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Thread: Latching, but not moving milk

  1. #11
    Join Date
    Mar 2006
    Posts
    10,440

    Default Re: Latching, but not moving milk

    And that is why you need to keep working on it.

    I have to EP for my fourth baby, born with a cleft palate and could not nurse. I miss nursing laying down the most

    Do not give up. Really. I would have gone to the ends of the earth to fix a TT because you can get past it. There are so many moms here who had TT babies and are nursing successfully.
    Susan
    Mama to my all-natural boys: Ian, 9-4-04, 11.5 lbs; Colton, 11-7-06, 9 lbs, in the water; Logan, 12-8-08, 9 lbs; Gavin, 1-18-11, 9 lbs; and an angel 1-15-06
    18+ months and for Gavin, born with an incomplete cleft lip and incomplete posterior cleft palate
    Sealed for time and eternity, 7-7-93
    Always babywearing, cosleeping and cloth diapering. Living with oppositional defiant disorder and ADHD. Ask me about cloth diapering and sewing your own diapers!

  2. #12
    Join Date
    Feb 2008
    Location
    SoCal
    Posts
    6,467

    Default Re: Latching, but not moving milk

    Here are a ton of articles on nursing after TT
    http://kellymom.com/health/baby-heal...elp-tonguetie/
    Mommy to Maxwell 10-9-07 weaned with love (a party and a remote control monster truck) on his 4th birthday
    My Boy 3-16-10
    And my sweet pea Sam 2-12-11

    Watch Your Language

  3. #13
    Join Date
    Sep 2011
    Location
    Dallas, TX
    Posts
    256

    Default Re: Latching, but not moving milk

    My baby had a milk transfer issue due to TT and a weak suck. We ended up seeing a speech language pathologist in addition to having her frenulum clipped by an ENT. The SLP gave us some exercises to do to help strengthen her mouth while eating, including stretching out and compressing the skin around her mouth a few times a day, and lightly holding her chin and cheeks while feeding. We were never able to use an SNS because she simply didn't suck hard enough to get milk out that way.

    But, after TT was fixed, the biggest factor was time. I would always put her to the breast, then bottle, then pump, and it was exhausting. Many times I wanted to quit but just thought to myself, "one more feed." By about 8 weeks I was comfortable just EBF most of the time. By 3 months we were pros. And I never thought we would get there, but she turned 10 months yesterday and we are still going strong.

    So hang in there!! Like PP said, it will take your LO some time to re-learn to nurse after TT has been fixed. Using an SNS is a good option for avoiding bottle preference and getting the baby to the breast. Mine liked to hang out at the breast and never developed a bottle preference, even with all the bottles we had to give her so early, so we got lucky there.

    Keep us posted!
    Lisa

    Mom to Aimee, born 8/22/11
    for 20 months!

  4. #14
    Join Date
    Jun 2009
    Posts
    5,614

    Default Re: Latching, but not moving milk

    Quote Originally Posted by @llli*Paytek View Post
    I am so jealous when I hear people say that nursing at night is so much better--because you can just latch them while lying down and go back to sleep. :/
    Just FYI It takes many moms & babies several weeks if not months to learn to nurse sidelying, less than 3 weeks old would be early to be doing this with your first baby, even if you had no other issues. Plus would you have to use an sns all the time? You could still work on sidelying for some nursing sessions, after all, you can nurse as frequently as baby will and offer to nurse as much as you like.

    I am still confused about when the IBCLC saw you and baby-pre or post clip?

    Frankly if a baby had that much of a weight loss, I am not surprised it took over two weeks to get back to birth weight. The rule of thumb is for baby to be back to birth weight by 10-14 days, when there are no extraordinary circumstances. A baby with tt and more than average initial loss would naturally take a bit longer.

    Did your IBCLC do more than one pre/post nursing weight check? How often are you checking weight gain at this point? How is babies output? (poops)

    Is nursing comfortable for you now? Is baby nursing a minimum of 12 times a day? Have you tried breast compressions for improving intake?

    What I am thinking is that just because baby did not transfer well pre and immediately post clip, did not transfer well at one IBCLC appt, and took slightly longer than average to regain birth weight, does not mean that at this point, supplementing is necessary? Things change rapidly in the early weeks, and especially this is so for a baby who faced a physical barrier to breastfeeding.

    However if you are needing to supplement, it is likely only temporarily and the benefits of doing so with a lactation aid are so great.
    here is an article on them: http://www.nbci.ca/index.php?option=...tion&Itemid=17

    and you can see one in use on this page: http://www.nbci.ca/index.php?option=...id=6&Itemid=13

