Lea writes:
Latch was really poor and she would get fussy when I tried to make it
better. I gave her an ounce of breast milk around 3:30 out of desperation and
nipple soreness, then continued to allow the snacking.
Hello all, Hi Lea,
I feel like I see this with stressed babies quite a bit. Although it's
possible it's reflux, since tongue tie and reflux often manifest together, and
I see it starting up anywhere between 2 and 6 weeks, I also wonder about
this: many moms I see are so desperate "to breastfeed" that they will not
watch their baby for cues that they are struggling mightily trying to get
enough to eat at breast, and just keep pushing the baby to keep trying, hour
after hour or day after day, "snacking" as this mom describes. I don't call
this snacking, because that's a small amount in a person needing a small
amount. Good snacks satisfy. I call this struggling, eating ineffectively,
and not being able to get done, to get what's needed. These babies are
stressed. Some will take it for a while, some with fight and start wailing
immediately. Over the course of the feed, day or days, the baby will become more
and more agitated, until they just fall apart ( or shut down). Moms think,
or are told, by friends and their MDs that if they can just MAKE the
baby do it, just KEEP PUSHING; they undersupplement, by amount or by
delaying, or stop supplementing completely. Strong, healthy babies who are fairly
mellow otherwise, or even weak babies with attentive moms especially ones
with very attentive moms who carry them or hold them constantly are getting
plenty of homeostatic support and sensory nourishment and they will often
put up with a lot, so mom keeps pushing, delaying or withholding thinking
that will just "help them go all the way" to comfortable, effective milk
transfer. But with tongue tie ( or the baby I saw yesterday, 7 weeks and VERY
ineffective tongue movements/strength and a neck and jaw
asymmetry/tightness), the baby eventually has to make their needs known, and show that they've
just tried too hard for too long and have a disorganized, screaming fit (
as well they should.) I don't know if that is what you are seeing, but it
makes sense since it happens more when you are there and mom is likely to
fall into a pattern you might help her avoid if you were there. ANyway, just
my thoughts.
Peace,
Judy
Judy LeVan Fram, PT, IBCLC, LLLL
Brooklyn, NY, USA
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