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Thread: 10 day old baby and inadequate milk supply

  1. #91
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    Default Re: 10 day old baby and inadequate milk supply

    Quote Originally Posted by @llli*lllmeg View Post
    Keep us posted. This: is one reason why frequent weight checks are misleading! (Not that you should not do them when gain is a concern.) But the 'typical' growth patterns (the ones growth charts are based on) are not based on incremental weighty gain but on gain over a much longer period, and it averages all the kids together. In other words, some up and down in an individual child is normal.
    Understood. And I'm basically using the daily weigh ins just to make sure we are in general trending up instead of down and making sure we don't stall out and stop gaining for too long. Especially since I'm trying to get us off supplements.

    I'm seeing progress on the pump output front!!!! The Right Breast has already produced about 3 ounces all on it's own today and I didn't even pump overnight. The Left hasn't produced nearly so much for the pump maybe a 3rd of an ounce in that same amount of time .

    Now my left doesn't produce nearly so much but it also doesn't hurt as much so I'm starting to think that once we are off the supplements, I need to perhaps continue pumping on the left more often than on the right in order to see if I can even myself back out a little bit.

    Now that I'm hardly using the supplement, I can tell much more that I need to improve latching because I am now seeing my nipples coming out a bit squashed. Before the supplementing He had a generally good latch but the tubes seem to encourage a more shallow latch like sucking on a straw and when using it, it is generally too hard to get the tube in place and baby latched on to detach and try again when you actually get the tube in place and flowing.

    Perhaps it is time to go see a consultant again and get some help or tips for maintaining a deeper latch. It isn't that I can't get him to latch deeply but he will often pull back after I get him latched on but if I hold him too tight to the breast he really fusses and fights.

    Any tips for dealing with babies who like to pull at and/or play with the nipples with their mouth? Right now it may only be mild pain/injury but I can just imagine what will happen if he continues to do this as he gets older/more powerful and starts getting teeth. When I say play with, he does this thing where he will spit out (almost like squirting the nipple out of his mouth) then suck it back in, my guess is he is doing this mostly when he has gotten impatient with lack of flow as I become more empty, though he also tends to do this when side lying in bed too. The pulling back while still gripping the nipple quite strongly seems to happen full or empty.

  2. #92
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    Default Re: 10 day old baby and inadequate milk supply

    managed to pump a little over 3 oz today. baby only had 1 2/3 oz of expressed breastmilk from yesterday. Didn't loose any weight.
    But we are overdue for a poop I think.

    I actually squirted milk from the left for the first time tonight. Funny how much little signs of progress matter sometimes.

  3. #93
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    Default Re: 10 day old baby and inadequate milk supply

    You are doing great, mama!!!! Really, you have come so far.

    For babies who slurp mom's nipples in and out, you can try different nursing positions. Reclined ones are especially good, because gravity holds the baby's head on mom's breast and prevents him from pulling back/slipping off. You can also try breaking his latch when he slurps, and having him relatch all over again.

    Has your baby ever been really carefully checked for tongue and/or lip ties? I m sure we've covered this ground already... But the difficulties you've had with supply and with keeping baby latched make me wonder.
    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!"

  4. #94
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    Default Re: 10 day old baby and inadequate milk supply

    No in fact I don't think the pediatrician has really checked that closely and I have sometimes wondered about the upper lip since it is hard to get him to flange it out. I've done the FLIPPLE, seems to work better on the left, Done it on the right but he still tends to pull back. That Rt nipple is pretty big and is getting pretty smashed.
    He CAN flange his lips, and he CAN get a good deep latch that doesn't hurt at least on my left breast (nipple and breast are both a little smaller.) It just seem really hard to get him to do it sometimes and the Rt breast which seems to have most of the milk seems to be giving him a harder time latching.

  5. #95
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    Default Re: 10 day old baby and inadequate milk supply

    So yesterday we were actually a little lower on the weigh in and he only got 1 1/3rd OZ of expressed Breastmilk as supplement.
    Definitely I need help with latching pain now!
    Argh, when it seems to be going so good and then setbacks.
    I'll be calling the hospital to see if I can get in to see the lactation consultant there (much closer than trying to get all the way to one of the WIC offices and if She is in, she calls back quickly.)
    I'll see what recommendations she has for looking at toung/lip tie.

  6. #96
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    Default Re: 10 day old baby and inadequate milk supply

    Saw the Hospital LC today. Talked with her about what is going on and she had a look at baby's mouth as well as how he latches and sucks and we tried a couple things. She saw how my nipple is coming out. Babe has a really strong suck now days and a powerful jaw. Perhaps his growing strength and being rather hungry as I've been reducing the amount of supplement has now changed how things are with his latch and how damaging he has become with my nipples. Maybe we didn't notice the possible tongue before because he wasn't sucking so strongly. The past several days have been getting progressively worse in the evening as far as what is becoming of my poor nipples.
    Anyway, she called over to the Peditrician's office to get me an appointment to have them evaluate him for tongue tie, going over there tomorrow morning.

  7. #97
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    Default Re: 10 day old baby and inadequate milk supply

    at the ped office today they thought that we probably had a case of tongue tie but they won't clip it there at the ped office so now I'm waiting for a referral to the ENT specialist.
    Oh I hope they are Quick about getting us in! Saddy, it probably won't be till next week.

    Any tips for surviving 4+ more days of smashed/scraped nipples? Without sacrificing the milk supply I've worked so hard on?

  8. #98
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    Default Re: 10 day old baby and inadequate milk supply

    Wow mommal called it. Tongue tie after all! I suggest call every day until you get that apt with the ent. This is an issue that is very serious for your health and your baby's health, they need a fire lit. Too bad the pediatrician won't clip. With young babies it can be done in an office visit. It just takes the pediatrician learning how and doing it.
    As far as surviving- I missed something. Was nursing getting less painful and then got more painful?

    I agree with mommal, keep trying positions and every latch trick you know, but be really careful to care for any nipple injury, as the last thing you want is an infection at this point. I would also suggest, Read up on tongue tie and what to expect post release. It is not always an instant fix, so be prepared for that. sometimes there are exercises that are suggested. When I saw Dr. James Murphy talk about frenectomy a few years ago, I remember he suggested mom gently pressing on the snip site for several days after the snip to help prevent the formation of scar tissue.

  9. #99
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    Default Re: 10 day old baby and inadequate milk supply

    Call every day. They might have a last minute cancellation that will get you into the office sooner.
    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!"

  10. #100
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    Default Re: 10 day old baby and inadequate milk supply

    ok, the first referral I got won't take our health coverage.

    I've called the ped office back twice and left messages with the referral line but they don't answer and haven't called back.
    I'm getting a little terrified that this could take ages just to get him seen.
    I had been under the impression that this would be a quick procedure that they could just do in the Ped office.

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