I am after a bit of help and clarification.
My second son is 4.5weeks old and is EBF. We have had some latch issues from the start but I have persevered and have managed without shields so far. When he feeds my nipple comes out squashed and really elongated and very white. As a result from the poor latch he is very windy.
I also thought that I had a fast flow/letdown as he would start squirming a few minutes into the feed and when he unlatched milk would squirt everywhere, and you can also hear him gulping quiet loudly at the start of the feed. He actively suck/swallows for about 5-8minutes and then just starts softly sucking and doesn’t swallow much, but it is more than a comfort suck. He also starts squirming and yanking a lot when he is doing this and will continue to do this for another 10-15minutes before coming unlatched. That is when I pop him on the other side and he does the same thing. I have tried stopping him when he starts the softer suck but he isn’t satisfied. He does have a strong natural sucking need however.
He is gaining weight well (approx. 300grams per week) and is having plenty of wet nappies. He is only pooing every 7/8 days but when he does go it is a “normal” new born poo. He is also a little sleepy still and is falling asleep during feeds (mainly I think because it takes him almost an hour to feed) but settles well and happily goes 3hrs (sometimes more) between feeds as long as I have done a good job of burping him. Also when he is due for a feed my breasts do feel full.
Anyway, I went to the LC yesterday to sort out the latch, which we have improved but it is still not perfect and his wind has seemed to dramatically improved. Where the confusion comes in, is that she seems to think that my supply is on the low side (not really low but lower than it should be). She thinks this because of how he is sucking after the initial letdown and said that he doesn’t have good milk transfer, and that I am not really having subsequent letdowns. If she got me to hand expressed a little milk at this stage milk still flows well (so I thought). So she has recommended that I swap sides each time he stops actively suck/swallowing, even if he nurses off both sides 2 or 3 times during a feed. She has also recommended that I pump for 5min per side after a feed and use breast compression to encourage the flow.
I can see her logic, but it doesn’t quiet make sense to me. I tried doing the swapping sides thing and I don’t feel like he fully drains my breast as well as he was before, despite his slow inefficient way of feeding. And when I do compressions it doesn’t really stimulate his swallowing anymore.
I now kind of feel that I don’t know what I should be doing. I don’t want to take steps to increase my supply and then end up with an oversupply issue. I feel that more issues have come into play when I thought that if we sorted out the latch everything else would just kind of fall into place too. Sort out the basics and the rest would come right type thing.
I am seeing her again tomorrow but want to get this all sorted in my head a bit better so I can ask the appropriate questions and get sorted a bit better.
Can anyone make sense of what is actually going on here??