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Discussion Starter #1
I'm concerned that ds isn't getting enough feedings due to falling asleep within minutes of being on the breast, and the extremely short duration of most sessions. Ped. was concerned that he wasn't gaining enough weight (5 oz a week, told us to shoot for 8) so he wanted me to get in at least 12 feedings a day. Told me to wake him up if he slept for more than 2 hours, etc etc...<br><br>
Okay-my question is this? What do I count as a feeding? Is it a certain amount of time? Until he goes to sleep? I'm pulling out my hair because I'm constantly switching him. For example, here's our log from this morning so far...could someone please give some insight on how many feedings they think this is?<br><br>
sleep 11:55-3:40 (oops, mommy fell asleep too and didn't wake him in 2 hrs)<br><br>
nurse 3:43-3:47, switch<br>
nurse 3:51-4:00, change dipe to wake up<br>
nurse 4:04-4:09, switch<br>
nurse 4:11-4:14 nap until 5:24<br><br>
nurse 5:24-5:29 change dipe and clothes<br>
nurse 5:34-5:37, switch<br>
nurse 5:39-5:49<br>
nurse 5:54-6:04, 6:07-6:17, nap 6:17-6:53<br><br>
nurse 6:54-7:05<br>
nurse 7:50-8:05, nap until 8:30<br><br>
nurse 8:43-<br><br>
So how do I freaking count these? <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/headscratch.gif" style="border:0px solid;" title="headscratch"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> I would really appreciate any input. I feel like I can't let the poor guy drift off to sleep because he may not have had enough. (FYI we had early issues with lethargy so there is an extra reason to be vigilant.)<br><br><br>
Rachel
 

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First, quit trying to count or keep track of it, that will only serve to frustrate you, and doesn't mean anything at all. Find a more breastfeeding-friendly doctor. Our current doc accepts my answer that my baby nurses on demand, and doesn't ask for any more info than that. But the first ped we saw wanted me to keep track of how often and how long my baby nursed, and all it accomplished was to stress me out beyond belief.<br><br>
Your baby is gaining weight! That is all that really matters.<br>
Not all babies can gain the "right" amount of weight each week - usually they will gain a bunch at once, then not as much, what matters is the overall picture anyway.<br>
Some babies get enough milk in two minutes of nursing, others take an hour.<br><br>
Perhaps you can try breast compressions - that works with mine, either she wakes up and nurses more, or she sputters and unlatches because she doesn't want it.<br>
I also keep switching sides until I just can't get her to latch on anymore, just to make sure she's gotten as much as she wants. With my oldest, she would usually nurse from each side twice in a session. My new baby often gets enough from just one side.
 

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my son (born 2-20-04) is the same way and has been since birth, he has never had a problem with weight though so I just let him nurse for a couple minutes a million times a day. What I would do is let him nurse for only the few minutes but just have him do it more often. Wake him even if it's just for him to nurse for 3-5 minutes.<br>
My ds at first nursed for 3-5 minutes every 30-45 minutes, sometimes he falls asleep at the breast and 30 minutes later he would wake and start sucking again...<br>
If I were in your case (and I know this is not the best advice probably but I can't help sharing with you what in reality I would do) is buy a baby scale and weigh him every week, that way I could relax, not look at the clock (hate that) and sleep in peace knowing my babe is gaining weight.<br><br>
I hope your babe does well!
 

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Rachel: also, I was going to say, don't let your doc intimidate you and make you think your milk is "not good" and that you need to switch to formula. So many docs do this and 99% of the time there's nothing wrong with the quality of the milk. Just keep nursing him and he'll catch up!<br><br>
Hope this helps!
 

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Discussion Starter #5
Thanks guys...I guess I am so frustrated and stressed because my doctor is DR. SEARS!!! So I figure he has a good reason to stress me out about it, but maybe not. Maybe I should just rely on my instincts...which says ds is doing well and this will pass. I have done breast compressions and that seems to help him suck better and "get more" as he nurses.<br><br>
He will definitely not be put on formula by Dr. Sears, so no worries there <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"> and I did rent a Medela scale on his suggestion. I guess I'm just paranoid that I'm not doing something right.<br><br>
THANKS!
 

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I hope you don't mind a "newbie" chiming in here. I couldn't resist responding to this. It would appear that your dr is stressing you needlessly. The average breastfed baby gains 4-7oz per week. Some do gain more, but that doesn't mean you need to "shoot for 8oz". Your little one is right smack in the middle of normal weight gain. It may be hard to do, but stop watching the scale and the clock and just watch your baby. If he is healthy, happy and having plenty of wet & dirty diapers then he is getting plenty of milk. You should be seeing 6-8 wet and 2-3 dirty diapers per day(don't count the ones that are just a smear.) Some babies can get plenty of milk in 5 minutes, so you can't judge by length of feed. If <b>you</b> feel that your baby is falling asleep before getting in a full feeding, then breast compression can be very helpful. For instruction on how and when to use breast compression see this link: <a href="http://www.breastfeedingonline.com/15.html" target="_blank">Breast Compression</a><br><br>
Try to relax and enjoy your baby. If your dr keeps pushing you on the weight gain you have several options: you can smile and nod and go about your business, you can do the research and take him documented info that shows expected weight gain for breastfed babies, you can put the ball in your dr's court and press him for documentation on why your baby "needs" to gain 8oz/wk or you can find a new doctor. Don't let him push you into not trusting your instincts to do what is best for your baby.
 

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Rachel: W H A T???? Of My Gosh You Are So Lucky! I So Wish I Was You Right Now! Was It Impossible To Get Into Dr; Sears Practice? I Didn't Even Know He Still Had One But If So, I Thought There Was Probably Waiting Lists Until The Year 2020...<br><br>
Again, You Are Soooo Lucky! I Love Him! (please Tell Him) Lol
 

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my advise: quit the counting and start to relax a bit. then after a couple of days look back and you'll find things will have improved...<br>
i went through the same thing!
 

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My first reaction to your post was that since you're switching sides so frequently, I'm wondering if your babe is getting enough of the fatty hindmilk, which would definitely help him gain more weight (not that what he's gaining now isn't enough...).<br><br>
IMO, it doesn't matter who your pediatrician is. YOU know your baby best and if your instincts tell you that your babe is fine ... and if he is gaining weight and is healthy ... then relax a bit. A stressed mama makes for a stressed baby. A stressed baby doesn't nurse as efficiently.<br><br>
Would it be possible to take a nursing holiday? Just lay in bed with baby for a few days and get to know his nursing patterns (preferably without watching a clock) and figure out what works best for him and you?
 

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Discussion Starter #10
nak, excuse punctuation please-<br><br>
lovingmybabies... <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol">- nope, no waiting list if you have a newborn...but I don't see "the" dr. sears, rather his son bob (they are all in practice together)...but i will ask him to tell his dad that you love him <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"><br><br>
mom2three-that is darn good advice and i think i can swing it this wkend..wish me luck!<br><br>
THANKS all-I always want to acknowledge ppl who reply, because without you at mdc I would have given up long ago. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> to you, mamas!
 

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I don't really care who your ped is, if he is stressing you out about keeping track of a feeding schedule, and concerned with weekly weight checks, you might do better with someone else.<br>
When I was taking my first in for weekly weight checks, she would gain a pound one week, then maybe just a few ounces the next. Plus, 5oz in a week is still GOOD!<br>
You should be congratulated and encouraged rather than "pulling your hair out" worried about something that isn't really a problem.<br><br>
you are doing a great job!!! Trust your instincts. You will know if there were something seriously wrong. Relax and have faith in your amazing breastmilk to nourish your baby. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love">
 
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