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update was: help needed for friend please
"elizabeth emerald" wrote in message ... i need to get some important advice for my friend who is having lots of trouble with breastfeeding. she is getting conflicting advice (alot of it "just give him formula") and really needs help. she is really upset & stressed (understandably). she really wants to continue with breastfeeding. here is some info: * her baby is 13.5 weeks old. * over the past month, he has dropped from being consistently on the 95th to now the 50th percentile with some weeks losing & some weeks having a very minimal weight gain. * a main problem is that the baby is very fussy after 5 minutes on the breast. he is even more fussy in the evening and will refuse to feed from the breast. she or her husband will give him a bottle of ebm at this time. * he feeds best when he has just woken up or whilst he is still sleeping. once he wakes up fully, he gets fussy. * she does/did have overactive letdown, but the baby seems to have adjusted to that now. * she feeds from 2 breasts each feed but only for about 5 minutes each breast. she has done this for about a month as she interpreted his fussiness to having been finished, but that does not seem to be the case. * he has a dummy for sleeping. * she expresses about 150ml in 30 mins of pumping. * i think he gets a bottle of ebm about once a day. she doesn't think he has nipple confusion. * he sleeps well at nite waking only once for a feed, but he only sleeps for apprx 45 mins during the day at a time no matter how much he is resettled. he will not sleep in the car. * he did not have any noticeable growth spurts when he was younger. this fussiness problem has been going on for a month but has been noticeably worse over the past week. * she is trying mylanta for the baby for reflux, but he has not changed with other reflux suggestions previously (like raising the cot, keeping upright) and he doesn't have excessive spit up. * the baby is having a test for urinary infection (results not back yet). * she does not feel she can pump in the long term if that is what is comes down to. a lactation consultant suggested some things including comp feeding with formula, stretching the feeds out to 5 hrs and trying to get the baby to nap for 2 hrs. she is not comfortable with alot of this and definitely wants to avoid comp feeding. with my lack of lots of knowledge, i suggested she call the aust breastfeeding assoc helpline asap and if she feels she needs to comp feed to do it with ebm rather than formula. other than that i am not much help. i am going over to see her tomorrow to give a bit of support so whatever advice or experience you can post would be wonderful as i feel pretty inexperienced in this regard. thanks in advance everyone! my friend has now discovered that her baby in fact has a urinary tract infection and that is why he has been refusing food & being fussy. he is starting treatment today & she is taking him for further investigation. thanks to those who answered. -- elizabeth (in australia) DS - born 20-aug-02 |
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