Long Post Warning...
I have been reading this forum for a week or two now and it has helped me in many ways while I'm figuring out this breast feeding journey with my bub. However, it's time for me to speak up and get my questions answered. TIA for your help.
A little background: My 4 week old is gaining weight and has good diaper output. During the day he goes 1.5-2.5 hours between nursing sessions, but at night time it's more like 1.5-2 hours. He's still got his nights mixed up with the days!
About me: I have a flat nipple which is on my R side and my L side is pretty normal.
Do I have OALD/OS?
I think I have some of the symptoms - baby is choking on both breasts after the first let-down, baby is gassy from gulping so fast, baby spits up a lot and doesn't like to be laid flat because he's so gassy and uncomfortable. However, we don't have green stools, although they are quite watery and gassy/explosive. My breasts aren't leaking too bad or feeling too engorged these days.
I have been nursing lying-down and laid-back and have felt that these are helpful in controlling the flow.
So last week I decided to try block feeding and did so until yesterday. If he fed from the R breast on the 1st feed, I would offer the R one more time. However, the 2nd time, he wasn't as interested and would shake his head and release the nipple after some time. Does that mean that there isn't enough flow to say that I have OS? Or does it just mean that he doesn't prefer the slower flow afterwards and wants the fast flow like he's used to? He often tugs and pulls at the nipple which hurts!
I didn't notice much of a difference in the OS symptoms after this week of block feeding so I decided to stop. However, now he likes to shake his head and pull at the nipple still.... at the end of the feed. Sort of like he's frustrated with the flow. I have tried compressions at those seem to help but just for the short time that I am compressing.
Is he wanting more milk and I should switch breasts at this point? Is he going through a growth spurt? For the last three weeks he has gained over 500g each time he was weighed! So he's a healthy boy. I just want to clarify if I have OS/OALD.
I am willing to go back to block feeding twice on each breast if that will help with the gassiness, choking, and general uncomfortable feeling he goes has to deal with.
Also someone suggested the having him sleep on an incline would help. Any advice on this? Finally, we have tried carrying him around in a moby wrap and swaddling him at night. I think he's getting used to the moby but really squirms when swaddled.
What else can we do to help him? We are trying everything we can think of and are willing to try more!