I'm stumped and I need help with this one.  I had a lovely young couple
referred to me by our head of paeds.  The baby Eliott has started refusing
to feed over the last month and has only put on 200 grams in 6 weeks with
periods of weight loss in between.  His feeds last about a minute or two
with a great deal of popping on and off the breast.  He gets one let down
worth of milk and then gets fussy.  When he was in my office he had his
best feed in a month and then proceded to get very agitated.  Mother states
that he remains like this for the entire day and into the night.  Obviously
she is really stressed out.  Here are the stats:
Labour:
5 hours, 1 hour of pushing baby was posterior, she had Nitros Oxide in
labour and pethadine for pain (I have not been successful in changing this
practice)she had an episotomy, there was fetal distress but apgars were
9/10.

Birth weight: 3040 gms
19week weight: 5570 gms (200 gram weight gain one week after solids
introduced).

Positioning is fine, no suck dysfunction noted, mother experiences a quick
painful letdown, and feels her milk supply is adequate for baby.  She is
quite switched on and intuitive about it an her breasts were leaking after
the feed.
Baby feeds 6 times a day and the longest gap is often up to 12 hours.
Nursing sessions average 10 minutes before all heck breaks loose.

The paediatrician has started Elliot on solids which he loves and gobbles
up like a starving child.  Mum doesn't feel her let down is impaired and
feels her milk supply is adequate.  Elliot appears to be a baby, to coin a
new kiwi phrase I have learned "Spit the dummy" but in this case "Spit the
breast" and has decided to wean.  This is coupled with his constant
fussiness.  I have drawn a blank here except that his fussiness may be from
constant hunger.  Can anyone let me know if they have seen something like
this before.  They have been to an osteopath with minimal success. this
will make about the third baby like this that I have seen in the past 3
months.

I have given her the ABA booklet on breast refusal as well as shown her how
to feed on an incline incase it is a forceful letdown.  There does not
appear to be much success with this either.

Mum doesn't have strong body odour but there is a slight sent of clothes
that have been left too long before they were dried, probably due to an
overworked mom and our horrible wet winter.

Any help would be greatly appreciated.
Cheers,
Mandi

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