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I have some newbie questions
No idea what I should be doing!


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#1 *RockTot*

Posted 04 January 2013 - 10:32 AM

Sorry for the rambley post...

DD has lost 30g since she was weighed a week ago.  I'm crushed as I thought we were doing so well.  I had supply issues with DS - I thought this time would be different sad.gif

I'm at a loss as to why she would have lost weight - I'm demand feeding, she is a bit up and down with her feeds - sometimes she sucks well, other feeds she only sucks for a short period.  Her attatchment isnt the best, but I can hear her swallowing.  
She prefers one breast over the other, and seems to not try very much at the least preferred side, so when I switch to the other side she will suck much better.  I'm worried I could end up with Mastitis again because she is not draining the other breast completely.  Or maybe there is just not much in it?  I can never express more then a few drops from this breast, but the other I can get 30mls or so.

Also, Should I be switching sides?  Or is that only for the colostrum stage?  DD feeds for around 20-25mins at once side before nodding off, so even if I put her on the other side when she stops sucking, she might only take 4-5 proper sucks in 10mins.  Again, I'm worried about Mastitis!

Any tips on what I can do to boost her weight back up again?  Other then expressing?  I honestley dont have the time to express, and I get so little out anyway...

#2 deejie

Posted 04 January 2013 - 12:42 PM

Hi Rocktot,

Don't get yourself disheartened by the 30g loss. You said you are at a loss, but it doesn't seem that way from your post. You are obviously a very clued-in, observant mother and have an idea of where to start tackling the problem. It is not automatically a supply issue, it could be combination of things.

If you think your daughter's attachment isn't the best, is it possible to see a lactation consultant to work on that? A deep, proper latch will help her feed from the breast far more effectively. Some councils have breastfeeding clinics, public hospitals, or of course you may have access to a private one who can come and see you in your own home.

My children have always preferred one side too. The nipple on my left is slightly flatter and the flow is never as good. Some things I did on the "bad" side was breast compressions-- as your baby is feeding, squeeze the breast towards the nipple to increase the flow. Watch for swallowing.

After taking one side, change your daughter's nappy to rouse her and then offer the other. Try to avoid your baby falling asleep on the breast early on. You can do breast compressions as above, tickle their feet, stroke their cheek gently, walk your fingers gently up their back. If the sucking slows, use your tricks to keep her feeding as long as you can.

How long is your daughter typically going between her "demand" feeds? Any long stretches where you could sneak in an extra one? Is it possible you need to do a couple of extra feeds over the course of a day?

#3 MintyBiscuit

Posted 04 January 2013 - 01:38 PM

Deejie has some great advice, but I just wanted to second the switch feeding. DS always favoured my right side and it would be a struggle for him to drain the left, so I would switch sides a number of times throughout a feed, especially in the early days. I found giving him a little tickle behind the ear would help to rouse him if he was getting sleepy during a feed, and I'd also often lightly pat his bottom during a feed to keep him awake.

It may not be helpful for a baby as young as your DD, but when DS was a little older (maybe 4-6 weeks?) I would actually pop him off the breast if he fell asleep and that would usually rouse him enough to get him sucking again. Arduous, but it did the job for us.


#4 lucky 2

Posted 04 January 2013 - 04:41 PM

Hi there, what did your chn suggest you do to help your baby grow?
I second the pp's suggestions to get more milk into your baby.
If you are having bfing difficulties then try and see a LC asap.
If bfing is really problematic, ie baby too sleepy to suckle enough or breast is developing blocked ducts then express after those feeds to keep your milk production happening and to get some milk out to give to your baby.
Since you have a history of low supply I am inclined to think that expressing after feeds atm may be helpful to maximise your chances of reaching a full supply.
It would be great if your baby could do all the work but if she has lost weight then this is an indication that less milk has been removed from your breasts (and into baby) than ideal and expressing will help until the problems are sorted.
This doesn't necessarily mean that your supply potential is low but that your baby may not be attaching and breastfeeding effectively which leads to less than ideal intake and under stimulates milk production. I hope that made sense.
I am hoping your chn worked with you on a feeding plan and booked a follow-up visit.
If there is a time lag in seeing a LC you could also call the ABA.
All the best.

#5 Loz07

Posted 06 January 2013 - 07:15 AM

Hi,

Were the weigh conditions exactly the same both times? Same set of scales, same amount of clothes (or lack of!), pre (or post) a feed, pre (or post a poop)? If any of these were different it could easily account for the 30g difference (or more!) Is your baby happy, alert (as a 2 week old gets!), settling well, having plenty of wet and poopy nappies, nice and pink? I say this because while weight gain is obviously important, it is not the only indicator of a healthy baby. My DD lost mmore than 10% and took more than 2 weeks to gain it back, but none of the health professionals who reviewed her were overly concernced because she fit the above (we were still working on feeding etc tho).

Having said that, re your supply
* agree with the pp's about having a feeding plan (eg on demnd, but no more than 3hourly during the day/4 hourly overnight)
*agree with seeing a LC/CHN/midwife to assist
*agree about still switching sides, and even switching back (eg, offering 3 or 4 breasts during a feed)
*from what I understand, it is milk out and nipple stimulation that promotes milk supply so offer extra/longer feed(s) and/or express. I was told in the early days when trying to boost supply to express after a feed for not more than 10 mins per side (told tht longer can cause nipple trauma early), so 20 mins a couple of times a day? Or even expressing on the non-preferred side to help its supply?
*can you offer the non-preferred side firstt when she is especially hungry and more likely to drain?
*fennel tea is supposed to help supply, and boobie biccies - there are recipes online (and maybe here on EB) or you can buy from Pinky McKay's webiste Pinky McKay

Good luck!

#6 happygurl06

Posted 06 January 2013 - 09:13 AM

My DS lost weight for longer than expected as well.  Unfortunately the third in home MCHN was useless and actually said to me "I don't understand this whole having to breastfeed thing and the emotions involved, maybe it's because I don't have kids".  She left and I called the ABA in tears.  I had a wonderful lady talk me through how to keep an eye on his attachment and swallowing and how to identify letdown.  DS was not having heavily wet nappy's and had not done poo in days, he slept alot and would fall asleep feeding.  The ABA consultant suggested expressing and feeding via bottle (offering breast at the end) and got me onto a LC.  

As it turned out DS had tongue tie that was not noticed in hospital or by the three MCHN's we saw.  He had to try so hard to get milk that it tired him out.  I got that fixed and with one more visit from the LC we were well on the way to a much better BF relationship... Still going strong now at 13 months.

Use the resources that are available, I didn't with my first and had a terrible time.

Edited by happygurl06, 06 January 2013 - 09:17 AM.





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