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Infant feeding

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

19 day old - 6oz off birth weight still but seems well and healthy, should I worry?

2 replies

thunksheadontable · 07/07/2012 21:40

Ds2 is 19 days old.

It's been a bit of a rollercoaster with weight. He had lost 9.8% by day 3, my milk didn't come in until day 5, then it rallied and he gained loads, then I got an INCREDIBLE cold around day 10, worst I've had in years, and stupidly took cold remedies with pseudoephedrine (not realising they affect supply - d'oh, sil who is gp said they were fine!) and he lost again and then HE got the cold which he is only getting over now. I have been using a nasal aspirator on him and he has been very bunged up but feeding has been alright if not brilliant.

So... he feeds every two hours, except for evening cluster feeding and a 4 hour-feed-3 hour night time. About fifteen-30 minutes on first side, usually 5-10 on the second. He comes off the breast by his own accord. His latch on my right side is very good, but on the left it often requires a wee bit of work but we usually get it right. I have no nipple pain/crackedness or anything like that. Straight line across my body, nose to nipple, wide open mouth, bottom lip curled back, nipple is very elongated when it comes out though my areola area is HUGE and it is a struggle to get him to take a massive amount of breast tissue, but he is taking it from the underside as he should.

He is sucking and swallowing well and I can see that little muscle in his temple going good guns and it feels vigorous and I can hear him swallow great big gulps, with about 2-3 obvious letdowns per breast. He is doing a large, heavy wet nappy at every feed and 4-5 dirty nappies in each 24 hour period.

He is alert, clear eyed and up until today pretty satisfied but is fussing and feeding more today but today is also the first day I haven't had to suck great big green snots (sorry!) from his nose, so I am guessing he is ready to rally.

Questions:

  • I realised from another thread here I had been inadvertently block feeding him as I misunderstood midwife advice and thought I was only "allowed" feed from one breast in any two hour period. This was probably really really rubbish for my supply..
  • I expressed after a feed today but only got 1oz out with a double pump - it's my first time expressing with him, is that bad?
  • Do I just trust he needs a bit longer to get over his cold and keep going, or do I need to start expressing more and refeeding? I won't do it after every feed, I just can't face that.. but I don't want to end up giving formula and I can see it happening if I start to freak out about his weight (long story/PND-OCD etc).

He seems to be a very happy feeder. I want to trust my instincts this will rectify itself without masses of intervention as I just can't face having a load of professionals involved right now as I have millions of appointments as it is with the PND etc. Any thoughts? Thanks in advance for all your help.

OP posts:
MigGril · 08/07/2012 07:07

All the things you have mentioned about his output and have alert periods are great signs that he is getting enough. some babies are slower to regain there birth weight and him having had a cold is not going to have helped.

if you feel he needs a little more milk, then keeping him close to you lots of skin to skin and feeding at the slights sniffle. Then switch feeding which is
offering three or more sides at each feed. Is a much more efficient way of trying to get more milk into him then expressing.
Remember expressing is no indicator of supply and one Oz for your first try is actually very good.
i take it the midwife are still keeping an eye on things?

all in all sounds like your doing a great job.

tiktok · 08/07/2012 09:17

Agree with MigGril - would only add that I take it he is actually gaining now, and if he is, all sounds well, though yes, switch nursing would still be a good idea. Sounds like you have both turned the corner :)

Pseudoephedrine is one of the rare drugs that should deffo not be taken by nursing mothers of newborns - there is strong evidence of its effect on supply, and you can check it out here:
toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT
It's prob less important for mothers whose bf is well-established, but it should be avoided by mothers in your situation :( Hope you can tell your SIL so she does not prescribe it for other mothers.

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