is the frequency normal?

[* Paula *]

From what it looks like, she seems to be taking most of her calories in the night.  Do you think she may have her days and nights confused?

Do you think it could possibly be silent reflux?

[legend_018]

What is silent reflux?

NIGHT:
8:30pm - 2.5oz
11:50pm - 2oz
2:50am - 2.75oz
TOTAL: 7.25oz

DAY:
5:50am - 2.75oz
8:50am - 3oz
11am - 2.25oz
1:20pm - 3oz
3:30pm 1.5oz
TOTAL: 12.5oz

That's if 5:50am is considered day?

[donna_issabella]

HI there,

Wow, seems like a tough situation with your LO not settling and seems to be snacking here and there.

Your LO is young still and going through alot of growth spurts. If however she only takes .25 and.5 oz at a time, she is snacking.

You say she insisted on  feed

4pm insisted on another .25oz from bottle started at 330

What do you mean by insisting on a feed? How long was this after her nap finished? If she is OT, are you feeding her, when she is actually tired and wanting to sleep?

How much does she sleep in total a day?

She seems to be getting plenty of milk, which is a good thing

Paula might have a point with the silent reflux. It is when acid pushes up into the oesophagus/gullet and irritates the oesophagus. In some babies the acid and milk comes out all the way and they have big amounts of milk coming out. Others, the acid pushes up, but doesn't come out all the way, so makes it more difficult to diagnose as they are only unsettled and fussy and cry when lying flat. They many times then like to feed often and little bits, as it soothes the throat and pushes the acid down again.

The one thing that I noticed though is that she woke up soon even after you put her down to sleep in her carseat.

Simple measures first. feed and keep upright for as long as you can afterwards, for gravity to help , try and prop the cothead up, which can also help. Many reflux babies like their pacifiers, as it helps them to sooth and the sucking and swallowing helps the acid go down. Henry did however spit his paci out frequently. Might be useful though to try and stretch her if you know she had a good feed and 30 minutes roots again, as that might be purely for the sake of soothing and not feeding.

Good luck. If you can post a routine that includes naps and feeds combined, that might help. However, your LO is bu 10 days old, so a routine at the moment, although that would be lovely, in practice it isn't always that easy, so don't beat yourself up about it. I think it is more the poor sleeping and fussiness that is of concern re reflux.

hope I make sense. A bit of a cold, OT myself as working bizarre hours this week.

xx
DI

[* Paula *]

Thanks for replying Di 

[legend_018]

I'll have to write down times for stuff like sleep times ect.

ya it's hard to tell right now. The 3:30pm feed was basically a feed that i thought she could of held off a little longer. But, it had been about 2 hours since the start of the last feed so I gave into it. She drank down 1oz right away. but kept sleeping and/or refusing to take anymore. I kept trying. Than at 4:00pm, which is only 1/2 hour after the start of the feed, she seemed to want more and ended up drinking .5 oz! .25 oz, break and than another .25oz. She got a little fussy and I burped her and than she seemed ok and went to sleep and has been sound asleep since than. But sometimes it's like an hour after the feed. For example - she might drink 2 oz at 3:30pm for example say taking anywhere from 20 minutes to 30 minutes and than want another oz at 4:30pm with little naps or possible being awake or even possibly fussy spurts prior to the END of the hour. All and All, she didn't really snack today. She ate every 2-3 hours which I think is normal for now.

[legend_018]

I don't know if I'm confident enuf that she has reflux. Some gas problems at times yes. It's hard to tell. She has spit up somewhat "a lot" at times, but hasn't that much lately and if she does it's just a very little. I'll have to continue to watch her cues.

Just in case - I ordered some gripe water. It came in the mail today. not sure if I want to try it yet though. I'm really trying to read her cues and figure out if anything is wrong or not OR if what she is doing is just normal and minor.

Tomorrow I'll try to time everything.

[legend_018]

by the way, sometimes she cackles or coughs while feeding her. Not all the time though. Of course this could be due to sleeping on the job "lol". The feeding job that is and her sleeping not me.

