Re: OALD and pumping...should I stop?
I'm sorry you're having such a hard time! In your shoes, I would see a lactation consultant, preferably one with the IBCLC credential, as soon as possible because nothing beats hands-on help. Internet advice is great, but there may be some things going on that require professional help.
If you don't have a LC or IBCLC available, at least get in touch with your local leader, and ask her if she will come out and observe a feed.
It definitely sounds like your baby has developed some nipple confusion- he's refusing the breast because the bottle is so much easier for him. I think the best thing you can do for the future of your nursing relationship is to get your child off the bottles. You might want to take a nursing vacation- just get in bed with your baby and do nothing but nurse, nurse, nurse, for as long and as often as he will take the breast. Feeding in the side-lying position may be very helpful, if you do in fact have OALD, as sometimes the milk comes out slower in that position, which could partly explain why your baby is more willing to feed at night.
This doesn't really sound like OALD to me. If you had said "My baby is extremely fussy at the breast, arches his back, clamps down on the nipple, and often makes a clicking sound while nursing," I would have said yes. A baby who isn't draining the breast sounds more like a possible latch problem- but again, only someone who sees what's going on in person can really tell you.
And for some reason, when he does latch on and feed, he doesn't drain much out of my breast and I'm still able to get a couple ounces out of it when I pump. Does this sound like OALD?
Hang in there, and try to latch your baby on as often as possible!
Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
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