My Daughter's feeding problem... a cry for help and support :( | Page 2 | ExpatWoman.com
 

My Daughter's feeding problem... a cry for help and support :(

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378
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EW EXPLORER
Latest post on 09 June 2011 - 08:31
Thank you ladies for your wonderful responses as usual. Kiwispiers, your advice is in line with the feeding therapist I've seen for DD. Like you said, DD is dreamfeeding because sucking is still a reflexsive act for her. In time this will slowly fade away but hopefully by then we can substitute this solid feeds, even if it means that she takes no EBM/formula by bottle. Right now, DD is still fed EBM but as her intake has dropped, I have started adding 1/2 scoop formula to every bottle so I can get the calories up. I'm just hoping that the transition to solids will be much easier. Oh Meals! I don't just want to vent! I want to scream and hurl bottles across the room! Somedays it's easy and other days it's just a complete mess with J not taking more than 50 ml at a go, even asleep! Mrs, Laughan, thanks for the advice. Maybe these are avenues I should pursue as it is evident that conventional medicine isn't working or in fact is dismissing me and my concerns. Moonkitty, I've actually been seeing Cecile. I think she's great. But this one is way over her head. She's never experienced an orally averse baby before, so she couldn't be much help, I'm afraid. :( We did manage to see an excellent feeding therapist, but as she's based in Al Ain is difficult to see her regularly.
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EW GURU
Latest post on 08 June 2011 - 20:23
:( LD!!!! I'm so sorry that this is still such a problem. I had absolutely no advise that hasn't already been offered... It's just so unfair. Vent away... get it out, off your chest and know that you are doing an amazing job, there is absolutely nothing more you can do for J or M than you're already doing. Next week... make a day for us - I'm bringing chocolate and any other comfort food you can think of! We can hash it out then. (((Hugs))) xxx
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EW EXPERT
Latest post on 08 June 2011 - 19:53
Wow, I know you are living your own private **** right now but as an outsider reading your post all that I can think is this is a story of survival and incredible mother-love. It certainly makes all our post about our babies refusing vegies and not sleeping through the night seem very trite. I'm not familiar with your story prior to this post but as I read it your daughter is 6 months old, 4 months adjusted age? From what you have said I take it that she has a severe oral aversion, presumably due to some sort of trauma with feeding in the beginning. Being prem, her sucking co-ordination in the early days would have been poorly developed and possibly this led to her having trouble breathing and sucking simultaneously, so she may have experienced aspirating her milk, or struggling to breathe while the bottle was in her mouth? Presumably this difficultly has resolved (I'm assuming she has been checked for any tongue/swallow issues etc), so she is able to effectively feed in her sleep, but the trauma still exists in a psychological sense. You are able to dreamfeed her because she still has her newborn suck reflex, meaning when she feels something in her mouth she automatically sucks, assuming she is the age I have guessed above, this reflex will be starting to disappear which is why the dreamfeeds will be becoming more difficult. She will hopefully also be losing her tongue thrust reflex, which will make introduction of solids much easier. Essentially she is terrified of the bottle, I can't see force-feeding or being hungry helping this any (and will no doubt make it worse). I have a psychology background but I am by no means trained in this area, you really need to be under the guidance of an experienced oral therapist who can give you instructions on things you can do to gently reverse this aversion. Essentially it would centre around removing the negative associations and replacing them with positive ones. How hard this will be will depend on how general her diversion is. For example, will she allow anything in her mouth, a dummy a finger a thumb, a toy?. Letting her experience things in her mouth without the milk flow will help, dipping them in sugar water might make them more pleasant. You will need to be extremely careful in how you introduce solids, the least scary way for her will probably be by dipping your finger in something and putting in near her mouth. You could try this with thickened formula (the anti-reflux kind) or you may have more success with something very sweet. Solids need to be a very positive experience for her, so you will not be worrying about giving her vegies instead of sweet or rushing textures etc. A very sweet very smooth banana puree might be a good start. Just dip your finger, let her experience it, back away smiling if she shows any fear, slowly slowly. If you are lucky her fears will be limited to the bottle, but I would imagine they will be easily transferred if she has any negative experience such as gagging or being force-fed. You also need to push all your frustration deep down inside and be extremely animated and smily during these interactions. She will be very sensitive to your stress. Carry on with the dreamfeeds and make solids about play, not nutrition for as long as you can. If you can get her to accept the spoon then you can add formula to her purees and more or less forget about the bottle completely. Moving to Singapore could well be a blessing, my SIL lives there and I believe the medical system is very good, so there may be someone more skilled who can help you. You of course need home help and your move to Singapore will need to be dome with as little effort from you as possible (i.e packers who come in , do everything, don't spend to much time deciding what to sell and keep). Do you know anyone there who can sort your accommodation at the other end?. With the right help you will help your daughter lose her fears, you have already shown the level of commitment you have to her and although you must be thoroughly exhausted, I think you have the strength to see this through. My heart goes out to you and I am filled with admiration, your older daughter has an excellent role model and you will eventually have more time for her, she will survive in the meantime, don't worry. Again I can only offer ideas, but I suspect there are more advanced therapies specific to oral aversions/phobias. big hugs Emma :)
