My DD (our first) was born 3 weeks early via c-section. I had issues with her latching due to many factors, one which I blame on the c-section and not being able to try breastfeeding until after I recovered which was a few hours after she was born. She also was tongue-tied and the pedi didn't notice it until she was about 48 hrs old and still hadn't been able to latch. Finally, the LC said that "late premies" often have the hardest time learning to breastfeed, for whatever reason...and my DD was considered a "late premie."
When my DD was about 6 weeks old I visited with a LC because my nipples were still SO SORE while breastfeeding and I figured my DD's latch was poor. The LC did say that she didn't have the best latch. She was latching towards the tip of my nipple and doesn't get enough of the whole breast in her mouth. The LC would try to reposition my DD, but my DD was NOT having anything to do with it. The LC basically said that because my DD was thriving (she gained almost 3 lbs in 6 weeks) that she didn't want to try to fix the latch that wasn't technically "broken" since DD was gaining weight.
We have struggled through the last 3.5 months and am proud that we made it this far. She really isn't a very good nurser even now, she pulls at my breast, delatches, and I am never quite sure if she actually empties my breast(s). She is just still so fussy yet, hiccuppy, gassy, that I am questioning a possible OS issue or at least a foremilk/hindmilk imbalance. I don't really think it is reflux, because she has been sleeping so well at night (10+ hrs consecutively). We also have tried our pedi's suggestion and given her 1/4 tsp Maalox, which, we were told would help with any reflux if it was present. She will be 4 months in two weeks, shouldn't she be getting less fussy by now?
I do know at times I have an OALD, because she will sputter and cough at the breast, especially my right one. I wonder if this is why she latches more at my nipple, so she can slow the flow of milk when it is shooting out so fast? And unfortunately, I NEVER feel my letdowns. But because I have OALD, I think DD has gotten used to only when my milk is flowing fast, and doesn't want to work for the hind milk. Or possibly because her latch is at my nipple, can't extract the hind milk??
About a month ago I was questioning an OS issue when DD was having green poops. I called my clinic's LC, and they told me to express a bit of milk first before feeding my DD, especially right before the first morning feeding when my breasts are so engorged due to DD sleeping through the night. It really didn't seem to help too much. Finally, out of frustration, I began pumping at night and emptying my breasts completely that way. My husband gives DD a bottle for her last feeding instead of being at breast. I pump about 6-8 oz total from both breasts, but DD only eats about 4 oz at that feeding. I figured this way she was at least getting hind milk at her last feeding then. And the green poops have gone away.
What should I do? I am thinking of throwing in the towel with breastfeeding and switching to EPing. Is it too late to try and remedy our situation? I always had visions of EBFing her until after cold and flu season next winter (she will be about 15 months by the time it is over).
Any help or insight would be greatly appreciated. Thanks in advance!!