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Infant feeding

Get advice and support with infant feeding from other users here.

Will I be able to correct these problems? :,( Please advise

22 replies

LittleAmy · 14/11/2010 19:16

Please help.

My DD is 16 weeks and EBF. Over the past month or so her weight gain has slowed down to an average of 1oz per week :(

At 8 weeks DD was on the 25th centile. Now she is on the 2nd.

Rather than try to find out what the problem was my HV has been bullying me to top up with formula. So far I have refused.

I suspect something is wrong with the amount of milk my DD is getting due to the way she acts on the breast (and her lack of weight gain of course). After sucking and swallowing properly for about a minuite (sometimes less) she starts to squirm and get frustrated. Eventually she will pull off the breast and cry. At this point I put her to the other breast but she repeats this behaviour. It's heartbreaking to see my DDs face as she cries whilst looking at me in the eyes and I can tell she is still hungry. She carries on rooting. I have often spent hours putting her to the breast, she gets frustrated after a minute or so, then I switch breasts, etc, etc.

I have spent a lot of time researching what could have caused this problem (I found Kellymom and Dr Newman sites very useful) and I think I have located what 2 factors may have caused this:

For weeks DD got EBM in a bottle 5 nights per week (I pumped during the night). This frequent use of bottles has resulted in DD becoming frustrated at how slow milk comes from the breast. Thus she pulls off the breast sooner, and thus she gets less milk.

Also,

I have only been offering one breast per feed. I thought this would help DD get the fatty hindmilk at the end of the feed. I was wrong. I should have offered both breasts at each feed. I know this now.

So I have stopped all bottles. I now feed DD myself at all times. I have also started offering both breasts at least once per feed.

It has only been a few days since I made these improvements. Will my DD start to improve her weight gain? Or have I left it too late and DD will never BF properly? :(

Is there anything else I can do? I'm taking Fenugreek. Should I be taking Blessed Thistle too?

Also another question: DDs length was measured for the first time last week. She is on the 2nd centile for length (also 2nd centile for weight). My question is: Is DD on the 2nd centile because she is not getting enough milk, or is DD on the 2nd centile because I am only 5ft and being small runs in my side of the family?

Extra info: DD is bright and alert much of the time. She has several soaking wet nappies per day (not sure if its enough as 6 though?) She poos very infrequently (about once or twice per week). Her poo is greeny brown (it used to be orangy yellow a month ago).

Any advice you can offer would be much appreciated.

OP posts:
MoonUnitAlpha · 14/11/2010 19:31

If she's on the same centile for weight and length then I think that's a good thing - she's in proportion and maybe she's just destined to be small. My ds was born on the 75th and is now down to the 25th, but is also on the 25th for length. Weight gain does slow as babies get older too.

I'm no expert, but if she's still gaining weight and is happy and alert, I would just keep feeding as much as possible and then weigh her again in a month.

crikeybadger · 14/11/2010 20:03

Yes LittleAmy- that sounds like you have come up with a good way forward.

How often are you feeding?
Are you feeding much in the night?

You could also try breast compression to keep the milk flowing and her interest up. See another gem from Dr Jack Newman here.

See how you get on with offering both breasts and the fenugreek - it may help or maybe as you suspect, she's just gonna be petite like you. Smile

LittleAmy · 14/11/2010 20:36

MoonUnitAlpha - problem is I don't know if she has dropped centiles in length because this is the first time her length has been measured.

Also, what about her behaviour at the breast? She can't feed for long before getting frustrated. Dr Newman describes it perfectly here.

"However, by the time babies are six or eight weeks of age, younger sometimes, many will start to pull away from the breast when the flow slows down, often within a few minutes of starting to breastfeed. This is more likely to occur in babies who received bottles early on, but can occur even without the baby?s having received bottles. The mother will then likely put the baby to the other side, but then the baby will do the same thing. He may be hungry still, and may refuse the breast, preferring to suck his hand. He won't get those extra letdowns that give him a few extra gushes of milk that he would have had if he had stayed on the breast. So he drinks less, and the supply also decreases because he drinks less, and the flow slows even earlier in the feeding (because there is less milk) and you see what may happen."

crikeybadger - I've been doing breast compression. Thanks.

Guys, will things improve with the changes I have made? Or will DD never feed properly at the breast like she used to as a newborn? :( Her latch has been checked and is apparently fine.

