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Thread: Fussy & Cries at breast

  1. #1

    Default Fussy & Cries at breast

    Help! My baby boy is 11 weeks this week and for the past 2 weeks he has become increasingly fussy when offered the breast. He latched on fine and was a great nurser from the beginning, so I'm not sure what has changed. He will begin to offer cues like he is hungry, so I will begin to cradle him to nurse and he starts to fuss and cry before he even latches. He then will latch suck 2-3 times and pull off crying. Sometimes he seems to choke a little others times not. He absolutely will not nurse if I'm sitting, and seems to do better if I stand and walk around but it is still a struggle?? I have tried pumping and offering a bottle and he has the same reactions, fussy and cries, chokes sometimes. I'm not sure if his throat hurts, trouble swallowing, fast let down, overly tried or growing. He is having one poopy and several slightly wet diapers in 24 hours. However I am getting increasingly worried. I did see a local lactation specialist and she commented that he seems to be having discomfort when nursing and she recommends gas drops or gripe water ( neither helped). He usually gets so worked up that I end up giving him his pacifier and he falls asleep on my chest. Some other things worth noting are he only does this during the day? I nurse him in bed during the night and he is fine (have tried nursing in bed during day and he is still fussy). Also I have never been able to get him to sleep on his back, he will only sleep on his stomach. I appreciate any help in advance.

  2. #2
    Join Date
    May 2006
    Posts
    20,621

    Default Re: Fussy & Cries at breast

    Welcome to the forum and congratulations on the new baby and on making it through the first 11 weeks!

    Some questions for you:
    - How has your baby's weight gain been?
    - What do your baby's poops look like?
    - Has baby recently been sick (e.g. cold, ear infection), or been checked for an ear infection?
    - How would you rate your milk supply? Is it quite abundant, do you feel full pretty often? Has there been a recent change in the amount of milk you're making?

    If weight gain is fine, poops are generally normal, and the baby doesn't have any illness, my guess is that your baby has simply picked up some very annoying nursing quirks. Quirks are common at this age, and in general the best thing to do is to simply power through them. Most babies will not starve themselves- you just have to wait for them to be hungry enough to nurse in their less favored position or whatever. But that's just a guess!
    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!"

  3. #3
    Join Date
    Mar 2014
    Location
    Central FL
    Posts
    533

    Default Re: Fussy & Cries at breast

    Have you tried layed back or reclined nursing? I found that at different times of day my LO likes different positions. Sitting cradle or cross cradle works ok overnight or in the morning. Then we go without the pillow and let him sit on my thy mid morning or wear him in the carrier to nurse. Then in the afternoon he gets fussier because my supply is lower and football hold works better. Overnight we also sometimes do side lying (more for comfort since he doesn't seem to get as much milk out when we do that) or reclined with him laying on top of me. We might also do that for a daytime nap sometimes.

    So can you tell, does the fussing coughing etc seem to go with a fast let down? Or does he seem to be fussing about the slower flow after the let down is done?

    I've never experienced an over active let down so I can't help much there. I have more trouble with my LO getting upset/fussy about my slow flow in the afternoons (more like drip irrigation than flow.)

  4. #4

    Default Re: Fussy & Cries at breast

    Thanks for the comments,
    He was 7.2 at birth and then 12.8 at his 2 month check. But this all started about right after his 2 month check. So his weight has not been checked since. He did have a cold a few weeks back, but has been to the doctor since. His poops range some where between a greenish yellowish color and seedy. As far as milk supply, I do not feel full often. I do think I have a fast let down., because I have noticed when I pump the milk begins to come in with in the first 20-30 seconds of pumping. I then have been consistently pumping 2 ounces per side (not sure if that's normal for his age) about every 2-3 hours.

    I plan to take him to the doctor today. So will update after that. I was also think of trying skin to skin nursing and waiting until he is very hungry. I'm fearful if I continue to only get him to nurse will I stand up that he will only nurse that way for the next 17 months??

    What about taking away his pacifier?? Could it be nipple confusion? I only say this because he doesn't have the pacifier at night, only during the day and nap time.

  5. #5
    Join Date
    Mar 2014
    Location
    Central FL
    Posts
    533

    Default Re: Fussy & Cries at breast

    pacifiers can certainly affect breast feeding.

    So are you pumping for??? Are you working? storage? for increasing supply? To Give bottles?
    When you are pumping is it after each feeding? Or while you are away from baby?
    Is that 2 oz per side at each session?

    For a 12 lb 12 oz baby under 3 months they only need around 34 oz of milk per day so if you are able to pump 4 ounces per session in addition to what he is getting directly from the breast, I would expect you have quite the over supply. (I've been struggling a bit with low milk supply so I have been pumping after each feeding and I'm feeling good when I get 4 oz total combined pumped output for the entire 24 hour period, of course I don't respond very well to the pump and I'm pumping after baby has had his fill.)

  6. #6
    Join Date
    May 2006
    Posts
    20,621

    Default Re: Fussy & Cries at breast

    34 oz would actually be very much on the high side for daily milk requirements- according to the very reliable kellymom.com, typical intake is just 10-30 oz per day. (See http://kellymom.com/bf/pumpingmoms/pumping/milkcalc/)

    I think I would take away the pacifier. Maybe it's bad, or maybe it's neutral or even helpful- but it's certainly a variable you can eliminate. If nothing changes, you can start using it again.
    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!"

  7. #7
    Join Date
    Sep 2012
    Location
    rockford,il
    Posts
    537

    Default Re: Fussy & Cries at breast

    IME no, he won't want you to nurse standing up forever. Can you switch the pacifier out for the breast once he's deep enough asleep? That was the only way to get my son to nurse during the day at that age. Skin to skin is great as well as bath/shower time together.

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