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#11
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Newborn feeding
Elizabeth H Bonesteel wrote:
We went ahead and rented a hospital-grade pump, and have been getting what we can into Emily; but it hast been much (probably less than an ounce). Ped appointment is tomorrow at 2:00, which is 36 hours after her birth. Is it harming her, being so hungry for so long? Should we give in to the siren call of formula? I think that is plenty for a day old baby! My milk didn't come in for 5 days. I didn't have to deal with inverted nipples, or any possible tongue tie but Hunter was sleepy. He wouldn't latch for more then 3 minutes at a time for the first two days. I think I lied to the nurses so we could go home ;-) Certainly watch closely and she will need to latch better and actively suck for 5-10 minutes at some point in the next couple of days but right now I don't think there is anything to be alarmed about and I certainly wouldn't feel the need to use formula this early. Someone correct me if I'm wrong but I think a newborn baby should have a wet diaper corresponding to the number of days old they are for the first 3-5 days. So on day two she should have two, on day three she should have three etc. and then they should have 6-8 wet diapers a day. She should be passing meconium starting today. It doesn't take much colostrums to make that happen as even Hunter (the minute suckle boy) was passing meconium each day although it did take longer to pass it all then it did Luke, who was a more enthusiastic nurser in the beginning. If she is not passing meconium, not having any wet diapers, or showing signs of dehydration, then seek help. Babies do not need milk in the first few days but if you start it (formula) you sort of have to keep it up until your milk comes in. Baby stomachs are tiny and only meant to get micro amounts of colostrums. As your body gradually switches over to milk your baby's stomach will expand slowly as well. If you fill her up with 2 ounces of formula at one setting on the first day, then her stomach has immediately expanded but your body will still follow the natural curve of increased production. You also run the risk that the now full baby won't suckle as much at your breast, delaying your milk even further. Hang in there - and congratulations!! -- Nikki Mama to Hunter (5) and Luke (3) |
#12
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Newborn feeding
On Wed, 26 May 2004 02:52:55 +0000, Elizabeth H Bonesteel wrote:
Is it harming her, being so hungry for so long? Should we give in to the siren call of formula? I know we'd be dooming ourselves to bottles; but given that she's had nothing but frustration at the nipple so far, maybe we're already there. For a newborn there is not much harm in "eating" very small amounts the first few days after birth. Her stomach it tiny (thimble size) anyway, and she has enough reserves of her own to make it through a week at least. Plus the colostrum is nutritious enough that very small amounts are sufficient for her needs. I know it can be hard to get started, it took me the better part of 2 weeks to learn, and eventually I had to resort to nipple shields. The problem was similar to yours: DS would not latch right, and my nipples were slightly inverted. My milk didn't come in until 10 days after birth and DS did fine until then without supplementing. If she still has problems later on, you can consider one of the sets in which you give her EBM through a small tube while she is nursing. -- -- I mommy to DS (July '02) mommy to three tiny angels (28 Oct'03, 17 Feb'04 & 20 May'04) guardian of DH (33) |
#13
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Newborn feeding
Donna wrote:
"Mary W." wrote in message ... Doctors don't usually panic until baby has lost 10% of its birthweight. What is the norm for newborn weightloss? I thought it was normal for a baby to lose 10% of it's birthweight right after birth, but I might be mis-remembering. Can anyone remind me? In the US, doctors tend to get worried at losses of more than 10%. In the UK, however, weight losses of up to 14% are considered normal. Unless the baby is showing signs of dehydration, is not putting out an appropriate number of wet or poopy diapers after the mother's milk comes in, or is lethargic/listless, there is really no reason to supplement, even in the event of an initial weight loss greater than 10%. -- Be well, Barbara Mom to Sin (Vernon, 2), Misery (Aurora, 4), and the Rising Son (Julian, 6) Aurora (in the bathroom with her dad)--"It looks like an elephant, Daddy." Me (later)--"You should feel flattered." All opinions expressed in this post are well-reasoned and insightful. Needless to say, they are not those of my Internet Service Provider, its other subscribers or lackeys. Anyone who says otherwise is itchin' for a fight. -- with apologies to Michael Feldman |
