Michele writes:
Baby does tend to cluster feed 2-3 times a day with longer sleep stretches
between...would she be likely to do that with oversupply or have more
spread out feeds?
~~~ Ah if only things were simple: I am now telling moms, sadly there is no
natural law that says that if a mom/baby has one issue to deal with, they
cannot also have another one. Often multiple issues flow out of the same
underlying issue as well. A baby with a tongue function restriction may or
may not have a mom with oversupply. Sometimes it just looks like oversupply
or forceful letdown, being normal but still hard for baby to negotiate,
other times there actually could be something else going on. Not written in
stone, but when a baby cluster feeds a bunch of times in the late
afternoon/evening, I think "probably normal" but if baby needs to do that multiple
times and it seems to get even more intense as the day goes on, I wonder about
the fatigue or agitation that can set in with tongue restrictions: over
time baby may work harder, and get less and less and at some point they have
to nurse again and again, and may get so tired/shut down, they take a very
long stretch of sleep ( over 3 hours in the daytime.) Not sure if that
resonates with what you are seeing, but just a thought... I wonder if high
volume, quickly delivered milk rushes could also lead a baby to nurse briefly,
then return to the breast again over and over as well. Baby might have more
sticky, smelly, dark green stools as well? It might also depend on whether
mom is switching sides each time, and how close those clusters are?
Peace,
Judy
Judy LeVan Fram, PT, IBCLC, LLLL
Brooklyn, NY, USA
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