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Old 09-14-2011, 06:30 PM   #1
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Arrow Need help to fatten up baby.

I just got back from my baby's four month appt. And it turns out he has not only not gained any weight but has lost weight and is now barely ten pounds. I could just cry, I feel like a failure. I had no problems at all with my first he was very chunky. My boy nurses about every two hours give or take through out the day and nurses three or four times during the night. He is pretty distracted during the day so I try to nurse in a quiet room but even still he only eats for a few minutes at a time. I don't get that full feeling before nursing but my letdown is pretty strong and will spray or soak my shirt. I know oats and mothers milk tea will help with supply, what else works? His doctor recommends that I pump after each feeding to increase supply and get more of the hind milk to feed him. I have no experience with pumping whatsoever but just googled pumps and there is no way I can afford one. I live in Albuquerque, are there any resources to help get a pump, loaner programs, or anyone with one they don't need anymore? I have to go back every two weeks to check his weight and if there is no improvement I need to start trying formula. I am heartbroken and really want breastfeeding to work. Any ideas or help is appreciated.

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Old 09-14-2011, 06:56 PM   #2
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So tough mama. I'm in the same area and don't know of any programs. I do know you can rent them. My LO was a snacked. If she only ate a few minutes on a side, I would offer her the same side until she'd nursed it for approximately 10min to try and make sure she got the hind milk. I would also offer the breast again in 20 min or so...

Presbyterian Hospital downtown has lactation consultants. They might be able to help, or know of some programs...
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Old 09-14-2011, 07:00 PM   #3
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Re: Need help to fatten up baby.

I think WIC has some programs to help BF mamas get pumps. I would say just offer, offer, offer. Even if LO doesn't seem hungry still try to see if you can get him to nurse more often, try to get his focus on you while he's nursing, talk to him, sing, make funny faces, maybe that way he'll associate nursing with all those fun things and stay latched on longer. Just throwing ideas out there mama, hope everything works out for you.
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Old 09-14-2011, 07:01 PM   #4
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Old 09-14-2011, 07:06 PM   #5
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Re: Need help to fatten up baby.

I agree with the PP that you should find a lactation consultant to check him for tongue tie or anything that might be keeping him from nursing effectively. The problem may be that he just isn't transferring the milk that you have. A lactation consultant can do a pre- and post feed weigh to see what he's getting during a nursing session.

You can find an International Board Certified Lactation Consultant here: http://www.ilca.org/i4a/pages/index.cfm?pageid=3337

WIC has pumps that they give to mothers--usually working moms, but who knows. Can you get one from them?

The Avent Isis manual pump is pretty effective and only about $30. And a lot of women have a lot of success with manual expression. Here's a link to find out how to do that: http://www.kellymom.com/bf/pumping/b...ps.html#manual
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Old 09-14-2011, 07:07 PM   #6
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Re: Need help to fatten up baby.

A pump is going to be much cheaper than formula. I'd buy the pump now!
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Old 09-14-2011, 08:30 PM   #7
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Re: Need help to fatten up baby.

I'd also talk to an LC and see if they could give any pointers on hand expressing. That has to be stressful, so I hope something works for you soon!
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Old 09-14-2011, 09:18 PM   #8
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Re: Need help to fatten up baby.

Before doing anything else, I'd find a lactation consultant and do a couple feed/weigh to see how much he's getting approximately per feeding. The lactation consultant can also check him for a tongue tie as pp suggested.

Formula, might not be your easy fix. My DD has been dx'd as failure to thrive since she was a month or so old. She's never breastfed (long story...), so has been on pumped breastmilk. I share this-as feeding via bottle doesn't necessarily fix the issue.

Did your pediatrician make a referral to anyone else-for example GI or cardiology, to rule out possible issues that can present as poor weight gain?

Just my 2cents..
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Old 09-15-2011, 05:24 AM   #9
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You might try block feeding - for 3 hours, make sure all feedings are from one side only. The next 3 hours, all feedings should be from the other side. This allows baby to get more hindmilk whether your supply is high, low, or just right. Hand expressing or pumping after sessions is a great suggestion. You can contact your local WIC office to see if they have pumps for rent or if you qualify for the program. Your local La Leche League leader can also be a great resource for info about local programs and services.
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Old 09-15-2011, 09:14 AM   #10
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Originally Posted by court3189
Before doing anything else, I'd find a lactation consultant and do a couple feed/weigh to see how much he's getting approximately per feeding. The lactation consultant can also check him for a tongue tie as pp suggested.

Formula, might not be your easy fix. My DD has been dx'd as failure to thrive since she was a month or so old. She's never breastfed (long story...), so has been on pumped breastmilk. I share this-as feeding via bottle doesn't necessarily fix the issue.

Did your pediatrician make a referral to anyone else-for example GI or cardiology, to rule out possible issues that can present as poor weight gain?

Just my 2cents..
This sounds like great advice. I would tend to think there is something going on with the baby. You have already nursed a baby who gained appropriately, so I am
assuming it is probably not an issue from you.
My third son had trouble gaining and did not get back up to birth weight until 5 weeks. However, my pedi knew I had exclusively nursed my first two and they gained really well. We (me, doc, LC) eventually concluded my third son did not have an effective latch due to high palate. No "fix" for that, just have to wait for him to grow. Because of my "successful history" I think my pedi was more patient and did not even mention formula. (I will add that my baby had adequate pees, barely adequate poops, and was at least getting enough to pretty much maintain, just not grow. He was not considered FTT.) I do know how horrible it feels to see your baby not gain or lose weight. I bawled at several weigh-ins, right there at the Dr's office -me, the "experienced" mama of 3.
Of course, a baby who doesn't nurse well will cause you to have a drop in your supply as the nursing relationship is supply and demand. I did temporarily pump and then give that extra milk via a tiny cup or by bottle. We had a "nurse-in" weekend where I did little else but rest, nurse, and pump, and eat oatmeal and drink lactation tea and that really brought my supply back up. Once my son grew he nursed better and we were able to gradually go back to just nursing alone and he is gaining ok now. Good thing, because pumping (or manually expressing) and then feeding that expressed milk after you have already nursed takes time! Time you may not have with other children at home! But - I definitely feel the extra time I spent was well worth it to maintain and improve my nursing relationship with my third ds.
Good luck! I hope you get to the bottom of things soon.

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