Jump to content
Seeking advice as to why he is coming off and re attaching
12 replies to this topic
Posted 18 February 2013 - 11:29 AM
I am so concerned that our BFing relationship is beginning to end I have called the Lactation Consultant I saw the other week and left a message but in the meantime does anyone have any suggestions. This is the problem:
Within 30 seconds of starting to feed (regardless of which side) he pulls off, then re attaches. He will sometimes cry out and get upset and frantic as he tries to latch back on. When he eventually does latch on he is only on for a few seconds before pulling off again and repeating the saga. He will pull on the nipple also. It is almost as if he is not getting any milk and is frustrated, however I can hear him gulping and I can also see milk in his mouth and pouring out of the corners of his mouth. I don't think supply is the issue as when I squeeze my breasts milk squirts out in all directions. I have tried all the tips and advice for oversupply. Can anyone offer any help???
I wasn't able to BF my first son and because this is my last child I am really keen for it to work out. This baby is 5 weeks old today.
Posted 18 February 2013 - 11:47 AM
Others will give better advice than I can give, but it sounds to me like a fast let down? Try feeding lying down, or taking him off as soon as you get a let down, squirt some milk into a towel, then reattach him.
Hope you can get it sorted soon!
Posted 18 February 2013 - 11:54 AM
Agree that it sounds like a fast let down. I had exactly the same problem - finally got baby latching at about 3 weeks, then at 5-6 weeks she was frantic/screaming from the let down.
The kellymom link the PP has given goes through all the typical tips.
I would say that the problem seems to arise at around this time, you aren't alone.
For me I just persisted with what worked for us such as feeding when sleepy. I had a difficult latch so feeding laying back was hard for me, but I did get the hang of feeding lying down on my side which slowed things down. Eventually DD just grew bigger, my supply settled and it was all fine. It did take a few weeks though. We're still feeding at 2 years, so it definitely wasn't the end!
Definitely see the LC as soon as you can. You can also call the ABA in the meantime, it is a common issue so they should be able to work with you to work out a few strategies that might work for you.
All the best, Tess.
Posted 18 February 2013 - 11:55 AM
My first suggestion is to call the ABA helpline- they might have more ideas to try.
You are doing a great job to book the lc too.
I do agree it could be fast let down, but was also wondering about tongue tie- they can be really tricky to diagnose, so you may need a second or subsequent opinion.
Posted 18 February 2013 - 11:56 AM
I think having the LC watch a feed will be ideal, she will be able to see what exactly he is experiencing and why he is doing what he does.
I'm wondering whether he doesn't have a deep latch of the breast when this is happening, ie if he had your nipple deep he would be more likely to stay on the breast when you started to let-down as it sounds like your milk release is strong and the deeper in the mouth your nipple is, the better he will cope with flow, even if it is strong.
Nipple deep in mouth means milk goes directly to the back of the mouth and baby can coordinate suck/swallow/breathe better.
Milk coming out the sides of his mouth may be evidence of this, ie if nipple is deep the milk is swallowed (gulped/sculled) rather than leaking.
If milk is not going to the back of the mouth it can be overwhelming to baby and he will come off in distress, often spluttering.
As to why your nipple may not be deep enough, I don't know, the LC will be able to assess this, ie do you need to soften your areolar before attaching baby is it is full of milk and tight=less depth of latch?
Or is he used to a shallow latch to try and cope with a fast flow but unfortunately it is a counter-productive move, it makes feeding harder for baby?
Does he have some difference in his mouth that restricting your nipple going deeply?
In the meantime you could-
- check that your areolar is soft and easy to grab prior to each feed, hand expression to soften if needed
- try to get an uneven latch, ie try to position his bottom lip as far away from you nipple as possible (nipple just folds under top gum) this will put more areolar over his tongue and hopefully get your nipple past his hard palate
- consider a more upright position for feeding, ie bum lower than head, he may cope better
- ensure his chest and chin are tucked in close to your breast and his nose is off you breast (forehead tilted back), he may cope better
- worst case scenario is expressing milk and giving by an alternative means if he is unable to drink enough to grow and/or you have overfull breasts and are at risk of blocked ducts +/- mastitis.
