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We need help, baby is loosing too much weight

post #1 of 55
Thread Starter 

Hi there, 

DD was born last week on monday, after her first check up she was admitted to NICU for low blood sugar. She had i.v.s for her sugar, and we tried to feed her with finger feeder and this breast thingie, but she kept throwing everything up, only bottles worked :( I had to give her bottles for about two days, until her sugars were stable. She was on the breast before every feeding and trying to feed beautifully, except on the right side, were my nipple is quite flat since I stopped bf my DS two years ago. 

 

since we are back at home (last thursday) we are feeding on demand, and she is feeding every two to four hours. It was quite difficult in the beginning, because my nipples were really sore, esp. the right one, and she would not take the right one very well. Now the right side is much better, but she still does not take this side to well, at night it is really difficult, and I cannot nurse her on the right side while lying down, which works without any problem on the other side. She does feed this side at daytime, though not as well as the left side. 

 

She lost weight, now she lost 10% of her birthweight, and she should be back at her birthweight by now. 

I don´t want to give up bf, and am willing to do what it takes. At the moment I am bf her every two hours, or more, I have to wake her up for this, and she started to spit a bit. I am drinking teas and loads of fluids, try to eat a lot (which is not too difficult, given the time of the year :) ) but I am really worried that bf will not work out. 

 

Any suggestions?

post #2 of 55

At only 8 days old, she doesn't need to be back to her birthweight yet.  Has she gained since her lowest weight, or has she been losing consistently?

 

Have you been in touch with an IBCLC?  It seems way too early to be worried that you won't be able to breastfeed.  You need some support though!

post #3 of 55
Thread Starter 

No, she is loosing constantly. I was in touch with an LLL counselor (how are they actually called ...) 

 

I successfully bf my two other ones until there were two, this really stresses me out :( 

post #4 of 55
Congratulations on your new baby!
You're right - 10% is really the top end of normal newborn weight loss - but I've always heard BF babies aren't expected to be back up to their birthweight until they're two weeks old.
Is she continuing to lose weight? Is she having enough wet and dirty diapers? She should be having at least three to four quarter-sized stools a day and five to six good, wet diapers.
If she is continuing to lose weight or not having enough diapers (especially if she seems sleepy or lethargic), I think it might be a good idea to see an International Board Certified Lactation Consultant or a good LLL leader.
When I was in the same boat, my LC suggested I use a double electric pump after feeds then use an SNS to feed baby the pumped milk.
I also wanted to reassure you that supplementing doesn't mean the end of BF. My second son lost too much weight and I had to supplement with formula in an SNS for a day or two until I was pumping enough milk. Then I weaned off the supplements and pumping and exclusively breastfed until he started solids. He's been in the 80th percentile for weight ever since.
post #5 of 55
Quote:
Originally Posted by Triniity View Post

No, she is loosing constantly. I was in touch with an LLL counselor (how are they actually called ...) 

I successfully bf my two other ones until there were two, this really stresses me out greensad.gif 

Sorry - we cross-posted.
I'm sorry you're so stressed. hug2.gif
What I'd do if she's still losing is to start pumping after feeds with a double-electric pump and getting the pumped milk into her. Is she waking for feeds? Lethargy and low diaper output would be real red flags.
Was the LLL leader not helpful? Do you have IBCLCs in your area?
post #6 of 55
Thread Starter 

Hi, 

 

 

Quote:
Lethargy and low diaper output would be real red flags.
Was the LLL leader not helpful? Do you have IBCLCs in your area?

 

She does not have low diaper output, her diapers are quite full at every change, we are still using disposables, until I am ready to face the washing machine :) Not that much stool, but I guess three quarters at least ( I´ll have a closer look now) 

The LLL leader was helpful, I just thought to go looking for further ideas, she did, for example,  not suggest pumping. I just called the pharmacy and will get an electrical interval pump this afternoon, and will start pumping. 

 

Just called our pediatrician, who probably is the best ped in the world. He was so reassuring! He said that she is probably just loosing water which is common in babies who had blood sugar issues and that I should continue what I am doing, and he will have a look if she does not start gaining weight by friday. 

 

Megan, what does SNS mean? 

 

what can I do to increase my milk supply? 

