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Infant feeding

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

Am I being silly? (Sorry long!)

14 replies

Meringue33 · 05/06/2013 18:23

So bf got off to a rocky start as LO was jaundiced and sleepy and wouldn't latch on. He was 17 days early and a v quick labour.

He took three weeks to regain his birth weight and during the next few weeks we went through a whirlwind of cluster feeding, evening fussiness, green poo, and massive anxiety on my part about whether I could feed my baby.

At ten weeks I finally caved and started giving him a bottle of formula at night. I thought that meant the end of bf, but in fact it gave me the headspace to continue bf apart from that.

I'd say bf is now going very well, except: his latch is still poor, very shallow. It's a little uncomfortable tho not outright painful. He still takes a long time to feed - sometimes 45 mins.

I have had help from midwives, HV and NCT bf counsellor (who checked for tongue tie). They agree it is frustrating but pointed out milk transfer is happening. My chiropractor says he has a disorganised suck. It has improved since she treated him but she said she was disappointed with the progress made.

He is five months old. We saw the paediatrician today for final discharge related to the jaundice (which is now gone). LO was weighed and has jumped from 9th to 25th centile.

I mentioned the latching issues and asked whether perhaps I could see an LC. The paediatrician said he would be laughed at if he referred a five month old baby who was gaining weight and the LC had to prioritise.

There are no private LCs in my area. I have I think tried everything on the Internet (Flipple etc) and I am going to an LLL meeting next week as final attempt to see if someone can give me a game changing tip!

Other than that, should I just give up trying to "fix" this? Is it a non problem, am I over analysing it?

Ideally I'd like to keep feeding him til 11 months, tho it has occurred to me it is cruel to make him work so hard to feed and maybe I should switch to formula after six months??

OP posts:
Chottie · 05/06/2013 18:31

My DD attends a bf clinic where she lives. She did not need to be referred, she just went along. There are lots of bf mothers there and the lc is really helpful.

Regarding the shallow latch, I don't want to worry you, but has your DS been checked for posterior tongue tie? This is more difficult to diagnose as it is not so obvious.

p.s. you are not 'over analysing' in any way. You just seem a caring mum who is ensuring she is checking all is ok. Grin and congratulations on your DS too. >

Meringue33 · 05/06/2013 18:34

Thanks Chottie

Is it an NHS clinic? I will ask the HV tho think we only have baby cafe - nice HVs but no LC

Tt has occurred to me. He can stick his tongue out really far though.

OP posts:
Chottie · 05/06/2013 18:51

My DD's baby had posterior TT that is why I thought about it. The TT stopped him opening his mouth wide enough to get a good latch. Having the TT sorted out meant he can now latch on properly.

The clinic is run by the NCT I think. It is definitely not a private one. There are two afternoon drop in sessions per week and the lc attends one session. I don't know where you live, my DD lives in Cambridge.

McBaby · 05/06/2013 19:45

My DD gained weight fine but had appaling latch due to posterior tongue tie.

Where in the country are you then if someone is close they may have a suggestion.

Meringue33 · 06/06/2013 13:15

Thanks both

How do you diagnose a posterior Tt? He doesn't have any obvious ties I can see. He can stick his tongue out far and touch the roof of his mouth. He can also open his mouth wide, but always immediately slides down to hang on the end rather than grab a bigger bit of boob.

We're in West Yorkshire.

OP posts:
minipie · 06/06/2013 13:58

DD had posterior TT, even though she could stick her tongue out as far as you like and could touch roof of mouth. Latch was SO much better once we eventually had it snipped.

I think you do need a LC to diagnose it though, it is often missed. Sorry, I'm in London so can't help you find one but hope someone near you will come along soon (or you could try a new post with that subject line?)

minipie · 06/06/2013 14:00

ps the sliding down to hang on the end was exactly what dd did. she gained weight fine too but needed pretty frequent feeds and had terrible wind and any time she had a growth spurt my nipples killed.

she was also a sleepy feeder for a long time at the start (she was 6weeks prem) and I now believe that the TT compounded the issue as it took her so much energy to feed.

Meringue33 · 06/06/2013 18:26

Mini he sleep/feeds as well, always.

Right I will make an effort to find an LC. There are no IBCLCs that cover this area but I will phone some in the next county and ask whether they would travel or we could drive to them.

So annoyed the paediatrician dismissed us! Tho I should not have been surprised as he did say bf was not his area!

Thank you all for your thoughts I really appreciate it.

OP posts:
Meringue33 · 06/06/2013 18:31

& thanks for the lovely words Chottie :) xx

OP posts:
minipie · 06/06/2013 19:30

Bear in mind that if it is posterior TT, and it needs revision, this is usually done under general anaesthetic after 6 months old. Also in some cases if it is revised late, it can actually make bf harder as the baby has learned one method and has to relearn. so it's not necessarily always the best thing to get it revised... A good LC should be able to talk you through the pros and cons. Having said all that, we had it revised at 17 weeks iirc and it was definitely the right decision for us.

of course it's possible it's not TT but something else eg something resulting from his quick birth - have you seen a cranial osteopath (not sure if your chiropractor is the same thing..?)

Chottie · 06/06/2013 20:13

Meringue - I hope all goes well for you and DS. Although my DC are grown up, I don't think you ever forget those first few months with a new born. x.x.x

McBaby · 06/06/2013 20:13

We had ours cut with our ga at 6 months but doctor said she would do it later if no teeth!

Cranial osteopathy really improved our latch prior to having TT cut.

Trying2bMindful · 06/06/2013 22:59

I understand that lack of deep latch!!!
Have you seen a cranial osteopath? If he can stick his tongue out and touch the roof of his mouth and milk is being transferred then he might not be TT but it could be or it could be something else.

we had a PTT revision but We also had 4 cranial osteopath sessions and I would highly recommend it for getting baby to open his mouth wider and keep it open.
It also improved as he grew and his mouth got big enough to take in enough of my breast.
Good luck

TheYamiOfYawn · 06/06/2013 23:14

If you are West Yorkshire, you should be able to use Milk Matters
milkmatters.org.uk/

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