Re: Baby only nurses well when tired or asleep
So basically baby is healthy and growing, and just has this weird feeding pattern in which she only feeds when sleepy or sleeping? If that's the case, here's what I'm thinking:
- Weak latch isn't necessarily a bad latch. What I mean is that a baby's suckling doesn't have to feel powerful in order for it do be effective.
- Fast feedings aren't necessarily poor feedings. Those 1 minute feedings could be enough for her to get a lot of her needs met, especially since you are feeding her a fair amount during her sleep times. Lots of short, rapid feedings can be just as good for baby's intake as fewer longer feedings.
- Since baby's weight gain is fine, I don't see a reason why Domperidone would be helpful. Your baby's normal weight gain points to normal intake and normal supply. More milk in the breast isn't necessarily going to make her nurse more when she's not really interested in nursing.
If this were my baby, I think I would try an experiment. Instead of bending your life around her naps and her feedings, how about just doing what you would normally be doing, nursing her whenever she wants even if that means she sometimes goes several hours without nursing or if she nurses very frequently but for short time periods. Meanwhile, watch her diaper output more carefully than usual. If it continues to be normal, then her intake probably is, too.
When you say your baby 'a latch is "poor", what exactly do you mean? Does it look bad, or does it feel bad?
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