Loraine writes:
I am unconvinced that if feeding is going ok upon discharge from hospital
that all is necessarily well. Research in this area would be great.
~~~
So true. Many babies who seem to feeding "ok" upon discharge will start to
show issues with their abilities to feed well over the first weeks. Often
somewhere between the 2-4 week, if not even sooner, milk supply begins to
downregulate around the baby's skills, early fullness stops the "surfing"
phenomenon that some babies with these issues rely on, baby's need for food
increases, and if moms are told, as some are, that breastfeeding always
hurts in the first months ( scandalous how often I still hear this), a whole
cascade of issues, or even a downward vortex overwhelms the whole family:
pain, nipple wounds, crying, unhappy baby, protracted or ineffective/brief
feeds or feeding attempts, poor weight gain, lack of normal sleep patterns, low
milk supply, etc, the whole family gets sucked into this vortex. I don't
think babies who can latch fairly and seem to "look good" and seem to be
moving milk appropriately in the first week have to get all frenulums released
just because one is visible, but certainly they need very close follow-up
for any of the vortex issues popping up.
Peace,
Judy
Judy LeVan Fram, PT, IBCLC, LLLL
Brooklyn, NY, USA
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