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ds is only 4 days old and he had a great latch and a really strong suck from day one. I had no problems nursing him when he was born. But the last 2 days have been really rough... First of all, he will sleep for 5 hours at a time and not even fuss or act hungry or anything. I always wonder if i should wake him up to feed him or not.<br><br>
When he does wake up and want to eat, he seems to get way to excited when I go to feed him. he will open his mouth up wide and shake his head back and forth over my nipple, or kind of bob up and down on it but won't latch on. He might get a few good sucks in every few minutes. We both get frustrated... Eventually he will calm down and stay on for a good 5-10 minutes. but thats it. He does have a very strong suck, but I never feel like he's getting enough. It takes 30 minutes to get him to suck for 5 if we're lucky. He does this no matter if we wake him up, or let him sleep... so i just don't know what to do, nothing seems to make much difference. He seems content until I try to nurse him. He does not seem like he's really hungry or uncomfortable at all. Hes very alert and calm, but then he has these little episodes when we try to nurse.<br><br>
Im really worried that he's not getting enough. Plus my breasts are so full and painfull now bc hes not nearly emptying them... Im thinking about pumping. Should I give him a bottle just so that he can get a good amount of milk in him? or just pump to help with the fullness?<br><br>
I'm really exhausted and confused. <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/dizzy.gif" style="border:0px solid;" title="Dizzy">:
 

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My DD was like that for her first few weeks. She would sleep ALL the time, then become really angry when I tried to nurse her. Eventually she would latch on and fall asleep after 30 seconds or so (she's now six months and loves to nurse, so hang in there). I found it helped to undress her and tickle her feet to keep her awake. Have you tried skin to skin contact? Undress your DS and lay him against your bare chest/stomach (and do this often). My DD ended up losing quite a bit of weight, so I pumped and spoon fed her the milk (I also was afraid I wouldn't be able to establish a good milk supply, since she barely nursed). Pumping may be a good option, but be careful about introducing any artifical nipples at this point. Maybe you could try spoon or cup feeding? I'd suggest contacting a La Leche League leader in your area <a href="http://www.lalecheleague.org/WebUS.html" target="_blank">http://www.lalecheleague.org/WebUS.html</a>, who can give you advice over the phone or come to your home to help out. Here are some links for you:<br><a href="http://www.lalecheleague.org/llleaderweb/LV/LVOctNov99p99.html" target="_blank">http://www.lalecheleague.org/llleade...tNov99p99.html</a><br><a href="http://www.kellymom.com/newman/26baby_refuses_to_latch.html" target="_blank">http://www.kellymom.com/newman/26bab..._to_latch.html</a><br>
Good luck and keep working at it! Sometimes it may take awhile to get breastfeeding established, but it is SO worth it!
 

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Some babies only need 5-10 minutes to get everything they need. If you are really worried then have him nurse the same side 2 times in a row so that he gets the hind milk. It is ok to pump a bit to releive the engorgment and build up a nice freezer stash. But dont overpump because that will add to your over production. Just pump enough that they breast starts to soften up a bit and the pain goes away.<br><br>
At this point I would not give him a bottle at all because he is already having issues latching on and the last thing you want to do is add nipple confusion to the mix. Give him a few weeks to get used to nursing this is as new to him as it is to you. I would wake him at 4 hours just because he is still so small and the more he nurses the more your supply will catch up with his needs. Once he starts nursing without all the fussing then I would let him sleep as long as he wants at a time.<br><br>
The head bobbing tells me that he just hasnt gotten the hang of things yet. Watch his wet and poopy diapers and as long as they are ok he is ok.<br><br>
Hang in there mama you can do it <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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My girls would nurse for HOURS, and both of my sons did the 10 min. thing. It had me worried for awhile too. It sounds to me like you're doing everything right.<br>
I also remember them sleeping a ton and my breasts being too full.<br>
That passed pretty quickly though.<br>
Your body will adjust and the baby will be awake more too within a short period of time.
 

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A four day old baby will probably only eat for 5--10 minutes and not eat a whole lot since they're so small, it doesn't take much...<br>
I think that they encourage you to feed every 2--4 hours to establish a good milk supply--and if he hasn't nursed for 5 hours you may be very full and it could be more difficult for him to latch onto a really full breast. I kind of make my breast (gently!) into a kind of taco hold (I don't know if this makes sense?!) by putting my 4 fingers below and the thumb on top so the baby has less a place to latch on--and not just a round boob...<br><br>
Do you have a breast pump? You may try expressing a bit of milk out before nursing so that you aren't too full and the milk doesn't come out too fast... And this will also keep the supply up... Drink lots of water and get lots of rest...<br><br>
But if you are worried or have questions, please please try to contact a lactation consultant that you can meet with. 10 minutes with one of these fine individuals may save you so much time and give you very personal, direct advice! It certainly did with my first son...<br><br>
Good luck and hang in there!
 

