R.B. asks from Danville, IN on May 01, 2008
Nursing Trouble
My 4 week son is not gaining weight. He just got back up to birth weight. he was born with his tongue tied but we had it clipped at 4 days old. In the hospital I used a nipple shield bc/ he would not latch on. He would eat with the shield but not with out it. I was going to a breastfeeding support group and the lactation person said I should try a SNS( supplemental nursing system) to give him more milk while he nursed. It worked by me pumping and giving the extra milk through the tube as he nursed with the nipple shield. He got back to his birth weight, so I stopped using the SNS and went to just nursing with the shield. When I weighed him on 4-30 he was at the same weight.
The lactation person said I needed to start pumping and giving him a bottle bc/ he was not gaining weight and would not latch on with out the shield. I really want to nurse and would like advice from others. If I have to pump and feed how often should I pump I was told every 3-4 hours and feed every 3 hours. I am pumping just enough but would like to pump more.
So What Happened?™
Wow what a difference a few weeks can make. My son gained 11 ounces in five days because I pumped and fed him. I still tried to get him to latch and one time he did and he nursed for 20 minutes. Ever since that time he has been nursing with out the shield for every feeding. There are times that I still pump and give him a bottle but for the most part he nurses. Thank you to everyone who supported me I don't think I would have made it through the first month with out your help.
Featured Answers
L.S. answers from Evansville on May 02, 2008
If the nipple shield works, use it!! I used one with my daughter for about 4 months. I was scared to stop using it because she had latch on problems also. I probably could have stopped sooner. Go with what works!!
More Answers
E.H. answers from Columbus on May 02, 2008
Hi R.,
I'm not an expert with the SNS, but due to low milk supply and the strong desire to nurse my babies, I used a SNS with my first baby for 10 months, and with my second we're going 8 months strong. I have to fill the SNS with formula, but I know my babies still get my milk when nursing with it -- and it stimulates supply. My situation is different from yours, but I can speak to using the SNS. It allowed me to nurse both my babies. I worked with a super lactation consultant and we tried EVERYTHING but nothing brought my milk up to a full supply. It sounds like you've been given sound advice about pumping. I think the general rule is every 3 hrs. to keep up a full supply. To me, the bottom line seems like if you really want to nurse your baby, pumping your milk and putting it into the SNS and then nursing is your best option. Maybe as your baby gets older he'll get better at latching on. My second won't take a bottle, so I've had little choice other than to use the SNS with him -- and I'm glad he's so stubborn (most of the time) -- I love nursing him. Nursing with the SNS is now second nature. I know he's getting what he needs and he's growing well.
R.K. answers from Dayton on May 02, 2008
This might help to increase your milk yield:
http://www.traditionalmedicinals.com/?id=30&pid=79
You can get it at many health food stores.
Good luck!
L.H. answers from Cleveland on May 02, 2008
Hi R. :)
I would definitely pump and feed your little man from the bottle. I pumped for my daughter and gave her the bottle also. I rented a hospital grade electric pump (I went to "Discount Drug Mart" in Garfield Hts., Ohio). They rent out pumps for $50.00 a month. I would pump every 2 hours for 15-20 minutes. YOU HAVE TO DRINK PLENTY OF WATER. I would then put it in the fridge or freezer if I had enough for the next day.
Best of luck to you! And congratulations on your baby boy!!!
M.M. answers from Indianapolis on May 02, 2008
Don't know if I really have much advice. I just wanted to tell you I know what you are going through. My son will be 1 year this coming Wednesday. When he was born, he would not latch on. I too had to use a nipple shield the entire time I breastfed. I was so frustrated and miserable. I also had to use those patches that they use on burn victims. After every feeding, I would place the cool patches in my bra just to try to relieve the pain. Pumping was not a picnic either.
