Nightmare evening(39 Posts)
So bf my 11 day old has been going well, although he's v clicky when he feeds there's no apparent obvious Tt but maybe a lip tie. But this evening i just haven't managed to let down properly and he's not sucking properly either to get things going. Have finally given him a couple of oz out of the freezer (but there are only a couple left now) and tried to express without success.
I'm so paranoid about bf having had issues with ds1 and pnd the first time. Ds2 also lost 40g between day 5-10 so i know it's important to get milk into him but we've een having loads of wet and dirty nappies and i can trll if he's had a good drink ehich he does mostly.
Any suggestions? My only thought was to just see
how it goes next feed and hope he can latch on again...
But the chances of me sleeping whilst worryingvhim are a bit slim...!
Great that you've got a diagnosis at last.
A week is indeed a very long time to wait - at your hospital.
Well the short version of a v long story is F has an appointment to have his newly diagnosed posterior TT snipped a week on friday at the hospital. Or i could have it done at home by ann dobson on monday but mybhusban is leas keen on that option. Why does a week of feeding and expressing seem a really long time though...!
It's manageable in hospital with nothing else to do but i'll have way less support next week.
Sounds like you're having a rough time if it all. DS would feed much better at night with he's TT, the day feeds were always a battle.
Hope you make a speedy recovery
Clicking is one of the signs off TT, although I don't know if it can be caused by other things. TT can cause bottle feeding problems as well as bf ones.
Have you seen the Kellymom info on helping babies who are reluctant to bf? Here.
We're back in hospital. Turns out fred had an infection. He'a not back on a nasal tube but bf and top ups. A bit sadly he only feeds properly from me at night and doesn't work for it in the day apparently preferring the bottle. Keep being told to see how it goes when he'a well but getting tired now. Bit
He also clicks when freedi g from the bottle. Hmm
Pleased all is ok .
Ann Dobson & Katie Fisher are both brilliant. I was 6 HCP before Katie sorted DS's TT. She was so lovely & helped us loads.
Glad you're going home. Sadly it's possible for that many people to miss TT (there was a thread here about it, but hope that's not been the case for you.
Hope things improve.
We're being allowed home. Just need to check in with hv next week. If he does have a posterior tt, it's been missed by the midwives, bf clinic at the hospital and the prof on the children's ward here who have all had a look. Save for that i think i'll just top up if he's not nursing effectively.
Oh Jims so sorry to hear you had such a horrible time today hoping they will give you the all clear tomorrow.
Oh, that sounds like a scary situation to have gone through.
Hope you get some sleep and that things improve.
So we made it to ann's clinic but fred having been ok this morning, had gone really unresponsive and floppy. I freaked out and took him to a&e in london. Where all his tests were initially clear, he had put on weight - poss due to the ebm i had given him this am - but they thought he was showing some signs of dehydration. So we've been admitted overnight.
But the blood tests actually didn't show he was particularly dehydrated. So we're in for observation and they're tube feeding him every 2 hours (so far ebm) incase it was that. Except they forgot his second feed and i ended up feeding him myself for a bit, much better than he has done in a while - little pest!! I'm glad he seems ok as i'd find it hard to forgive myself if i'd caused him to go hungry in an attempt to avoid formula
I'm just taking it as it comes now and if he ends up on formula so be it.
Never did get that assessment from ann! The prof here saw no signs of TT although i still think he shows some signs like a heart shaped tongue. Oh well.
Apologies for the stream of consciousness post, bit tired now.
Thanks. Will see how goes tomorrow. Even with strong desire to bf, v nearly threw in the towel several times today. My husband is lovely but still thinks i'm a bit crackers.. He's going to come with me tomorrow although that means bringing our 2.5ds as he's worried about me and the journey. There's a park opposite the clinic at least.
