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Subject:
From:
Kathy Eng <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 6 May 2007 19:31:03 -0500
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What did the test weights show you when the baby started squirming?
Is the baby gaining weight well?

I use test weights to show mom how much intake has occurred when the 
baby starts squirming. Often it is a large amount in just a few minutes. 
Mostly I see babies squirming and sliding down to the tip with over 
abundant milk supply or too forceful let down. But I would want to 
confirm this with test weights. Because it could be lack of milk flow 
causing fussiness but I have never seen a baby squirm and slide to the 
tip with no milk -only too forceful MER. It could also be that baby is 
having trouble swallowing if the flow is too fast. Sometimes they make 
throat noises after nursing a fire hydrant breast (like stridor or 
wheezing).

When I see how much the intake is in just a few minutes, I have mom pump 
or hand express a half to one ounce off first. Then we put baby on and 
see if he eats more calmly. Cabbage leaves will also help to lower the 
supply if this is the problem. Other ideas are laying down, or laying 
back so breast go uphill. Mostly I show moms why baby is doing what he 
is doing so she can work with him and not get so frustrated.

Kathy Eng, BSW, IBCLC

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