I wanted to nurse for a good while myself. Ultimately, I did not make it. My goal went from 3 months, to 6 weeks, finally down to 4 weeks. I just decided that it wasn't worth my being unhappy and ultimately the rest of my family being unhappy too. Once I made the decision to stop breastfeeding and switch to formula, it was wonderful. I was happy, the baby was happy, and he started giving me 8 hours at night! I was just proud to make it to 4 weeks. Luckily, they have come a long way with formula now, and it is very close to breast-milk.
I understand the benefits of breastfeeding, and I feel I gave my son all that I could. I am not saying you should give up. I just wanted to empathize with you. Good luck!
J.M. answers from Terre Haute on May 03, 2008
Have you had your milk tested? Talk to your dr. About it. My
daughter could not breast feed her children. Her children lost
weight. She had to quit and give them formula.
CHILDREN ARE JUST AS HEALTHY ON FORMULA. MAKE SURE TO HOLD
YOUR BABY WHILE FEEDING THE BOTTLE - JUST LIKE NURSING. YOU
GET THE SAME CLOSENESS. BABIES ARE JUST AS HEALTHY ON FORMULA.
J.C. answers from Cleveland on May 02, 2008
Hi R.! I'm sorry to hear the trouble you are having. I nursed my three babies as well, and it's a little sad when you have nursing troubles or when they decide to wean themselves. If you are going to pump, I would certainly pump every three hours (or the same schedule he normally nurses), and use a hot wash cloth wrapped around your breast as your pump to help with the let down reflex. It helped me tremendously using the super hot washcloth while I was pumping. I got so much more milk, and you are more likely to get more of the hind milk from the heat of the washcloth opening up the mammary ducts. Maybe you could even nurse with the shield every other feeding so he is working your breast better to reach the hind milk, and to keep him used to nursing and keeping your supply as full as possible. But I highly recommend the washcloth as hot as you can tolerate it. I wish you all the luck!
K.C. answers from Seattle on May 02, 2008
Hi R.,
In a similar situation, here's what my lactation consultant suggested:
1. Start with breastfeeding and a "teaser bottle" of pumped milk. Use the bottle when baby starts to have trouble with latch for about 5-10 sucks, then switch to the breast. When baby's latch starts slipping again, switch back to the bottle for more sucks, then return to the breast again. Continue this cycle for about 10 minutes or until baby starts acting tired.
2. Top baby off with remaining pumped milk. For us, that meant 1/2 to 1 ounce.
3. Pump for 10 minutes.
4. Don't allow baby to go longer than 3 hours from the beginning of one feeding to the beginning of the next. I had to wake mine for the majority of the feedings.
We did this for the first 2-3 weeks home from the hospital. Eventually, my little one's latch improved, and I stopped the teaser bottle. After a few more weeks, she was gaining weight and eating better, so I switched to on-demand feeding and eventually stopped pumping. By two months, she was consistently eating well, and by three months, she had a latch of steel :).
The lactation consultant also suggested only feeding her from one side at a time. Since I was pumping anyway, it didn't affect my supply.
Good luck! I know how frustrating and exhausting it is, especially when you have to wake a baby in the middle of the night to eat. Take care of yourself and sleep as much as possible to keep your spirits up.
S.S. answers from Cleveland on May 02, 2008
I can see that you got a lot of great advice, you are probably feeling a little overwealmed. I just wondered what brand of breast pump you have, because in addition to everything you are doing, it also helps to have a good quality breastpump, especially if you decide to pump and feed him from a bottle. I recommend the Medela Pump in Style, you may already have it, but if you don't, it is worth the money, I went back to work full time when my son was 8 weeks old, I had to pump at work to make sure I had a reserve supply for my husband to give him a bottle in the evening, and to keep my supply up, my Medela Pump in Style was a lifesaver for me, it helped me let down great, and I always got a lot of milk out. Another tip, pumping should never be painful, if it is, it's not you, it's the pump. I hope you have a good pump, and I admire you for hanging in there, especially with the extra difficulty of your son being tongue tied, keep up the good work! It is true what the other mothers are saying, it is not the worst thing if you have to suppliment in between sometimes, your baby is still getting some of your milk, which is great, and it will still be beneficial to him, good luck! Let me know how it turns out.
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