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BF Question for BFC

378

Posts

EW EXPLORER

Latest post on 08 January 2011 - 13:14

BFC, I'm still holding out on DD breastfeeding at some point. Right now I'm trying to BF with an SNS for one feed and then alternate with the bottle for another feed. Do you have any experience with the SNS and with babies going back to breastfeeding from using it or by alternating between breast and bottle as such?

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378

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EW EXPLORER

Latest post on 17 January 2011 - 22:22

You're doing such a wonderful job nurturing your little one, Lemondrops. A lot of the things you are doing to encourage breastfeeding (s2s, co-sleeping, have you tried co-bathing?) are hugely beneficial for babe even if breastfeeding does not result. Feeding method does not define the kind of parent you are, and it is very clear that you are truly devoted to both your little ones and they will know this :) I'm ducking out of the forum now, but will be popping in from time to time to see if you have posted an update. Or if you would like, you could e-mail me on khoury at null dot net as I would really love to hear how you and Jumana are getting on. xx edited by BFC on 17/01/2011 Thank you so much for your post BFC. It's sometimes hard to see beyond where I feel I've failed DD, but I am trying very hard to learn to adapt and manage my expectations. Today was a good day though, feeds were relatively quick and I made sure to hold her as if I was BFing her during and really enjoyed looking into her beautiful eyes - she was so alert today during her feeds and it felt wonderful to be able to relate to her. I did try to BF later this evening but after one minute of sucking, she decided she'd had enough and wouldn't latch on again. Who knows though, maybe she'll change her mind later, but then again, maybe she won't. Either way, I'll keep you updated. I do need to thank you for all your support and advice. I do know I wouldn't have managed to exclusively feed her breastmilk if it weren't for your support and wisdom. xxx

671

Posts

EW GURU

Latest post on 17 January 2011 - 10:05

You're doing such a wonderful job nurturing your little one, Lemondrops. A lot of the things you are doing to encourage breastfeeding (s2s, co-sleeping, have you tried co-bathing?) are hugely beneficial for babe even if breastfeeding does not result. Feeding method does not define the kind of parent you are, and it is very clear that you are truly devoted to both your little ones and they will know this :) I'm ducking out of the forum now, but will be popping in from time to time to see if you have posted an update. Or if you would like, you could e-mail me on khoury at null dot net as I would really love to hear how you and Jumana are getting on. xx <em>edited by BFC on 17/01/2011</em>

378

Posts

EW EXPLORER

Latest post on 16 January 2011 - 17:30

Thanks for thinking about me BFC! Well I tried to go cold turkey on two separate nights as well as Saturday morning. I think the most I did was 9 hours at night, but during which DD didn't feed at all from the breast. Most times when I tried to nurse her she would refuse to latch and if she did, did so very weakly such that she got nothing out of the breast when she was sucking. I know that for sure, as I test weighed her before and after a feed. By the end of the attempt she was crying frantically out of hunger; at which point I gave her a bottle, which she would finish in record time. So today to try something different, I decided to just bottle feed her without trying to breastfeed her and our feeding times went down from about an hour to half an hour. Unfortunately, it seems that me trying to nurse her really tires her out without providing her with much nutrition, such that when I introduce the bottle later she is too tired to suck on and takes her ages (and syringe feeding) to finish. I might try to go cold turkey again once she hits 40 weeks, but I think I am now finally accepting that DD will not nurse directly from me. That still does not mean she can not be fed breastmilk from me for as long as possible.. albeit expressed and in a bottle.... I suppose I am now beginning to redefine what a breastfed baby is now. Thanks again for thinking about me and for all your excellent advice. xxx

671

Posts

EW GURU

Latest post on 15 January 2011 - 19:13

Wondering how things are going? Thinking of you! <em>edited by BFC on 15/01/2011</em>

671

Posts

EW GURU

Latest post on 10 January 2011 - 14:32

As far as I know, weight hasn't been found to be relevant when it comes to readiness to feed - you may find however that you might be more successful a little bit closer to the 40-week mark which seems to be when many preemies magically get it (although this is by no means a rule - some get it earlier, and a few do not manage it). I know that you are preparing yourself for the possibility that Jumana may not be able to get there, but by trying everything you are most certainly maximising her chances of learning to breastfeed. If this is to be your last-ditch attempt, you may want to wait another couple of weeks - or (possibly, if you feel able) try now and then if necessary try one more time when she is 40 weeks. Lots of s2s, co-sleeping (following safety guidelines): great strategies. You might also try reclined feeding positions (Biological Nurturing) - these have been found to be really helpful - have a look at www.biologicalnurturing.com for description and a lovely video; experimenting with various positions (many preemies do better in under-arm or cross-cradle/transitional holds); even co-bathing if you have help on hand. Have you tried breast massage, expressing or reverse-pressure softening immediately before a feed to trigger let-down before Jumana takes the breast? Breast compressions during a feed might also help? Lots and lots of luck! Thinking of you. Please let us know how you get on!

378

Posts

EW EXPLORER

Latest post on 10 January 2011 - 13:21

Hi BFC, well the SNS hasn't been a great success. DD found it difficult latching on with a tube in the way. She's very lazy as it is and the cumbersome tubing wasn't helping. I suggested to my LC maybe we try to go cold turkey for 24 hours and see if that helps. Right now she's fed every 3 hours on the clock. She has never had to cry for food and her weight gain has always been around 30 g/day. So the theory is that because she's never been let to feel hungry and because the bottles are an easier alternative she's never felt the need to try to breastfeed. So we're going to go for 24 hours only BF with lots of skin to skin and co sleeping. I am to test weigh her before and after feeds, and will have a close look on wet nappies to make sure she does not get dehydrated. My only concern is that she is still 2.7 kg, so still not very big. Do you think that is a successful strategy, or should I wait until she's closer to 3 kg? If this doesn't work, I think I will really truly have to throw in the towel!

378

Posts

EW EXPLORER

Latest post on 08 January 2011 - 21:18

Hi BFC, well it's a bit hit and miss really, although I'm relieved to hear that preemies tend to not get caught up in nipple confusion. DD is however 37 weeks and 5 days so is she still considered a preemie or now a full term baby? She's been really alert during her feeds today so I wanted to see if I could get her to breastfeed. I tried her with both just the breast and with the SNS and must admit find that contraption quite cumbersome. It's hard enough trying to get DD to latch on without it, plus I suspect she is now trying to suck on the breast the way she sucks on the nipple :( For one particular feed, I had been trying for over an hour before I gave up and gave her a bottle. Tomorrow is a new day I suppose. I'll ask my LC about the nipple shields. Although when I used them initially I found that I couldn't get my milk through with the shields (although this shouldn't be an issue if the SNS is also used). Thanks for the tip.

671

Posts

EW GURU

Latest post on 08 January 2011 - 19:12

Hi Lemondrops, I was wondering how the SNS was going! Most premature babies experience no difficulty going between bottle and breast (in contrast to full-term babies, who have a 50% risk of nipple confusion or nipple preference). Cup feeding is sometimes used with preemies as an alternative to bottle feeding if mum wants to avoid any risk at all, so this might be an option to discuss with your LC if you are at all concerned, or if you notice more problems at the breast. Are you still using the nipple shield (with the SNS)? While they can potentially impact supply if not used appropriately, they can be a useful tool for preemies to stimulate suck and improve milk transfer. I imagine this is something you've discussed with your LC (and are possibly using), but thought I'd mention it just in case. The very best of luck! Please continue to let us know how you and Jumana are doing. You are a fabulous mummy, and I hope that in the midst of your struggles you are able to relax a bit and enjoy your newest little one.

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