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my 9 week old pulls off and screams... any ideas?  

post #1 of 10
Thread Starter 
my 9 week old and i have been trying to figure out the breast feeding thing for a while... it seems like we have multiple issues going on at the same time. it's heart breaking to not be able to breastfeed!

she latched well after delivery - i was thrilled because my first daughter and i struggled with breastfeeding at first. she was incredibly sleepy even after a drug free birth, and slept thru most feedings with me doing everything i could to keep her awake and nursing.

when she was a week old, i contacted a lactation consultant - i felt as though my milk supply was low and that she was not getting enough to eat (not that she was complaining at all - she was just a happy sleepy baby). when we weighed her at 9 days, she had not gained any weight back from the initial 12oz loss the first day after birth. our latch was fine and the lc suggested that i pump after every feed (every two hours) and then supplement her with that breast milk. she would take at least an hour to an hour and a half to nurse, so that meant i needed to pump and finger feed her and then start all over again!

after about 4 days of that insanity, my supply was up, but she was so sleepy and "lazy" that i had to pump and finger feed still, after every feed. a few days later, her poop went from yellow to green and she became incredibly gassy (too much fore milk). fora week or so, we thought we might have a colicky baby. it was at this time, around three weeks, that she first started to refuse my breast. she would take it sometimes in some positions, but, nothing that stuck out as a pattern.

we had some craniosacral and chiropractic work done and i eliminated everything from my diet and that seemed to help. her gas got much better and her poops went back to yellow.

now, at 9 weeks, she is still very sleepy - she sleeps 4-5 hours a stretch and is awake for about 60-90 minutes in between. during the day she latches and nurses for 2-5 minutes before pulling off and screaming bloody murder. i can not get her to latch back on to either side, unless i use a nipple shield... sometimes when she pulls off, there is a steady flow of milk, like at the begining of the let down, and other times when she pulls off, there is little to no milk flowing, so i am not sure if she's frustrated by getting too much or not enough. she doesn't spit up more than normal, and she's more than happy to drink from a bottle, laying flat so i don't think she has reflux...

my only hope is that she nurses just fine at our 3am feed - sometimes taking both breasts. some days, that is the only time i get to nurse her. crazy, but i will actually be sad when she starts sleeping thru the night!

my husband and i spend most of our time together hypothesizing about what's going on and what "solution" we should try next. he just recently suggested that i try the nipple shield again (yesterday) and that seems to be helping, although with it, she is more likely to fall asleep. and then i second guess how much milk she got and feel like i need to pump and supplement anyways, even after having her on for 45 minutes or so.

will she ever be able to nurse from me, with out the aid of a nipple shield and breast pump? has anyone had a babe that had a similar experience?

is she just incredibly sensitve to the whole breast feeding experience?
post #2 of 10
I hate to bring this up again, because I think I spoke of it in another thread, but my boys both had thrush as babies, and that's how they behaved when they had it.

Just something to keep in mind, y'know? I remember feeling like complete crap with my oldest, because I had absolutely NO idea that he was in pain. I thought he was just going through a fussy stage.
post #3 of 10
Boy, she sounds like my refluxer! He also had no issue with laying flat (we didn't try a bottle, though), and some of the other typical reflux symptoms weren't there, but the nursing thing was so frustrating and heart-breaking.

My baby started out huge at 10lbs, 2oz and gained rapidly until the reflux got the better of him and he started nursing poorly - just like you described, pulling off and screaming. He wasn't a spitter and he never had trouble sleeping, so it wasn't obvious that he had reflux and the severity of it wasn't clear until he completely stopped gaining weight.

Maybe a trial of Zantac would help rule that out? Or even just administer a tsp of Mylanta about 10-15 minutes before a feeding and see if that improves things at all. That would give you a clue anyway about the nature of the problem.

Please stick with the breastfeeding, though! I know it's frustrating and probably seems like she would be better off just using a bottle, but the best thing for her is to keep getting her mama's milk!

I can't tell you how close I came to throwing in the towel when we were at the peak of our troubles. Baby is nearly five months old now and after a few more bumps in the road we are doing much better.

Good luck to you - hang in there and you will feel so good that you persevered!
post #4 of 10
You probably know way more than I do, this being your second baby, but thought I'd ask if you just recently introduced the bottle. I introduced a bottle at 6 to 7 weeks for the purpose of occasional use. He got the hang of it after a couple of tries, but then just howled and howled when I tried to feed him at the breast. We stopped the bottle feedings and the breast feeding went back to normal. Just a thought... Good luck, and congratulations on your LO!!

