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#1
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Help! Too many breastfeeding problems - conclusion
In-Reply-To:
This post may not get threaded properly - Google wouldn't let me "reply" to a message from four months ago. Anyway, as the parent of a 4 month old, I wanted to follow up to a post showing our desperation about 4 months ago: http://groups.google.com/groups?hl=e...%26scoring%3Dd Thanks to everyone who replied with suggestions. In the end, everything was a success. Here's what happened (sort-of in point form): From birth, our baby had a strong preference for having her hands up in front of her face - probably the way she was in the womb. Babies are strong, and aside from not being born knowing how to breastfeed, the hands-in-the-face tendency made it virtually impossible for a new mother to get a good latch or any kind of breastfeeding going. We tried everything we could think of, and got all the help we could, and the stress on my wife was huge. After a week or so, the baby's weight had dipped (but not by 10%) and we were worried, and the doctor advised supplementing with some formula, and getting a breast pump. Our baby did not like feeding from a bottle either, so we also used a finger-tube-syringe system, while trying different bottles. We ended up using formula 3 or 4 times in the first 2 weeks, when we thought she was hungry, and didn't have enough milk pumped, and my wife was too stressed to keep fighting with the baby who wouldn't get on properly or stay on. She really didn't like the formula very much, but when she was hungry, she would take it (while pushing half of it out of her mouth during feeding). By 4 weeks, my wife said she hated me for "forcing" her to keep trying with the breastfeeding, which was still very stressful but working a little better at this point and the baby's weight was gaining well. The baby had the perfect number of wet and dirty diapers, but my wife was still believing it "wasn't working", even though they were having somewhat more routine feedings with not-too-bad latches. She had been an avid breastfeeding advocate before this, but the experience is so difficult that she really wanted to quit, and I was trying to encourage her to keep trying whenever she felt up to it, rather than quit altogether. By 6 weeks, the baby suddenly acted like she was a breastfeeding expert, with a picture perfect latch, the ability to go on and off the breast easily during a feed (sometimes stopping to smack her lips like a gourmet), sometimes use her fists to squeeze mom's breast to get a little extra, and often just fell asleep still latched after a good meal. My wife was suddenly super-relaxed and happy when breastfeeding, and this helped her to deal with all the other stresses on a new parent. She still felt I put too much pressure on her earlier, but was thankful I did based on the end result. It was amazing how it was almost an overnight difference when my wife suddenly said "Hey - it's working now!" My advice to others having lots of trouble: -There is no need to worry about your baby's weight dipping after birth unless it's more than 10% - it's hard to believe this as a new parent, but it's true. Keep track of what happens in every diaper - this is one way to be sure they are not being malnourished while the baby and the mother's body try to figure out breastfeeding. See a nurse or baby books for details. -If you really want to breastfeed, I would try to avoid using formula, but don't feel bad if you feel you have to - just keep also trying with the breastfeeding. Breast milk tastes better and sweeter, so I'd bet most babies won't become worse breastfeeders just because they get a taste of formula. I would use a canned ready-made one for convenience at first (you don't have time to mix powder, and you might get it wrong if you are very tired), and choose one that is "easier for babies to digest". -*Make sure the mother gets some sleep! Neither parent will sleep that well for the first month or two, and it's really hard, but if you want breastfeeding to work, the father should take as much time off work as possible, and if they aren't too dominating, invite your relatives to help babysit while you crash in the other room. Even if the father still works, he should sacrifice a lot of sleep to help the mother at first. We had really good days when my wife got decent sleep, and really bad ones when she didn't. This is a really good argument for trying bottles (either pumped breast milk or formula) a couple times a day, since the mother is the only one with the working breasts -continuing the above - you won't have time to to prepare dinners, so even if you are a health-nut, get some healthy frozen dinners, or get your friends/relatives to make stuff for you and bring it over. Friends/relatives are good for helping the mother get sleep during the day sometimes, too. -*Rent an electric hospital-grade pump (from a hospital pharmacy maybe) as soon as possible after birth. This will help your milk come in (which can take weeks to be fully flowing!), and will let you bottle feed with the good stuff. Don't be discouraged if you can hardly pump anything the first few times - one day it just comes in. The vast majority of new mothers will have enough milk soon enough, yet they often believe they don't, due to the difficulty of the whole situation. If you are really worried, there are some safe drugs (fenugreek, I