Laura: just a wild stab in the dark about your crying baby..could the
clipping area under the tongue have developed a hematoma or infection?
Could this baby be in pain?



Cheryl muller






ate:    Mon, 9 Sep 2002 22:30:55 -0400
From:    Laura Walker <[log in to unmask]>
Subject: Unhappy baby

Dear Lactnetter's,

I have been working with a mom of a 5 wk. old.  He was born at 37 wks.,
= was readmitted to peds after discharge for jaundice ( 19 ), was tongue
= tied with a little more of a receeded jaw than babies usually do.  Mom
= had sore, bleeding nipples.  I stepped in during that readmit and
helped = with latch and information on tongue tie.  Mom at the time had
milk = dripping everywhere. Latching became better and after discharge,
the = baby's tongue was clipped. Parents took the baby in to the ped at
3 = weeks because the baby all of a sudden wanted to eat like crazy,  =
nipples were sore, her breasts were really soft and there was no =
difference before and after feeds.  Baby would pull off the breast and =
cry. Weight gain was nil in one week.  MD advised formula supplement =
which made things go from bad to worse.  The baby went through all the =
formulas and is now on Nutramigen and breast. Lots of  crying, crying. =
Tried Mylicon gtts to no avail. The formula hasn't helped this baby's =
disposition at all and mom is looking to increase her milk supply.  Mom
= called me because the baby cries so much, he never eats and falls
asleep = peacefully. Once he's put down he wakes screaming.  Latching
well is = still a challenge due to his lower jaw and we worked on that
more. He = sleeps best when on mom or dad or near them in bed.  He has a
hard time = napping for an extended


period during the day.  He seems to want to eat = every 2 hours mom says
but isn't settled after he does. He never just = eats and goes to sleep.
Bottle feedings didn't help at all.  Mom had = stopped direct
breastfeeding to allow her nipples to feel better and = pumped for 24
hours.  Mom is using the SNS now to provide comfort for = the baby,
increase her supply, provide her milk and take a step = out(bottle after
breast).  She was able to pump over the weekend and put = that milk in
the SNS but since, hasn't been able to because of his = feeding
frequency.  She offers the breast for comfort also.  He did = better
with the expressed milk in the SNS but is still not happy.  I =
discussed Domperidone with her as a possibility  to increase her supply.
=  She tried More Milk tincture which didn't help. The baby is stooling
in = appropriate amounts and is gaining weight now. No vomiting. I
suggested = that she see the ped. before her next scheduled visit which
is in Oct.to = assess the baby.  I will also talk to him tomorrow.  Mom
doesn't drink = milk or seem to have anything in her diet that would
cause such a = dramatic effect on her baby.  She will also try a sling
or front carrier = with him during the day.  Although these are first
time parents, they = are calm and work very well with their baby.  I've
seen the crying first = hand and it isn't pretty.  Is there anything
else I can suggest to this = mom? =20

Laura Walker RNC, IBCLC

             ***********************************************


             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html