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I just had my baby on the 10th and am having a hard time bf him. While I was in the hospital I started suplementing and have given him a few oz of form since i have been home. My milk finally came in yesterday and it doesnt seem to fill him up... last night he nursed for 2 hours and I finally gave up and gave him an ounce of formula....I know I shouldnt have done that!!! but my questions are......how do you know if they are getting enough???<br><br>
how do I get him to stay awake through the whole feeding? he keeps falling asleep after a few swallows.<br><br>
Is the pacifier ok to use?<br><br>
how often should I wake him up to feed him.<br><br>
he always latches correctly to the right breast but the left is sore and cracked, how do I get him to latch correctly to that side? It seems like he favors the right side.<br><br>
Im just scared he is not getting enough to eat but I do notice his poo getting yellow but its not really seedy. and he wets his diaper. my goal is for him to not need the formula to get full. I breastfed my first with no problems but this one is giving me a hard time.....Im so frustrated....PLEASE HELP!!!!!!!!!!!!<br>
x posted in breastfeeding
 

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<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/hug2.gif" style="border:0px solid;" title="Hug2"> to you! and Congratulations on the birth of your new baby!!<br><br>
I had major problems with my dd - my first and so far only. My midwives gave me a great chart - basically you write down every time they poo or pee. If using disposable diapers then put a bit of tissue in the diaper so you can tell if it's wet as sometimes you can't tell unless it's saturated. By day 6 you should be getting 6 pees per day and the same thereafter. And you should get I want to say 1 or 2 good poos but not sure on that one. A poo is anything size of a quarter in area or more. It was a great little chart that showed color it would prob be on which days and all <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"><br><br>
Anyway, if you are meeting the poo/pee criteria then you are fine. It could be that your baby needs to suck a lot. A binky is not recommended if the baby has latch on issues, but we gave dd one around 3 wks because she was sucking on our fingers *non-stop* and we felt that was not so clean when we were not home. If the baby is not nursing well, then they can't satisfy that suck need completely at the breast.<br><br>
Also, you can always try a nipple shield - available at a baby store or often at drug stores. It's a silicone nipple that goes over yours. Get the standard size - not the small. It forces them to open their mouth bigger and get a better latch. The nipple shield will help with your pain and again, teach him to open wide and latch on - but you willhave to wean off it eventually (well, I have known people who used one for about 18mos because they were afreaid to wean off of it so it's possible). Anyway, dd would only latch with one for the first 6 wks and by about 8 wks we had weaned her off it. For the first 6 wks we pumped for all her nite time feedings because she was too sleepy to wake enough to even latch onto the shield.<br><br>
Also, if supplementing, be sure to not use a bottle. A shot glass size cup works or a medicine syringe or best yet, a finger feeder where you put your finger soft side up back on the soft palate along with a little silicone straw (available from hsptl or lactation consultant). Sucking on your finger stimulates the soft palate where your nipple should be and helps him learn to suck.<br><br>
Feel free to email me if you have any more questions. I also highly recommend seeing an LC or two ( sometimes more is better as you can choose to follow the advice that works for you) and going to LLL.<br><br>
Most of all jsut enjoy him! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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i am going to have to disagree with the nipple sheild. its can lead to attatchment of the sheild, less stimulation on that side due to lack of skin to skin contact, etc. just take your time and get him latched on properly on your sore side, and use lansinoh to help with the owwies.<br><br>
if you MUST suppliment (meaning he is not really getting enough breast milk during feedings and is losing weight, etc) i would suggest pumping and supplimenting at your breast using an SNS or Lact-Aid nursing system with your own milk. not formula.<br><br>
definitely get to an IBCLC to help with any latch problems or lazy/weak sucks issues.<br><br>
stay away from bottles, and formula, keep him at your breast.
 

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Yes, the best way to tell if your baby is getting enough is to ditch the formula and watch his diaper output, whether he is developing normally, and whether he is gaining weight appropriately.<br>
Your baby may suck for a while on the breast, and he may want to nurse every hour or even more. That's fine, and normal, and you should let him suck/nurse as he needs. The sucking will also increase your milk supply to meet his needs. After you've done this for a while, without using formula, your doctor will be able to tell if there are any problems that would indicate a low-supply. However, since you say you successfully nursed your first child, I would be willing to bet your supply is perfectly fine, provided you nurse on demand and don't supplement.<br>
Have you tried nursing in a side-lying position? That makes all of the nursing in those beginning days a little easier, though I admit I didn't know how to nurse laying down until a couple months.<br>
Check out Kellymom for some good resources.<br><a href="http://www.kellymom.com/bf/normal/newborn-nursing.html" target="_blank">http://www.kellymom.com/bf/normal/newborn-nursing.html</a><br><a href="http://www.kellymom.com/bf/start/basics/latch-resources.html" target="_blank">http://www.kellymom.com/bf/start/bas...resources.html</a><br><a href="http://www.kellymom.com/bf/start/basics/index.html" target="_blank">http://www.kellymom.com/bf/start/basics/index.html</a>
 

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I have read many places that it is best to wait at least 6 weeks before introducing a pacifier or a bottle.<br><br>
While establishing your supply, I would avoid the nipple shield for now, as you will have less nipple stimulation and less supply. For the cracked nipple, you can put breast milk on it, lanolin on it, breast shells to keep things from sticking to it, and let it get some air from time to time as well. It hurts like hell, I know, but it's a rite of passage that most of us have been through.<br><br>
As far as what poo looks like, it's always going to be variable. Sometimes I saw seeds, sometimes I did not. Just so long as it doesn't smell foul and it's happening, I'd be happy.<br><br>
Just record your diaper count on a sheet of paper - it's hard to remember when you're a new Mom and not sleeping!
 
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