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Infrequent peeing in a newborn-supplement?

post #1 of 7
Thread Starter 
DS is 4 days old today, and I'm seriously considering supplementing with formula, despite the impact it will have on my emotional well being.

He was 7lbs 2oz at birth, and is down to 6lbs 7oz, by the doctor's scale (according to our scale, he was 6lbs 6.5oz yesterday and 6lbs 8oz today, so that's good). His bilirubin level continues to rise, albeit slowly. He hasn't pooped for 48 hours, and, most concerning to me, he's only had about 2 wet diapers a day for the past 3 days (including today). He doesn't seem to be dehydrated.

Everything seems good from a BFing stand-point, as far as I can tell (besides the indicators above). He's a sleepy eater, but I work at keeping him awake long enough at each breast, and we can usually get a substantial length of time. We're nursing (at least) every 1-2 hours during the day and *might* sleep for up to 3 hours at night. We sometimes have to fix the latch, but we usually get a good one, lots of boob in the mouth, lower lip out, etc. Most importantly (I think?), I can hear him swallow. And the 3 times he's spit up a little bit, there's definitely milk (and he just, this second, spit up everywhere). My milk was in by yesterday afternoon.

With little exception, he's been with me constantly today, and I've been pushing the boob whenever he's awake.

Any suggestions? I really don't want to supplement; I'm terribly worried that will start a vicious cycle that will destroy my supply. I apparently can't figure out what our issue is, and I don't imagine an LC will be available over the weekend. But the relative lack of peeing, plus all the rest, leads me to believe there's some sort of problem.

TIA
post #2 of 7
If you really feel like you need to supplement why not use expressed milk instead of formula. I had to supplement DD as her bilirubin levels were rising and she'd lost a pretty good amount of weight, but I used expressed milk and a supplemental nurser system. If you dont have that you could syringe feed or even spoon or cup. I would breastfeed and then give 15cc of breastmilk via a supplemental nurser system taped to my finger.
post #3 of 7
ITA with the pp supplement with your milk if you have to, you seem to have your milk in, so give it 6 hours to see how wet his nappies are, if things improve then just keep nursing if not - then try to pump/hand express and get a Lactaid or SNS - contact your local LLL and get things moving fast, not sure if you are using cloth but personally I found cloth nappies so much easier to judge than the disposable nappies when it comes to output, your breastmilk is what he needs for the jaundice so really try to keep things moving along - stay in bed all weekend and only get up to go to the loo, really a nursing vacation and let your partner take care of things. Also for the jaundice let your lo stay in as much day light as possible strip down to the nappy and let him soak in all that day light - it does have to be direct sun as some people think, get as much into your living area as possible and I'm sure things will improve - you could also look at breast compression - www.drjacknewman.com has a great example on his website and this is especially good for sleepy babies - click on video clips and look for - breast compression - I think its with a tongue clip but just ignore that bit and concentrate on the breast compression.

Good luck and keep posting.
post #4 of 7
I am moving this out to the main Breastfeeding forum, where this sort of breastfeeding challenge belongs.



tinybutterfly
post #5 of 7
So how you getting on?
post #6 of 7
Thread Starter 
Thank you for the support and suggestions. Of course, now that this is posted, he's had 3 wet diapers and 2 poopy diapers today. Yay! And his weight seems to be up another ounce. So we just gotta keep it up, and hopefully his bilirubin will be down on Monday at our next check.

He's on the boob just about every waking minute, and we're definitely trying to push the sunlight.

Once I really thought about it, I think that initially I had a hard time establishing my supply because I hemorrhaged after he was born.

His ped just really had me defensive from the get go. Even before we had his bili level, she was suggesting formula because he had lost weight. :-/ And once we had his bili level, which was higher than it had been, but nothing worth worrying about, she was pushing formula again. Not once mentioning sunlight for the jaundice or an LC to make sure we had the BFing thing down. She's not going to be our ped for long. :-p

Thanks again!
post #7 of 7
Quote:
Originally Posted by Dynomite&Destiny View Post
Thank you for the support and suggestions. Of course, now that this is posted, he's had 3 wet diapers and 2 poopy diapers today. Yay! And his weight seems to be up another ounce. So we just gotta keep it up, and hopefully his bilirubin will be down on Monday at our next check.

He's on the boob just about every waking minute, and we're definitely trying to push the sunlight.

Once I really thought about it, I think that initially I had a hard time establishing my supply because I hemorrhaged after he was born.

His ped just really had me defensive from the get go. Even before we had his bili level, she was suggesting formula because he had lost weight. :-/ And once we had his bili level, which was higher than it had been, but nothing worth worrying about, she was pushing formula again. Not once mentioning sunlight for the jaundice or an LC to make sure we had the BFing thing down. She's not going to be our ped for long. :-p

Thanks again!
I'm glad things are going better! Your ped makes me mad. All babies lose weight. My 2nd went from 7 lbs 10 oz at birth down to 6 lbs 13 oz, and my GP never suggested supplementing! Of course, he bounced right back up after that.

As far at the bili level, babies of Asian descent will have a higher bili level. I don't know if this applies to you. I found out because DS #2 is half-Chinese and his bili levels were higher than DS #1, whose is European (white). Many practitioners don't know about that, though.

You're doing great!
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