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Thread: Latch problem, baby sucks air- her fault or mine?

  1. #1

    Default Latch problem, baby sucks air- her fault or mine?

    Hello, I am new here. This is my first child and she is almost eight weeks. I have had great difficulty with breastfeeding so far and several hurdles have almost ended it, but I know how important it is so I have pulled through and made it this far. I couldn't have imagined something like breastfeeding could be difficult, but it has been! Things have greatly improved compared to the fact she used to scream at EVERY feeding, which was extremely stressful. She was diagnosed with reflux so we have been keeping her upright almost all the time. I have found that the only position I can nurse her in that doesn't end with her choking is lying down, and she has been drastically improved since I have been only nursing that way. We also have been giving her Gerber Soothe probiotic drops and I think that has helped as well. She is gaining weight well. Anyway... My problem is that sometimes when she is nursing I can hear a squeak sound and then air gurgles down her throat into her stomach, and when it gets there she pulls off and starts crying/screaming. After I burp her and calm her, usually we can finish the feed ok but we have to start all over. She still occasionally coughs/sputters within the first few minutes as well. She feeds fast & furious, never longer than 10 minutes, but has always been that way. I have had a consultant check the latch, tongue, letdown and nipples, and all is within normal limits. I feel like her latch may be shallow, but after eight weeks shouldn't it have improved? Thank goodness it does not happen every time, but it is my last remaining hurdle to overcome. Hopefully as she grows, a larger mouth will solve this, but it is making breastfeeding difficult and I want it to be the happy bonding experience it should be.

  2. #2

    Default Re: Latch problem, baby sucks air- her fault or mine?

    Ugh, this can be so hard! Breastfeeding is supposed to be a calming, enjoyable experience most of the time, so when it's not that way, that's frustrating! Good for you seeking out help and seeking for answers.

    Did you see an International Board-Certified Lactation Consultant (IBCLC)? This is a infant feeding specialist with an advanced knowledge about breastfeeding issues.

    If you feel like your baby has a shallow latch and you hear squeaking sounds and air passing through, then it could be that your baby is not latching like she should. One of the reasons for this is tongue tie or lip tie. Sometimes it takes more than one breastfeeding helper to find tongue tie or lip tie. You might check to make sure that you saw an IBCLC, and ask her if she used the Hazelbaker Assessment for checking your baby's tongue and if she checked for lip tie. You can also read up on tongue tie at reputable sites like Dr. Ghaheri's website and Larry Kotlow's website, so that you know what to listen for when working with professionals.

    On the other hand, it could be that your baby needs extra help getting onto your breast (help with positioning), or trying different positions.

    Keep looking for answers and pretty soon you'll be the expert!

  3. #3
    Join Date
    Mar 2014
    Location
    Central FL
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    1,257

    Default Re: Latch problem, baby sucks air- her fault or mine?

    Do her lips flange or flair out when latched? My LOs upper lip tie caused him to curl his top lip in and even after getting that corrected we had to do a lot of physical therapy to be able to get it flipped out at all and even now I often still need to flip it out or he manages to loose a good seal.

    How does nursing FEEL to YOU? sometimes Ties are not obvious and an outsider can think the latch looks good but if nursing still hurts you then latch could still be affected by a tongue or lip tie.

  4. #4

    Default Re: Latch problem, baby sucks air- her fault or mine?

    Yes she was IBCLC. She checked the tongue and a pediatric surgeon looked too (we were there for a different reason), but no one specifically looked at her lip. From the beginning she has never opened wide to latch, she has always just "sucked it all in". I can see that she has more than just the nipple in her mouth but her lips do not seem flared out much. It is not painful, as opposed to the first few weeks where I had a cracked nipple and pretty severe pain.

  5. #5
    Join Date
    May 2006
    Posts
    21,178

    Default Re: Latch problem, baby sucks air- her fault or mine?

    How would you rate your milk supply? Just enough or more than that? Maybe significantly more?
    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!"

  6. #6

    Default Re: Latch problem, baby sucks air- her fault or mine?

    I actually met with yet another consultant today. The latch is ok, i need to work on getting more tissue into her mouth though. She definitely has reflux, and it is great that we have eliminated dairy and are giving probiotics but we need to eliminate soy as well. We discussed supply and she said it sounded like my supply was getting too low. I hadnt really thought about it because I was told my breasts would become softer as time went on even though supply was ok, but the last couple weeks the ONLY time i felt fullness was in the morning and they became progressivley more "deflated" throughout the day and the evening is when she is cluster feeding and not satisfied. Last night was particularly bad as she nursed constantly from 5 pm to 11 pm, but never got full. I could hear hew swallow for a few minutes with the letdown, then she would stop swallowing and become fidgety and when she got fussy i switched sides- same thing happened. I felt completely deflated. So this is getting complicated! I have stopped dairy and now soy, she gets probiotics, stays upright after feeds, and now I am also taking moringa. so i think my supply may actually be low. I still can't nurse her is any position other than side lying or she ends up crying, but with all these changes she has been getting better. I had never heard of moringa but it should supposedly help my supply. She has gained 10 oz in the past 20 days.