Biological position working a bit better at the moment... Well at least for the first side! Too sleepy for the second so top up time required. I really don't think he's had enough milk over the last 48 hours and has prob just had enough to sustain him and that's all. Maybe more top ups are requ...
I am hoping for either a small miracle or a reason why it's not working. Do wonder if i'm just looking for an excuse to give up so i don't feel too guilty. I
More ideas here from Kellymom.
Yes, even relactation from having completely stopped is possible (though hard work). Don't despair.
Jims, Angel has given some really good advice already.
Two things really strike me from your posts so far - you are well informed and highly highly motivated to bf. I think your baby is very very lucky to have you as a mum.
Hopefully tomorrow you will get clarity on potential tt. I think you are dead right to follow your instinct - often mothers just know things and you are the expert on your own baby.
It will definitely not be too late to rescue supply. Keep going with the expressing - if you are pumping round the clock when not feeding then there will still be milk when the bf gets sorted. Someone on here managed to relactate even, when they were sorry they had given up bf. They couldn't fully bf but they continued giving some feeds for months iirc.
Please keep us posted.
Ah, Ann Dobson is supposed to be very good.
Definitely not too late to be able to recover supply.
I think it's important to listen to instincts telling you something isn't right. I thought something wasn't right with DS1's feeding - thought it might be thrush, then TT, but didn't know how to get help. Bf groups, GP and (to an extent) our paediatrician made me feel like I was a paranoid mother. Now at nearly 3 y.o. he's been identified as having poor tongue movement which is causing fairly significant speech problems. I suspect it's posterior TT and we're getting it assessed next week.
I've been trying to feed then express as much as poss today. He had some ok feeds but not since about 4pm again when i've resorted to ebm. Going to see ann dobson in london tomorrow and see whether there's a posterior tt. Just hope it's not too late to get my milk properly moving again if it was that. My DH is concerned more about me stressing though and thinks i'm just looking for problems. I just have an instinct things aren't right though
Yes, if you suspect a lip tie (and clicking makes me suspicious), I'd get him checked for tongue tie by someone who knows what they're talking about. Lip ties almost always go with posterior tongue ties. PTT is difficult to diagnose unless by someone with plenty of experience.
Biological nurturing positions may help you, as might feeding in the bath. Lots of skin to skin may help too.
Breast compressions (google Jack Newman breast compressions) are good for getting milk into a sleepy baby, or one who's at the breast but not really swallowing.
As PP said, expressing really isn't a good indicator of supply (article here on this).
Some ways to feed a sleepy newborn:
Jims there have been posters on here who have fed for a good long while after initial difficulties. You will do it - just remember mums are some of the strongest people around - we have to be!
Just wanted to say you don't need to worry too much about how much comes out when you pump - it is not an indication of how much milk you have. Amounts vary with tiredness and according to how tense you are.
Glad you have lots of good help around you. If little one is only feeding for short periods I would keep offering often and gently keep baby awake if the feed is only moments. You can do breast compressions to keep milk flowing and baby actively feeding - if you google you will find instructions.
So now expressing after feeds as baby getting maybe one short let down and getting frustrated. But not getting muchbout. Is there anyone out there who's managed to come back from somethingblike this?
Still no joy. Had to syringe in another couple of oz but he barely woke. Am going to hospital bf clinic shortly and also have a LC consultant who may be able to see us tomorrow. Hate all this stress esp as baby v sleepy which is scaring me. On the plus side there was a v wet nappy this morning so something has gone in. How can it go from feeding fine at 4pm yesterday to this??!
Sleeping next to him already
so this morning since trying after 5am, he's had a drink off 1 boob and i expressed off the other and gave him an oz from that. Kept 2 for next feed incase goes wrong again. Think he's still hungry as frantic but tired as latches and doesn't suck. Will let him have a little sleep. Have contacted specialist tt/bf clinic and hopefully they'll ring back soon.
I hate breastfeeding when it goes wrong but don't want to give up as it's so convenient and good for him when it goes right
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