Re: coughing after feeds
Welcome to the forum and congratulations on the new baby!
The first thing I have to ask is whether or not the spit-up is literally projectile. If it is LITERALLY flying across the room, hard and fast enough that it's hitting the opposite wall, try to get it on video and talk to your doc. However, I suspect that what you're seeing is merely forceful spit-up. Forceful spit-ups are normal, provided that the baby is gaining weight at a normal rate.
So let's assume that the spit-up is only forceful, not prejectile, and baby is gaining weight at a normal rate. What then? In general, spit-up that occurs with good weight gain and without pain is a laundry issue, not a health issue. It is often caused by mom having a big milk supply and consequently, fast letdowns. Babies who struggle with fast letdowns will often choke, gasp, gag, and sometimes stop breathing for a moment.
To manage fast letdowns caused by oversupply, the best things to do are:
1. Feed the baby frequently. Small, frequent feedings may be less upsetting to the baby and should prevent you from getting overly full- and the more full the breast, the faster the letdowns.
2. Adopt reclined feeding positions. They enlist gravity to slow the flow of milk.
3. Keep baby as upright as possible after nursing. This time you're using gravity to help keep baby's stomach contents down where they belong.
4. Manage the oversupply. If you can tell us a but more about the level of oversupply you're seeing, we may be able to suggest specific steps to take. But the first one you should take, if you aren't already, is to avoid any milk removal in addition to what the baby is doing. So no pumping!
Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
Coolest thing my little girl sang recently: "I love dat one-two pupples!"