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Need help and advice! Exclusively pumping for a baby who won't latch!

post #1 of 10
Thread Starter 
There are quite a lot of questions here (I have bolded them) and I will try to provide as much info as I can - but any advice/input would be great! TIA

My boy Hamish was born last Thursday - he is 5 days old today...

He was put to the breast right away. I was not awake for that so I don't really know how that went but I do know it took a lot of people to get him there but once there he was there for a good hour.

However... He is not feeding at the breast. We have managed to get him there a total of 3 times the first two days of his life. BUT each time took more than hour.

He was born 12lbs 4oz (yep - thats right! lol)...my birth plan did not go to plan (at all!)...But we are both alive earthside and I know I gave it my all. However - I think the first two days of his life he was so unhappy because of his traumatic birth. By the third day he started to calm down a bit. I could hold him without him screaming about it but still could not put him near my breasts - especially when it was hungry time...it would result in screaming again.

As you can imagine, this has been hard on me because when you have a baby it is supposed to be this magical moment - a time to enjoy. But I felt so down and out of sorts (not because of the birth) - but because he was just SO unhappy and I could not hold him those first few days without him being quite distressed.

The fourth and fifth day have been better though. By the afternoon of the fourth day he became super chilled. My milk is well in though - so I think his little tummy is well satisfied. He seems to be feeding 4 hourly. But he is not taking in a lot.

Also - he was born with a tongue tie. Way more serious that my sons. We had it snipped within the first 24 hours...didn't even care about that though - wasn't fussed. My sons was not corrected (didnt know it could be - was never offered...didnt even knwo it was a problem for him until he became way too dehydrated, etc)....

Anyraod - if there is one difference between Hamish and my son though - despite the tongue tie correction...is that my son responded normally to being breastfed. He rooted...opened his mouth, pecked like a chicken and latch on!...Hamish does not do that!.... If you put him near the breast...rub his top lip...all of that...he will root or open his mouth. (now at 5 days he does root but does not open his mouth for it yet...so some progress I guess!)

...So here is where the questions start...


1). I am cup feeding him. The hope is that he will eventually take to the breast. Lots of skin to skin contact. Calm moments. Full tummy. Try try try. Which is why I am cup feeding him. After the first few days they said do not even try and put him to the breast for a few days because it was clearly making him very very very distressed. (I cant stress enough how upset and unhappy and distressed he was getting by it - despite being super hungry!)...The goal was for me to chill him out and get him calm enough so that he wouldn't get so distressed by it would otherwise not help our breastfeeding relationship.

But he has been sleeping so much these past few days and is only taking in about 1.5-2oz every 4 hours. I am worried this is not enough for him. Mind, he has only lost 3 grams of his birthweight. Could he just not be that hungry?

I feel the past few days for him he has re-birthed himself. He no longer seems to need tightly swaddling and has 'come out' so to speak from the need of it. He is just so much happier and super chilled now.

2). But is he too chilled? Is cup feeding such an effort for him that he is getting tired out before actually getting enough milk? He drinks a bit and then goes back to sleep (nice for the past few nights of course lol)

He is WAY eager for that cup of milk when it comes to him though. All I have to do is lay the muslin across his chest (cause cup feeding is pretty messy lol) and he knows it is coming! He grabs for the cup, roots and roots for it and sucks it down. Often to the point of gagging on it because he is too greedy! lol

Now - my first son was also a bit baby (10 and a half pounds) - though not this big! lol...but due to a much less traumatic (though still un-ideal for me) birth, he was super chilled from the start. But due to his tongue tie that was NEVER corrected he never was actully getting milk from my breasts despite his eagerness to latch on and suck. Which meant that at a week old, he had lost 20% of his body weight and was super dehydated. So I pumped for him. But no one ever told me how. He recieved his milk from a bottle. I didn't think getting him on the breast was going to be possible. Hamish's tongue tie was corrected for him before he was even 24 hours old AND it was worse than his brothers. But He doesnt seem to be as eager to open up and latch onto the breast - at all! ...But like I said, he was really unhappy for those first few days of life.

3). Should I be giving Hamish a bottle so he takes in more milk? Cause I am worried he is not getting enough right now. Or is this just a 'phase'...keep and eye on it for a few days and he will start taking in more milk???

