Originally Posted by Peony
We've been battling pertussis for weeks now, DD2 is not doing too well, and I really don't know what else to do. She is 7 wks old, she did not have antibiotics. i've been taking at least 375mg per kg of SA for my weight since she was 3 weeks old, that is when we got a positive test for DD1. I attempted mixing her own up in BM and giving it to her via a dropper, she always managed to spit most of it back up, but holds my BM down better. I got a mild case of pertussis a couple weeks ago, DD2 started getting symptoms when she was 4 weeks old, just a slight cough, it didn't increase until the beginning of last week. By last weekend she was getting lethergic, she was vomiting (after coughing so hard) half of her feedings back up again, by sunday night she had stopped nursing all together. We ended up in the hospital for several days so DD2 could get rehydrated via an IV, I avoid the hospital and docs normally, but this had to be done, she was not coming around on her own. We also learned while we were there that her O2 levels were very low, we live at 7,000 ft, so she is on O2 now. We came home last night, and her coughing fits have increased again. They are truly awful, tonight was the first night were she turned blue, and I was terrified. She has also decreasedher nursing again today, I'm trying so hard to get her to nurse, finally I get some in her, only to see her throw it back up again. DD2 does a decent job of getting the mucous out, she coughs up alot of it. I don't want to end back up in the hospital, I really don't know what else to do for her.
I would try to get the vitamin C back into her again. Wait until she throws the mucous out, and then
if you give it to her at that time, she has a much better chance of keeping it down.
Here are some cuts and pastes of previous posts:
With any cough, particularly whooping cough, here is what I do. I turn the baby round, with its back to mine. I split my legs, so the baby is supported around the tummy but the legs are straight down. My hands make a net around the baby’s ribcage and tummy, and when the baby coughs, I lean forward slightly and use the hands as a very gentle net so that the baby has something for the tummy to push against. I give the baby some pressure to use, but I do not press in hard. They haven't learned to control their abdominal muscles to get an efficient cough yet, so that hands make it much easier for them. If it is whooping cough, then you will get a thick clear mucusy glob ejected onto your floor. Better out than in. Don't attempt to catch it, or you may drop the baby. I just put newspaper on the floor and caught it that way. If it is whooping cough, then the cough will become more regular. Maybe every hour, on the hour. This is because it takes around an hour for the mucus to pool at the bottom of the bronchial tube.
The cough is caused by the bacteria adhering to the bronchial walls, and secreting a toxin
which cuts of the cilia (hairs) in the bronchials. These hairs sweep the mucus up and sown the throat. The bronchial hairs moves the mucus around all the time, so that it replaces and at the same time gets rid of any pathogens. (If it didn't do this, then we would die of all the bacteria and viruses and muck we breathe in that gets stuck in it.)
This mucus is part of the inate immune system. It is linked to the BALT (Bronchial associated lymphatic tissue) as I understand it. (Just put that in in case someone decides to rain down coals on my head..) so you must keep the mucus moving. What whooping cough does it by cutting off the hairs, it stops the mucus moving. So long as you keep the mucus moving your baby should not get a secondary infection.
The other thing the toxin can do is get into the blood-stream, and irritate the body.
If the mucus is not got out bacteria will grow and cause a secondary bacterial infection, which they will want to treat with antibiotics. They say whooping cough in rare cases, can cause long-lasting bronchial problems. Yes it can, if you treat it the way the doctors do IMO, doing nothing other than antibiotics. Just using antibiotics does not deal with the pooling mucus, or manage it, or deal with the toxin. If you keep the mucus moving (you can also use gentle postural drainage if you want) there should be nor further problems other than the cough itself.
The vitamin C neutralises any toxins in the blood and should stabilise the baby if you can give it to her at the best time so she doesn't throw up.
With babies the best thing is to start a feed, and then pause for the gag to cut in, then let them cough and chuck up the mucuos then immediately
feed them again, and you will find that the feed stays down more often.
Get the SA in to breastmilk, and have it ready, so that she chucks, you feed, and try to insert the SA at the same time.
It becomes a "management" game, and the key is to get as much in as possible immediately after a chuck session.