What I have suggested may not be relevant to you so please ignore me if I'm off track, that's why seeing you LC would be the most helpful thing to do.
You could also ring the ABA Helpline until you speak to or see your LC.
All the best.
eta, ha, I needn't have posted, we have all suggested very similar things, good luck!
Edited by lucky 2, 18 February 2013 - 12:00 PM.
Posted 18 February 2013 - 11:57 AM
I would say you're doing an awesome job and he's coming up to 5-6 weeks when your breasts get more efficient. Him pulling on the nipple is to get a let down so perhaps express to your first let down and then put him on? If he's coughing and spluttering it would indicate a fast let down so it doesn't sound like that.
It will change next week . Keep an eye on wet and dirty nappies, growth and look at the baby (happy, cheerful, bright eyed) and take one day at a time. You are doing a great job.
Posted 18 February 2013 - 12:03 PM
I agree with Kacee, I had the exact same problem when DS was younger. Very fast letdown, meaning the poor little thing was choking. The link kacee posted is excellent, a lifesaver for me!
What worked for me was block feeding (explained in the link)- feeding DS only from one breast per feed, for two or three feeds in a row. Feeding lying down is one of the best things I did, just put a towel underneath your baby's head to catch the inevitable leaks. I often fed DS sitting on the couch with my feet up, knees bent, so that he was partially sitting up. By about 4 months old DS was feeding from both sides per feed.
It is very frustrating, but I don't think it means the end of your breastfeeding relationship - there are things you can do to adapt how you feed and give your little one time to get used to the fast flow. DS is almost 8 months old and still feeding
Posted 18 February 2013 - 12:08 PM
I had exactly the same problem!!! Everyone I spoke to told me it was fast letdown!!! I went to the pediatrician and he diagnosed silent reflux. No vomitting, just means that the acid was coming up and burning my daughter in her throat. The pediatirician suggested mylanta (I think it was only 1ml) before breastfeeding, and problem solved. Maybe you can investigate this too???
Posted 18 February 2013 - 12:12 PM
Mine is doing the same thing and I think it's the let down, because when he pulls off there's a strong squirt of milk, Block feeding has helped a lot- I just give two or three feeds on each side before changing- I've been to,d it also assists in providing more of the fattier 'hind milk' so he's a bit more settled.l. The MCHN said that the baby eventually learns to regulate the flow, so just keep letting him attach, pull off, then reattach. Express a bit if you have to, but pretty much just relax and allow the feed to take as long as it takes.
Posted 18 February 2013 - 02:45 PM
My dd did that starting at 2 1/2 weeks. She would whimper, come off, cry and then attack the nipple again hungrily. She was diagnosed with silent reflux too. She would feel pain when the acid/milk would come up, come off and then wanted to be fed constantly for a week until diagnosed and put on mylanta. I also have a really fast letdown (as in suck, suck whoosh) but it doesn't bother her at all. Does your ds whimper while still attached or arch his back/wriggle around whilst feeding? These are the things my dd does when having an acid attack
Posted 18 February 2013 - 02:50 PM
It doesn't have to mean the end of breastfeeding. Mine is still doing it at 14 months. Initially he did it because of a forceful let down. Now he does it because the let down is too slow to come and so he switches from one side to the other and back agian until I get a let down.
I agree that the advice on Kellymom is very useful in this regard. It helps you feel like you've got some options to tackle it rather than "What the hell do you want from me?!" frustration.
Posted 18 February 2013 - 09:56 PM
We're another silent reflux case here - DS started doing the behaviour you described at about 3 weeks old, MCHN and LC said it was a forceful letdown (which I do have), but he just kept getting worse and started becoming miserable all day as well. I put it down to him being a colicky baby, but by 12 weeks he was getting worse, not better. It was awful. Feeding him was incredibly stressful and with every feed dissolving into tears for both of us I tried to wean him, but no one could get him to take a bottle. He slept well at night, so I hadn't really given reflux any thought until one of my friend's midwife/MCHN mum suggested silent reflux. He had heaps of the symptoms with the fussing at the breast, pulling off and arching away, screaming, congested nose etc.
