I have some concerns over whether my four weeker is getting enough- I am getting lots of wet nappies however two nights running I have noticed sunken anterior fontanelle which generally indicates dehydration. He has had good alert periods over the past 48 hours. If i didnt know that sunken fontanelles could indicate this I wouldn't be worried. He has been weighed today and has gained just over 9 ounces this past week and remains on his centile.
I may be worried due to the problems I am having. Basically I can only feed from one side my left- my right side is extremely painful, keeps becoming cracked and bleeds so I pump and give him 3-5 oz every 5-6 hours but approx every two he is also feeding off leftie.
I have had my latch checked and have tried exaggerated latch and numerous other suggestions from the lact consultant. She has seen my son at breast and also assessed him- she did agree that his suck is more aggressive on one side than other and has suggested cranial osteopathy- which I am trying to get to. Basically when he sucks one side of his top lips crease in. She assessed him for tongue ties etc nothing. This is my second BF baby so not a complete novice however I am aware that I have a few issues that may make my problems worse. One I have duct ectasia Two i have raynauds of the breast which developed after my last BF baby where I had numerous bouts of mastitis and eventually ended with a bad bout of thrush.
Need some advice on how much EBM I should be giving and hour often.
How often I should be pumping and for roughly how long for I try and wait till after I have had a second let down and dry spell before I cease- currently expressing every two hours usually yielding 2oz