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Thread: Tongue rolled up, latch problems, low milk supply! :(

  1. #1
    Join Date
    May 2007
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    16

    Default Tongue rolled up, latch problems, low milk supply! :(

    hi,

    I need help. I've a one week old baby who has been bottlefed in the hospital by nurses since he was warded for jaundice and he comes back not being able to suck at all and latching is a big problem.

    I also noticed his tongue is always rolled to the floor of his mouth, making the latching on difficult.

    I've tried pumping milk to feed him via a cup but the milk supply seemed limited at only about 10-20ml every time.

    As he was losing more than 600grams in a week, we have to put him on formula milk.

    I'm getting desperate as he does not even latch on at all. Any advice will be most helpful!

  2. #2
    Join Date
    Apr 2006
    Posts
    1,064

    Default Re: Tongue rolled up, latch problems, low milk supply! :(

    Hi and welcome to the forum. I'm sorry you are having such difficulty getting started with breastfeeding. It can be very discouraging when baby can't latch. I'd strongly suggest trying to find a board certified lactation consultant to help you in person. Here is a link to see if you can find one in your area:

    http://gotwww.net/ilca/

    Do you have a local LLL group? That is another place you can go for some in person help. When the issue is latching, it is much easier for someone to help you in person. Breastfeeding can be very difficult in the beginning, sometimes you need some extra support.

    Can you describe your current pumping routine and latch attempts? I'd recommend lots of skin to skin contact. This can help bring out baby's natural inclination to latch and nurse, and also helps with milk production. Strip baby down to just diaper and hold him against your bare chest. You can wrap a sheet around you both for warmth and tie it to make a sort of makeshift carrier so that you can rest or read and baby will stay in place.

    How are you currently feeding the baby? There are some alternatives to bottle feeding supplements (cup, spoon, syringe, supplemental nursing system, finger feeder). An LC or LLL leader can help you with alternative feeding methods.

    What type of pump are you using and what is your pumping routine?

    How is the baby doing now with the formula supplements? What was birth weight, lowest weight, current weight? How many wet and dirty diapers are you seeing in each 24 hours?

    Hang in there! Many babies have difficulty learning to latch and nurse, but they often eventually get the hang of it.

  3. #3
    Join Date
    May 2007
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    13

    Default Re: Tongue rolled up, latch problems, low milk supply! :(

    I had a similar problem with my baby where he started preferring the bottle rather than my breasts. I was devastated. Then I met with a lactation consultant and after one afternoon, my baby started preferring my breasts again. It may take longer for you, but I recommend seeing a lactation consultant, since it worked wonders for me!

  4. #4
    Join Date
    May 2007
    Posts
    16

    Default Re: Tongue rolled up, latch problems, low milk supply! :(

    Thanks for your messages. I will definitely try to find a lactation consultant soonest possible.

    I’m using a medela electric pump and I do it every 2-3 hours, after the latch attempts with the baby. During the night I do one about 2am, and then at about 7am. The milk flow has been consistent but too little.

    I’m currently feeding the baby with cup and syringe but the baby seemed to be actually sucking on the syringe. Is that alright? Will he be used to such easy flow of milk that he rejects breastfeeding next time?

    The baby seemed to be doing alright with formula supplements but I can see that he’s become less enthusiastic to suck now compared to just couple days ago. The birth weight was 3.8 kg, and now it’s 3.2kg. Lowest weight was 3.1kg. I can’t be certain about the dirty diapers as we just got him back from hospital.

    Every latching attempt seemed to be a fight with the baby and I cannot seemed to be enjoying his birth now, which is pretty sad so really hope to get around this soon. Pumping the breasts also is really awkward and uncomfortable so it really isn’t a good solution.

  5. #5
    Join Date
    Apr 2006
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    1,064

    Default Re: Tongue rolled up, latch problems, low milk supply! :(

    I'm glad you are planning to look for an LC. I hope you are able to find someone near you.

    In the meantime, try not to spend too much time trying to get baby to latch if he is upset and "fighting". This just makes both of you more stressed out, and therefore less likely to be able to latch. If he's upset, go ahead and offer the supplement as you've been doing. Do the skin to skin without any pressure to try to latch and feed. Then you can try offering the breast again when baby is calm and not too hungry. He may be more likely to try to latch when he's not really eager for food.

