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Need HELP! Advice, Suggestions ...  

post #1 of 12
Thread Starter 
I am feeling very confused, scared and desperate for some good info right now ...

First a bit of background info - little babe is nearly 7 weeks and weighed 8'14 today. Birth weight was 9'1 (though not exact, used a fish scale) but at two weeks he weighed only 7'3. At two weeks I went to see a lactation consultant because my nipples were in extreme pain and I knew that it had something to do with the baby's suck. He had a tongue-tie. It was clipped the next day and he hasn't lost weight since then. The baby gave me no signs that he was in trouble. I have been nursing a child non-stop for almost seven years now and I am tandem nursing for 22 month old. If it wasn't for the older nursling I would have almost no supply but he kept "his side" well stocked! and has brought up the supply on the other side! - thank goodnes for that. This ds doesn't nurse much most days (5x avg.) In seven years I didn't have to think much about bf, I just plopped it in when the baby asked and didn't care how often it was (though it was often with ds#1) or if the baby was gaining "enough". That said, I don't see doctors (too much trouble for any good) unless absolutely necessary (and that has been a rare thing) so I didn't have anyone telling me that weight gain was too slow.

Now I do.

And this is the problem - the LC has been told that I MUST take my child to the doctor or CAS will be called. This is scary. I am going to take him for a well baby checkup and to get the newborn bloodwork done to check for any rare, but serious problems (metabolic disorders mostly) - I really don't have a choice at this point. She says that she isn't concerned about the supply with the tandem nursing and hasn't told me to supplement with formula. She has checked how well he transfers the milk and it isn't that great - only about 1.5oz from each side. His latch is great, the position is fine. He is a slow sucker though and I think it's his personality, he's just not in a hurry (ds#1 was that way and now he is in the top for growth!) I have been pumping but I am not sure that it's enough and I just can't get the hang of when to pump so that there is still milk there for the baby to drink when he's at the breast. (the pump just "touches me out" as though my nipples then say "i am not cooperating anymore and i am irritated and annoyed by all this sucking and will not let-down without a lot of work") I am not trying to boost my supply just get more to him. Her suggestions are to supplement every two hours even at night and I know that lack of sleep will not help us out! (and neither will this stess either!). I can't sleep through the day unless ds#2 is sleeping because I have no other adults here with me.

I am not sure if the baby is "tricking" me into thinking that he is okay. He pees and poos a lot everyday (not too much though), isn't excessively sleepy, doesn't cry for long periods or unconsollably, is alert and active and smiles at me. We co-sleep and have spent almost every moment at home being skin to skin, I massage him and do some baby Yoga, I carry him in a sling ... could all of these good things be masking something???

I really don't know what to think or make about this. I feel like he's alright but "other people" are saying that he isn't gaining enough weight. It could be that there is something else wrong (those rare disorders) but I fear being told that he cannot bf anymore.

What else could be happening here?

Any ideas - anyone?
post #2 of 12
that isn't much weight gain. can you find a naturopath or a very breastfeeding friendly doctor who could help?
post #3 of 12
s:

I have to admit that I would take my baby in to see a pediatrician. Sorry that your LC was a bit heavy handed about it. But I have to agree with her. One of my daughters did not regain her birth weight by the time she was one month old, but she had serious medical problems. I remember how freaked out I felt when the LC referred to her as "compromised." I replayed that over and over in my mind -- it really hurt, but it somehow woke me up.

My LC said, very kindly but firmly, that feeding the baby was the most important thing I could do. If I had to use formula or milk from the MMB, or partially wean my older dd, so be it, but the baby must be fed. This LC is a famous lactivist, (at least in our little LLL world) and for her to say this so firmly to me made a huge impression. I don't know your LC, of course, but perhaps she is just trying to emphasize to you that you have a potentially serious problem on your hands.

I have the feeling that everything is going to be OK. I wish you were here in Austin so you could go see my daughters' pediatrician. Do you have one you can trust?

In closing, I will just point out that mainstream medicine isn't necessarily bad. It has many flaws, but it also can be really helpful sometimes. I think going to the doctor is going to be OK, and everything will turn out alright. I am praying and sending positive vibes for you and your baby. Visualize going to the pediatrician's office and finding someone who will be helpful and kind and competent.

