALD. Is there somewhere to go to get more info on this? I haven't hear of that before. I did something probably similar to that with the boys to work with them on making my nipple "smaller" so they would take in more. Sorry this ended up kinda long. Thanks to all for their information and help.