Cheryl Parrott wrote:
> I have been following a 15 day old male for several
>breastfeeding issues. Baby #4 for mom, first male, first bfd child.
>Scheduled CS at 39 wks, birth wt 5 lbs 3 oz. Seen in office initially at day
>3-4 for wt check, wt 5 lbs even, feeding ok. Does have tongue tie. Wt at
>day 7 of life still 5 lbs, not latching on at that point but had horrible
>thrush, which we treated. Per mom had been latching on well and feeding fine.
> I then spoke to her several times on the phone at the office regarding the
>baby not latching on to one breast which we treated by one sided nursing and
>pumping other side. Once thrush was being treated baby had 4 days of "great
>feedings" per mom. Eating q2-3 hours, no supp, voiding and stooling. I seen
>them today, day 15 of life with c/o "he's eating all the time" Mom reports
>2-3 days of constant feeds except for a 3 hours stretch in evening. Baby
>will nurse well 15-25 minutes, both breast, fullness prior and soft after
>feed, but then baby will cry and unable to pacify without feeding within 30
>minutes. Mom finally broke down and supp with formula-baby took 11/2 oz and
>slept for 5 hours. Wt today was only 5 lbs 1 oz, Pre/post wt revealed intake
>of 11/2 oz from both breasts total in 15 min fdg session. SO...what's up.
>No nipple pain or trauma, baby is latching on great, so I don't think it's
>the tongue. Seems to me supply is ok.. Mom really wants to breastfeed but
>obviously concerned about wt. My wonderful peds doc is waiting another day
>or so to see if this self resolves- growth spurt?- or if we need to fix. You
>may email me privately with any help. Sorry so long!! TIA
Has food intolerance/allergy been considered here? What is output
like - lots of wet and dirty nappies, or not that many?
I have seen babies that are getting plenty of milk, having copious
output but not gaining weight. They are often unsettled, and want to
'eat all the time' (for the comfort of the sucking). When food
intolerance or allergy irritates the gut, it cannot absorb the
nutrients efficiently - it just goes in one end and out the other!
Babies often have secondary lactose intolerance caused by the gut
irritation.
The fact that the formula seemed to settle this baby may indicate
that dairy is not the problem.
Another piece here that may support this theory is the baby's problem
with thrush. I believe that thrush is often a sign of an immune
system struggling - exactly what can happen when the body is dealing
with intolerances. Also, the apparent intermittent nature of the
problem - could be related to something in mum's diet?
******************************************************************
Joy Anderson B.Sc. Dip.Ed. Grad.Dip.Med.Tech. IBCLC
Nursing Mothers' Association of Australia Breastfeeding Counsellor
Perth, Western Australia. mailto:[log in to unmask]
******************************************************************
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