Please report back and let us know how you and your baby are doing.
post #4 of 12
Thread Starter 
I am going to see someone to check the baby out tomorrow. The problem I have is that I live in a small town and the whole area is underserviced as far as docs go so my choices are a walk-in clininc or nurse-practioners. Since the babe was not born in a hospital he doesn't have a health card and so my only choice is the nurse practitioners. My big worry is that I will be asked so many questions, too many questions, about the birth, my other children, blablabla, things that don't have to do with the baby but more with my lifestyle/parenting choices and I am just not up for the fight, yk? I realize I have to be clear and stay focused on the baby and respectful decline answering other off-topic questions.

What I would like to know is if other people have had babies with undetected problems that caused them to gain weight slowly. Or what medical issues/illnesses/diseases might be the cause of the slow weight gain. Does anyone have experience with this? Any ideas of what could be the problem?

I guess if I get a diagnosis for anything, which won't be for another week at least, then I can come back here and see what info I can get from other Mothering parents. I just like to know what I might be up against so I can plan but also be as educated as possible and to be able to make clear decisions I feel good about. I have always been able to handle any health issues myself, though anything has been minor enough to not need medical help, so the thought of something that I can't do anything about is kinda scary.

My other worry is that it's my fault ... yk? Like, have I not been pumping and supplementing enough? Have I not been paying enough attention to the baby? Was it because the first couple of weeks were HARD (depressed, irritated) for me? Have I not been eating well enough? Did I eat something wrong? Or drink something wrong? I really don't know ... and that is the scariest part. Of couse, it's easy for a mom to blame herself, too - it is my milk after all ...
post #5 of 12
I DO NOT SEE THE PROBLEM...

You said baby weighed 9#1oz at birth and then dropped to 7#3oz. Your right, that totally sucks. He had a problem that absolutely affected the amount of milk he was getting. You got the problem fixed. So, he weighed 7#3oz. at 2 weeks and then 8#14oz. at 7 weeks. So, since the problem was fixed he gained an average of 5.4 oz. a week (totaly of 27 oz. in 5 weeks). That's MORE than the minimum suggested amount for breastfed babies.

BF babies, according to our hospital lactation consultants should be gaining between 4-8oz week from 0-6months, more or less. They also stress that if your baby is alert, happy, sleeping, pooping and peeing and over all seems healthy, then there's generally nothing to worry about and even a little less than that average is still OK.

hope you read this b4 your appointment!
sarah

I also want to add that if I missed a part of your post that makes my calculations off, I am really sorry...but if I didn't, then I want to add this...if The LC's say it's necessary, then do take your baby to the doc, but If you agree with my calculations and you think your baby is perfectly healthy, then I personally would not subject my baby to senseless poking and prodding.
post #6 of 12
Oh yes! There is definitely other problems that can cause what you are going through. I nursed two babies for two years with no problems. I had my twins. I was engorged with enough milk to feed quads! The babies were not gaining. It was pretty scary with no wet diapers. The doctor wanted me to supplement. Not wanting to use the bottle, I used the SNS. I took the babies to a LC/Nurse Practioner who is very well known. She said the babies had a high palate and suckling problem. As the babies matured, they would express more properly and self wean from the SNS. That never happened. The babies got hooked on the SNS. I then wanted to get the babies off of the SNS. I found another well known LC who actually helped to develop the SNS. She also confirmed that the babies had a high palate (bubble palate). If I would seen this gal in the beginning, she would have had me do suckling exercises with the babies and supplement with the syringe rather than the SNS. She said that she only uses the SNS if the baby is not latching. She has seen too many babies hooked on the SNS that have had a hard time getting off. She showed me a model of a normal palate, bubble palate, and another palate that is worse than the bubble palate. Check your baby's palate to see if it is high or different in any way. I am amazed at issues that can affect bf. I never thought I would have to encounter this. My twins were born full term, vaginal, and large weight! Go to Kellymom.com. There is some great info there. You can also see if there is a IBCLC in your area - International Board Certified Lactation Consultant. Interview the ones you find and make sure they are well informed about palate issues. I am so sorry you are having to deal with this and the threat of being reported. How aweful. I heard of a mom who went through the same thing and was told her baby was allergic to her milk. There is no such thing as that. The gal gave up her bf relationship and didn't want to get reported for nursing. Jack Newman also has some great help and La Leche Leugue counselors by either phone or forum. Let us know how it goes. I wish you well! P.S. One thing you could do to get the LC off your case, is tell her that you are going for the appointment. Also, you have a new LC who is trained in palate/suckling issues. If you do end up going to the Dr. appointment, take a SNS or bottles with you so that they will think you are a great mom who is supplementing with this type of issue. That should help to get them off of your case. My doctor also checked for the metabolic issue. It wasn't an issue though with my babies. It was the palate issue that was causing the whole problem. With a palate issue, the nipple needs to be inserted farther than normal so that is goes past the palate - to the soft spot just past the roof of the mouth. Feel your own roof of your mouth and the soft spot past it. For the baby, you insert your finger to the soft spot as let the baby suckle as much as possible to get used to having something on the soft spot. That is what I am to do now with my babies as much as possible. It is very hard though now that they have teeth and are older (11 months). I am not sure if we will ever get them off of the SNS, but at least they are at the breast. The SNS really lowered my supply though. It should really only be used after nursing first without it. Madela was never clear on that though in the directions. Dr. Newman is very clear in how to use this and all lact-aids. Nurse first w/o and then use the tube.
post #7 of 12
My UC baby had a similar issue. She was born 9/10/06 at 9'10", dropped to 8'3" thanks to all the water weight I gave her since I was really swollen at the end.... and continued to drop, probably into the high 7's. Not outrageous weight loss considering the water weight that she sweat/peed off in her first few days of life.

