We need help, baby is loosing too much weight - Page 3

[PatioGardener]

Originally Posted by Triniity 

thanks for all the support.

the thing is, she is not actually falling asleep whilr nursing, just not really nursing anymore. she is not sleepy at daytime, only sleeping for long stretches if she is in the sling, otherwise she is being awake quite a lot.

we are monitoring her intake today, dp is taking care of the other two so that i´ll have time to stay close to the scale :) 

You may like to try breast compressions and / or "switch nursing" when she stops actively sucking. Switch nursing is that you give her the other breast once active sucking stops, and just keep switching breasts for the whole feed. Breast compressions can be seen here: http://www.breastfeedinginc.ca/content.php?pagename=vid-4dayold

Hope the weight gain goes well!

[GoddessKristie]

Originally Posted by Triniity 

thanks for all the support.

the thing is, she is not actually falling asleep whilr nursing, just not really nursing anymore. she is not sleepy at daytime, only sleeping for long stretches if she is in the sling, otherwise she is being awake quite a lot.

we are monitoring her intake today, dp is taking care of the other two so that i´ll have time to stay close to the scale :) 

I'm so interested so see how her intake is coming out!

[Triniity]

It´s acutally quite shocking, she is not even taking 500g/day. No wonder that she is gaining so slowly.

I am a bit worried now, it's not surprising, really, but now the question is, why she is not taking enough milk. I honestly don't think it's a supply problem.

I don't know if I can manage to pump enough milk to supplement her, I am gonna try ... but last try she just took less on the breast, anyway, I'll try again, I am going to use this breastsystem from medela again (I always forget the name...)

we'll discuss with the doc on thursday.

[Megan73]

Hang in there, Trin. You can do this.
The good news is that you can increase her intake. If she was drinking plenty of milk and wasn't growing it could have been caused by a potentially serious medical problem.
The bad news is that if you didn't have a supply problem before you may well have one now because she's not removing milk from your breasts well.
Here's what I would do: switch nursing and compressions at each feed then pump with a good double electric. Use the milk you pump to supplement at the next feed via the SNS. I would start with 30 ml per feed - you may need to seek out donor milk or use formula if you can't pump enough within a few days - then see where you are in a week.
While you're doing that, search out a good International Board Certified Lactation Consultant to double check her latch and whether she has a tongue tie. You could also talk to your MW about whether there's anything that could be sabotaging your supply, like hormonal birth control or retained placenta from the birth.
Also, how much domperidone are you taking? The current starting dose is 90 mg a day but some women take 120 mg.
My second son wasn't gaining well at the beginning but within a few days of dedicated pumping and dom I was able to supplement only with pumped milk then eliminate the supplementing and pumping altogether. Sometimes things get better just because they get bigger, stronger and better at nursing.

[Triniity]

actually there is something wrong with my uterus, doc calls it retained blood, would not look like placenta, could that be doing something? she prescribed an ergotamine which would be causing low milk supply, so we opted for oxytocin instead.

after a couple of doses nothung happened, will see her on wednesday to discuss surgery

[PatioGardener]

Was going to post, but Megan has already said it!

Hang in there!
 

Originally Posted by Megan73 

Hang in there, Trin. You can do this.
The good news is that you can increase her intake. If she was drinking plenty of milk and wasn't growing it could have been caused by a potentially serious medical problem.
The bad news is that if you didn't have a supply problem before you may well have one now because she's not removing milk from your breasts well.
Here's what I would do: switch nursing and compressions at each feed then pump with a good double electric. Use the milk you pump to supplement at the next feed via the SNS. I would start with 30 ml per feed - you may need to seek out donor milk or use formula if you can't pump enough within a few days - then see where you are in a week.
While you're doing that, search out a good International Board Certified Lactation Consultant to double check her latch and whether she has a tongue tie. You could also talk to your MW about whether there's anything that could be sabotaging your supply, like hormonal birth control or retained placenta from the birth.
Also, how much domperidone are you taking? The current starting dose is 90 mg a day but some women take 120 mg.
My second son wasn't gaining well at the beginning but within a few days of dedicated pumping and dom I was able to supplement only with pumped milk then eliminate the supplementing and pumping altogether. Sometimes things get better just because they get bigger, stronger and better at nursing.

[PatioGardener]

Originally Posted by Triniity 

actually there is something wrong with my uterus, doc calls it retained blood, would not look like placenta, could that be doing something? she prescribed an ergotamine which would be causing low milk supply, so we opted for oxytocin instead.

after a couple of doses nothung happened, will see her on wednesday to discuss surgery

Any retained placenta (including membranes) can result in a lower milk supply - so this is definitely something to consider.

It sounds like you have a lot to deal with right now - good luck with it all

[Triniity]

what kind of schedule for pumping do you suggest? I am always unsure, since she is not very regular in her feeding.

[Megan73]

Originally Posted by Triniity 

actually there is something wrong with my uterus, doc calls it retained blood, would not look like placenta, could that be doing something? she prescribed an ergotamine which would be causing low milk supply, so we opted for oxytocin instead.

after a couple of doses nothung happened, will see her on wednesday to discuss surgery

It absolutely could be reducing your milk supply. From what I've read, you'll be able to nurse as soon as you feel up to it after a D&C. Good luck, mama.

[GoddessKristie]

Originally Posted by Triniity 

what kind of schedule for pumping do you suggest? I am always unsure, since she is not very regular in her feeding.

I had HUGE success by pumping 45 minutes after each nursing session for at least 15 minutes total. I was a SAHM to only my baby so I had time to sit and pump ten minutes on each breast. I never worried if he needed to eat again before 45 minutes were up (my LC said it takes 45 min between for your body to see it as a separate feeding), I just fed him, then waited another 45 and pumped again.. I used a manual pump and after a day or two I started pumping first thing, before the first feeding I would pump and I easily got 12oz from each breast before I let my LO nurse. That first feeding was the biggest because he was sleeping well, but I kept nursing throughout the day and then waiting 45 minutes and pumping. I was just building freezer supply, so after a couple days I stopped and just let him go back to his regular nursing schedule. I was seriously impressed at the ability of breasts to make that much milk. 

ETA: Here's a link to KellyMom.com with some more ideas for helping baby gain.

http://www.kellymom.com/babyconcerns/growth/weight-gain_increase.html

[kamsmama]

I don't know if anyone has suggested it yet, but I could cut out all sources of dairy and/or soy. My son was allergic to milk from birth and as soon as I cut that stuff out the spitting up stopped. This can affect his gut and absorption.

[Megan73]

How's it going, Trin?

[Triniity]

It´s going okay beastfeedingwise. she reached 4 kg now, ped is happy, and i am not pumping anymore, just bfing.

i am really grateful for all your support! i feel my mw did not help at all...

thanks!

[PatioGardener]

Originally Posted by Triniity 

It´s going okay beastfeedingwise. she reached 4 kg now, ped is happy, and i am not pumping anymore, just bfing.

Awesome news! Well done!

[Triniity]

unfortunately she lost weight, had a bit of a runny nose, but nothing major, but is now below the weight she had two weeks ago (slightly) 

She is well below the third centile now, and that is WHO centiles for bf babies :( 

I am exhausted...