  7. #7
    Join Date
    Mar 2014
    Location
    Central FL
    Posts
    1,257

    Default Re: Latch problem, baby sucks air- her fault or mine?

    Quote Originally Posted by @llli*aluradr.mom View Post
    I actually met with yet another consultant today. The latch is ok, i need to work on getting more tissue into her mouth though. She definitely has reflux, and it is great that we have eliminated dairy and are giving probiotics but we need to eliminate soy as well. We discussed supply and she said it sounded like my supply was getting too low. I hadnt really thought about it because I was told my breasts would become softer as time went on even though supply was ok, but the last couple weeks the ONLY time i felt fullness was in the morning and they became progressivley more "deflated" throughout the day and the evening is when she is cluster feeding and not satisfied. Last night was particularly bad as she nursed constantly from 5 pm to 11 pm, but never got full. I could hear hew swallow for a few minutes with the letdown, then she would stop swallowing and become fidgety and when she got fussy i switched sides- same thing happened. I felt completely deflated. So this is getting complicated! I have stopped dairy and now soy, she gets probiotics, stays upright after feeds, and now I am also taking moringa. so i think my supply may actually be low. I still can't nurse her is any position other than side lying or she ends up crying, but with all these changes she has been getting better. I had never heard of moringa but it should supposedly help my supply. She has gained 10 oz in the past 20 days.
    Moringa is super nutritious but I haven't heard about it for increasing milk before.

  8. #8

    Default Re: Latch problem, baby sucks air- her fault or mine?

    Quote Originally Posted by @llli*aluradr.mom View Post
    We discussed supply and she said it sounded like my supply was getting too low. I hadnt really thought about it because I was told my breasts would become softer as time went on even though supply was ok, but the last couple weeks the ONLY time i felt fullness was in the morning and they became progressivley more "deflated" throughout the day and the evening is when she is cluster feeding and not satisfied. Last night was particularly bad as she nursed constantly from 5 pm to 11 pm, but never got full. I could hear hew swallow for a few minutes with the letdown, then she would stop swallowing and become fidgety and when she got fussy i switched sides- same thing happened.
    Did she help you find signs that you can look for that your baby IS getting enough?

    The best ways moms can ensure baby is getting enough milk:
    (1) Nurse as often as you can for as long as she will
    (2) Make sure she is removing milk effectively.

    It sounds like you are still unsure of (2) because of the sounds of air passing when she nurses.

    Ideas you might try:
    - Make sure lips are flanged. If it doesn't seem to be happening before latching, you can do this after baby is latched so she can draw more tissue into her mouth. Just use your fingers to fliiiiip those upper and lower lips out!
    - Try an exaggerated latch/extended latch/flipple. Video here: http://www.youtube.com/watch?v=OGttPTx7iSs
    - Have you tried laid-back breastfeeding? This helps with latch problems and sometimes with reflux babies. http://www.llli.org/docs/00000000000...astfeeding.pdf

    Also, important to know that the fussiness and frequent nursing you are noticing in the evening happens to lots of mom-baby pairs. Switching sides frequently helps -- signals your body to make more milk. Offering to nurse more often during the day can also help, but that time of evening is just a fussy time, especially those with special needs like reflux/colic.

    Supplements can help, but really they are only effective with increasing the number of nursing sessions per 24 hours.

    Feeling deflated does not mean you are out of milk. Your body makes milk faster when your breasts are less full. Your baby instinctively knows this and nurses more vigorously during those moments.

    You can also use breast compressions while you are nursing. More on that here: http://www.breastfeedinginc.ca/conte...agename=doc-BC and video here http://www.nbci.ca/index.php?option=...lips&Itemid=13

    You can do this!! Things are already getting better, so hang in there! Reach out to your local LLL Leaders for help or keep coming here when you're feeling discouraged!

  9. #9

    Default Re: Latch problem, baby sucks air- her fault or mine?

    She is now eight weeks only, I think this latch problem will be solved within two or three weeks. At ten or eleven weeks your baby will have more stronger mouth to latch.

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