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Infant feeding

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

Feeling very wobbly about breastfeeding (baby 5 weeks) - help please! Long

4 replies

thunksheadontable · 24/07/2012 16:16

I fed ds1 until he was 2. He literally self-weaned the week of his second birthday (I was pregnant again and I think the milk dried up).

It was an enormous feat to get to that, I had horrendous early problems and before 6 months he actually failed to thrive, going from the 75th to 0.4 of a centile and I had to supplement etc. It was a gradual rather than a sudden decline and I had all sorts of intervention from the local health services. For weeks, I fed two hourly for 45 minutes and then expressed and refed. Breastfeeding was a battle for much of the first four months, and looking back, he was a miserable scrawny angry baby who just needed more food. I became really obsessive about nappy counts and his weight, and this gradually tipped over into full blown OCD (though I didn't realise it back then).

On good days, I tried to cod myself that he was just meant to be thin and his birthweight had been inflated blah blah blah but when he bounced from 0.4 to 50th centile within a month of starting solids, it was pretty clear he hadn't been getting enough milk. I still feel really guilty about that.

Ds2 is 5 weeks. He was 9lbs 3oz at birth but within three days he had lost a pound. I totally freaked out between the day 3 and 5 weigh in and shut myself away in my room having panic attacks about it and barely fed him I was so strung out Sad. I am being seen by the perinatal mental health team locally for my OCD (which reoccurred in my pregnancy this time) and they sorted out that he wouldn't be weighed again for at least a month and the support I would get would be based on looking at him vs the scales.

Anyway, today was his first weigh in since day 3 when he was 8lbs 4. He is 9lbs 9 now, so he has gained about 4.6oz a week and dropped to between the 50th and the 25th centile (infant growth chart says 39th). He's not really gaining as I want him to be and I am in a total quandary.

I don't know what to do. I know objectively that he is a happy feeder compared to his older brother - he feeds well without me having to work hard at it, I can hear him gulping down milk, he is calm and happy between and during feeds, he is cooing, he is smiling, he pulls off the breast himself and seems satisfied, he wakes to feed. His wee output is immense, every single nappy weighs a ton... his poo is the right colour but it is very variable as to what he will do, he did 4 nappies yesterday and so far today there has been none despite him having lots and lots of feeds.

He is not amazing at taking a lot of breast into his mouth and I have to work at his latch a bit. I can do this and know all the tricks to get him deep onto the breast, but he will tend to pull back off onto the nipple midfeed. This is not a problem when it is just us two but I guess when his older brother is around (2.5) sometimes I let it go more than I would because I am distracted by trying to prevent him from being squished or having stuff thrown at him.

I know I can't go back to the punishing schedule of expressing after feeds. I allow him as much access to the breast as he wants, we do lots of skin to skin and biological nurturing on the three days we are here alone (ds1 in nursery). I never cut his feeds short on these days, I work to keep his latch good etc. It's just not working the way I had hoped.

I want to breastfeed him but I am not prepared to take crazy measures this time, nor am I prepared to just keep going if his weight starts to drop through the centiles, which I am guessing it might if he's gaining less than he should on average. What should I do? Should I supplement? Should I wait until after the six week growth spurt to supplement? How much should I supplement, if I do?

Thanks for reading.

OP posts:
tiktok · 24/07/2012 16:26

thunks, sad to read how anxiety-making feeding is for you :(

Seems to me the trigger has been the weight - and you are wondering if it is sufficient and if you should supplement.

You can supplement - with breasmilk :) Feed your baby often, at least two or three 'sides' per session; feed him in the night; anticipate his need to feed so you get in at the very first sign he is alert, and feed him when he is sleepy, too. Try breast compression (google it).

All these things will tend increase the volume of milk he has going inside, if this is what he needs.

However, his weight gain is still within normal limits and his health and well-being seem fine - so even with more breastmilk/breastfeeding, he may not gain weight faster (because he will adjust his intake downwards to meet his needs). You would then have to decide to try to accept the way he is :)

A call to any of the bf helplines would be a good idea.

smk84 · 24/07/2012 16:52

just want to say i think you are doing brilliantly ! i understand your concerns about weight, but like tiktok says it's within normal limits, and sounds like you have a very content baby. when my lo wasn't gaining well (and obv yours is) i was just advised to feed feed feed rather than express, and it did work. have been told lots of times that baby is much more efficient than pump. i too have had lots of worries aboout latch (and have spent hours surveying his mouth while feeding!) and advice i have been given by several professionals is 'if he's on and doing long deep sucks, and it doesn't hurt, then the latch is fine'. i am not sure i quite believe it's as simple as that, but i have told myself that over and over during feeds and it seems to have stopped me worrying about it as much !

narmada · 24/07/2012 18:51

It honestly honestly sounds like he is doing just fine and you are doing brilliantly well. It's hard with two little ones to look after.

I can completely understand about you not wanting to express and then refeed. A complete pain in the backside.

If I were you I definitely wouldn't supplement yet, if at all. Just keep at it, feeding directly, and if he does drop down the charts dramatically, know that it is totally fine for you to supplement with formula if necessary.

If you have mental health issues (I did, after DC2 and to a lesser extent after DC1) it can be very very difficult to deal with feeding issues. Don't feel guilty if you do end up supplementing. YOu have to do what's best for your health and for your family as a whole.

mawbroon · 24/07/2012 22:24

You have mentioned a couple of things that make me wonder if he is tongue tied. (and your ds1)

have a look at this

and this there is a list of tongue tie symptoms half way down the page.

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