#14
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Newborn feeding
Elizabeth H Bonesteel wrote:
Emily hasn't been able to latch. Lactation consultant #1 says this is because she's "slightly" tongue-tied, and my nipples are a little inverted. She recommends we keep trying; but if we don't get anything into her in 24 hours, we make sure she gets fed (i.e., supplement with formula). Lactation consultant #2 says Emily isn't tongu-tied if she can get her tongue over her gums (she can), I should pump to make sure my supply gets going (and to help pull my nipples forward) and we should give Emily anything we get off of a finger. FWIW, Emily, I don't think it's tongue-tie, but probably a combination of a small baby (6 lbs. 1 oz. seems small to me--all of mine were more than a lb. bigger than that) and nipples that are difficult to latch on to. I found that even my very average-sized babies had mouths that were small in comparison to my nipples, at least to start with, and that made latching on tricky at first, even with my perfect normal sticky-outy nipples. As someone else suggested, find Larry's Inverted Nipple FAQ. Also, when you say she "hasn't been able to latch", what exactly do you mean? Do you mean she's never even gotten the nipple into her mouth, or just that she hasn't gotten *properly* latched on? Also, what methods have you tried for helping her get latched on? If you have flat/inverted nipples, you might need someone to help you by holding your breast in a manner that causes the nipple to pop out while you steer baby towards the breast. Is it harming her, being so hungry for so long? Is she noticeably upset by it? Generally, babies in the first couple of days are sleepy and don't nurse all *that* often or get that much colostrum, even when they're latching on just fine. My oldest was very wakeful and nursed a lot in the first days, but my younger two probably didn't nurse more than 5 times per 24 hours in the first 2-3 days. They picked up after that when my milk came in on Day 3. Anyway, unless she's visibly distressed, I don't think it's hurting her at all. Should we give in to the siren call of formula? I know we'd be dooming ourselves to bottles; but given that she's had nothing but frustration at the nipple so far, maybe we're already there. Well, you'll want to see what's happening in terms of weight loss when you visit the doctor and make sure that she's not getting dehydrated. I'd supplement in a flash (using a finger-feeder or syringe) if I was seeing signs of dehydration and I couldn't pump enough colostrum/milk to prevent it. As long as you don't use a bottle to feed her, though, and you continue to pump (even for pitiful amounts), you've still got a shot at getting her on the breast before too long. Good luck and HTH! -- Be well, Barbara Mom to Sin (Vernon, 2), Misery (Aurora, 4), and the Rising Son (Julian, 6) Aurora (in the bathroom with her dad)--"It looks like an elephant, Daddy." Me (later)--"You should feel flattered." All opinions expressed in this post are well-reasoned and insightful. Needless to say, they are not those of my Internet Service Provider, its other subscribers or lackeys. Anyone who says otherwise is itchin' for a fight. -- with apologies to Michael Feldman |
#15
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Newborn feeding
"Circe" wrote in message news:cS2tc.29380$wa.25116@fed1read07... Donna wrote: "Mary W." wrote in message ... Doctors don't usually panic until baby has lost 10% of its birthweight. What is the norm for newborn weightloss? I thought it was normal for a baby to lose 10% of it's birthweight right after birth, but I might be mis-remembering. Can anyone remind me? In the US, doctors tend to get worried at losses of more than 10%. In the UK, however, weight losses of up to 14% are considered normal. Unless the baby is showing signs of dehydration, is not putting out an appropriate number of wet or poopy diapers after the mother's milk comes in, or is lethargic/listless, there is really no reason to supplement, even in the event of an initial weight loss greater than 10%. Thanks, Barbara (and Mary W.). I'm amazed at how much I've forgotten in a relatively short period of time! Can I blame this on placenta-brain? Donna |
#16
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Newborn feeding
Emily hasn't been able to latch. Lactation consultant #1 says this is
