T.J. asks from Richmond, TX on November 02, 2009
Breastfeeding Question! - Sugar Land,TX
so, I know that breastfeeding is the absolute best thing that i can give my daughter, but i am just not sure (convinced) it's going okay!!! Here are the issues we are having, I guess I am hoping to hear these things are normal? and if not, ways to address them. I'm a new mom and find myself questioning EVERYTHING!!!
So, there are times when my daugther is having a BM that she gets very fussy and I can hear her passing it! (sorry so graphic and nasty) and it sounds like she's having diarhea (spelling) but it's not diarhea, it seems normal when i change her.
Also, every afternoon, during feedings, she gets really antzy, about 5 minutes into each side, (she is on prevacid for reflux) I can't really tell if she's arching her back or having a hard time latching b/c the milk is not flowing as much as it was right when she started? (this is totally my own theory) she squirms and moves her head from side to side and even sometimes starts crying? sometimes, if i burp her and switch breast, she's okay.... but then i am concerned about her not getting the "hind" milk????? UGHHH!!!
Also, she has a pretty bad rash on her face.... little red bumps, any suggestions on this?
Also, i will vent for a minute on this one.... everytime she cries, whoever's around says, "what did you eat", which makes me feel so guilty and totally responsible for every ache and pain that she has and kind of makes me want to throuh in the towel on breast feeding all together, but I know I should'nt give up on it yet!! it's so good for her and we worked so hard to get here!!!!!
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More Answers
U. answers from San Antonio on November 02, 2009
Hi T.,
First of all, congratulations on your new baby and Kudos for breastfeeding! It is hard to trust your body when you cannot see and mentally be in total control of what you are giving your baby, but please do continue to trust your body! Whether you beleive in evolution or creation, if one thing is certain, neither God nor nature is wrong on this one. You were made perfectly to be able to meet the needs of your baby. I am a trained lactation consultant and I am absolutely certain that no matter what you are eating, you are giving your baby a better time than if you were giving her formula.
To calm your fears a little, did you know that formula's chemical make-up is actually more fitting for a cow baby than a human? Formula can lead to type 1 Diabetes, obesity, necrocide of the digestive cells... and babies who drink formula have a differenty chemical make-up of their brains than nursed babies. I won't go on, but breastfeeding IS the best thing you can do, if you have the luxury of being able to do so. (I do know that not all moms have that luxury and most babies who are bottle fed do fine. I'm not judgemental about this. That doesn't change the fact that mama milk is infinately better for a baby than formula).
With that said, breastfeeding does require some effort from baby. Mine liked sucking, but they gagged when the let down happend until they were a couple of months old. But they got the hang of it and everything worked out in time. Burping and switching breasts is a good thing to do. Trusting your intuition is a great thing to do! And don't worry about the hind milk. What you and your baby come to agree on is what is right for you! She'll get that. When she's done with the second breast, just switch her back. The fat in the hind milk tells baby that she's full and she can doze off or get on with her life. If she's not getting enough, she'll still want to nurse. Her body knows when she's gotten enough fat. Her body is an amazing little thing.
The BM issues are perfectly normal. Please do not worry another second about that. I always wondered if that hurt them, but that's just what babies do so I'm trusting that there is good reason for it.
Just to put it in perspective, could you imagine if your brain had to oversee her gestational development from a ball of cells to the human you hold now? How badly would that worry us? Breastfeeding is an extention of her development. You don't have to worry about it. God or nature or whatever you believe in has already made you both perfectly able to handle it all without any worry from your brain.
And, btw, your fears are perfectly normal, too. :)
Congratulations again!
U.
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R. answers from San Antonio on November 02, 2009
Okay. You are doing great. Here is my two cents on what you eat, it mostly doesn't make a big deal. My daughter is allergic to cow milk, wheat and eggs and I eat all these things and breast milk never bothered her. As long as she is growing and making her mile stones, don't worry. As far as the rash goes, my little ones always developed a rash when they started teething. And it was early (started teething at 2.5 months and first tooth erupted at 4 months). One thing you may try, it feed on alternating breasts for each feeding (ie, right for this one, left for the next). This will help getting the hind milk and also will help increase your milk supply. To keep track, you can tie a ribbon on you bra strap on the side you fed on. Way to go . You are doing really well.
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D.C. answers from College Station on November 02, 2009
Congrats on the birth of a healthy girl and congrats that you are doing breastfeeding.
I can say that, with my first child, I was "questioning everything" too! ;) First, I haven't heard anything in your post that doesn't sound normal! One thing to keep in mind that really helped my worrying is that your baby girl can get a lot of breastmilk even when it seems she is only breastfeeding a short 10 minutes (someone told me that breastfeeding for 20 minutes was the normal, I'm glad she wasn't totally right, it's just different for everyone). If she is gaining weight, not acting sickly, not waiting more than 5 hours between feeds (during the day), and pees every day, you should not worry so.
