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Infant feeding

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

Getting 16-day-old back on the breast - SNS experience? Any other tips?

15 replies

HelenaHandcart · 06/05/2017 12:55

I'm an experienced bfer (DS1 18m, DS2 4y, but they're 13 and 11 now...!). DS3 was born four weeks prem 16 days ago with no rooting reflex, though that has come since. Also blood sugar issues (I was diabetic in pg), needed antibiotics, under lights twice for jaundice, so not the easiest or most relaxed start to life!

He latched on and fed well a few times in hospital (we were in for eight days) and I tried him on the breast almost every feed, except for when he was under lights as he needed to be out, changed, fed and back under them asap. He was syringe-fed colostrum to start with as he wouldn't latch (despite lots of skin to skin, etc). Then he had a little bit of formula as he was in special care for his breathing, but that stopped as soon as my milk came in and I've expressed for every feed since - he had NUK teats in hospital and we've continued that since. He doesn't have a dummy and he feeds approx every three hours with a longer stretch overnight (tends to feed about midnight, then half four, then I wake him about half nine.

However, I really would like him to be back on the breast full time. Keeping ahead of his milk needs and having to pump/take ebm out is far more restrictive than my previous experiences of just putting the baby up my top!

I've hired a hospital grade pump, my supply has always been good, so I'm not too worried about that for now. I've also bought a supplemental nursing system which I hope will arrive early next week. Nipple shields haven't worked - I can't seem to keep them on/he gags on them. He's not tongue tied (def not, I've checked, as did the consultant and the infant feeding coordinator in hospital).

When I put him to me, he will take my nipple into his mouth then either spit it out (with a look of utter disgust - good job I'm not easily offended, eh?!), slide off or suck once and promptly fall asleep (even if I then do breast compression). Or he gets upset - if he gets upset, I take him off and stop as I don't want him to associate boob with fighting(!).

We have a lot of skin to skin, but he just doesn't seem to know that boob = milk any more. The last time he latched and fed was 28th April about 4am (I've carried on with my feeding chart from hospital, so have got notes of every ml/suck he's made since then - makes it much easier to see how much he's taking/what I'm expressing). He's still only little (was 5lb 4oz born, dropped to 4lb 14oz, regained birthweight by day 8, was up to 5lb 9oz by day 12)

Have you experience of getting a baby back on the breast? How did you do it? What am I missing? Thanks in advance!

OP posts:
ForTheLoveOfGrace · 06/05/2017 13:14

Hi. Congrats on your new huddle of joy! I don't have the exact same experience but didn't want to read & run.

You sound amazing & are doing everything you can to get him back on.

My DD took two weeks of constant trying to finally get it I was advised to squeeze some milk out on my nipple first so baby knows there is milk there & it's not just a comforter, one midwife said she had a a lady take a month & it all turned out right so you have plenty time yet.

I also found the le leche league a great source for help & posted a lot on their fb site with my issues for help & advice that came in droves.

Hope this helps & good luck.

ForTheLoveOfGrace · 06/05/2017 13:15

Err Bundle even Hmmsorry x

HelenaHandcart · 06/05/2017 13:27

We have been huddling rather a lot, so that's apt!

I do squeeze milk out first (and have expressed to the point of letdown then tried latching him too, so there should be copious milk. If. Only. He'd. Suck.), but too much and he def slides off. It's like he doesn't get a big enough mouthful of the areola underneath my nipple to stay on, if that makes sense? I've tried the flipple with koala hold with some success in hospital, but he just gets cross if I try that now.

V good to hear that getting back on can happen though, thank you!

OP posts:
ForTheLoveOfGrace · 06/05/2017 13:54

Thought you might have you sound very on it! I think perseverance is the key to success here & carry on doing what you are doing.

I had someone rub my back and kept telling me to lower my shoulders whilst trying to feed - trying to stay calm & as you say not let it be a boob = stress thing is very hard I do think helped though.

I remember I was trying in front of my mum & one of my sisters once we were just sitting talking & I think at one point I was humming (calmed me) & DD just suddenly got it & really went for it.