[donna_issabella]

You are doing an excellent job.

I would just keep watching her cues. She is still super young and needs a bit of time to adjust to life on the outside She might just still be finding her land feet.

Keep it up!!
DI

[legend_018]

Well I know it's not much, but wondering what you thought of this episode?

Woke at 5:40am for bottle. Drank 2.5oz.  she was closing her eyes the whole time pretty much. she was eagerly taking in the milk at first and than came to a stop and it took some work to get her to take more - plus she fell asleep. She was also hard to burp, although I did get a burp out of her. FYI: Prior feeding was 3:15am.

Than:

6:00 EYES OPEN and Up for a little while. She wasn't fussing during this period except maybe when it got close to 6:30am.

6:30 SLEEPING.
6:35 Fussy and Crying. Held her and rocked her a little.
6:40 SLEEPING AGAIN
6:50 Fussy and big Cry. Tried burping her. She did a burp
6:55 SLEEPING AGAIN

It's 7:20am and she is still sleeping, although not sure if I'm out of the woods yet "lol".

[donna_issabella]

I remember nights sitting up the whole night with Henry and then in the day time, he would sleep like a baby - excuse the oxymoron

I remember Henry doing the same in the sense of seeming to fall asleep, and then eyes pinging open and then drifting off, then pinging open. At some point I thought he really struggled to relax and switch off. Just follow her cues, and when her eyes ping open after 10 minutes and she was awake for enough A time, just keep at it, helping her to go to sleep. She just needs to tweak it is sleeping time now.

When BW works, it works very well, but I think just keep an eye on her and her patterns, she will show you how she feels and what she wants. Early days yet.

Hope she has a lie in and you too.

DI

[legend_018]

I thought she did ok today. Although she was on a 2 hour schedule most of the day - and that's 2 hours from START of feeding. I'm a little confused about what she did at 6:50pm? All I can think of, is she used a lot of energy up from being fussy. The 5:30pm feeding below, I just COULD not get her to burp. I mean usually it's not that difficult. I finally got a little burp out of her and awhile later, while she was fussy, she also burped again. She than kept falling asleep and waking fussy and went through a VERY fussy period to the point where it eventually just really really seemed like she was hungry again (?). See schedule below to understand.
during that time, I had tried paci and many other methods. Methods I have tried during the day that did work. But this time, nothing worked. She was just getting more and more worked up and I guess had to have that .5 of an oz because she guzzled it down. Is that a snack?

5:40am - 2.5oz
8:40am - 2.5
11am - 2oz
1pm - 2.5oz
3:10pm - 2oz. I remember this one took like 50 minutes as she was taking her sweet ole time.
5:30pm - 2oz
6:50pm - .5oz
She went right to sleep after the 6:50pm and hasn't woken yet.

[legend_018]

I really don't know how to hold her off. AT 8:05pm - I gave in to giving her a bottle. She only drank 1oz so far and is acting like she doesn't want anymore. I feel like I'm always feeding her. Maybe it's normal being so young I guess. She last ate at 5:30pm where she had 2oz and than at 6:50pm had a .5oz snack. I do try very hard to hold her off at times. Sometimes it works and other times it doesn't.

[legend_018]

913 and been holding her off w/paci for as long as i could.
feeding her now
not sure whats up.
she just ate @8pm

[* Paula *]

It does sounds like your lo is wanting to drink for comfort.  Feeding her so often is going to turn her into a snacker.

[donna_issabella]

It does sounds like your lo is wanting to drink for comfort. 

It does, doesn't it?

She is still young, and might be that she just likes to sooth, but not able to keep the paci in. Also, if she does have silent reflux, could also be why she drinks often, to sooth her throat.

What formula is she drinking? And how often does she poo? What colour is it?

Many babies also cluster feed themselves this time at night, and are more fussy than the rest of the day. Sometimes unfortunately just something they need to outgrow. Yuck... I know.