Also - I was instructed to pump every 3 hours (well - 8 times a day...that works out to every 3 hours). 30 mins (5 mins one size, 5 the next, and so on till it equals 30 mins)...

But - this is WAY too much for me!... I mean, if I did that - I get like 10 oz! lol...Seriously.. All it takes is 10 minutes for me to 5oz which I am doing now - but that means I am having like a much bigger supply than he is taking in. I don't mind terribly because I can freeze a lot of that - may be handy.

4). So should I just be pumping what he needs instead and not to the whole 30 mins 3 hour thingy? ..Cause my freezer isn't that big! lol I seriously NEVER had supply issues with my son and it is cleary that I do not now either! lol

5). Am hoping not to need to pump for two long. I have been told it could take him 2 weeks to finally latch on! However...what if it takes longer? How do I take breastmilk out with me? So that he doesnt go hungry? So that I am not house bound until I can just feed him wherever we go?

6). Is this something that he will learn? Please tell me he will. I have been told by quite a few MWs that they have seen this before and that babies do eventually latch and breastfeed!

7). Is there anything else I can do to encourage this better? He is so big, it is really hard to try and get him to latch on the conventional way! lol....Due to the section as well - the breastcrawl is not possible (due to pain of it)..which is what I was hoping to do!

Any questions if I havn't covered them - just ask!
post #2 of 10
Hi Ann - I've been totally stalking you looking for an update from his birth. Sorry to hear that it was traumatic for the both of you and when you get around to it i would love to read the whole story.

Now, as far at the nursing....you need to get that baby on your breast. How often are you trying to latch him on? I would maybe give him 1/2 an ounce out of the cup to calm his hunger and then try and latch him on. He will scream and freak out because he has no idea what you are doing. Try manually compressing your breast while trying to latch him on and squirt milk into his mouth while he screams. He will realize..."hmmm....that thing is giving me milk."

Thats great that you are producing so much, and its totally your call on what you want to do pumping wise. I might be worried that your supply would tank and instead of too much you might suddenly have not enough. Your call. You know your body best.

Seriously though, you need to get him nursing this is such an important time and the longer you wait the harder its going to be. Are you working with an LC right now? How much weight has he lost? Obviously if he is loosing signifigant weight you would need to get milk in him asap, but its sounds like he is doing pretty well. Lots of pees and poops?

So - get your booty in bed with your baby and just lay there naked bonding with him. Try latching him on while laying down first, thats usually the easiest to kinda trick them into latching on. Hang in there girl!

And congrats on the birth of your baby boy! Welcome to the world little man!
post #3 of 10
I'll admit that I've been stalking too- and I'm not even in your DDC! Lol! You grew an amazing baby! And it sure sounds like you've got enough to feed him too!

I'd say that 30 minutes sounds like overkill- I'd drop to 15 personally. I'm guessing that you're using a single hand pump? So I'd do 8-10 minutes each side and call it good.

I agree that giving him a bit from the cup and then offering the breast is the way to go. I'd also play around with that bit of muslin and your breasts- if he's already associating it with feeding, then it might help if you drape it over your breast or on his chest. The IBCLC I trained with had really funny stories about LOs who had massive problems at birth associating the gloves worn by nursing staff with feedings for a bit- so the muslin might just help!

Trying the football hold is often easiest for post-c-section births.

I'd also use pees and poops as a good indication if he's getting enough via the cup. I'd avoid using the bottle unless you have to- I'd try syringe feeding first.

I think it sounds like you should be working with a IBCLC as well. Is there one in your area?

Good luck to you mama! I'm sure you'll get that baby to latch soon! Congratulations again!
post #4 of 10
I would also consider a craniosacral chiropractor who can help with birth injuries, palate and skull issues.
post #5 of 10
You have already gotten wonderful advice, I don't have a ton of new info for you. Congrats on the BIG baby boy, I must see pics when your life calms down.

If half a cup of milk and attempting latch on isn't working then maybe feed him and wait an hour, try to latch then. Lots of nakid bonding time, his world needs to happen at breast level even if he isn't attached to them right now. He can smell, any hopefully that will lead to licking, tasting, and nursing.

