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Help! What's going on with my 5-wo?

post #1 of 19
Thread Starter 
I've been through some BF-ing challenges with my 5-wo already...she was born tongue tied, snipped at 5 days, and we worked HARD with a lactation consultant to teach her to latch on afterwards. She seemed to get it finally, but due to her high suck needs, I introduced a pacifier at around 2-1/2 weeks. (I felt guilty...but it was the only way I was going to get any rest.)

Now she's 5 weeks old, and she seems to want to be on the breast LITERALLY constantly, but sucks very lazily once she's on there. She'll flutter-suck, rest, pull away, then have a panic attack because there's no nipple in her moth, get back on, flutter, rest, flutter, etc. I have a very hard time telling when she's hungry and when she just needs to suck. Sometimes the pacifier works, sometimes it doesn't. If she doesn't have something in her mouth, she is always crying. She's constantly fussy, and she's pooping immense amounts (big poops like 6-8 times a day...up from 2-3 times previously), and gaining what seems like maybe too much weight. (She'd gained 13 ounces at 3-1/2 weeks, I haven't had her weighed since then, but she's growing out of everything suddenly.) Because of her lazy sucking, I'm worried that she's not getting enough hindmilk, and that might explain the fussiness and poopiness. I've been limiting her to one breast per 2 hour period, but I don't know if it's making a difference. She's still sleeping okay at night (typically wakes 2 or 3 times within a 12 hour period), but very reluctant to sleep during the day. Don't know if it's related, but she also has developed really bad baby acne on her face the last few days.

I'm feeling guilty, confused, and frazzled. There's no happy time, she's no fun to live with, and it's putting strain on me and my husband. I don't know why she's so reluctant to really SUCK. It's all comfort sucking, all the time. Any insight or ideas would be appreciated.
post #2 of 19
Thread Starter 
oh yeah also...this has been going on for 3 days, and as of this morning her poop is green.
post #3 of 19


Could be a growth spurt. I'd block feed and drop the pacifier.

-Angela
post #4 of 19
Quote:
Originally Posted by alegna View Post


Could be a growth spurt. I'd block feed and drop the pacifier.

-Angela
I second this

My ds1 was constantly nursing the first 5-6 weeks. I remember my dad asking if I could please stop for a moment because he wanted a picture of his grandsons face without a giant dribbeling nipple in sight (i have massive oversupply issues)
post #5 of 19
Thread Starter 
Define "block feed," please.

And...drop the pacifier...completely? Maybe this makes me a bad mommy, but I think I'd go insane if I couldn't occasionally declare "enough!" and take a 15 minute break.
post #6 of 19
Quote:
Originally Posted by mojobot2000 View Post
Define "block feed," please.

And...drop the pacifier...completely? Maybe this makes me a bad mommy, but I think I'd go insane if I couldn't occasionally declare "enough!" and take a 15 minute break.
Block feeding is staying on one side for an extended time- like all feeds within 3 hours or more.

And yeah- completely. For now.

-Angela
post #7 of 19
Thread Starter 
Quote:
Originally Posted by alegna View Post

And yeah- completely. For now.
Why? I don't mean to be contrary, I'd just like to know the reasoning, rather than doing it out of a reflexive "pacifiers are bad" stance.
post #8 of 19
because if your lo is going through a growthspurt she will need to feed on demand to increase your supply to keep in line with her growth bigger body= more milk needed.
it normally takes a week at most at which point she will settle down again.
post #9 of 19
Babies love to suck, and sucking increases your milk supply, so it's a good thing. If she's gaining weight, having enough poopy/wet diapers, she's perfectly normal!
Of course, mine is a chunk and has been growing like crazy all along, so I'm not worried about weight gain. He's 4 1/2 months old and in 18-24 month clothes (95th percentile for height and off the charts in weight-has been for a while-he's 23 lbs)
post #10 of 19
I'll be honest with you-- other than the green poop, which might be a fluke, it sounds like you're doing fine. A newborn baby is going to be fussy, and need to nurse constantly, especially comfort nursing. That's pretty typical; you may be dealing with a high-needs baby. Do you have a sling or baby carrier? Long periods in the sling during the early part of the day can really result in a calmer baby later in the day, and it promotes sound sleep and lets you get up and do something.

