I am with Nikki on this--all of my children were in the 25% percentile, bc they are among the 25% of humans for whom 25% or less is normal! Unless there is something missing here, this baby has been made pathological by a doctor who hasn't a clue. How in the world a baby who is gaining like crazy needs AIM is beyond me, but that doc sure seems fond of it.
As Nikki said--oversupply seems to have been the issue not addressed all along. Now, that said--my belief that O/S is primarily due to inflammation in the mother's body--is also indicated by the mother's insomnia. Now, of course the infrequent stooling does not generally suggest O/S.
IF the baby has any real indication of reflux, then again I would be looking at inflammation.
The pieces that do fit for me are "reflux", fussiness, O/S, infrequent stooling. If I wanted to see anyone treated here--it would be the mom.
And I agree as to questioning her meds.
Also, one question-does the ENT you referred to have expertise in posteriorTT, bc I see a lot of LCs becoming aware of the issue but referring to ENTs who, with all due respect, rarely get it right and often place babies at unnecessary risk by insisting on GA. So, much as nothing here really indicates TT (not that I have any reason to rule it out either--just not enough to rule it in), I do wonder if the ENT made a good call.
Jennifer Tow, IBCLC, France
Intuitive Parenting Network, LLC
Date: Sun, 26 Jun 2011 08:31:43 -0400
From: [log in to unmask]
Subject: night time waking
I am a long time reader who posts very infrequently. I work in a small
community hospital doing both inpatient and outpatient visits. I have been
working with on emom in particular for several weeks and am in need of advise. I
have permission to post.
Mom is a g1 p1, delivered on 03/19/2011 term male born at 6# 1oz. At one
week weight check baby was 7# 8oz. on 6/3, her family practice doctor expressed
concern that baby was only in the 25th percentile and suggested formula with
baby weighing 10# 8oz. Mom had already taken the baby to a chiropracter and a
CST for fussiness and some pain with latching. The CST who has done some
breastfeeding counselor training thought the baby might have had a posterior
tongue tie and referred the mother to us. I saw the couplet in the office and
observed a an active, alert, interactive boy nurse well and gain 3 oz with that
feed. Mom noted that he had been feeding frequently. I could not rule out the
PTT and suggested that she disciss this with an ENT. We talked about block
feeding and she was to keep her follow up appointment with the family practicwe
MD in about 2 weeks. She called me then with a baby weight of 11# 8 oz. She felt
that she was doing better.
Recently she called with complaints of a baby that was waking frequently at
night and sleeping all day. She called the MD who again recommended formula. She
also put the baby on Zantac for recurrance of fussiness. Mom reached me 3 days
later. She had not been using any formula as she felt that her supply was more
than adequate. She felt that the Zantac helped slightly but was feeling quite
frustrated. The baby had for weeks been sleeping 10 hours at night and was now
waking every 2-3 hours. She had seen an ENT who ruled out the PTT. We discussed
growth spurts, safe co-bedding to which she expressed no desire to do as she
herself is an insomniac and takes meds to help her sleep. She denied any recent
diet changes or changes to routine. She stated that she did not take him out
often r/t fussiness.He stools every other day, a yellow/orange stool. We
discussed possible ear infection to which she stated that the MD had looked in
baby's ears and denied any signs of infection. We discussed elevating the head
of the bed but she was doing that already. Baby does have some swollen gums and
we talked daytime comfort measures.
Any other ideas?
Thank you,
Allyson Michaels, RN, IBCLC
Charlottesville, VA
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