Subject: | |
From: | |
Reply To: | |
Date: | Thu, 31 May 2012 11:55:17 -0400 |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
The congestion makes it sound as if baby is aspirating during feeds. This could be due to fast flow or due to oral anatomy issues or both. I would want to see and hear baby at the breast and with a bottle to determine how baby is coordinating suck, swallow and breathing.
I wonder about the pacifier. Often babies whose moms have oversupply want to suck more than they need to get a good feed and will happily take a pacifier. I would want to know if this baby is able to hold onto a pacifier because the pacifier refusal and difficulty at the breast and with a bottle suggests to me that he could possibly have challenges beyond oversupply.
Has the baby been assessed for tongue and or lip-tie? Does he ever have milk come out of his nose? Does he squeak or click during feeds? If you have an appropriate scale, it would also be informative to do a before and after weighing to determine intake.
Laid-back breastfeeding www.biologicalnurturing.com is very helpful for managing flow. I would start with this as it is the least interventive and can also address many difficulties. If oral anatomy is normal and baby is gaining very fast, I would also consider full-drainage and block-feeding.
http://www.internationalbreastfeedingjournal.com/content/2/1/11
This does reduce supply, so I would want to be sure that baby can transfer milk well without an oversupply.
Laura Spitzfaden, LLLL, IBCLC
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
|
|