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EW EXPLORER
Latest post on 08 June 2011 - 18:30
Hi lemon drops - oh I feel for you, I had very similar thing with DD, though not as bad.... She would only feed from a dropper, for a long time, and the dr's would not listen to me, so I know what the despair is like. also went through phases of feeding her in her sleep. Have you thought about an osteopath? It would need to be one specifically trained in treating babies....that seemed to help DD.... We took her to Lauren at the osteopathic center on al wasl road. Also Accupuncture - I have no experience of this with children, but I have used it slot and really believe in it. The other thing is kinesthesiology.... I didn't do this with DD...as I didn't really know anything about it, anyway it's all about reflexes, I have taken DS to see one recently (here) and it is amazing, I just have these very fun things to do with him and some massage, and the difference in him is HUGE...anyway I know she works with babies...so maybe worth talking to her...... If you want her details email me mrslaughan at gmail dot com
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EW NEWBIE
Latest post on 08 June 2011 - 18:29
My heart goes out to you - what a hard time you are having. Have you tried Cecile De Scally? She is a midwife and educator and does home visits - she is very experienced and has a wonderful reputation. If you haven't tried her please call her and get her round to help you. 050 6947938
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EW OLDHAND
Latest post on 08 June 2011 - 17:56
I have no advice but just wanted to tell you how much I admire you!! Reading your post moved me to tears and I wish you all the very best and hope that one day very soon you will find a solution to this. I agree, with the move coming up etc, can you go home and spend some time with family so you have the added help and support? Also, while you're here in Dubai still, if you need any help at all, even just a shoulder to cry on or any kind of help so you can spend some time with your older child please call out and ask us on EW, I know myself and plenty other EW mums would help out in any way we can. Big hugs!!!
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EW NEWBIE
Latest post on 08 June 2011 - 17:28
LD, you are an amazing mum! The move to Singapore is probably being hard on you, I'm myself moving country, already husband-less with children, and finding hard to cope with the stress. I totally sympathise with you. One suggestion that came to my mind: couldn't you fly to your home country for few months closer to family/friends until you husband has settled with the moving/new home, school etc and you can purely concentrate on your daughters? There will be no harm for the 3 years old if she starts a month or 2 later in the KG. Hugs to you!
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EW NEWBIE
Latest post on 08 June 2011 - 17:22
My heart breaks for you reading your thread and recall all the heart ache of prem babies and I am very grateful mine survived.My youngest is in her teens. I need to reread your posting and the only thing I would say straight off is if it was possible someone else could take over regularly and feed your baby to help you. You are under so much pressure which cannot be easy for you and your baby. I know the pressures of bonding and not bonding and everyone talks about it can make one feel more inadequate and I would try and not get into these conversations unless the person is actively helping you as it may drag you down. If you want to chat let me know and we can email or swap numbers. <em>edited by McB on 08/06/2011</em>
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EW NEWBIE
Latest post on 08 June 2011 - 17:16
Lemondrops, Your post brought tears to my eyes. I really hope your DD will start eating well soon. I do not have an answer. DD did not accept the bottle (purely because she was exclusively BF) and a bit of success was Medela's softcup advanced cup feeder (http://www.medela.com/IW/en/breastfeeding/products/breastmilk-feeding/special-feeding-devices.html). I am sure you tried it all. For us my MIL saved us. She managed to convinced DD to accept the bottle. It was a struggle, but eventually DD accepted it (there was no way for me to stay near her as she was crying so hard), but she was full term with no problems, so it is all different ball game. I really really hope things will get better and sorry cannot offer more help. xo <em>edited by JoannaS on 08/06/2011</em>
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EW EXPLORER
Latest post on 08 June 2011 - 17:14
Lemondrops, bless your soul, i can offer no help, but i just wanted to say you sound like the most amazing, committed, dedicated mother in the world. I really hope you can get the help you need to get through this, both medically and emotionally. Try to remember this has to have an end, at some point. I know that probably doesnt help you now though. I wish i could be of more help to you, im sorry. Good luck with everything, lots of mum hugs to you x
