What if this has nothing to do with breastfeeding and is a baby who has 
sensory issues? Perhaps a child who will eventually be diagnosed on the 
autism spectrum? I have seen this so many times. Baby presents with lots of 
crying, appearing to be in pain, back arching, etc. Eventually as baby gets 
older, it is apparent the child is autistic and has some severe sensory 
issues. Hard thing to suggest to a parent of a newborn, but this is where 
the pediatrician comes in and offers careful follow-up and monitoring.  Just 
a thought.

As far as feeding, it is important to find the best possible feeding plan to 
make this baby comfortable, even it that means bottle feeds as he appears to 
be less stressed at bottle than at breast.

~Elisabeth

Elisabeth Coble, BSN, RN-CPN, IBCLC
Certified Pediatric Nurse
Lactation Consultant

-----Original Message----- 
From: Wendy Jordan
Sent: Monday, July 13, 2015 7:59 AM
To: [log in to unmask]
Subject: Arching Baby

PTP: I have been trying to help a family who have an infant born at 38 and 3 
days; induced due to PUH and IUGR. Birth weight was 5lbs 6oz. He received 
22cal formula for the first couple of days until her milk came in.  He is 
now 4 weeks old and has seemingly been in pain off and on. Initially, 
thought he needed time to grow and get stronger.  He arches his back a lot 
and has long bouts of crying. Parents can distinguish between cries and know 
when it is just gas or pain. I have been to the house 3 times; only able to 
observe one 10 minute nursing with .5oz transfer. He gets stressed when 
feedings are initiated by breast or bottle, though bottle less so. His 
output and weight are great because parents tend to him constantly, feeding 
small amounts during crying jags and anywhere from 3-4oz when he isn't 
crying. They have just started probiotics and eliminated dairy.  He has an 
ULT and Type II tongue tie. Mom has over supply due to a lot of pumping. His 
feeds are mixed (not high lactose) because of all of the bottle feeding. He 
doesn't spit up much.  I have advised family to discuss possible underlying 
cause with pediatrician and referred to a Frenulum clinic for evaluation.

I am hoping that great minds of this community can help me figure out other 
possibilities for this baby's behavior. I am very concerned about the 
exhaustion both physically and mentally that this family is experiencing. I 
am also fearful that this baby will become completely adverse to nursing and 
even eating in general.

Thank you to all who responded to previous post about possible bacterial 
infection. I haven't heard back from the mother yet about her results but 
fingers are crossed. 😉

Wendy Jordan, BS, IBCLC
Private Practice LC
www.seacoastlactation.com




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