OP posts:
crikeybadger · 14/11/2010 21:08

It is possible to get your supply back up again LittleAmy Smile

Can you take some time out and just do some skin to skin with DD and just offer the breast as often as you can?

Are there any support groups that you can visit just to get some RL advice and encouragement?

tiktok · 15/11/2010 10:33

Amy - continue doing what you're doing, as you have the right approach to increasing breastmilk supply and intake in your dd.

You have definitely not left it 'too late'.

The herbs you mention are less important than the other changes you have made - offering both breasts more often. You could also express, but as well as offering the breast more often, not instead of.

Keep your dd close to you so you can respond quickly to every feeding cue. This is a bit more difficult with a baby of this older age, I know.

You should see an improvement in a few days.

Good luck.

LittleAmy · 15/11/2010 14:15

Hi TT.

I used to express frequently but now I just put DD to the breast. I don't want to express as I'd end up having to give DD the milk via bottle which would defeat my goal of erradicating bottle use. Does this make sense?

When you say "every feeding cue", what do you mean? Every whimper? Every suck of her hands? If that were the case I'd be constantly trying to put her on the breast, and she won't stay on for long.

OP posts:
tiktok · 15/11/2010 14:41

Yes, every feeding cue means that....nothing wrong at all with her not staying on. Short, frequent feeds are the ones that create more milk and get more milk into the baby.

amijee · 15/11/2010 15:14

how about expressing off a little prior to a feed so that let down has happened? My dd also got frustrated waiting for let down and I sometimes used to do this and it worked.

Albrecht · 15/11/2010 17:16

My ds also has been getting frustrated the last few weeks (he's 18 wks old).

What has helped us is if I put him on as soon as he wakes up from a nap - the sleepy state seems to mean that he is a bit more content to suck and less fussy and distracted by everything around him. I offer him milk even if its not been long since the last nap / feed and often he takes more than I'm expecting (thinking, "oh he's just had a feed not long ago, probably won't be hungry so soon").

Also I feed him lying down, if practical, which he seems to find easier and burp him often during the feed - the fussing, pulling on and off seems to make more wind. This means a lot of sitting up and back down again but its worth it when you feel they are getting a proper feed.

If you don't want to go back to the bottles you could try the expressed milk in a doidy cup. We haven't tried ds with his yet (keep forgetting) but I think you can start from about 4 months.

Also try and relax if you can Smile. Not that it affects your supply but lots of people have told me babies pick up on tension in your voice, arms etc.

ClimberChick · 16/11/2010 01:05

I went through a stage of expressing and then chucking it straight down the sink so that I wouldn't be tempted to give it to her later.

sounds like your doing fab, well done for trying so much

gaelicsheep · 16/11/2010 01:46

Personally I would express and put it straight in the freezer. You're building your milk supply now and your freezer supply for later on when all these problems are a distant memory. Smile

You're doing amazingly LittleAmy.

ClimberChick · 16/11/2010 02:07

I couldn't do that before we moved as MIL would spot it and therefore think she could take DD out for the day

LittleAmy · 16/11/2010 10:54

Guys I've just had DD weighed. She's put on 11oz in 2 weeks!! The changes have WORKED!! Grin She's jumped a centile.

OP posts:
ghoulishglendawhingesagain · 16/11/2010 11:00

Wow That is brilliant newsSmile

Well done!

tiktok · 16/11/2010 11:13

:)

Please explain to your HV there is no need to 'bully' you with formula, and let her know what you have done to address the issue - it could help other mothers :)

crikeybadger · 16/11/2010 11:50

Yay!! That's great news Littleamy- keep it up. Grin

Cosmosis · 16/11/2010 12:13

well done! I am coming to the conclusion we are starting with the same problem so will get going with the breast compressions and offering feeds more often...

LittleAmy · 16/11/2010 12:50

TT I did :) I saw the HV today. I told her about the changes I've made and the effects. She said that in future she will suggest those changes to women before suggesting formula. "Well even I've learnt something today" she said.

Grin Good to know that other women will get the benefit.

OP posts:
tiktok · 16/11/2010 13:05

That's brilliant, Amy!

crikeybadger · 16/11/2010 13:22

that's great Amy- you should most definitely feel proud. Smile

(Just a shame the HV didn't know it in the first place though Sad)

LittleAmy · 16/11/2010 15:32

Thanks ladies. Your support helped me to overcome this.

OP posts:
gaelicsheep · 16/11/2010 15:40

You've brought tears to my eyes - I mean it. Well done!!! Smile

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