Re: Spit Up vs. Vomiting Issues
Welcome to the forum and congratulations on the new baby!
Some facts about spit-up:
- Spit up is a normal part of infancy for many babies.
- Spit-up amounts often look more dramatic than they are. You can visualize this by measuring out an ounce or two of cow's milk and then pouring it on the counter- you won't believe how far it spreads!
- Spit-up happens because the muscle sphincters which keep tummy contents down where they belong are, like all of baby's other muscles, relatively weak. It's not happening because you're eating the wrong things or not keeping the baby upright enough or feeding the baby too often- all things which are often mistakenly blamed for spitting.
- Spit-up in a baby who is gaining normally and not showing evidence of severe distress while spitting up can be considered a laundry problem rather than a health problem.
- It's not unusual to have one baby who hardly spits up at all and another one that spits up all the time.
- Because spit-up is liquid, not solid, it's not really a choking hazard. It can't actually plug the airway.
So, as long as baby is happy and healthy and gaining weight normally, I really wouldn't worry. Just lay in lots of bibs and remember to swab out her neck folds- the spit-up can get in there and fester and cause irritation. It may also help to give baby frequent burp breaks when she's nursing.
I would also stop swaddling her- swaddling is a great technique for extending an infant's sleep. But at 2.5 weeks, you don't want her sleeping for more than 3-4 hours at a time. If she's not swaddled, she may feed a bit more frequently. More frequent feedings are often great for spitters, because the shorter intervals bectween feeds often mean that baby is less hungry, and consequently stops eating before her tummy is all the way full. A not-quite-full tummy is less vulnerable to having its contents travel back up the esophagus.
I would also absolutely stop having baby sleep on her side or in the Boppy, particularly when swaddled. Babies should sleep on their backs, they they shouldn't be near any sort of pillow. It's too easy for them to roll just a little, or slide down, and then smother against the side of the pillow (God forbid!!!). If you want your baby to sleep with her head elevated, put a pillow under one end of her crib mattress.
Now, if your baby isn't gaining weight at a normal pace, or seems to be in severe distress, or the projectile vomiting is literally projectile (I mean literally flying across the room and hitting the wall) and is increasing in frequency, it's time to see the pediatrician.
Does that all make sense?
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