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Discussion Starter #6
thanks guys. last night and this morning have bee a bit easier. I'm pumping some in between feedings and storing it for now. He still only wants to eat every 5 hours or so, but at least now he's staying on and getting a good amount in when he wants it. He seems to be doing fine, so now that he's actually eating at all I feel much better.
 

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I really want to encourage you to feed him more often. I know everyone says nurse "on demand" but sometimes a newborn doesn't communicate the need to nurse. He should nurse a minimum of 10 times a day right now. The general guideline, if you need to wake him to feed, is every 2 hours during the day and every 4 at night.<br><br>
I had a good article about this somewhere but I can't seem to find it. Just remember, you can't nurse too often!
 

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Hi Mudpuddle! Congrats on your new baby!<br><br>
One good way to know whether your baby is getting enough is to check his diaper count. Is he giving you at least 2-5 yellow poops per day, the size of a US quarter or larger, and 5-6 wet sposies (6-8 wet cloth) per day? If not, you will need to encourage him to nurse a lot more often. Every 5 hours is a really long time to go in between feedings for a 4 day old.<br><br>
About the engorgement - many moms find it helpful to pump some milk off to soften your breasts so your baby can latch on easier. It's not uncommon for them to be sleepy too, I would encourage you to not let him sleep longer than 3-4 hours at night, and feed at least every 2 during the day. When he recovers from birth he will wake more often than he is, but for now you will need to help him. You can try undressing him to a diaper, lots of skin to skin contact will help him learn to nurse. Tickling his feet or walking your fingers up and down his back will help him stay awake. He is learning to nurse right now and the more opportunities you give him, the faster he will learn! I am glad he is staying on longer, but please do count his diapers and if you are below that amount, please feed him more often til his diaper count comes up a bit! <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 don't agree that you should wake him to nurse. I believe that babies know what they need. My dd had a tongue tie but was very efficient at nursing, though it hurt like heck when she did.<br><br>
Anyhow, she never nursed more than 5 minutes, and I was always worried but she was the chubbiest baby around. I think if you wake your babe to nurse all that will happen is that you will turn your baby into a nervous one, and unhappy too. If he's tired, he's tired, if he's hungry he'll wake.<br><br>
If you already have pain from him not nursing enough, then don't pump! that will only make it worse! The more you pump the more your body will produce and you can end up with mastitis. Your body will regulate itself to his nursings, just massage them and make sure you don't get any painful plugged ducts, hot compresses etc...cabbage leaves.<br><br>
Trust your baby. unless he has serious problems of being underweight, I would trust that your body will do what it should and that his will do the same.
 

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Oh ya, since he's only 4 days old, the reason your breast are painful is because your milk just came in, give your body a week or two to adjust. Don't pump, just get lots of rest, let him nurse on demand and know that your body knows just what to do.<br><br>
I would suggest finding your local LLL leader and talking to her.<br><br>
It will make you feel better. Also since your milk just came in, it seems normal that your babe is not nursing as much, it means he's getting lots of the fatty hind milk and being satisfied.
 

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I agree with most of Music-mommy's advice. But please consider my point of view on waking a newborn -here are some of my sources. Remember, this is newborn only. My sources are both International Board Certified Lactation Consultants.<br><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><br><i>Frequent nursing encourages good milk supply and reduces engorgement. Aim for nursing at least 10 - 12 times per day (24 hours). You CAN'T nurse too often--you CAN nurse too little.</i><br><br><a href="http://www.breastfeeding-basics.com/html/waking_a_sleepy_baby.shtml" target="_blank">http://www.breastfeeding-basics.com/...epy_baby.shtml</a><br><br><i>However, you can’t assume that a newborn will let you know when he needs to eat, and that’s why it is important to wake him for feedings. Many so called “good babies” who sleep long stretches at a time have ended up becoming dehydrated. The two- hour rule only applies during the early weeks, however.</i>
 

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<div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>quirkylayne</strong> <a href="/community/forum/post/7930374"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I agree with most of Music-mommy's advice. But please consider my point of view on waking a newborn -here are some of my sources. Remember, this is newborn only. My sources are both International Board Certified Lactation Consultants.<br><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><br><i>Frequent nursing encourages good milk supply and reduces engorgement. Aim for nursing at least 10 - 12 times per day (24 hours). You CAN'T nurse too often--you CAN nurse too little.</i><br><br><a href="http://www.breastfeeding-basics.com/html/waking_a_sleepy_baby.shtml" target="_blank">http://www.breastfeeding-basics.com/...epy_baby.shtml</a><br><br><i>However, you can’t assume that a newborn will let you know when he needs to eat, and that’s why it is important to wake him for feedings. Many so called “good babies” who sleep long stretches at a time have ended up becoming dehydrated. The two- hour rule only applies during the early weeks, however.</i></div>
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La Leche League stands by this as well... and lactation consultants will tell you the same...
 

