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Thread: Small baby latch on problems

  1. #1
    Join Date
    Jun 2007
    Posts
    3

    Default Small baby latch on problems

    Hello, My name is Louise and I am new here. I just got off the phone with a new Mom who is having trouble breastfeeding her newborn daughter. She is at her wits end and exhausted. The baby is very small, under 6 pounds and they are having trouble with latch on. It seems babies mouth is too small to attach correctly at least according to Mom. She has been trying to nurse and is developing sores. She has been pumping and using her finger to give the breast milk this way. She ended up putting breast milk into a bottle and giving it to her baby by the time we ended our conversation. Is there any advice you can give to me to help her? She is really serious about wanting to breastfeed but is very discouraged and at the point of giving up. I would appreciate any advice or help you ladies could give. I have suggested she contact the WIC office to contact a lactation consultant and I am hoping they will be able to help her and have done the best I know how as far as advising her. I'm just not sure what to tell her to do should she call me again. I hope I am making sense at 2:23 in the morning.

    Thank you very much,
    Louise

  2. #2
    Join Date
    Jun 2007
    Posts
    3

    Default Re: Small baby latch on problems

    By the way, the baby was born by cesarean and was full term. Baby was born this past Wednesday.

  3. #3
    Join Date
    Jan 2006
    Posts
    18,063

    Default Re: Small baby latch on problems

    there seam to be lots issuses, putting the baby to the breast, and then the cracks. How to feed the baby?
    Is she having any buring pain? When you get thrush in your nipples at birth it can cause cracks and bleeding.
    C-section moms get a big dose of antibotic in their iv...
    heres some info on the thursh:

    http://www.lalecheleague.org/FAQ/thrush.html

    heres a link about getting the baby back to the breast
    http://www.lalecheleague.org/FAQ/back.html

    and how to heal cracks:
    http://www.kellymom.com/bf/concerns/...lehealing.html



    and this is a link to apno, you have to talk to your doctor and then have it made at a componding rx. But it will help with the cracks!
    http://www.kellymom.com/newman/03b-t...asts.html#apno



    some babies just need some time to get the hang of breastfeeding.
    heres a link about altenatives to the bottle
    http://www.kellymom.com/bf/pumping/a...e-feeding.html

    this might help too:
    http://www.ilca.org/pubs/jhl/j18h1l10.pdf

    if you can talk her into calling her her local leader that would be helpfull to mom! The wic clinic might go either way, some of them have wonderfull careing ladies and others are not so great!

  4. #4
    Join Date
    Feb 2007
    Posts
    344

    Default Re: Small baby latch on problems

    My daughter was also really small and had a tiny mouth. I had to pull down on her chin to open wide enough. When she was 2 weeks old she weighed just 5lbs (dropped a lot of weight). The whole issue was her mouth was to small and not latching on correctly.

  5. #5
    Join Date
    Nov 2006
    Posts
    6,959

    Default Re: Small baby latch on problems

    Some physical therapists say that when you want a body joint to open you press it gently closed. If the thumb pushing down on the chin trick doesn't work, try pushing the chin closed.

  6. #6
    Join Date
    Jun 2007
    Posts
    3

    Default Re: Small baby latch on problems

    thank you for your help

  7. #7
    Join Date
    Sep 2006
    Posts
    562

    Default Re: Small baby latch on problems

    Sometimes a mother's nipples really are a bit too large for her newborn to latch well on. One funny term for this situation is "oro-boobular disproportion" ... but actually, it can make things really, really hard getting started.

    If this diagnosis is the mother's description only, I would urge her to seek skilled in-person help from someone trained in lactation support -- either a LLL Leader or an IBCLC. There could be a lot of other things going on that make it appear to her that the baby's mouth is too small.

    On the other hand, if it does in fact seem to be a true case of tiny-mouth-big-nipples, then encourage her:

    1) to keep her baby fed by whatever means necessary (explain the risk of nipple preference that comes with bottles, and mention alternatives like an eye dropper, syringe, or tube taped to her finger), so that the diaper count stays above the 6-8 minimum wets, 2-3 dirties per 24-hour period and so that baby can grow and thrive;

    2) to pump with a hospital grade pump at least 8-10 times a day, including once or twice during the late night/early morning, to protect her milk supply;

    3) to keep trying patiently, frequently, and gently to latch, focusing especially on lots of relaxed skin-to-skin time with baby on her chest, so that the baby will not associate mom's breasts with tension and frustration

    4) to trust that as her baby grows a bit bigger, she'll get the hang of nursing eventually.

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