I suggest joining a local La Leche League group (see http://www.llli.org/ for a lot of information, references to documents / articles / books, and for an index of US groups so you can see if there is one which meets close to home. Some people didn't enjoy this type of group, but I really did. The Leaders are accredited by this international organization and kept up-to-date.
When people around you pipe up with the "what did you eat" question, don't hesitate to be assertive. Sometimes a reply isn't expected! If you feel you would like to answer, you can always say something like 'gee, I wonder what if that might have been because of something I ate?!' What I did, personally, is remind myself that most people are 1) just curious and 2) haven't been around a breastfed baby!
When you find her squirming, you might check to see if your arm has relaxed enough that she no longer has her mouth lined up correctly. Try a rolled up towel or a couch pillow to give your arm enough support that you keep her up in position. You may find that the medicine for reflux has the side of effect of flatulation (gas). You might check with the paper that came with it or with your pharmicist (the pharmicists are always encouraging customers to ask!).
Take heart and keep it up a little longer more.
Good luck!
D.
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D.G. answers from Houston on November 02, 2009
Congrats on your baby girl and wtg mom for breastfeeding!
Noisy or fussy BMs sound normal to me. I'm assuming they are a normal color (mustard seed looking, as opposed to green and mucousy).
It is common for newborns have white bumps or milia, but they usually disappear in the first few months. My daughter actually has keratosis pillars which is benign but causes little bumps on her cheeks. Heat rash can also cause red bumps. If you are worried it can't hurt to have it checked out by your pediatrician.
My daughter was antsy at the beginning of feedings- arching her back, fussing, turning her head and it turned out I had overactive letdown. When she was a newborn I would detach initially and let the overspray jet into a burp cloth. I also switched to only using one breast per feeding. I also had to burp her halfway though each feeding or she would get fussy and spit- up (as opposed to her brother who practically burped himself). When she was older she didn't have any problems keeping up.
Check out your local La Leche League group- they are a great resource for breast-feeding info and suport. https://llli.org/llleaderweb/LV/LVSepOct95p71.html
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K.S. answers from Austin on November 03, 2009
T.,
First of all, breathe. Second of all, give yourself a break. In interpreting others' words as criticism towards you and your diet, it shows that you are feeling overwhelmed by it all. It's tough to have such great responsibility. And yet, try to feel into the connection and beauty that exists in the process of feeding your baby. How amazing is it that our children can grow and thrive just from the milk we produce. Try to feel into this magical place more and the place of worry about "doing it right" less.
Breastfeeding can be difficult and painful and downright discouraging when it's not going smoothly. I have an almost 7-month old son. There have been moments when I've felt like throwing in the towel, because of a clogged duct or it's the middle of the night and he's having trouble latching on..whatever it is that particular moment. Then I just have to take a deep breath and remember that this time will not last forever and that providing my son with the best nutrition possible (which for me means breastfeeding) is important. Every mom/parent has to decide what works for their lives too. For some that means deciding not to breastfeed. There's no judgment here. :)
Now, after saying all that, I also want to say that there are things that can cause colic (abdominal discomfort/cramps) which may be the reason your daughter is doing lots of grunting. YOu might try eliminating some of those foods for a while just to see if it helps. Below is some advice offered by a loving post-partum counselor who helped me tremendously in adjusting to motherhood and breastfeeding...
Foods that may cause digestive upset: broccoli, cabbage, cauliflower, kale, onion, garlic, lentils, beans, soy & soy products, peanuts, spicy food, milk, cheese, chocolate, coffee.
Your baby's digestion track in new. Keeping your food simple for the first few months helps you and your baby adjust to being nourished together. Adding one new food at a time makes it easy to learn how your baby feels about the new food. Giving 24 to 48 hours between foods at least.
Some ideas of what to eat:
oatmeal, soaked almonds, maple syrup, quinoa pasta, brown rice pasta, avocado, squash and other veggies, eggs, yogurt, fish, chicken, red meat, fruit, whole grains (quinoa, millet, barley and brown rice), bread, sprouted bagels (good protein and quick easy food), sea vegetables, non-gassy soups, oat and rice milk (oat milk brings in mama's milk!)
Keep it simple. Eat often. Drink at least 8 glasses of water a day. Be patient with yourself.
