Dear Esti,
       Some thoughts about this baby who nurses all the time.  You mention
that the latch is fine and there is great milk transfer with no supply issues
because there are lots of very wet and poopy diapers.  Have you actually watched
this baby breastfeed?  I am wondering how the latch can be fine with great
milk transfer, and yet not have the baby overfed if he is really nursing all day
long.  Sometimes babies who are nursing improperly don't cause their moms any
pain. (I've seen some incredibly bad sucking styles that should have had mom
jumping out of her chair, but mom did not feel pain.)  Perhaps this baby is
only making the right number of diapers *because* her nurses all day?  Maybe his
suck is not really appropriate and that is why he must be at breast all day
in order to have plenty of diapers and weight gain.
       On the other hand, it is also possible that what you have described is
accurate, and that much of the baby's time at breast is actually just
"holding" the nipple, or maybe doing non-nutritive sucking, and that keeps him from
overfeeding even though he's always at breast.  This baby has gone through
incredible birth trauma.  Even when his arm heals and no longer pains him, he may
be dealing with some emotional pain.  I have watched babies "re-birth"
themselves during CranioSacral therapy.  It is as though they had unresolved
emotional issues from the birth, and this helped them make peace with it.  Mom is
always near the baby during this therapeutic re-birth, and she relives it to some
extent, too.  At the end, they are both tired but peaceful.  If this mother
can find a pediatric CranioSacral therapist, it may be of tremendous help to
both baby and mother.
       Dee

Dee Kassing, BS, MLS, IBCLC
Collinsville, Illinois, in central USA

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