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Tue, 10 Jul 2007 21:54:36 -0400 |
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This little one reminds me of my sixth baby. David had an abyssmal latch
and very disorganized suck. We had weight gain issues from the beginning.
I'm an IBCLC and I looked at everything with this child. He had a perhaps
slightly a little tight frenulum, but nothing that should really cause
issues on this order. Everything else was normal except he had trouble
maintaining a good latch (would fall off the breast while nursing) and was a
very inefficient nurser. After much thought I realized he'd been born with
meconium and the cord around his neck tightly - he'd been a little blue.
Since he was born to a grand multipara, there was no time for distress to
become evident to others during labor - I had about an hour labor. Since he
was born so quickly, I don't think his issues really registered with anyone
at the hospital but me (I was the one to remove the cord for example). He
seemed very upset at birth and would not nurse for an hour or two - unlike
my other children.
I believe he had some neurological disorganization from his birth. I spent
the next 5 months stroking around his lips before he nursed, holding his
chin up in the dancer's position (which seemed to help him use more energy
to nurse effectively) while he nursed, and doing breast compressions
throughout every feeding. Those things and the large supply from breasts
that knew what they were doing kept him gaining enough once I implemented
them. After five months of this, things fell into place for him and he
became a champion nurser that nursed until he was maybe 2 and a half.
For me, as a homeschooling mother of six children at the time, it was much
easier to do whatever it took to keep him direct-nursing. It was easier to
sit in my recliner all day with him than it would have been to pump. In the
recliner, I could keep teaching my other children. My teen sons would have
been very uncomfortable with me pumping (they don't mind nursing at all) and
that would have taken me away from the other children everytime I had to
pump. The bottles and whatnot I knew very little about using daily like
that would have been a big burden, too.
Anyway, I would look at the possibility that this little one may be an
ineffective latcher and nurser due to either the physical issues of big
nipple/ small mouth and as well, that he may have neurological
disorganization and need some extra help to nurse. The green stools, etc.
I suspect may be coming from an abundant milk supply trying to feed this
babe - too much foremilk. That was the case with David and I kept him on
one side for several hours at a time.
BTW, whatever issues David had as an infant have thoroughly resolved. He is
five now and talks like he's 45 years old - a bright and funny child :-)
Hope that helps a little,
Melanie Young, IBCLC
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