And the popping on and off is her way of trying to elicit more milk letdown. That's her way of increasing your supply as she grows. And if she's gaining so much, she's getting plenty of hindmilk. With green poop, that might signal a slight oversupply-- you resolve that by limiting her to one boob for a period of time, saying three hours. If she wants to nurse multiple times during that time, you stay on that boob. Then you switch at the end of that time, for another three hours. That's what's meant by block feeding, and it's done to reduce oversupply. But frequent copious runny poops are for the most part a good sign, especially when they're yellow.

Lousy sleep in a newborn is normal. They start to consolidate their sleep blocks as they get closer to about four months old, and up until that time naptimes are mostly short, frequent, and on the breast. And the baby acne is also completely normal, and resolves itself in time. Just use warm water on it to keep it clean.

The peak of fussy crying is about six weeks, so you should see it get a bit easier soon. That's also when nursing gets easier, for many mother-and-baby pairs. But in the meantime, I think you're doing just fine. If the pacifier helps, I'd allow it for short breaks, AS LONG as baby is still gaining well and you aren't experiencing any signs of nipple confusion, like breast refusal or lousy latch. But it definitely would HELP if you did cut it out, and let baby soothe at the breast. That's what's ultimately going to allow baby and you to regulate your supply, so that you make exactly what she needs, and no more or less.

If you really want to DO something, you could try eliminating some irritating foods, especially dairy, soy, and caffeine, and see if you see an improvement. But really, 5 to 6 weeks can be the most trying time with a newborn, and most like it'll get better all by itself. Have you read The Happiest Baby on the Block? I found that really helpful at this age.

It's frazzling. Exhausting. You have no time for anything at all except nursing and walking around a fussy baby and grabbing quick naps whenever you can. That's all pretty normal and typical. Hang in there!
post #11 of 19
Quote:
Originally Posted by mojobot2000 View Post
Why? I don't mean to be contrary, I'd just like to know the reasoning, rather than doing it out of a reflexive "pacifiers are bad" stance.
As mentioned- supply. And what she is doing is typical newborn behavior. AND, I wonder if her odd sucking pattern is pacifier-related somehow... I would want to eliminate anything that could be confusing her on how she SHOULD suck and see if things sort themselves out.

-Angela
post #12 of 19
Quote:
Originally Posted by alegna View Post
As mentioned- supply. And what she is doing is typical newborn behavior. AND, I wonder if her odd sucking pattern is pacifier-related somehow... I would want to eliminate anything that could be confusing her on how she SHOULD suck and see if things sort themselves out.

-Angela
:

pacifiers can definitely cause impropper latch to the breast. i would definitely cut them out at least until you get things figured out....

the green poop sounds like a foremilk/hindmilk inbalance. the block feeding would definitely help that.

check out www.kellymom.com for info on the block feeding!

Good luck mama! What your LO is doing is def normal! DS was constantly latched the first 4 weeks of his life!
post #13 of 19
Thread Starter 
Okay, I'm convinced. Baby gets as much boob as she wants. But I'm still going to use the binkie to let me brush my teeth if I need to.
post #14 of 19
We don't use pacifiers. My girl used to get upset when I took a break to do anything at all too. She's just clingy, and I understand that. I was a clingy child too. I certainly can't feed her while I'm on the potty, so I put her on her seat at the doorway and leave the door open so she can see me. It took a couple weeks for her to understand every now and then she has to be out of my arms for a while, and over the course of a few months I was able to increase that time. I'm still her main focus, even at 9 months, but she can handle sitting for about 30-45 minutes now, so long as I'm at least within view. I only really put her down to cook/clean/potty/shower/other necessities. The rest of the time, she's in my arms nursing. She nurses pretty much all the time. Sometimes she's sitting next to me and playing with her toys. And she'll eat for 3 minutes, play for 2 minutes, eat for 3 minutes, etc. What made a difference for me was finally realizing I belong to someone now.
post #15 of 19
Quote:
Originally Posted by mojobot2000 View Post
But I'm still going to use the binkie to let me brush my teeth if I need to.


Do you ever wear her? That can help you get things done in the house too. When DS was little he'd sleep in my sling really well and I could move about the house and he was perfectly content. I also only took showers once DH got home in the evenings, and some days I didn't brush my teeth until then either... But now at 6 months he is happy to roll around on the floor and play for 10-20 minutes at a time, or jump in his johnny-jump-up for 20-30 minutes. Only 2-3 times a day, but it is a nice break!