 

 

post #7 of 55

Hi, just wanted to follow up too (especially since you say her diaper count is good) that if you received iv fluids during labor that could have given her an increased birth weight due to increased fluids.  So, once the fluids came off she may have lost what appears to be a large amount.  So, if wet/dirty diapers are happening at an appropriate amount and the ped says it's okay, I wouldn't worry much yet.  

 

But I agree on the pumping, especially on the right side...and if you can find a lactation consultant you may want to have her latch looked at to make sure she's latching well.  Or, you could go to the doc' or something and have a pre and post nursing weighing so you can find out how much she's getting. 

 

Good luck.

 

post #8 of 55
Quote:
Originally Posted by Triniity View Post

Hi, 



She does not have low diaper output, her diapers are quite full at every change, we are still using disposables, until I am ready to face the washing machine smile.gif Not that much stool, but I guess three quarters at least ( I´ll have a closer look now) 
The LLL leader was helpful, I just thought to go looking for further ideas, she did, for example,  not suggest pumping. I just called the pharmacy and will get an electrical interval pump this afternoon, and will start pumping. 

Just called our pediatrician, who probably is the best ped in the world. He was so reassuring! He said that she is probably just loosing water which is common in babies who had blood sugar issues and that I should continue what I am doing, and he will have a look if she does not start gaining weight by friday. 

Megan, what does SNS mean? 

what can I do to increase my milk supply? 


If her diaper output is good and she's alert and waking for feeds, I would keep doing what you're doing although pumping (the best way to increase supply) can't hurt. Your ped sounds great and I agree with wishin'andhopin that water could be an issue especially if you had IV fluids: http://www.nancymohrbacher.com/blog/2011/10/31/newborn-weight-loss-and-iv-fluids-in-labor.html
Did your ped check if she has a tongue tie?
Stool counts are important: http://www.llli.org/llleaderweb/lv/lvdec97jan98p123.html
An SNS is a supplemental nursing system - a bag of supplement that you feed to the baby through a tube inserted in their mouth along with the nipple. Using an SNS or finger, cup or syringe feeding is really the best way to supplement so you don't run into problems with flow preference from using bottles.
Hang in there, mama. I bet she'll be gaining in no time!
Come back and update us on how you're doing.
post #9 of 55
Thread Starter 

I don´t thing she has a tongue tie, I guess they checked. 

 

No, I did not have i.v.s during labour. I got my pump now, and I got this superspecial bottle  http://www.mothercare.com/Medela-Calma-150ml-Bottle/dp/B003VKWOVE (We actually tried this SNS, did not know the name :) in the hospital, that did not work very well) 

 

Tomorrow my mw will weigh her again, but I guess she is really on the right track. Hopefully! 

 

I´ll let you know tomorrow! 

post #10 of 55
Quote:
Originally Posted by Triniity View Post

I don´t thing she has a tongue tie, I guess they checked. 

No, I did not have i.v.s during labour. I got my pump now, and I got this superspecial bottle  http://www.mothercare.com/Medela-Calma-150ml-Bottle/dp/B003VKWOVE (We actually tried this SNS, did not know the name smile.gif in the hospital, that did not work very well) 

Tomorrow my mw will weigh her again, but I guess she is really on the right track. Hopefully! 

I´ll let you know tomorrow! 

Fingers crossed for you!
But I really would avoid bottles for at least the first few weeks while you're trying to get breastfeeding established. They can lead to trouble and I haven't ever seen any lactation professional suggest that a particular brand of bottle is better than any other. You may find the SNS works better now that you've gotten more practiced at latching or you could finger, cup or syringe feed.
post #11 of 55
Thread Starter 

I will try with no-bottle feedings, it´s just to get the pumped milk into her if I need to. 

 

Maybe I am not that good with the finger feeder, or she was just too hypoglycaemic when we tried, she kept throwing up after the feeds. I think the milk was just going in too fast, ykwm? 

And with the SNS, she would not leave this little tube in her mouth, she kept spitting it out, but we´ll trying again for sure. 