think?) and probably some common herbs and things available to increase milk supply, but you will probably find it's unnecessary. Seriously try having a half beer or glass of wine to help you relax and learn that "let-down" reflex. (careful with wine, though, our baby really gets upset when feeding after mom had some red wine - don't know why) -When you sit down, get comfortable and keep trying different baby-holds if you don't think one of them is working well. Many people will insist that x or y is the "right way", but if you try it and don't like it, just do whatever works for you. -Get as much help as you can every day, at first. Try often, because the more sucking, the more the mother's milk will want to fully come in. Also, if the baby is not desperately starving and crying, it's easier to try to get her on. Learn how to do hand-compressions of your breast - they can be very useful early-on. Soon you'll be shooting sprays of milk across the room -Get appointments with lactation consultants or nurses from any source possible: Your hospital, your city/region's public health office, breastfeeding clinics in other hospitals, your mom?, and I recommend La Leche League. Some people feel some La Leche groups are too rabidly anti-formula, but we found they were very helpful, understanding, and reasonable in our area, and they provided a lot of support, and many have been through the same problems as you. Try Nurses or Lactation Consultants before going to doctors - for some reason, doctors are very quick to just prescribe formula and they usually don't know anything about breastfeeding, except from a book. However, we did get some good help from the Dr. Jack Newman clinic in Toronto. They were very militant, and rabidly anti-formula, but they are breastfeeding experts and did teach us a thing or two. A lot of the sources I mentioned above are free or cheap (in Canada, anyway). Renting the hospital-grade pump was more expensive, but worth it if you look at the cost of one week of formula. Once you are good at pumping, you can buy a cheaper hand-pump. The Avent one worked really well for my wife, and if the handle squeaks, they mail you a new one for free. Anyway, best of luck, breastfeeding is very rewarding for mother and baby, but try not to stress if it doesn't work at first - all you can do is try your best as long as you can (just because you might use formula doesn't mean you can't keep trying breastfeeding too), and if it ends up working, it'll be worth the struggle. David |
#2
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Help! Too many breastfeeding problems - conclusion
Well done David! It is good to hear of such a supportive husband,
particularly when your wife seemed to have so many problems. I am glad that everything has worked out for your family. It is not always easy to breastfeed, both us mothers and the babies need to learn. Larissa mum to DD feb 99 DS mar 01 DD dec 03 David C wrote: In-Reply-To: This post may not get threaded properly - Google wouldn't let me "reply" to a message from four months ago. Anyway, as the parent of a 4 month old, I wanted to follow up to a post showing our desperation about 4 months ago: http://groups.google.com/groups?hl=e...%26scoring%3Dd Thanks to everyone who replied with suggestions. In the end, everything was a success. Here's what happened (sort-of in point form): From birth, our baby had a strong preference for having her hands up in front of her face - probably the way she was in the womb. Babies are strong, and aside from not being born knowing how to breastfeed, the hands-in-the-face tendency made it virtually impossible for a new mother to get a good latch or any kind of breastfeeding going. We tried everything we could think of, and got all the help we could, and the stress on my wife was huge. After a week or so, the baby's weight had dipped (but not by 10%) and we were worried, and the doctor advised supplementing with some formula, and getting a breast pump. Our baby did not like feeding from a bottle either, so we also used a finger-tube-syringe system, while trying different bottles. We ended up using formula 3 or 4 times in the first 2 weeks, when we thought she was hungry, and didn't have enough milk pumped, and my wife was too stressed to keep fighting with the baby who wouldn't get on properly or stay on. She really didn't like the formula very much, but when she was hungry, she would take it (while pushing half of it out of her mouth during feeding). By 4 weeks, my wife said she hated me for "forcing" her to keep trying with the breastfeeding, which was still very stressful but working a little better at this point and the baby's weight was gaining well. The baby had the perfect number of wet and dirty diapers, but my wife was still believing it "wasn't working", even though they were having somewhat more routine feedings with not-too-bad latches. She had been an avid breastfeeding advocate before this, but the experience is so difficult that she really wanted to quit, and I was trying to encourage her to keep trying whenever she felt up to it, rather than quit altogether. By 6 weeks, the baby suddenly acted like she was a breastfeeding expert, with a picture perfect latch, the ability to go on and off the breast easily during a feed (sometimes stopping to smack her lips like a gourmet), sometimes use her fists to squeeze mom's breast to get a little extra, and often just fell asleep still latched after a good