at 6.5 weeks, she was only 8'4". LC very sternly told me to see a ped... so I did. I was initially really wary about seeing an MD because of the UP/UC, and expressed this to my LC- she pulled strings and handpicked the ped we saw/see now based on who she felt would be least hung up on the birth.

I took some time and wrote down everything- dates, weights, diaper output, frequency of nursing, length of sessions, etc. It made me feel more confident going into the doctors office because I wouldn't be fumbling trying to recall stuff on a sleep deprived mama-brain. They will ask questions about the birth to ensure there was no trauma that is affecting stuff now.

Your LC sounds like she knows her stuff, thats good. She will be an advocate for good advice- trust her on that.

If the medical professional you end up seeing focuses too much on the birth... prepare yourself to firmly say something like "I respect your opinion about my choices, but the focus here is on my child and his lack of weight gain- what is done is done." etc. I didn't use it, but I wrote it down in my notebook, just in case!

BTW- my issues don't really apply to you, but we ended up discovering that I have a serious supply issue caused by hypoplastic breasts. My daughter is gainign well with donor milk and an SNS.
post #8 of 12
Pardon my ignorance: what is UC?
post #9 of 12
Quote:
Originally Posted by LauraBlock View Post
Pardon my ignorance: what is UC?
Unassisted Childbirth. (Usually, homebirth w/o doc or midwife.)


Have you thought about pumping until the hindmilk comes is, then nursing w/ the hindmilk only? Then, if your letdown slows, and dc is still hungry, you can then feed the foremilk AFTER filled up on hindmilk? (I don't think I worded that right, hopefully you'll kwim)
post #10 of 12
This won't overcome any medical problem you may encounter, but don't forget breast massage (like expressing, but while the baby is latched on) will increase the amount coming out into the babies mouth. If he is a slow sucker, at least each suck will contain more goodies...
post #11 of 12


PLease do go to the doctor. If there is another issue, you can find it & get it resolved. If not, then you'll be reassured & can focus on breastfeeding management.

Baby only nurses 5 times/24 hours? Most babies need to nurse 8-12 times/24 hours.

Are you sure output is adequate? 6-8 wet diapers/24 hours, plus 3-4 stools the size of a quarter or larger?
post #12 of 12
There are many MANY issues that can affect the way a baby does (or doesn't) transfer milk! I would suggest seeing an craniosacral therapist or a bfing friendly chiropractor who understands normal infant physiology. It could be that the tongue is still tied, it could be that he hasn't released and is still compensating, it could be that something minor structurally is off, it could be that he doesn't have proper peristalsis, he could be nursing defensively, the list goes on.

Please don't be too worried (easier said than done!) all of the things I mentioned can be dealt with quickly.

You are actually in pretty good shape with the peeing and pooping. Honestly. I'm not sure what your LC or whomever is so freaked out by.

You have not done ANYTHING wrong.

Good luck mama. Keep us posted.
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