> Jessica Billowitz wrote:
> >   Now, the past week, baby has been often miserable at breast. She 
> >begins to eat, then fusses, pulls, turns, and eventually unlatches 
> >and then refuses to go back on.  The feed that I observed, in this 
> >time she had eaten 22 cc, and that was it.  After that, the mom 
> >pumped and she took another 60cc happily from the bottle.  Sometimes 
> >a feed will go better, but it is totally random, and most feeds are 
> >miserable.  It does not seem allergy related because she takes the 
> >milk by bottle with no problem.
> 


My first thought is overactive milk ejection (and related airway distress), since she: begins to eat and then fusses, BF OK at first after birth but developed s/s after production established, does OK with EBM by bottle. I'm wondering what position is used for BF and whether baby's head is significantly higher than butt at all times (without scrunching in middle/at waist).

ILCA has an excellent module available (free download) re: GERD under Study Modules. Also there's good info and a mother-friendly booklet available at www.pollywogbaby.com re: GERD...

Karen

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