  5. #15
    Join Date
    Jan 2008
    Location
    Maryland
    Posts
    2,552

    Default Re: Latching, but not moving milk

    I'm curious about some of the answers Meg asked. Was the weigh and feed before or after the frenulum being clipped? Both my boys were born with TT and DS2 had his clipped at 4 days. Before the procedure he was losing weight. His weight loss was in normal range when we left the hospital but then he continued to lose weight even though my milk had come in because he couldn't remove it. He latched pretty well and everything looked normal from the outside, but he wasn't getting enough. After the procedure he was really tired from the busy day in the hospital and didn't eat well for a day or two, but then started to gain weight within a week or so. Although he started off slow he started to gain rapidly from that point on. It is possible to get your baby nursing and gaining, I would say to put the baby to breast as much as possible. I know you mentioned in the other thread that you are military and have to return to work at 6 weeks. I am also in the military and had to do the same, and I have to tell you it was a lot easier to manage while nursing. With DS1 I ended up pumping exclusively because of his TT that the ENT refused to cut at the Army hospital and I pumped for over a year. Nursing was so much easier, so stick with it, even if it means using the SNS for a bit.
    Beth

    Exclusively pumped for Lance Oct 07
    Nursed until just before he turned 3 Levi Oct 09

    Do you have extra milk? Consider donating!
    http://www.hmbana.org/:

    "So I was welcomed by the consolations of human milk; but it was not my mother or my nurses who made any decision to fill their breasts, but you who through them gave me infant food, in accordance with your ordinance and the riches which are distributed deep in the natural order." -St Augustine

  6. #16
    Join Date
    Jun 2012
    Posts
    98

    Default Re: Latching, but not moving milk

    Plus would you have to use an sns all the time?
    I'm not sure, but I have good news. Right after I posted this, I put him to the breast and he moved milk. Emptied my right breast in about 15-20 minutes. It was a beautiful thing.

    I am still confused about when the IBCLC saw you and baby-pre or post clip?
    Many times before and after. Another appointment on Monday.

    Did your IBCLC do more than one pre/post nursing weight check? How often are you checking weight gain at this point? How is babies output? (poops)

    Is nursing comfortable for you now? Is baby nursing a minimum of 12 times a day? Have you tried breast compressions for improving intake?
    She does the weight check everytime we see her.
    His weight gain at this point is fine. 50 grams a day
    His output is about as often as he eats, sometimes twice as often as he eats.

    See, nursing wasn't uncomfortable for me to begin with--which was what baffled the IBCLC. She said typically with tongue tie, the latch hurts. His didn't and it seemed fine. He averages 16 ish times a day.

    The IBCLC said that since he had his frenulum snipped, she would take it as a tincture of time thing.. and see me again in a week. To keep getting him to breast often.

    I have been--and it's paid off. He gets to breast, he latches, his suck is sturdy, and he moves milk now. We just have to wait til Monday to see her again to see exactly how much milk he's moving at one time.
    Desmond Ringo Payton [5.31.12|8 lb 14 oz|22 in.|blonde|blue|beautiful|BACK TO BREAST 6.25.12]

  7. #17
    Join Date
    Jun 2012
    Posts
    98

    Default Re: Latching, but not moving milk

    UPDATE!!!!

    I have been putting him to breast often, it's paid off. He can empty my breast (move milk).

    Have another appointment on Monday with the IBCLC to get the amount of how much milk he's moving, and the 'GO' [or no go] on exclusively breastfeeding.
    Desmond Ringo Payton [5.31.12|8 lb 14 oz|22 in.|blonde|blue|beautiful|BACK TO BREAST 6.25.12]

  8. #18
    Join Date
    Jun 2012
    Posts
    98

    Default Re: Latching, but not moving milk

    Sooooo..we're now effectively moving milk!
    He's also gained 10 oz this week alone, bringing him up to 9 lb, 7.25 oz!!
    We're EBF and I'm doin it on demand, baby!!
    Desmond Ringo Payton [5.31.12|8 lb 14 oz|22 in.|blonde|blue|beautiful|BACK TO BREAST 6.25.12]

  9. #19
    Join Date
    Mar 2006
    Posts
    10,440

    Default Re: Latching, but not moving milk

    Yay!!!
    Susan
    Mama to my all-natural boys: Ian, 9-4-04, 11.5 lbs; Colton, 11-7-06, 9 lbs, in the water; Logan, 12-8-08, 9 lbs; Gavin, 1-18-11, 9 lbs; and an angel 1-15-06
    18+ months and for Gavin, born with an incomplete cleft lip and incomplete posterior cleft palate
    Sealed for time and eternity, 7-7-93
    Always babywearing, cosleeping and cloth diapering. Living with oppositional defiant disorder and ADHD. Ask me about cloth diapering and sewing your own diapers!

  10. #20
    Join Date
    Jun 2012
    Posts
    98

    Default Re: Latching, but not moving milk

    SUPER UPDATE:

    While weaning off of the bottle this past week (literally.. I didn't even bother offering the bottle), he gained 4 oz in 4 days on breastmilk from the breast alone.

    He literally gained a quarter pounder with cheese! up to 9 lb 12 oz. Almost a 10 lb'er. :P

    LC says "He's doing great, you're a testament to time and patience. You can stop waking him up at night and let him wake YOU up when he wants food. Also.. you're overproducing."
    Desmond Ringo Payton [5.31.12|8 lb 14 oz|22 in.|blonde|blue|beautiful|BACK TO BREAST 6.25.12]

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