Poor little mite he'll get there with a very researched, loving mummy like you he can't go wrong x

AssassinatedBeauty · 06/05/2017 14:26

I had to get both my sons back on the breast after being tube fed in SCBU. Neither were prem though, but poorly after birth issues. With my second, he couldn't latch initially and didn't even really want to feed from a free flow teat. Once he'd got the hang of the free flow teat we moved onto using the Medela Calma teats that aren't free flow, just to get him used to having to work a bit harder. I felt that this helped him with persisting with breastfeeding, and we were able to get him to latch on and feed eventually. Then we gradually reduced the amount of ebm given after each feed until he was fully breastfed.

chillipopcorn1 · 06/05/2017 19:28

Hello OP and congratulations! Just to say it took 10 weeks Shock for me to get one of my twins back on the boob after SCBU but she's an ace feeder now and won't wean off them! Nipple shields and perseverance worked for us - like you she wouldn't take them at first but I persisted and then came off them about 4 months. One day it just clicked for her. We also did lots of skin to skin etc and would switch halfway through a bottle feed to boob. Good luck xxxxx

CheerfulMuddler · 06/05/2017 19:38

Tube feeding worked with mine - you tape an IV tube to your finger, stick one end in bottle, other end in baby's mouth, baby sucks your finger, milk appears. It's a sort of halfway point between the ease of a bottle and the work required to bf. And then just try him on the boob first every time you feed.
Not sure where you'd get the tube from though - I was given mine in hospital. But might be something to ask about.

tiktok · 07/05/2017 13:18

Great work so far, Helena, and if I was taking bets I'd bet babyHandcart will get it very soon....you are doing everything right, especially the 'don't push/fight' thing alongside skin to skin. Not only is it early days, but he is still not even term (yeah, he is technically when term is 38 weeks, but he's had a tough start even so). He's normal weight, and his rooting reflex has come .... it's sucking and swallowing that can take a little while to refine. Don't think you can do anything other than the good stuff you are doing, which should work....really :)

tiktok · 07/05/2017 13:21

Just read Cheerful's post about finger feeding with a tube....yes, worth a try, and I have supported mothers who have done this with good results, even though I gather it feels fiddly to do. You'd need to ask the maternity unit/community midwife about sizes but I think fromwhat I remember the tube is available from pharmacies.

HelenaHandcart · 07/05/2017 14:04

Thanks, all, really appreciate your input and lovely encouraging words!

We had a calm session of trying to latch this morning, without much success, but he was happy to keep trying so I figured I'd take advantage of that!

He has done it, that's the frustrating thing - he's been milk-drunk after a 40-minute, both boob feeding session in hospital. Just not since he had his second session under the jaundice lights.

I'm going to a bf group tomorrow, so hopefully will pick up some tips there too.

And yy, he's not even meant to be here yet, really, so he's doing v well. I just want to unchain myself from the pump!

OP posts:
Shiraznowplease · 07/05/2017 14:10

Hi
My ds wasn't prem but had a very traumatic birth and injured his neck also I lost a lot of blood so my milk didn't come in initially. I expressed lots to keep flow going and tried putting him on. It was breast shilled she that really helped and gradually we got rid of them. Found bf groups amazing, also switched to variflow tests for my expressed milk do he hot used to having work for milk. Good luck x x

stargirl1701 · 07/05/2017 14:14

I relactated with DD1 at 11 weeks. I found the initial latches only happened in the bath. We did huge amounts of skin to skin - bedsharing, in a stretchy wrap, bathing every evening, etc.

penny14 · 07/05/2017 20:18

Hi all,

I'm reading with interest - afraid I can't offer any advice OP but can I gatecrash your thread?

I Have twins and the original plan was to mix feed both but my son was terribly lazy in the first few weeks and was slow with weight gain so we put him on the bottle to monitor his feeding and I started to EBF my daughter unintentionally due to finding it to be so convenient.

Now my daughter is quite reluctant to take a bottle and for weeks I have been struggling to get my son back to BF...I try to put him on the breast when I can and occasionally he will latch and take a feed but more often than not he will latch, suckle for 30s then break away becoming so frantic that I end up giving him a bottle.

I had considered if it was the delay in the letdown but have tried to feed after pumping or after feeding my daughter but neither seem to help.

Can someone explain what the benefit of the nipple shield is? For info the twins are 14 weeks and I still use the no1 teets on the MAM bottles so i don't think the flow should be an issue.

Admittedly I haven't tried skin to skin...finding the time to do that is difficult with the two of them but after reading above will give hay a try.

Any advice to get him BF would be gratefully received.

littletwofeet · 08/05/2017 08:46

Sounds like you're doing great op. Have you tried biological nursing position?
Maybe just letting him sleep like that on you skin to skin and he may feed when he wakes up.

Penny-will your DS feed while your DD is feeding? You may need someone to help you with positioning but if your DD is feeding, it will make it easier for DS to get the milk.
Skin to skin really helps-I can imagine it's a nightmare with 2 but it doesn't have to be totally naked, you can just put him in vest and you in a camisole rolled up. It's babies arms and legs that you want the contact with your skin.

Also, are you both doing paced feeding with the bottles? This should help with getting them on the breast.

HelenaHandcart · 27/08/2017 23:15

Thought I'd update - I've blogged about the looooong journey back to the breast (and the reasons for same) here:

threeunder13.wordpress.com/feeding-george/

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