Title says it all. My son has been doing this on and off since the 6 week mark and he is now 14 weeks. I figured it was growth spurts but lately I'm not so sure because it is getting progressively worse. Here's our background:
Around 8 weeks we went on a loose EASY routine where I would feed him after a nap instead of before. This moved feeds from every 2 hours to 2.5-3 hours. I initiate feeds after a nap whether he cries for one or not. Around 12 weeks he began not waking for night feeds. He had been down to 1, occasionally 2 night feeds. Lately he will go down at 8 and wake for a feed between 6:30-8. This means he will go up to 12 hours without a feed. The other 12 hours he will eat 5x. A typical day will have 5-6 feeds, which seems low. He has always been a small fry in the 25th percentile, but continues to put on about 2lbs a month and diaper output is normal. He poops 1-2x daily and will occasionally skip a day, but it's not common. I also have 1 pump session before bed, where I get 3-3.5oz total.
Our problem right now is that he is starting to go nuts at every feed. He will latch, eat through a letdown, and then begin grumbling with the nipple in his mouth while sucking, while kicking and wiggling. This escalates to him raking me with his nails, slapping me, and screaming until I let him off. Attempts to get him back on that breast end up in more screaming after a few sucks. I switch sides where he will eat what was let down, and then begin the same process of fighting. I have never been a big producer, I always have "just enough" it seems. Weighed feeds for the past 2 months have been in the 3-3.5 oz range. Last weighed feed was barely 3oz.
I figure, ok, he must be filling up fast and popping off because he's full, right? Well after continuing to pass him back and fourth between breasts to get another let down, sometimes successfully, sometimes not, he will continue to cry. If I hold him he wails. If I set him down he wails. It's like feeding him turns this switch on him to start fussing like crazy, because after he wakes up and before I feed him he's pretty happy. The crying and whining will sometimes subside in 10-20 minutes, but lately he just continues fussing on and off until nap time, and then the process starts over again. Sometimes I wait for him to calm completely before offering the breast again. Sometimes he takes it, more often he just turns his head and refuses it outright, if not just a few sucks. The LC I work with seems to not think he's hungry because he won't continue sucking but I don't think that's a good enough indicator. He gets 1-2 bottles of expressed milk a week, if that, and doesn't seem to have any of these issues when having one. Not big on pacis but lately I offer one just to see if he will take it and stop wailing! I'm just really hating the way I feel when feeding him. It's so incredibly frustrating.
Overall I'm just concerned that:
- He's still hungry but refuses to work for another let down. If he does manage to work for one he eagerly gulps it down.
- My supply will suffer because of these short, probably non emptying feeds.
- Something is bothering him because of the continued wailing after a feed.
- That 5-6 times a day at an average of 3.5oz is way too small an intake. I'm sure his morning feed is more than average, but still.
I've seen a lot of threads about fussy feeding at 3 months old but I'm so paranoid my supply is going to tank or that he's not going to gain if he keeps this up.