2 Week Old Feeding Concerns

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Re: 2 Week Old Feeding Concerns

Postby NgalaOnline » Sat 15 Dec, 2012 2:06 pm

Hi TinyTittle69

Thank you for your post. It does sound as though you are going through a difficult time with your daughter at the moment. The newborn weeks can be very difficult for many parents at the best of times, and with added difficulties such as feeding issues it can be very upsetting for many parents.

It does sound as though you require some urgent face to face help with breastfeeding. With the right help and support, most breastfeeding issues can be overcome, but it is important to get help as early as possible by a qualified and helpful practitioner. Breastmilk is made on the basis of supply and demand - that is, the more milk that is drained from the breasts, the more milk the breasts produce. It is important for the breasts to get enough milk drained from them in the early weeks after a baby is born in order to provide the breasts with sufficient stimulation to be able to produce an ample supply. Sometimes a baby will require some formula whilst breastfeeding issues are initially being managed, but the aim is usually to work towards more breastfeeding and less use of formula as the breastfeeding issue is solved, as any food or fluid that the baby drinks other than breastmilk reduces the baby's demand for breastmilk which then downregulates the mothers breastmilk supply.

The amount of milk a mother expresses from her breast can not be used as a guide to how much milk she is producing, as very often a mother will not have a strong letdown response to pumping or handexpressing and therefore will not express a lot of milk. If a baby is latched well to the breast, a baby feeding directly at the breast usually gets a lot more milk than expressing may produce. Sore or damaged nipples, however, are almost always a sign that there is some issue with the attachment at the breast. Often this can just be a minor thing in the positioning of the baby that requires a small adjustment to allow the nipple to extend further back in the baby's mouth towards the softer part of the baby's palate. If your nipples are continuing to be damaged, combined with the fact that your baby seems unsatisfied after a breastfeed, this indicates that it is likely that your baby is not well latched on at the breast and is therefore not being able to drain the breast very effectively. If you would like to continue with breastfeeding it will be important to get face to face help from a lactation consultant as soon as possible. A lactation consultant would be able to assess your baby and your breastfeeding, find out how much milk your baby is draining from the breasts at a breastfeed, and help you with positioning and attachment to make the breastfeeding easier for your baby and not painful for you. The following directory is a helpful website that has contact details for local lactation consultants who often provide home visits: http://www.ilca.org/i4a/pages/index.cfm?pageid=3432

You may also like to ring the Australian Breastfeeding Association on their 24/7 helpline and ask to talk about positioning and attachment. You may find the following links helpful:

https://www.breastfeeding.asn.au/bfinfo ... ent-breast

https://www.breastfeeding.asn.au/bf-inf ... ed-nipples

https://www.breastfeeding.asn.au/bf-inf ... mum/supply

https://www.breastfeeding.asn.au/bf-inf ... 3mum/large

The above information is not a substitute for face to face help. You may also like to contact the hospital you gave birth at and ask if they can give you breastfeeding assistance soon. Sometimes it is necessary to see more than one practitioner to find the person who is most helpful and supportive to you.

Regarding formula, it is difficult to tell what amount of formula your baby requires at the moment without having assessed what volume of milk she is draining from the breast. When hoping to continue with breastfeeding it is a good idea to pace bottle feeding as often babies will drink more than they truly require when being fed via bottle due to the fast pace milk will flow from a bottle. Consuming large volumes of formula will reduce the amount of breastmilk the baby is willing to drain from the breasts. Some information on pacing bottle feeds can be found in the following link: https://www.breastfeeding.asn.au/bfinfo/caregivers.html It is normal for babies to have very liquid bowel motions if they are exclusively breastfed. A baby receiving formula typically has soft bowel motions in the consistency of playdoh. Very frequent bowel motions, such as six a day, are normal for newborns. Uncontented periods of unsettled behaviour and difficult to soothe crying are also common and usually normal in newborns, so long as the infant shows other signs of good health and there are some settled periods in each 24 hours. If your baby is having 5-6 heavy wet nappies, soft frequent bowel motions and continued weight gains, these are all indications she is receiving enough milk. It is also important to note that bowel motions can become as infrequent as once a week in an exclusively breastfed newborn after around 6 weeks of age, and this is normal at that age. It is ok to make some adjustments to formulas to try and work out a formula that is tolerated by your baby, but it is often best to try not to change between formulas too rapidly in order to give your baby time to adjust. Some babies find the high iron content in the Gold formulas to be unsettling to their digestive tract and this can result in abdominal pain and constipation. It is best to be guided by your child health nurse if you are considering making changes to your babies formula. If you have any concerns about your baby's health it is also important to have her reviewed by a trusted General Practitioner with experience with infants.

I hope this information is helpful. I hope that you are able to receive some help with your breastfeeding shortly. Please ring the Ngala helpline if you would like more help or support.
This information is general in nature and should not be used as a substitute for the personalized assistance that can be received from the Ngala Helpline by telephone.

For families residing in Western Australia you can also contact the
Ngala Helpline
Telephone 9368 9368 or 1800 111 546 for country access
Available 7 days a week, 8am to 8pm
or request a callback online http://www.ngala.com.au/Ngala-and-You/Ngala-Helpline/Contact-Ngala-Helpline-Online

For helplines in other Australian states please follow this link
http://www.ngala.com.au/You-and-Your-Family/Web-Based-Resources
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