    I know the pumping routine is draining. Remember that this is meant to be just a temporary solution. It is necessary at this point, since baby isn't able to nurse, to ensure an adequate milk supply. Hopefully with some assistance you will be able to get baby to the breast soon, and then the pumping will no longer be necessary. Do you have anyone who can help you with other household tasks so that you can rest and spend your time focusing on the baby?

  6. #6
    Join Date
    May 2007
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    16

    Default Re: Tongue rolled up, latch problems, low milk supply! :(

    Thanks and I've managed to find a lactation consultant - thank God! He's finally managed to latch on.

    But, every time I feed him, I bf him first and then use cup to feed him pumped milk, and then I gotta pump. He can bf for like half hour and then still feel hungry. Then I have to pump so the milk can go out and I dun feel soo engorged. I dunno why - do you think I’m not doing it right as in, he’s not getting the milk as he should even though he’s latched on?

    I thought it was alright because when I check in between his latching on, I can see that there's milk.

    This routine repeating every two - three hours is really crazy.

    If I pump only on alternate feeds, will it decrease my milk supply?

  7. #7
    Join Date
    Apr 2006
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    Default Re: Tongue rolled up, latch problems, low milk supply! :(

    I'm glad you were able to find some help. You might want to get back in touch with the LC. Sometimes it takes more than one visit to get everything ironed out (I know it did for me ).

    So, are you saying that you still feel engorged after he has nursed and that pumping then relieves the engorgement? That could indicate that baby is not transferring milk well. His latch could be not quite right or he may not be sucking effectively. Or maybe it could just be that you have an over supply of milk. When the baby nurses, do you see/hear active swallowing? When a baby nurses, generally they start with some quick short sucks to trigger let down (which you may or may not feel). Then, as the milk begins to flow, you will see rhythmic jaw movement (with motion near the temples) with a pause to swallow (you might hear a swallow or a small puff of air as he breathes) after every one or two sucks. Then, as baby gets full and milk flow slows, swallowing will decrease.

    How much expressed milk is baby currently taking by cup? How many wet and dirty diapers are you seeing in 24 hours? Did the LC weigh the baby before and after nursing to see how much he is getting at the breast?

    Sorry, lots more questions. Hang in there, it sounds like you are on the right track.

  8. #8
    Join Date
    May 2007
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    16

    Default Re: Tongue rolled up, latch problems, low milk supply! :(

    Yes I still feel engorged sometimes after the baby nursed and the pumping did relieve that. I tried to look whether the baby is transferring milk - sometimes he is, because when I pull back, I can see milk in his lips. But the baby is usually sucking like 5-7 times and pulls off the nipple when he doesn't get the milk in fast. Do you think he's one particular impatient babe? Is this reaction common? The milk supply doesn't seem to be flowing all the time so that makes him impatient.

    Sometimes after nursing, I'm still feeding him 50ml of expressed milk by cup. He has about 6 wet diapers and 1-2 dirty diapers in 24 hours.

    It's pretty discouraging to keep nursing and then feeding him again.

    I'll have to try find time to see the LC again soon.

  9. #9
    Join Date
    May 2007
    Posts
    258

    Default Re: Tongue rolled up, latch problems, low milk supply! :(

    I can almost guarantee your baby is tongue-tied.
    here's some info
    http://www.kellymom.com/babyconcerns...tonguetie.html
    http://www.entnet.org/KidsENT/tongue_tie.cfm
    http://parenting.ivillage.com/newbor...,,91wd,00.html
    http://www.lalecheleague.org/llleade...rMay02p27.html

    Please see an IBCLC or your child's pediatrician(if he/she is breastfeeding friendly) right away and begin making calls to Ear/Nose/Throat Specialist and Pediatric Surgeons. Get in to see one ASAP.

  10. #10
    Join Date
    May 2007
    Posts
    9

    Default Re: Tongue rolled up, latch problems, low milk supply! :(

    It definitly sounds like tongue-tie. You may have to fight for a frenotomy though, a lot of docs find them superfluous since you can just bottle feed instead. I hope you find your answers!

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