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A few more ideas although I may be repeating since I only skimmed earlier responses.<br><br>
1. If you are very engorged and your breasts are fairly hard, consider pumping just a little bit before a nursing session to soften the tissue a little, it can help babe latch better. To help latching, you can also try to gently compress the breast tissue, sandwhiching the breast like you're holding a hamburger.<br><br>
2. Ds never nursed more than 10 min. In the early weeks he might nurse 3 minutes then not again for 2 hours. That was enough for him. One day, I watched the clock very closely and all his nursing sessions were exactly 7 minutes long. Exactly.<br><br>
Keep in mind that nursing is a very tiring activity for babies and sometimes they really need to sleep longer than 2 hours between sessions to rest up for another session. But I agree with a pp that I would not go more than 3 maybe 4 hours between sessions for any baby less than 2 weeks unless I felt supremely confident s/he was waking and responding to internal hunger cues very well.<br><br>
3. No bottles, no bottles. Nothing you've described indicates the need for a bottle.
 

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I would ABSOLUTELY wake him to nurse....I was one of those who believed that I should just follow the cues until I had DD (my third child). She NEVER complains. She NEVER cries. When she was new, she would have slept all day every day if I hadn't started waking her to nurse....she's just a reallly easygoing little person!!<br><br>
She sounds a lot like your son. If I didn't wake her every 2 hrs..literally...on the dot, she would get over-hungry and then get REALLY excited/kind of almost stressed excited and be unable to calm down enough to find the nipple...she would turn her head rapidly and hold her mouth open and kind of breathe like huhuhuh...I would have to hold her head and stick my nipple in. After I began waking her every 2 hrs, she stopped doing this and nursed MUCH more calmly and easily. Like some of the PPs have said, kellymom.com is a GREAT resource and I always go to La Leche League meetings as well...it's just really nice to be around other nursing moms who can say ME TOO!!! You know?<br><br>
Good luck!
 

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Discussion Starter #15
wow, thanks everyone for all the advice. He is having a good amount of diapers, which is why I believe he must be getting enough when he gets it. I have been trying to push him to nurse more often though.<br><br><div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>attachedmamaof3</strong> <a href="/community/forum/post/7933968"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">She sounds a lot like your son. If I didn't wake her every 2 hrs..literally...on the dot, she would get over-hungry and then get REALLY excited/kind of almost stressed excited and be unable to calm down enough to find the nipple...she would turn her head rapidly and hold her mouth open and kind of breathe like huhuhuh...I would have to hold her head and stick my nipple in. After I began waking her every 2 hrs, she stopped doing this and nursed MUCH more calmly and easily.</div>
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That does sound so much like my son. He has actually been waking up more frequently, and I have noticed that he is a lot calmer and nurses a little easier. So we're still getting used to things I guess. But we're getting there... We had an apt today and he has not lost any weight. I think he was just extra sleepy those first few days.
 

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<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
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<div>Originally Posted by <strong>mudpuddle</strong> <a href="/community/forum/post/7934943"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">wow, thanks everyone for all the advice. He is having a good amount of diapers, which is why I believe he must be getting enough when he gets it. I have been trying to push him to nurse more often though.<br><br><br><br><br>
That does sound so much like my son. He has actually been waking up more frequently, and I have noticed that he is a lot calmer and nurses a little easier. So we're still getting used to things I guess. But we're getting there... We had an apt today and he has not lost any weight. I think he was just extra sleepy those first few days.</div>
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Just keep up the good work mama!! The first six weeks are the hardest...you can do it...
 

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<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>mudpuddle</strong> <a href="/community/forum/post/7934943"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">wow, thanks everyone for all the advice. He is having a good amount of diapers, which is why I believe he must be getting enough when he gets it. I have been trying to push him to nurse more often though.<br><br><br><br><br>
That does sound so much like my son. He has actually been waking up more frequently, and I have noticed that he is a lot calmer and nurses a little easier. So we're still getting used to things I guess. But we're getting there... We had an apt today and he has not lost any weight. I think he was just extra sleepy those first few days.</div>
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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> It sounds like you are doing a wonderful job!! Things change so much in the first 1-2 months, and it can be so hard to figure each other out and teach a baby how to nurse... it sounds like you are following his cues well! Please check back in and let us know how he's doing...
 
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