<[log in to unmask]> wrote:

> Saw Mom and baby for 2nd time,(1st time at 3wks). Baby was born at 7-1 and
> 8-7 at 4weeks. Mom with good supply. Has large nipples. First visit I
helped
> with baby to latch deeper and showed Mom bst compression. Baby did well
> during visit. Today, baby is still uncomfortable at breast, still unable
to
> sustain deep latch pass the nipple. Mom has never given ABM and has tried
a
> bottle only a few times. I watched baby bottlefeed. She did receive a
faster
> flow, but did not look comfortable bottlefeeding either. Ped had
prescribed
> Zantac at 4wks, but Mom states it has not helped.  I have ruled out low
> supply, thrush, or any oral anatomy problems. Baby sleeps well after the
> feedings, but is not enjoying the feeding. At the end of the nursing, she
is
> somewhat content at the breast and makes good eye contact with Mom.
> Mom would appreciate any suggestions. Thanks, Pat G  IBCLC in Al

This sounds like overactive let down is flooding the baby.  Once MER has
subsided baby is happy at the breast.  Weight gain looks good.  Can mom let
down into a cloth diaper or towel then start the feed?  Frozen corn or peas
in a bag applied to breast after feeds, nursing from one breast for several
hours/nursings before switching to the other breast.  Basically everything
opposite of trying to increase a milk supply.
-Monique
Oregon

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