Hi everyone
Have a tricky case here which I would like some input on. A friend of
mine had a baby 4 weeks ago - forceps delivery after failed vacuum.
First week baby was an 'angel' slept and fed. After that, he has
become increasingly unhappy. He is very grumpy in between feeds -
dozes, then wakes and appears to be in pain - arches, screams,
eventually settles, dozes etc etc. At the breast he feeds well for a
few minutes then arches, struggles, cries, comes off, goes back on.
He is gaining weight well - 5kg (10.5 lb)  at 3.5 weeks - birth wt
about 7lb 14oz. Pees and poos normall for bf baby. Feeds every 2-3
hours, one breast per feed.
Mother has tried many settling techniques, treatment for reflux (via
her doctor - I'm her friend!!), and has been strictly dairy-free for
a week. Baby is unchanged. He is worse in the evening from
7pm-midnight, more settled midnight to 5 or 6am, and pretty awful the
rest of the day. He doesn't seem to have any birth trauma (broken
bones, sore neck etc).
 I have a feeling that this is a little bub who
is 'high need' and has colic (whatever that is). Of course, your
friend's babies are always the worst, and hardest to help!!!
Any suggestions greatly appreciated.

Fiona
Roasting in Perth where it is 4.30pm and still 38 degrees (just over
100 F) and humid.


Fiona Coombes MBBS IBCLC               [log in to unmask]
Lactation Consultant, Family Physician
Perth Western Australia