meal. My wife was suddenly super-relaxed and happy when breastfeeding, and this helped her to deal with all the other stresses on a new parent. She still felt I put too much pressure on her earlier, but was thankful I did based on the end result. It was amazing how it was almost an overnight difference when my wife suddenly said "Hey - it's working now!" My advice to others having lots of trouble: -There is no need to worry about your baby's weight dipping after birth unless it's more than 10% - it's hard to believe this as a new parent, but it's true. Keep track of what happens in every diaper - this is one way to be sure they are not being malnourished while the baby and the mother's body try to figure out breastfeeding. See a nurse or baby books for details. -If you really want to breastfeed, I would try to avoid using formula, but don't feel bad if you feel you have to - just keep also trying with the breastfeeding. Breast milk tastes better and sweeter, so I'd bet most babies won't become worse breastfeeders just because they get a taste of formula. I would use a canned ready-made one for convenience at first (you don't have time to mix powder, and you might get it wrong if you are very tired), and choose one that is "easier for babies to digest". -*Make sure the mother gets some sleep! Neither parent will sleep that well for the first month or two, and it's really hard, but if you want breastfeeding to work, the father should take as much time off work as possible, and if they aren't too dominating, invite your relatives to help babysit while you crash in the other room. Even if the father still works, he should sacrifice a lot of sleep to help the mother at first. We had really good days when my wife got decent sleep, and really bad ones when she didn't. This is a really good argument for trying bottles (either pumped breast milk or formula) a couple times a day, since the mother is the only one with the working breasts -continuing the above - you won't have time to to prepare dinners, so even if you are a health-nut, get some healthy frozen dinners, or get your friends/relatives to make stuff for you and bring it over. Friends/relatives are good for helping the mother get sleep during the day sometimes, too. -*Rent an electric hospital-grade pump (from a hospital pharmacy maybe) as soon as possible after birth. This will help your milk come in (which can take weeks to be fully flowing!), and will let you bottle feed with the good stuff. Don't be discouraged if you can hardly pump anything the first few times - one day it just comes in. The vast majority of new mothers will have enough milk soon enough, yet they often believe they don't, due to the difficulty of the whole situation. If you are really worried, there are some safe drugs (fenugreek, I think?) and probably some common herbs and things available to increase milk supply, but you will probably find it's unnecessary. Seriously try having a half beer or glass of wine to help you relax and learn that "let-down" reflex. (careful with wine, though, our baby really gets upset when feeding after mom had some red wine - don't know why) -When you sit down, get comfortable and keep trying different baby-holds if you don't think one of them is working well. Many people will insist that x or y is the "right way", but if you try it and don't like it, just do whatever works for you. -Get as much help as you can every day, at first. Try often, because the more sucking, the more the mother's milk will want to fully come in. Also, if the baby is not desperately starving and crying, it's easier to try to get her on. Learn how to do hand-compressions of your breast - they can be very useful early-on. Soon you'll be shooting sprays of milk across the room -Get appointments with lactation consultants or nurses from any source possible: Your hospital, your city/region's public health office, breastfeeding clinics in other hospitals, your mom?, and I recommend La Leche League. Some people feel some La Leche groups are too rabidly anti-formula, but we found they were very helpful, understanding, and reasonable in our area, and they provided a lot of support, and many have been through the same problems as you. Try Nurses or Lactation Consultants before going to doctors - for some reason, doctors are very quick to just prescribe formula and they usually don't know anything about breastfeeding, except from a book. However, we did get some good help from the Dr. Jack Newman clinic in Toronto. They were very militant, and rabidly anti-formula, but they are breastfeeding experts and did teach us a thing or two. A lot of the sources I mentioned above are free or cheap (in Canada, anyway). Renting the hospital-grade pump was more expensive, but worth it if you look at the cost of one week of formula. Once you are good at pumping, you can buy a cheaper hand-pump. The Avent one worked really well for my wife, and if the handle squeaks, they mail you a new one for free. Anyway, best of luck, breastfeeding is very rewarding for mother and baby, but try not to stress if it doesn't work at first - all you can do is try your best as long as you can (just because you might use formula doesn't mean you can't keep trying breastfeeding too), and if it ends up working, it'll be worth the struggle. David |
#4
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Help! Too many breastfeeding problems - conclusion
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