The GP agreed to trial a course of Losec and it took a good 2 weeks but he is like a different baby. He is now happy and content and doesn't pull off from his feeds screaming anymore.
Posted 18 February 2013 - 11:03 PM
Thanks for all your replies ladies, I appreciate it.
Finally got hold of my LC and she is confident it is silent reflux. We have a GP appt tomorrow to hopefully sort it out.
1 user(s) are reading this topic
0 members, 1 guests, 0 anonymous users
If you're a new mum and feeling ignored by the older mum/the old hand/the has-been, please know, it's not you, it's me. Blame the last child parenting fatigue.
Having a new baby isn't tiring - it can be downright exhausting.
I was on a high. I'd done it all by myself with no help from anyone.
We're big fans of kids' birthday parties - but this is one bash we're glad we didn't get an invite to.
Everybody loves a bargain - including the Duchess of Cambridge.
A lengthy note put on the window of a fish & chip shop has gone viral due to the writer's serious doubts about the romance of travel.
Pregnant women are under pressure to do all the "right things" to have a healthy child. It results in women feeling judged about their decisions.
Giving your child a sibling when you don't want to have another baby can be a complex issue.
The mother of missing toddler William Tyrrell says she has a vision that somebody "picked him up and moved him on ... that's the only way ... to explain for him not to be there".
Most 23-year-old blokes spend their hard earned cash on fun times with mates or romantic dinners with their girlfriend, but not Tommy Connolly.
The first all-female quintuplets born in the United States were delivered last week, at 28 weeks and two days.
He may be less than a week old, but baby James Hunter has already helped his model mum silence her critics.
A recent Reddit thread has revealed some of the more creative names in the world.
A US woman awakened this week from a four-month-long coma that doctors had feared would be permanent and learned that she had given birth to a baby boy, according to her family.
Posting a lot of baby photos doesn't make you a bad person. It may make your Facebook feed a little irritating, but it doesn't make you a bad person.
It's time to shift the focus off what dads aren’t doing and shine it on what they are.
If you're only just joining the modern cloth nappy movement, or would like to spruce up your collection, we have to introduce you to Designer Bums.
When you’ve just had a baby, having sex isn’t usually top priority. In fact, for a lot of women it rates about as appealing as changing another dirty nappy.
Is it acceptable to use these car parking spots when pregnant? How many of us would admit to doing it?
Fertility doctors have described their "most extraordinary case" - creating a healthy baby from sperm taken 48 hours after a man had died.
Top 5 Articles
Let’s keep talking about these issues and not allow them to be put into a neat little box that’s labelled ‘Fix childcare and everything is solved’.
When trolls felt the need to comment on 35-year-old singer-songwriter Pink's weight, her answer was an awesome ode to body love.
A national chain of fertility clinics is offering egg donors a $5000 payment to cover their expenses, a first for Australia which is raising concerns the money could act as an inducement.
Australian officials could do nothing to stop an Australian couple from abandoning their baby son, born through surrogacy in India, after they decided they did not want to bring him to Australia.
Individual choice works for haircuts and handbags, but not for preventing infectious diseases that kill kids.
If there is one thing Leilani Rogers knows about childbirth, it is that no two deliveries are ever the same.
Note to self: less sewing, more life. Not the party dress, but the party. The toddler, as usual, has it all figured out.
In 1965, Zella Jackson-Price was told her premature baby girl had died shortly after birth.
New research suggests that taking specific pregnancy probiotics could be the answer to a range of common pregnancy side effects.
Announcing that you're expecting can be a time to express your creativity, sense of humour and imagination. Check out how other parents and parents-to-be have broken the news to friends and family.
Are you one of those that know the whole IKEA catalogue by heart? Love their stuff but want to personalise it? Here's some inspiration to help you realise the potential of IKEA furniture and fittings.
A French court may have ruled out Nutella as a baby name, but that doesn't have to stop you from taking inspiration from the supermarket (or bottle shop). See what parents in the US have chosen for their delicious little ones.
Receive a daily email from Essential Baby for just the month of April with great play tips and ideas, then submit your baby at play photos to our Playwall, Instagram or Twitter for your chance to win.