I just got the bottles so that I have something better than the regular ones. (that might be magical thinking :) ) 

post #12 of 55
The usual starting amount for supplement is really small - like half an ounce to an ounce per feed - so you might find a little cup (like a shot glass or little plastic medicine cup) works just as well as a bottle. A syringe works, too.
I'm not trying to scare you about bottles I just find that people often aren't aware that while some newborns switch back and forth with no problem some don't - and my first was one of the latter. He quickly started refusing the breast. It was agonizing although thankfully we were able to get past it.
Anyhow, it will be a moot point because she'll have gained so well on Friday!
post #13 of 55
Found a good link on alternative feeding methods: http://www.kellymom.com/bf/pumping/alternative-feeding.html#Cup
post #14 of 55
Thread Starter 

Hi, 

she gained! Just 60 g, but, hey it´s a start! And I didn´t need to supplement anything, I don´t really want to supplement formula anyway, I am thinking more into pumped breastmilk if necessary. My inlaws will be here over the weekend (hopefully without the hello k*tty laptop (the my post in parenting :) ) and I´ll really have to work to keep everything warm and cozy for little Mina and me. 

 

I´ll keep you updated, don´t you think these bottles are really a bit like a fingerfeeder? They are supposed to be, but maybe somebody is falling for the marketing here ;)

 

Thanks for the link!

post #15 of 55
That's so great she gained! That's two ounces in two days, right? Five to seven ounces a week is what you'd expect so it sounds like you're on track.
If so, I wouldn't even worry about the bottles. Just nurse, nurse, nurse. You can use it as an excuse to go rest in your bedroom to get away from the ILs and the stupid laptop eyesroll.gif
post #16 of 55
Thread Starter 

Hi there, it´s us again ;)

we are still struggling with weight gain. She is now 3500 g, which is a gain of around three ounces the last week, midwife is again suggesting formula, I don´t want to give it, but I don´t want to starve DD2 as well ... 

 

DD2 is feeding every 2 - 3hours, is spitting up nearly after every feed, but not much. Is quite gassy, a bit fussy at times, but not too bad. She does not have regular bowel movements, one every 4 - 6 days (but than a lot) She is four weeks old by now. And I feel that she looks skinnier than she used to, but that might be my imagination. 

 

My plan for now is to pump breastmilk to supplement once at night. I don´t really see a point in giving her formula, she is clearly getting milk, she is spitting it up! (am I wrong here?) 

 

Any suggestions?

post #17 of 55

Have you talked to your doc about reflux?  It's the first thing I think of when I hear that a baby is spitting up a lot.  

post #18 of 55
Thread Starter 

The reflux would not really mean a lot anyway. people do not really treat babies for reflux here (germany) unless proven by a ph-study. otherwise you are just advised to have a bit elevated (have her in a sling anyway) and thicken her feeds,which is not really possible in a breastfed baby.

 

We have an appointment next week, anyway.

post #19 of 55
Three ounces a week is low but it's great that she IS gaining - you just need to bump it up. How has her weight gain been generally since you last posted? She's a bit young to be stooling so infrequently so it could be a sign she needs more milk.
I would pump after as many feeds as you can manage (especially in the middle of the night and early morning when prolactin levels are highest) with a good double-electric and feed her whatever you pump with one of the alternative feeding methods in that link I posted. Is it possible in Germany to get a prescription for domperidone? That might help you boost supply.
If you can't get her gaining appropriately (five to eight ounces a week) I would agree with your midwife that supplementation with donor milk or formula would be necessary.
post #20 of 55

Can you describe your nursing sessions? How long, how many sides, hearing swallowing for how long, feeling letdown (not required but helpful), milk dribbling out, spraying if baby pulls off, etc? How much are you getting when you pump? (not equivalent to nursing but helpful to know). Are your breasts full right before nursing again?

 

You said you don't think she's tongue-tied (and certainly may not be) but have you looked intentionally for that, esp when she cries? Again, she may not be, but babies who are tongue tied can take in a lot of air and get gassy and spit up from a poor latch.

 

She may seem skinnier bc she is likely growing longer but not keeping up with chubbiness...not necessarily that she's losing weight. But, since I have a low weight baby, I *know* when she's grown from one week to the next and when she hasn't just by holding her.

 

Reduce acidic foods in your diet like OJ, chocolate, tomatoes, sausage. Can alleviate reflux for her.

 

Lack of weight loss is very good, and you're on the right track. It's so wonderful when we've seen that our babies are growing.

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