Dear wise ones:

I have this mom's permission to post this problem to see if you have any
suggestions.   7 week old baby who has been giving mom fits from the get go.
We got him latching, we got her production up, and baby is gaining weight.
However, he is always irritable and has lots of liquid stool.  We are working
now with him on lactose overload.  Baby had been nursing for 10 to 15 minutes
every two hours, but now will nurse for 5 max but wants to nurse every hour.
I was on vacation and mom spoke with another consultant who said that baby
doesn't know how to recognize when his stomach is full.  She had her pumping
and feeding him by bottle so that she can control how much he takes.  Mom
discovered something interesting when she started pumping.  She gets a letdown
pretty quick and milk flows for about 5 minutes and then stops.  She continues
to pump, but the next letdown doesn't come for 15 minutes.  She said, "my milk
is coming, just like the baby was nursing."  Is there anyway to correct this?
Mom is getting frustrated with breastfeeding, and father, who was supportive a
month ago, is now ready to reach for the bottle and get it over with.  Thanks.

Gayle Prehn, RN, IBLC
Romeoville, IL

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