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Infant feeding

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

Can BF be saved?

33 replies

gallicgirl · 18/02/2011 19:34

Excuse me for the long whinge but I need to get some opinions in order to make some decisions regarding BF.

To start with I know BF is best and in my head I want to do it and before DD was born I had no intention of doing anything other than BF. I had lots of lovely daydreams about my contented baby breastfeeding and cuddled up in my arms. Obviously the reality has been quite different!

DD is now 3 weeks old. She fed almost immediately after birth and was at the breast for around an hour I think. She appeared to latch on and I got all the midwives who visited us in first few days to confirm that she had a good latch. However, I was never quite convinced that she retained that latch and she appeared to move the nipple forward in her mouth. I found that during the night she would be at the breast for hours but using it for comfort rather than feeding. CMWs were very supportive but I wasn't getting much sleep and after 6 days DD had lost 13% of birth weight so we were admitted to hospital. I was really upset at this as we'd had a home birth but I knew DD wasn't happy so recognised that the feeding needed to be sorted. the hospital made me express milk so we could see how much DD was getting and we topped up with formula as I couldn't express enough milk for all the feeds. At this point DD was still feeding from the breast as well but I think this decreased once we were back at home. We were asked to continue expressing and topping up with FF for a few days and CMW would check weight gain.

Although seeing how much milk DD was taking helped to reassure me, I think the hospital stay reinforced in my mind that I was incapable of feeding my daughter myself. In addition, I wasn't told how often to express so was only doing it a couple of times a day which probably wasn't enough. We'd been syringe feeding so DD could continue to BF but after a few days we realised this couldn't continue - it took too much time, DD was getting lazy about sucking when I put her to breast and we were both getting a bit stressed at feeding time - so we started to use bottles.

To add to the problem, DD got thrush a few days after we came home. She and I are both being treated for this and it's now clearing up but for a couple of days DD wouldn't go on the breast at all.

DD is now gaining weight nicely and is happy and content. I am expressing when I can and also putting DD to breast before I feed her from bottle. She seems to fight this and will only latch on for a few minutes so although it might stimulate supply, I don't think she is actually getting much milk.

I have now noticed that I can't express as much and to be honest, I don't want to. It's time consuming and I've come to dread the thought of expressing, even though I know the milk is beneficial.

So my question is basically do you think it is possible to return to exclusive BF, assuming I can maintain supply and get support to help with latching on?

If I thought it possible to BF full time, then I would persevere, but at this point, I am seriously considering stopping the expressing. It's a really emotional decision as I feel I've failed, albeit through no particular fault of my own. However, I have to consider whether my baby will benefit more from the extra time I have when not expressing/nursing.

What do you think?

OP posts:
organiccarrotcake · 20/02/2011 21:08

Definately she needs to be properly checked for TT (by feeling). Sounds like classic TT symptoms to me. Even a mild TT can cause terrible feeding problems - and a severe one can cause none (sometimes).

DirgeInVegas · 22/02/2011 20:33

I'm so glad the biological nurturing link helped! How are things now?

gallicgirl · 25/02/2011 00:23

well I tried BF and expressing for a couple of days but my wrist is very painful from expressing and the BF wasn't improving so to be honest I've pretty much given up.

However, I have just read the thread on tongue-ties and looked at some of the info and I am becoming more convinced that DD has a TT. Also my sister is visiting and she tells me two of her children have TT.

Not sure if I still have sufficient supply to resume BF but will make enquiries about best person to identify a TT.

OP posts:
gaelicsheep · 25/02/2011 00:40

Oh I'm sorry to hear you're still struggling. Have you spoken to the NCT counsellor again? She should be able to help talk you through your options. If it is TT then your DD may well not be transferring milk effectively, hence your supply not increasing as you breastfeed. Can I assume she's almost totally on formula now?

Does your hospital have an infant feeding co-ordinator and/or a breastfeeding clinic? They should be able to help wrt getting any tongue tie identified and hopefully treated.

gallicgirl · 25/02/2011 19:44

Can I say the friendly replies here are so helpful?

DD is totally FF now which is ok as she's well and healthy. Although I try to feed her a couple of times a day I really don't think she's getting much milk.
I took her to GP this afternoon and he doesn't think she has TT but I couldn't print off the unicef document to show him. He was quite nice about it in all fairness and was willing for me to ask for second opinion. However, he did say it would take 3 to 4 weeks for a referral to hospital and then another wait for procedure. There's no way I will be able to maintain a milk supply for that length of time so only reason to request referral would be for my own peace of mind and to make me feel better about not having succeeded at BF. I was going to call my midwife to query whether I should follow up but maybe the BF counsellor might be a better plan. I didn't think of that.

OP posts:
gaelicsheep · 25/02/2011 20:10

Tongue ties, depending on the type, can be very difficult for a non specialist to spot. I would request a referral anyway tbh. For your peace of mind yes, but also because a tongue tie can sometimes cause problems with speech development. Later treatment is a bigger procedure so best to get a tt treated early if you can.

There is nothing all to stop you from continuing putting your DD to the breast a couple of times a day. Even if she isn't getting much milk she is getting the comfort of nursing which is just as important. It means you can still get the benefit of the breast = instant comforter which is sooo handy.Smile And you never know, if you do get a diagnosis and treatment you may be able to keep up with some breastfeeding at least, if that's what you want.

I'm glad you found it helpful to talk. Best of luck with everything. Smile

DirgeInVegas · 25/02/2011 20:26

Lovely advice from gaelicsheep Smile

Good luck gallicgirl it sounds like you could have done with more professional support IRL much earlier, don't beat yourself up for any of this.

Glad your DD is more settled and happy. x

gallicgirl · 25/02/2011 22:39

I definitely could have done with more help earlier but I think there were just other issues going on. I'm a bit annoyed in hindsight that when we were in hospital, the paediatrician didn't spot it and there was no effort to work out why DD wasn't gaining weight. It was very much a case of "feed her until she puts weight on then you can go home". I wasn't in an emotional position to push the point either.

Oh well, DD is happily gurgling away which is the most important thing.

:)

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