Sometimes the nighttime feeds are calmer because the high hormonal state may make for an easier milk flow, and the baby is less aware.  Does she feed in a  side lying position at night?  Sensitive babies sometimes do well in that position because it is so stable and supported.

Is the mother waking the baby for feeds during the day and feeding on the baby's cues at night?  Babies do tend to feed better when it's their idea.  If the baby takes a lot of time to latch, encourage the mother to go back to the newborn sequence and start the daytime feedings with the baby up on her chest, leaning back a bit so gravity makes them both stable and supported, and just pat and chat until the baby starts to seek the breast.  It gives the baby a minute to say "yeah, stomach feels ok," and to organize for feeding.  If a baby feels that they are being pushed when they are not ready to coordinate and feed, they rightfully feel that their airway is threatened and they rear back.

Has she explored food sensitivities yet?  the sudden rearing back away from the nipple could be a reflux episode. If a baby is reacting to stray proteins from the mother's diet, it's usually within a few hours of the consumption.  So a mother will have dinner, but by midnight the offending proteins might not be so present, and so sometimes food sensitivities are not as symptomatic at night.  

Food sensitivities require tedious detective work with an elimination diet.  Since it's hard enough to get anything to eat with a two-month old in your life, encourage the mother to first fill the house with less commonly eaten food with low allergy potential, so there's always something to grab during the two-week experiment.

Good luck to all.

Margaret Wills, IBCLC Maryland USA 
> 
> 
> Date:    Fri, 23 Feb 2018 10:31:02 -0500
> From:    "Alla Gordina MD, IBCLC, FAAP" <[log in to unmask]>
> Subject: Crossposted: Daytime pain, vomiting and discomfort with breastfeeding
> 
> Permission to post.
> 
> 2 mo old baby is presenting with above symptoms only during the day 
> since birth, breastfeeding at night is absolutely normal.
> 
> Growing along 75% for weight, length and head circumference; development 
> appropriate for age.
> 
> Never took bottle.
> 
> Breastfeeding observation: crying, takes a lot of time to latch, several 
> good sucks and then releasing the nipple. No change in feeding process 
> with turning the lights off (tried in the office), bringing baby in the 
> quet place (tried at home).
> 
> Any suggestions?
> 
> Thank you in advance,
> Alla
> 
>             ***********************************************

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