weak suck, reluctant nurser?

[Guest guest]

i have a baby who is a several mos old.

when latched on to the breast babe is not " suctioned on " . baby can easily slip

right off the breast.

baby is reluctant to nurse and often needs breast compression and encouragement

to stay at the breast. needs to be 'reminded' to nurse, doesn't cue to nurse

often.

baby is doing fine otherwise no problems from the pedi's point of view.

baby gets 4 bottles/week and a pacifier daily- which has been the case since 1st

month of postpartum.

I am can use any ideas. As a new IBCLC it really helps to feel validated and

some collaboration to build confidence :{

thanks so much

Eve

[Guest guest]

sounds like tongue tie....

weak suck, reluctant nurser?

i have a baby who is a several mos old.when latched on to the breast babe is not "suctioned on". baby can easily slip right off the breast. baby is reluctant to nurse and often needs breast compression and encouragement to stay at the breast. needs to be 'reminded' to nurse, doesn't cue to nurse often.baby is doing fine otherwise no problems from the pedi's point of view.baby gets 4 bottles/week and a pacifier daily- which has been the case since 1st month of postpartum.I am can use any ideas. As a new IBCLC it really helps to feel validated and some collaboration to build confidence :{thanks so muchEve

[Guest guest]

If this isn't tongue tie, has the baby been checked for a sub-mucosal cleft?  shining a light on the baby's palate may reveal a 'translucent area'. 

 

 

and finally getting around to my intro and other random thoughts...

 

My name is Healy.  I am a 2009 certified IBCLC starting a private practice in Seattle, WA.  I am a LLL Leader and the Coordinator of the Seattle-King County Breastfeeding Coalition.  I'm MOM to three kids who I homeschool - and because I don't have enough to do already, we have been fostering kittens and puppies for a local animal shelter.

 

I meant to post back when Cole was talking about herpes on the nipple...a few remedies that might be helpful; L-Lysine supplements and Lemon Balm ( Offcians.. or something).  Something I learned from this fostering gig...kitties who have Upper Respiratory Infections, which is actually a herpes virus, are treated with Lysine!  Why is this not more mainstream for humans???  A friend recently told me about putting Lysine powder directly on the lesions (humans), but I have no experience with this.  Have any of you used either of these on breast herpes?

 

RE:  E Cerps - ILCA and USLCA also have recorded sessions you can do from your own computer.  USLCA has another one coming up this month on the Code with Marsha ...on Jan 14, I believe.

 

I will write my thoughts later on Goat's Rue and Shatavari...a MD colleague mentioned that she is not a big fan of Goat's Rue and I am waiting to hear back from her on what her specific concerns are.  I don't know if it is the possible interference with iron absorption... 

 

 

Thanks for this forum, Lyla!

 

Healy, Seattle WA

waving at , , Fay, Dee, ...nice to see so many friends here!

 

 

 

 

i have a baby who is a several mos old.when latched on to the breast babe is not " suctioned on " . baby can easily slip right off the breast. baby is reluctant to nurse and often needs breast compression and encouragement to stay at the breast. needs to be 'reminded' to nurse, doesn't cue to nurse often.

baby is doing fine otherwise no problems from the pedi's point of view.baby gets 4 bottles/week and a pacifier daily- which has been the case since 1st month of postpartum.I am can use any ideas. As a new IBCLC it really helps to feel validated and some collaboration to build confidence :{

thanks so muchEve

[Guest guest]

Wave back, . I'm very interested in the goat's rue thing, since i just recommended it for a mom having trouble with her MER while pumping at work...

Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.com

See breastfeeding articles at www.fertilefoods.com---

Subject: Re: weak suck, reluctant nurser?To: Date: Wednesday, December 30, 2009, 2:33 PM

If this isn't tongue tie, has the baby been checked for a sub-mucosal cleft? shining a light on the baby's palate may reveal a 'translucent area'.

and finally getting around to my intro and other random thoughts...

My name is Healy. I am a 2009 certified IBCLC starting a private practice in Seattle, WA. I am a LLL Leader and the Coordinator of the Seattle-King County Breastfeeding Coalition. I'm MOM to three kids who I homeschool - and because I don't have enough to do already, we have been fostering kittens and puppies for a local animal shelter.

