Although some resp.stridor can be seen in newborns, I would have my baby seen by an ENT doctor right away. Lois Mathews R.N. IBCLC

-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Jaye Simpson, IBCLC
Sent: Wednesday, May 09, 2007 1:42 AM
To: [log in to unmask]
Subject: Re: Baby who snores

Hi All,

 

I spoke with the mother today - she confirmed stridor and told me she has an
appt with baby's regular Ped on Wednesday (5-9).  She took my information
very seriously, was grateful that someone else agreed with her and actually
listened.  It was not her regular Ped that first told her that snoring and
whistling were fine in a newborn.

 

While we were on the phone baby started snoring - it was so loud!  He was
nursing in the football hold so I suggested that she tip his head back a bit
- it helped some.  Then he came off the breast, started in with stridor.
Mom put him up on her shoulder and he calmed down and breathing became more
normal.  We talked about an increased risk of SIDS due to his breathing
issues and I encouraged her to co-sleep 100% of the time.  Currently they
hade been letting him sleep in a seat of some kind next to the bed and then
when he woke for his first feed she'd bring him to bed.  He sleeps much
better and his breathing is more regular when he is with her...I encouraged
her to take notice of that and keep him with her going over safe co-sleeping
protocols.  

 

This mom is very encouraged now - she is trusting herself even more now,
thank goodness!  She is considering doing an in home visit so we can play
around with different positions to help baby.  So my questions to you:  I
have my own ideas on positioning for this little guy - but would like as
many suggestions as possible.  We have no diagnosis (yet!) so my goal is to
improve his ability to feed well and mother's ability to feed him well, and
reduce the snoring and stridor.  This must be done keeping in mind that mom
has a very active 2 yr old to attend to as well...Any descriptions will be
helpful!

 

Re: feeding and weight - yes I did explain to mother that tho ¾ of and ounce
per day avg. wt gain is good, he'd probably be gaining better if he did not
have to work so hard to breathe.  Robin - you are correct - Dr is not happy
with a reasonable weight gain - they want 1 ounce.  What floors me is that
they are so worried that 3/4 oz avg wt gain per day is not enough (when we
know it is fine in a healthy baby) but are completely ignoring moms
description and request for help re: a potentially serious and, in moms own
words "potentially life threatening" condition!  Go figure...  Hopefully her
regular Ped will be considerably better.  I don't know this particular Ped
so have no clue.  I did tell mother however, that I would be happy to go
with her if needed - and that a consult would give us more information to
give the Dr...

 

Thanks again for all the input.  It is extremely helpful!



Warmly,

Jaye


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