Hang in there.


Amy
post #6 of 10
Thread Starter 
He is 8 days old today.
Had the CO come round today.
Have not had to pump at all today.... But to feed him and get him to latch, I have to lay him down on the bed and lean over him. He doesn't like to be touched at all whilst feeding. Hopefully with time and paitence, this will change!!!
It is a start though!!!
post #7 of 10
I had to use the cross hold with my big baby. I could actually nurse him without touching him, which was nice when I wanted to eat or drink something. Put a standard size pillow on your lap. Lay baby on the pillow and you hold your breast with hand on the same side, use your knees (will need a foot stool) to adjust baby's height. Use the opposite hand to get baby to latch, once he his latched you can remove your hand.

Hope you can find a position that works for both of you. It sounds like what happened in the hospital was very tramatic for him and he is still reacting to that.
post #8 of 10
Quote:
Originally Posted by ann_of_loxley View Post
He is 8 days old today.
Had the CO come round today.
Have not had to pump at all today.... But to feed him and get him to latch, I have to lay him down on the bed and lean over him. He doesn't like to be touched at all whilst feeding. Hopefully with time and paitence, this will change!!!
It is a start though!!!
what a wonderful update! I just wanted to add, i had a cruddy birth exp with my DS. And we struggled, struggled, struggled with breastfeeding.

He's my only baby, so I didn't know what it was like to have a baby root until about 6 weeks, he just got it. It was like magic!

Even now, he's not the brightest, I don't think, at latching-- he often latches on to my cheek or tummy or any other expanse of flabby flesh he can sink his gums into. But rooting was def. a learned behavior for him-- for a while he could only do it with the lights on.

All this to say, there's hope, and you are doing great!
post #9 of 10
It sounds that things are on the mend but i just wanted to throw something out about the latching issue just after birth, many babies who go through a traumatic birth take a while longer to latch on and nurse, however, I'd be interested to know in that when someone else was trying to latch him on did they hold the back of the neck or the head, if it was the head then this could be the issue of the not wanting to nurse, it's like being forced to drink or eat something which then can in turn be difficult if this is the source of nourishment that they need to feed from - i'm always at nurses, drs and mothers not to hold the head and to gently support the head by the nuc at base of the neck rather than the head - it's just something I wanted to throw out there. Try looking at Susan Colson's website www.biologicalnurturing.com LLL Leader and IBCLC in London, also bathing with baby is a re-birthing experience, when you are well enough healed from the birth you may want to try this and get Hamish - LOVE LOVE LOVE the name by the way - to nurse whilst in the water - it may help as well.

congratulations on your baby boy, my sister had an 11lb 9oz baby - she's not even 5 ft so I can really sympathise with you - congratulations on your wonderful baby.
post #10 of 10
Thread Starter 
I can now feed him laying down! I didn't have to get up at all last night to see to any of his needs except a nappy change!

We just need to get upright so that we can go out and be a part of the world again!
Whats hard about this as well as that I feel it is not very fair on DS being stuck indoors with me - and hes not the type of child to be happy to just go off with anyone other than Daddy or I.

I have a friend who is a BF support/councelor - she has come round yesterday and will be coming round again on Monday. I am keeping her updated with a few calls today.

He does much better on my left nipple - its shape is pretty nice for nursing. I suppose he will just have to get used to the less ideal shape of my right nipple. He gets an excellent latch on my left side...takes awhile with the right. At least with the left, if it falls out, he has no problem getting it back in again. With the right, I have to assist him.

I just want to feel like we will be able to nurse anywhere. I know it will happen - I know I need patience.... But I swear everyone else I know made this look super easy!!!

Will deff try the bath - as it has now been suggested to me three times! His tummy button area looks a bit weapy and sticky though so I was just waiting for that to look a bit better.

I do think they handled him pretty roughly the first few tries at nursing (I am not sure about where they touched him on the head - I only think they handled him by the neck). He also has this strange lumpy bruise on his left arm - which makes nursing on the right even more un-enjoyable for him. It showed up shortly after his birth as a small red spot that turned into a hard lump and bruise...from pressure in the womb or when they pulled him out? - Who knows...Will ask the MW/HV about that.
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