Jump to content

Seeking advice as to why he is coming off and re attaching


  • Please log in to reply
12 replies to this topic

#1 Covert

Posted 18 February 2013 - 11:29 AM

I am so concerned that our BFing relationship is beginning to end sad.gif 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.



#2 ~kacee~

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.

http://kellymom.com/bf/got-milk/supply-worries/fast-letdown/

Hope you can get it sorted soon!

#3 Tesseract

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.

#4 Llama in Pyjamas

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.


#5 lucky 2

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! original.gif

Edited by lucky 2, 18 February 2013 - 12:00 PM.


#6 Corella

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 original.gif. 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.

#7 Moo point

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 original.gif



#8 zzgirl

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???

#9 RichardParker

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.

#10 DragonsGrace

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

#11 niggles

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.

#12 Rach_V

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.

#13 Covert

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

 

What you need to know about ovulation tests

Most people who are trying to get pregnant know that the best time to conceive is in the few days after ovulation.

Surviving a miscarriage at sea

A cruise with your family is among the most absurd settings for a miscarriage, but it is certainly not the worst.

Mum of three denied tubal ligation because she's 'too young'

A 22-year-old woman who is pregnant with her third child has had her requests for a tubal ligation denied because doctors believe she is too young.

Slapped cheek syndrome a danger for pregnant women

When a pregnant woman is infected, the likelihood that her foetus will be infected is about 50 per cent.

The signs and symptoms of ovulation

If you're hoping to conceive, one of the most important things you need to know about is ovulation.

We all know 'mum guilt' - but what about 'dad guilt'?

I remember the first time I felt mum guilt, within days of having my first child. The feeling was so intense I rang my own mum to debrief, hoping she'd tell me I wouldn't feel this way very often.

Kristen Bell urges mums to be their own superhero

When it comes to motherhood, actress Kristen Bell is her own superhero and she thinks other mums should be too.

Pram review: GB Pockit travel stroller

In a world of ever-shrinking gadgets, it's no surprise prams are getting smaller. We put the record-holding GB Pockit through its paces.

The beautiful Bombol Bouncer is back

The gorgeous Bombol Bouncer is back - and boasts two chic new colours to boot.

Gadgets and accessories for wine lovers

Looking for a gift for the wine lover in your life - or just something for yourself?

Free ticket offer

Pinky Mckay joins us again at the Essential Baby & Toddler Show presented by Blackmores with her expert baby settling advice. Register now for your free ticket.

The adventure doesn't have to stop: here's how to travel with baby

The best part about our outdoor adventures? It makes my husband and I better parents, since we're happier while adventuring.

Woman crashes car to save mum and baby's life

A good samaritan saved a mother and baby from being seriously injured by crashing her own car into theirs.

Should you tell your boss about your postnatal depression?

Returning to work after having a baby can be daunting, and when you're experiencing postnatal depression or anxiety it can seem even more overwhelming.

TV noise can slow toddler word learning, study finds

Background noise from the radio or TV might be making it harder for your toddler to learn learn new words.

Teresa Palmer on her molar pregnancy and 'unsexy' conception

Teresa Palmer is basking in pregnancy glow as she awaits the arrival of her new baby.

 
Advertisement
 

Top 5 Articles

Advertisement
 
 
 

What's hot on EB

For the festival lover in all of us

Pre-book & Save 50%. Get your tickets now for Kidtopia Festival. 7-9 October 2016 Parramatta Park, Sydney.

Why drinking water can be deadly for babies

H2O is one of the necessities of life, but for babies a seemingly harmless amount of water can be fatal.

5 ways having a baby is different when you have older children

So much parenting advice is geared towards having your first baby, but what's it like having a baby when you already have children?

You can now make your own plush Falkor

Fans of The NeverEnding Story – of which there are certainly plenty – went crazy for these plush Falkors when they first went on sale last year.

Baby steps

10 things that will actually happen after having a baby

I thought I had prepared myself for motherhood. Then my baby girl arrived and knocked everything flat.

Having a baby: expectations vs reality

People love to warn you about what to expect when having a baby, but they can be way off when it comes to the reality.

Are we having fun yet? Thinking positively as a parent

Motherhood is wonderful ... except when it sucks.

The adorable smile of a baby seeing his mum clearly for the first time

There is no doubt seeing their child smile for the first time is an unforgettable moment for parents everywhere.

When breastfeeding doesn't go with the flow

Breast is best, except when it's not. And in our case, it most definitely wasn't.

'If you don't vaccinate your kids you're a bloody idiot'

The photos are heartbreaking and almost too difficult to look at, but Kayley Burke is begging other parents to take notice.

Why pregnant women should eat chocolate

In news that will make expectant mums jump for joy - and reach for a block of Cadbury - scientists have revealed chocolate could provide health benefits during pregnancy.

The baby born with an incredible head of hair

If you're in any way challenged in the follicle department, prepare to feel a jolt of envy - at a two-month-old baby.

The push for Medicare to fund lactation consultants

While meeting with a lactation consultant can make an enormous difference to a new mother, it's not a service that is available through the public health system.

Parents, this is how to cut grapes to avoid choking

One mum has learnt a harrowing lesson about the best way to cut grapes to make it safe for toddlers and little kids to eat.

Three truths about C-section mums

Lately I've been thinking about the caesarean stories and the brave women who birth their children with strength and beauty.

Help! My baby will only sleep in my arms

It's stressful to be the one who is holding your baby most of the day, but it's even more stressful to wonder, 'am I doing something wrong? Or am I creating bad habits?'

 

Free ticket offer

Essential Baby & Toddler Show - Sydney

The Essential Baby & Toddler Show, presented by Blackmores, will be held in Sydney on 23-25 September. Register for your free ticket now to save $20!

 
Advertisement
 
 
Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.