I also started taking baths with him. Unless I need to do my hair/makeup to go somewhere, I can usually get clean enough in the bath with him.
post #16 of 19
Thread Starter 
I do wear her as much as possible, but she's a bit finicky. She usually doesn't like being worn unless I'm out and about, in which case she loves it. She likes the wrap (snuggle position) better than the sling, but even that is only okay if she's totally ready to sleep. And she doesn't like to eat in a sling. Honestly, I've relied on pacifiers to get her settled into the sling/wrap in the past. If she can suck for at least the first few minutes, she's usually good. But these past two days with no binky, she's not having it. And there's no real going outside for a walk with all the snow that got dumped on us yesterday.
http://www.mothering.com/discussions...s/greensad.gif
post #17 of 19
Thread Starter 
Update:

Okay, I can't get through 24 hours with no pacifier. I'm not using it to stretch time between real feedings, but I'm using it to get her settled into her sling once she's clearly had enough and just needs to comfort suck. Also using it for brief periods at night, when she falls asleep at the breast but wakes up again when I snuggle down with her to sleep. We co-sleep, but most of our feedings are sitting up. I keep trying with side-lying, and it works about half the time. The other half, she gets really panicky, arches her back, and screams. So I'm using the paci when she falls asleep with me sitting up, just to ease her back to sleep after I lie down. I take it away once she's asleep and any time she wakes up in the night I give her the boob.

The only significant use it's getting is an hour or so most evenings after daddy gets home, when mommy goes to the gym. I always leave her well-fed, and with an emergency bottle of breast milk just in case. This time away from her every day -- and the exercise -- is an essential part of preventing ppd for me.

I really, really wish I could go without the pacifier at all, but it's making us all miserable. She just needs to suck all the time, which I'm fine with -- and I WISH 100% of that sucking could be at my breast, but realistically, I can't do that and maintain any kind of emotional/mental balance.

We're still getting green poops a few times a day. She had a marathon spinach-green poop session last night before bed, then first thing in the morning was beautiful golden yellow, and now they're green again. I'm doing the block feeding, so the only thing I can think is that when I do switch boobs after 3 hours, the first feeding on the (usually very full) boob is more fore-milk-y? I'm also cutting out dairy, just for kicks, to see if that makes a difference. Also...maybe TMI, but...her poops are very foamy. We do EC, and when I hold her over the potty, it's like a baking soda and vinegar volcano. Normal?

Also, I got the Happiest Baby on the Block DVD and watched it last night. Seeing all those crying babies calm instantly, I was like, WOW! But then I tried it, and other than the things I already knew she liked -- bouncing, shushing, and sucking -- it doesn't really work. I do swaddle her at night for longer sleeps...but the side-lying on the arm thing, which I was really excited to try, was a total bust. She cried louder, no matter how many times I tried to adjust the angle.

So, yeah, maybe she's a little high-need, but the thing is, she's so happy as long as she's sucking on something. So is it really a crime to give her the paci, as long as she's also getting LOTS of boob time?

About milk supply: Since I've been block-feeding, I'll pump the boob she doesn't get in the middle of the night, and I get about 4 oz. It seems like I have good supply?
post #18 of 19
You may need longer blocks.

-Angela
post #19 of 19
Maybe that much sucking is normal, I'm not sure, but that does sound like an awful lot for her to need to be sucking almost 24/7.

The frothy green poops could signal an allergy. I would def try cutting dairy. Are there any other allergy signs? Rashes, etc?

It does sound like you have a greast supply, which is awesome! I had an oversupply in the beginning too, but around 4 months it evened out.

Try sidelie nursing during the day when you can see, to get the hang of it better. It took us awhile to get it too, but now that we got it, it's awesome! Oh, and I never have my arm under DS's head, he doesn't like that!

DS doesn't like to be worn now unless we are out and about too... which is ok because he is so heavy now it hurts my back to wear him!

Maybe try 3.5 hour blocks, then 4 hour blocks and see if that helps too. You will get a lot of foremilk from the new boob after those 3-4 hours for the first feeding.... I'm not sure EXACTLY how block feeding works, but maybe it eventually levels out? If doing longer blocks doesn't help, maybe try 2 hour blocks..

Hope you get this all figured out soon... Good for you for trying to figure out what is wrong and get answers!

ETA: i just reread your original post. DS had bad 'baby acne' and it turned out to be a dairy allergy. I bet that is part of it, along with your oversupply and maybe overactive letdown making your babe fussy and wanting to suck all the time. If babies have gas and upset tummies they want to suck a lot.
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