Oh, forgot to mention... we have just started trying with the bottle again, and he refuses to take it!! After the problems with breast feeding we stopped the bottle for a week or so, then introduced it again. That time he did fine with the bottle AND after that was fine with the breast feeding as well. But then I just got lazy and stopped pumping for about a month, and now we're paying the price! But that's the subject for another thread I suppose.
post #5 of 10
Thread Starter 
thanks to all the mama's who replied... i had not thought of thrush. would my nipples itch? what are the symptoms, other than the white coatng inside babe's mouth?

my older girl has been home with me for winter break, but when she is back at school next week, i think i will experiment with just offering the breast, no follow-up bottle, and see if it's a nipple preference thing. we used a finger feeder and i waited until 6 weeks til introducing the bottle, but maybe that is part of the problem. i have been using a premie nipple, so that she has to work for it, though.

we just finished a feeding where she did her usual - munch for 2-5 minutes and then scream bloody murder, but this time i was able to get her to latch back on and with a bit of compression, i think she might have almost emptied the breast. it's these random successes that keep me hopeful.

it is so heart breaking when you can't breastfeed, for whatever reason, and so sweet when it works out.

thanks again - we are going to stick with it and hope that one day we can breastfeed with ease.
post #6 of 10
Just wondering if the nursing has gotten any better
post #7 of 10
I'm not sure this is it but I wanted to mention teething. My DD started doing the same thing at about the same time, and I thought we were on a nursing strike and I was going out of my mind with worry. She nursed well half-asleep, so I was dream-feeding her out the wazoo to try to keep us both going.

I felt so foolish when 1 month later she popped out not 1 but 2 teeth, and her nursing went back to normal!! I just wasn't expecting teeth in a 3 month old! The good news is that our nursing relationship rocked after that (even through all the rest of her teeth and molars).

Hang in there... I know how heart-wrenching it can be.
post #8 of 10
I didn't see this mentioned already...sorry if it was and I missed it!

Please consider eliminating dairy from your diet if you haven't already. My DS would act so hungry and eager to nurse and then after letdown he would pull off screaming and crying, try to nurse, scream and cry, rinse and repeat. He would also get these green poops if I had been eating dairy. And he would cry for three hours every night before bed. I had heard that dairy in mom's diet can cause colic so I cut out all dairy. That was when he was about 3-4 weeks old and we haven't looked back since. MUCH happier!! If you do try this, give it time. It can take up to a week for all the dairy proteins to leave your system, so you might not see a change right away.

I also highly recommend the book Baby Matters. It has a great section on dairy and how it can affect babies.

Good luck!
post #9 of 10
Gripe Water. ALL my kids did this, and the only thing that helped was Gripe Water. I did the elimination diet, and some things helped. The reality is they had silent reflux, and the gripe water helped ease that discomfort so much that they didn't need super strong perscription medications.

Another thing with the sleepy baby. Have you tried keeping her in mostly her diaper? Laying in the sun for as long as you can? My 2nd baby was a sleepy little thing. I had to wake her at night to nurse. She had Jaundice and even after it was gone she was still very sleepy. I found that if I Made a POINT to strip her down and lay her little bobo in the sun and talk to her she would nurse better, nap better and wake up a little refreshed. I did this in conjunction with the gripe water.

As for thrush, you can have itchy nipples- but you are more likely to have pain, redness and irritation. You can squirt a little milk on your nipple and let it air dry to really help heal that up. Breastmilk is AMAZING for all ailments. I'm scared about when mine is all gone...how will I heal my kiddo's??? Sorry- got off topic. Another thing with thrush is that you may crave Peanut Butter- or sugar for that matter. The thrush LOVES and thrives on sugar and peanut butter.

Hang in there momma!!!
post #10 of 10
Thread Starter 
we have made progress in the sense that she is not screaming as much... she just refuses the breast most of the time.

i met with a new pediatrician who thinks it has something to do with her peristalsis... and a bit of colick. not thrush (thankfully!) not reflux.

she nurses well at night still and we have been having some luck with the first two morning feeds. with her laying flat on her back (like she takes a bottle) and me hovering over her in some crazy contorted position that is not at all good for my muscular health and well being, but, these are the things that we do, right? i have found some peace with the whole situation... she is fat and happy and i am at least able to nurse at least once if not 3 times a day. i will continue to try to get her to take the boob... i am thankful that i can atleast give her breast milk when i do have to give her a bottle.

good news is that i have started to eat some thing other than sweet potatoes and quinoa (so bored with food right now!) she is not nearly as gassy as i think her little digestive system is maturing somewhat.

as for the cravings for peanut butter... that was my staple during pregnancy - by the jar and i gave it up during the elimination... interesting that thrush makes you crave it! i always crave it! but, no more, for a while!

thanks again, for your knowledge and sweet words.

we will keep on keepin' on!
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Mothering › Forums › Breastfeeding › Breastfeeding Challenges › my 9 week old pulls off and screams... any ideas?