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J.B. answers from Houston on November 02, 2009
Oh I know the first couple months of breastfeeding are such an adjustment! It does get so much better and easier. My son had reflux too, so that was a rough start for us as well. My mother-in-law gave me lots of great tips about how to do it. You mention that she is antsy in the afternoons, is that the only time? Maybe her little internal clock has her on a bm schedule and she is feeling that coming on around the time she is breastfeeding in the afternoon. If she is continuing to gain weight then all really is OK. If you are starting all her feeds on the breast you finished with at the previous feeding, her hind milk supply should be great. As far as not feeling like your milk is flowing as much, the initial engorgement passes and your breasts can feel pretty soft even before you start to feed and that is normal. Have you started pumping at all? That was a tremendous help to me to see that I really was producing milk. If you do pump and get very little there are things you can do to boost production, a lot of the moms on here can help you with that should you need it. I was a total cow, I think I could have fed the whole neighborhood!;) If you have any concern about her intake you can always add an extra feeding in. Sometimes if my son seemed fussy and it had only been an hour and a half I would feed him anyway and he did great with that and slept better. Hang in there!! Oh, about the bumps on her face, that is totally a normal thing. My dr gave my son some cream and it got rid of them. I had to use the cream off an on for a while, even without any cream they will clear up in time, I just didn't like to see them on my baby boy's cheeks. As far as what you eat bothering her, I don't put much stock in that. Breastmilk is breastmilk. Gassy things like garlic never bothered my son in the least when I was breastfeeding him and I did it the whole first year. Hang in there!!!!:)
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C.M. answers from Houston on November 03, 2009
Morning,
Firstly, welldoen on perservering on the breast feeding even though it is alot of work.
You may want to tell all those people who are questioning wht you ate that it has nothing to do with what you eat but actually that your daughter has reflux which will cause her to get gaspains, squirm when feeding etc. Try read up more about the rfeflux and the side effects of the prevacid, this may explain away alot of her symtoms you have been seeing. Soem people get constipated from prevacid and others get gas and diaharea.
It sounds tome that during her late afternoon feeding that is when her reflux is worse. Changing her to formula willnot help this problem, if anything it could make iteven worse.
So keep on keeping on.
Also try maybe feeding her just from one side each afternoon so she empties that side, then the next afternoon make sure she empties the other side. That way you know she is getting the hind milk.
I hope this has helped a little.
Congratulations on your baby girl :)
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H.H. answers from Houston on November 03, 2009
First of al ((hugs)) to you! You are right, it is best and it's ok to have these concerns.
1. the poo...sounds totally normal. that's what they do! if baby is exclusively breastfed (meaning no supplements or solids) then baby will not get constipated. If we watched an adult during every BM we'd probably see some fussiness and noise, too, KWIM? She sounds totally normal.
2. Many times babies get really fussy when the milk isn't flowing fast enough for them. They are just impatient. That sounds normal enough. I don't know anything about medications for reflux, so I am not sure how that affects babies. Have you tried burping her and then putting her back to the same breast? You are right in thinking it's important for her to get the hind milk, and important for you to empty the breast. Sometimes babies have a preference for one breast over the other, but if at all possible, you want her to finish that side, even if she needs to burp.
3. sounds like baby acne and it's fine. it usually just goes away on its own. you could try to put a little of your breastmilk on it and let it dry. it is an awesome medication and can help cradle cap and baby acne. I've also used a salve for my baby that contains propolis and that cleared it right up. but breastmilk and time will do the job!
4. DON'T feel guilty! Unless your baby is sensitive to the enzymes in dairy (which could be possible) what you're eating is NOT making her fussy. They have debunked the myth that broccoli, beans, and other gassy foods make baby gassy and fussy. Most of what you eat is not going to affect her that way. My favorite site for breastfeeding is kellymom.com Kelly is an Independent Board Certified Lactation Consultant (IBCLC) and the site is totally research based. Here is what she has to say about what Mom eats and how it affects baby:
Are there any foods that I should avoid while I’m breastfeeding?
There are NO foods that you should avoid simply because you are breastfeeding. It is generally recommended that a nursing mother eat whatever she likes, whenever she likes, in the amounts that she likes and continue to do this unless baby has an obvious reaction to a particular food.
It's suggested that everyone, particularly pregnant and nursing mothers, avoid eating certain types of fish that are typically high in mercury.
It is a good idea to restrict caffeine and alcohol to a certain extent, but it is rarely necessary to eliminate them.
Some food proteins (such as cow's milk protein or peanut protein) do pass into mother's milk. If there is a history of food allergies in your family, you may wish to limit or eliminate the allergens common in your family.
Any baby might react to a particular food (although this is not very common). If baby has an obvious reaction every time you eat a certain food, it may be helpful to eliminate that food from your diet. For more information, see Dairy and other Food Sensitivities in Breastfed Babies.
This is a link to the "Dairy and other Food Sensitivities in Breastfed Babies" article (it's too long to copy and paste here!) http://kellymom.com/babyconcerns/food-sensitivity.html
Read through that, and then tell people what you have learned: What I am eating does NOT affect her, and if you want to know more, go look at this website!
Congrats on making it this far with breastfeeding. Except for the comments of the people around you, it sounds like things are totally normal! Feel free to message me if you have any breastfeeding questions! I am not a lactation consultant, but hope to be one one day, and breastfed my first for 2 years, my second for 1.5 years (she self weaned when I was 8 months pregnant with my second), and my 10 month old is still nursing. All three of them were exclusively breastfed (no solids) for at least 7 months (7, 8.5, and 8 months respectively), with never a drop of formula.
Good luck!
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