I meant to post back when Cole was talking about herpes on the nipple...a few remedies that might be helpful; L-Lysine supplements and Lemon Balm ( Offcians.. or something). Something I learned from this fostering gig...kitties who have Upper Respiratory Infections, which is actually a herpes virus, are treated with Lysine! Why is this not more mainstream for humans??? A friend recently told me about putting Lysine powder directly on the lesions (humans), but I have no experience with this. Have any of you used either of these on breast herpes?

RE: E Cerps - ILCA and USLCA also have recorded sessions you can do from your own computer. USLCA has another one coming up this month on the Code with Marsha ...on Jan 14, I believe.

I will write my thoughts later on Goat's Rue and Shatavari... a MD colleague mentioned that she is not a big fan of Goat's Rue and I am waiting to hear back from her on what her specific concerns are. I don't know if it is the possible interference with iron absorption.. .

Thanks for this forum, Lyla!

Healy, Seattle WA

waving at , , Fay, Dee, ...nice to see so many friends here!

On Tue, Dec 29, 2009 at 7:35 PM, olliemi2005 <eve@andoverlactatio n.com> wrote:

i have a baby who is a several mos old.when latched on to the breast babe is not "suctioned on". baby can easily slip right off the breast. baby is reluctant to nurse and often needs breast compression and encouragement to stay at the breast. needs to be 'reminded' to nurse, doesn't cue to nurse often.baby is doing fine otherwise no problems from the pedi's point of view.baby gets 4 bottles/week and a pacifier daily- which has been the case since 1st month of postpartum.I am can use any ideas. As a new IBCLC it really helps to feel validated and some collaboration to build confidence :{thanks so muchEve

[Guest guest]

Hello, Eve.

So, does this *mother* think she has a problem? (I don't really care what the ped thinks--I've seen them be way off base way too often!)

The reason I ask about the mother's perception is this: If she doesn't really think there is a problem, she is not likely to follow through well on any of your suggestions. You have to be careful that you aren't caring more about this than the mother does. That happens often to new IBCLCs and new LLL Leaders! It takes a while to recognize when you are working harder than the mother.

Have you actually observed a feeding, or are you getting this description from the mother over the phone? Not judging by this question--just wondering if you are trying to gather info to help you more readily recognize what you might see when you actually do the consult, or if you have already seen the baby and might know the answers to the questions I'll ask below.

All that said, if the mother is actually wanting help, then be sure the mother watches diaper count very closely while this problem is worked through. It sounds like her hormones have been keeping her milk supply up through these early months. This is the kind of situation where milk supply can suddenly and drastically plummet, when mom's hormones finally decrease and the whole supply is now suck-driven, but the baby doesn't have the right suck!

Does the baby have the same ineffective suck on those 4 bottles/week? If not, baby may indeed by having a hard time keeping the breast nipple in the right place within his mouth. Could be a tongue-tie, as others have suggested. Could also be a crooked jaw. Watch very carefully when he opens his mouth--does the chin move straight down toward his navel, or a bit off toward a shoulder? It's tough to keep mom's nipple in place if your tongue keeps getting pulled sideways when you drop your jaw to suck. The bottle nipple holds itself in place, so is easier in such situations. CST can help.

Also could be overactive letdown. Baby may not be creating great suction at breast because he doesn't want the milk to flow any faster than it already does. If mother has a strong letdown, baby doesn't need to work hard to get food, fills up easily and go normal lengths of time between feedings. Sometimes even goes too long between feedings because he's not really eager to deal with the fast flow again and waits until he is absolutely ravenous unless mother pushes him to eat sooner.

Just some ideas.

Dee Kassing

Subject: weak suck, reluctant nurser?To: Date: Tuesday, December 29, 2009, 9:35 PM

i have a baby who is a several mos old.when latched on to the breast babe is not "suctioned on". baby can easily slip right off the breast. baby is reluctant to nurse and often needs breast compression and encouragement to stay at the breast. needs to be 'reminded' to nurse, doesn't cue to nurse often.baby is doing fine otherwise no problems from the pedi's point of view.baby gets 4 bottles/week and a pacifier daily- which has been the case since 1st month of postpartum.I am can use any ideas. As a new IBCLC it really helps to feel validated and some collaboration to build confidence :{thanks so muchEve