378
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EW EXPLORER
Latest post on 08 June 2011 - 17:04
So I’m posting this in the bumps and babes section as well as the main forum to get as much advice as possible. As many of you already know, DD2 was born two months premature. A lot of you wonderful ladies, were there for me during the tumultuous period that was the delivery and DD’s month long stay in the NICU. And we thought that when we brought her home, it was going to get better. Well some things are, but some things aren’t, and everyday continues to be a struggle with her with regards to her feeding. Everyday I wake up, thinking to myself will this be the day my DD will refuse the bottle completely and starve herself to the point of dehydration, or will this be the day that she will happily take her bottle. Neither happens, and I end up having to exclusively dreamfeed her. For every feed. I know, it sounds crazy, but I have to exclusively dreamfeed my DD. I suppose though before I go into details, I should provide some context. Shortly after DD was discharged from the NICU, we had to readmit her again due to dehydration. In the two days she was home, she refused to either bottle feed or breastfeed. After trying for two days, I knew something was not right so take her straight to the Al Wasl ER, where she was re-admitted for dehydration. They stuck an IV tube in her and four hours later she took her first bottle in 2 days. And that was it. She wouldn’t take anything again, so I resorted to syringe feeding her. After 2 days in hospital, the staff were happy with her progress despite her being almost entirely syringe fed and discharged us. And back again to the feeding nightmare! Every feeding was a struggle, it commenced with trying to bottle feed her and then resorting to syringe feeding. However, once we felt she was strong enough we stopped the syringe feeding, moved her exclusively to preemie bottles and then slowly to regular bottles. But even then in those early days, I could tell something was not quite right with her sucking. And anytime I tried to discuss this with the lactation consultants, doctors, specialists, etc. I was dismissed. But I continued to have a nagging feeling that something was not quite right, despite her gaining weight and “thriving”. Anyway, the success was short-lived. Shortly after I noticed she would fuss and cry whenever I tried to feed her. She would arch her back, spit out the bottle and cry. So I when I consulted with her paediatrician he said reflux and prescribed some reflux meds. Any improvement? No. So he upped them. Did it get better then? Nope. So he changed. Still no change. In fact it went from bad to worse to the point where she now categorically refuses to drink the bottle awake, and now I exclusively dreamfeed. her at every nap and every three hours at night. I cannot describe the sheer anguish and anxiety I went through in the early days. At one point I was a nervous mess teetering on the brink of a psychotic episode. Again, thanks to the ladies at EW, I sought help (thank goodness for Zoloft and Xanax). But the pain, the grief of being unable to enjoy the feeding relationship I so desperately wanted with my daughter is indescribable. I thought it was bad enough that she refused to breastfeed... but this... this was agonising! As mothers we are hardwired to nurturing our babies. It is in our genetic code. In fact our bodies release endorphins when we breastfeed. So important is the feeding relationship that it forms the basis of the bond between mother and child in the early days. But this I could not enjoy. I cannot enjoy that special time cuddling with my little one, gazing into her beautiful little eyes, as she is either fast asleep whilst feeding or crying frantically at the sight of the bottle. I spend every waking minute counting the mls she’s consumed and trying to ensure she’s gotten the minimum. I have consulted feeding therapists, lactation consultants, paediatric gastroenterologist, occupational therapists, and paediatric psychiatrists from Dubai, the US and Austria, and the advice I’ve received ranges from stopping the dreamfeeding and starving her submission to just keep going with the dreamfeeding until she has progressed with solids. One specialist recommended that we give up on the bottle feeds and move her 100% to solids. She was only two months old (adjusted) at the time. Well starving her doesn’t work. I’ve tried that. The longest I’ve lasted was 15 hours (during the day) before I gave in and gave her a dreamfeed. The problem with the dreamfeeding, is that she is now beginning to resist the dreamfeeds as well. Her intake has gone down drastically in the past week. I was prepared to dreamfeed her for as long as possible even though it meant being a prisoner in my own house. But now even this is not working. I am so worried she’ll go back to starving herself and that we would have to end up tube feeding her. But at this point I don’t what more I can do! I also have another DD who is almost 3 years old and who I’ve been neglecting, as I’ve been spending most of my time looking after her younger sister. Plus we’re supposed to move to Singapore in two months time. I have no idea how I’m going to manage that! DH is already spending 75% of his time over there already, so in many ways I’m a single mom! And how am I going to manage dreamfeeding DD whilst having no support in Singapore whilst trying to find a new home for us and getting DD settled in at her new school? Honestly, I’m terrified!! Sorry for the vent, but I feel in some ways I’ve been living a nightmare for the past six months and it doesn’t look like I’ll be able to wake up any time soon!
 
 

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