because she's "slightly" tongue-tied, and my nipples are a little inverted. She recommends we keep trying; but if we don't get anything into her in 24 hours, we make sure she gets fed (i.e., supplement with formula). Lactation consultant #2 says Emily isn't tongu-tied if she can get her tongue over her gums (she can), I should pump to make sure my supply gets going (and to help pull my nipples forward) and we should give Emily anything we get off of a finger. I can't help you with the breastfeeding part cos I only bottle/formula feed. But my 2nd baby was born tongue-tied. I'd say it's kinda important to work out if she is or not. I could tell when he yawned that his tongue didn't come out very far and pointed it out to the hospital staff. What do *you* think? *IF* you do use bottles at some point, the only ones he could use were Avent. We went ahead and rented a hospital-grade pump, and have been getting what we can into Emily; but it hast been much (probably less than an ounce). Ped appointment is tomorrow at 2:00, which is 36 hours after her birth. At 36 hrs do you even have milk yet? Mine never came in with any of my kids till 5 days after their births. I don't think I'd freak out yet. Is it harming her, being so hungry for so long? Should we give in to the siren call of formula? I know we'd be dooming ourselves to bottles; but given that she's had nothing but frustration at the nipple so far, maybe we're already there. TIA for any advice! Liz Good luck and don't feel guilty, whatever you decide to do Sophie #4 due July 7, 2004 |
#17
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Newborn feeding
A&G&K writes:
: Things I can think of right now.... : 1) Larry has some good info on inverted nipples ... google Larry McMahon's : posts on the topic or send an FAO. At this point, I would say to spend extra time pumping, even when you don't get anything out. The more time you spend stretching the nipple out, the less it will go back in. What else you might try and do is to pump enough to un-invert the nipple than try to latch her on. If it works, keep her on as long as she will stay. : 2) As for feeding - my milk didn't come in for the first 3 days and I : despaired of ever being able to latch DD on by myself (ie without the help : of a midwife) for at least a week (we both got the hang of it eventually : though Right. If you are pumping, there is NO reason to supplement with formula. Simply feed her what you pump. You should be pumping about 10 times a day. You should also not feed with a bottle. Tube attached to finder, SNS, Lactaid, or even syringe. No bottles! : 3) On ounce sounds like plenty to me ... remember they have tiny little : tummies. Exactly. And tell the hospital staff to back off until your milk comes in. Good luck, Larry |
#18
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Newborn feeding
"Larry McMahan" wrote in message ... A&G&K writes: : Things I can think of right now.... : 1) Larry has some good info on inverted nipples ... google Larry McMahon's : posts on the topic or send an FAO. At this point, I would say to spend extra time pumping, even when you don't get anything out. The more time you spend stretching the nipple out, the less it will go back in. What else you might try and do is to pump enough to un-invert the nipple than try to latch her on. If it works, keep her on as long as she will stay. Actually that's what I was thinking myself ... looking back, my nipples were pretty flat and I remember having trouble latching DD on at first. After 18 months of breastfeeding and er ... a fair bit of that time pumping once a day, it sure doesn't *look* like I'm going to have the same problem this time DD weaned a few months ago and I haven't pumped in ages, but the nipples have never gone back in (TMI I know). Another point of interest is that my LC said she has generally noticed the problem more often in those of us who pretty much wore a bra every waking minute since puberty and that may contribute to flattened nipples. Amanda -- DD 15th August 2002 1 tiny angel Nov 2003 EDD 19th August 2004 |
#19
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Newborn feeding
"A&G&K" wrote in message ... Another point of interest is that my LC said she has generally noticed the problem more often in those of us who pretty much wore a bra every waking minute since puberty and that may contribute to flattened nipples. Well, I'm not an expert or anything, just my personal experience: I was born with inverted nipples. I am not someone who "wore a bra every waking minute", quite the contrary: I hate bras and only use them to prevent contact dermatitis under my breasts. Monika |
#20
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Newborn feeding
"Monika McMahan" wrote in message news:Vndtc.2119$n_6.209@attbi_s53... "A&G&K" wrote in message ... Well, I'm not an expert or anything, just my personal experience: I was born with inverted nipples. My daughter was born with inverted nipples. Aside from possible nursing difficulties (not a major worry since she's not even two yet smile) are there any issues that come with this? Donna |
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