Re: Nipple Shield/Latch Problems
Welcome and congratulations on the new baby! If she is producing the right amount of wet and poopy diapers and is gaining weight (even if that weight gain is slower than you want), you know that things are going right on a basic level, and while you may need to tweak things you are not in deep trouble.
The first thing I notice from your post is that your baby lost nearly a pound between her birthweight and her lowest weight, which I presume was taken when she was 3 days or so old? That is a very large weight loss for a newborn, and there are 3 potential explanations:
1. She wasn't nursing well and the weight loss was real.
2. There was a significant discrepancy in calibration between the hospital scale and the pediatrician's scale.
3. The scale was accurate and the weight loss was real, but the baby's birth weight was artificially inflated- this could be the ce if you had IV fluids during your birth, particularly if you had them for a long time.
If your baby wasn't latching, wasn't producing adequate diapers, or wasn't passing her meconium, then #1 might be a good explanation for what was observed. But if she was latching on, was producing the right number of diapers, was voiding her meconium, or if you had a lot of IV fluids during birth, then #s 2 or 3 might be better explanations. Basically, what I'm trying to say is that your baby may have reached her birthweight already- it's just that her birthweight as recorded may have been off from what the pediatrician's scale indicates. Does that make sense?
That being said, shields can sometimes cause problems and it is probably a good idea to at least try nursing without one. This link talks about shields and how to ditch them: http://www.kellymom.com/bf/concerns/...an-shield.html
So, let's say Tuesday rolls round and your baby hasn't yet gained back her birthweight. What are your options? Here's what think they are:
1. Supplement with pumped milk. It has more calories per oz than formula and pumping will prevent your milk supply from decreasing if you must supplement.
2. See a lactation consultant, preferably an IBCLC, for help. If you must supplement, you want to do it in a way that is most conducive to keeping your baby on the breast, and a good LC should be able to help with that.
Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
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