Re: 10 week old latches, unlatches, every feed - [Super long
Babies have many needs that they fill at the breast. The breast isn't just for food- it's also a source of warmth and comfort. It's also the original pacifier- babies have a very strong need to suck and until they discover their own hands, they are designed to use the breast, even when they're not hungry. The problem for babies whose moms have oversupply/fast letdowns is that they have a harder time using the breast solely for comfort sucking. But this is not a big problem, and if your baby roots and acts like he wants to nurse, the best thing to do is to just let him nurse, for whatever purpose he has in mind. He'll figure out how to get his specific needs met, if you just allow him the opportunity.
If baby is not in pain and is gaining weight normally, you can put GERD out of your mind. GERD babies tend to exhibit either a lot of discomfort or poor weight gain, or both at once.
Lactose overload babies tend to have green, explosive, and sometimes bloody poops. They also tend to have a lot of gas. But none of these things are really health problems in a baby who is otherwise happy, healthy, and growing at a normal rate. The best things to do if you suspect that oversupply has created lactose overload are:
1. Nurse in reclined positions. This is often all that is necessary.
2. Nurse frequently. Most babies who are struggling with oversupply and fast letdowns do better when they take small, frequent feedings rather than infrequent large ones. Small feedings prevent the breast from getting overfull and blasting baby with a fast letdown, and they also prevent the buildup of lactose-rich "foremilk".
3. Control the oversupply if you are absolutely sure it is an issue. Block feeding may be required.
Please do not worry for one moment about "foremilk" vs. "hindmilk". Babies will grow and develop just fine on a diet of so-called "foremilk" alone, because ALL milk contains everything a baby needs to grow and develop. Babies who eat a lot of foremilk will get more lactose than average and will be more gassy as a result, and maybe have some weird poops- but this is NOT a health problem in a baby who is otherwise healthy and growing.
In your shoes, what I think I would do is to continue to feed approximately 2x on the left for every time you use the overproducing right side. Allowing the overachieving breast to fill up on a regular basis will inform it that it is making too much milk, and you should eventually see a decrease in production on that side. Just don't get stuck in the mindset that you must use the left x number of times. There will probably be times when your baby requires both breasts, particularly as your supply evens out to be closer to what he needs. and thee may also be times when you need to feed more than 2x on the left, to make up for what is happening on the right. Block feeding is an art, not a science, and it takes a while to get things evened out. Don't let setbacks frustrate you- they are not necessarily a sign of you doing something wrong, but are rather the nature of oversupply. You should expect this to be a "two steps forward, one step back" process.
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