Have you tried laid back positioning (biological nursing) to control flow?  Or hand express until first milk release to control flow? 

Sent from my iPhone

> On Oct 22, 2014, at 5:33 PM, "Sue Jacoby, IBCLC" <[log in to unmask]> wrote:
> 
> I posted about my grandaughter in London, and she is still having problems.  It seems like I have always been 
> able to help others as an LC, but now that it is my own, I'm frequently at a complete loss!  Please bear with me.
> 
> The baby was born at 5lbs 13 oz- term.  She was an undiagnosed breech finally delivered by c-section, then
> given IV antibiotics for 48 hours.  The antibiotics were "policy."
> 
> She has doubled her birth weight at two months.  Today, she weighs 10lbs 9 oz.  She is a fast gaining, but often unhappy baby.
> 
> When I wrote the first time, I said the baby chokes at the breast and becomes upset.  I wondered if it was a good idea
> for mom to try to block feed, but my hesitation was that she was born so small, and I believed her number one concern
> was to catch up on her weight, which she has done.
> 
> We had her ULP (4th degree) and submucosal TT lasered a week ago by Dr. Levinkind in London, and she is having 
> body work by a knowledgable practitioner.
> 
> She becomes agitated at the breast, and chokes.
> She recovers, seemingly, but cries and is only comforted going back to the breast. (thus the rapid gaining?)
> The only other time she is awake and happy is if she is allowed to lie on her back, alone. 
> She will interact- make eye contact, coo, smile.
> Still, periodically, she will suddenly cry unconsolably, stiffening her whole body.
> Silent reflux?  She rarely spits up.  
> 
> My daughter has been lactose intolerant for years- has cut ice cream out- previously her only dairy.
> She stopped taking any vitamins.  The baby has normal poops- frequent and yellow seeded.
> 
> It is clear that my daughter has a good milk supply.  Would you try block feeding at this point?
> 
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