Author Topic: 22 month old never has STTN. Complicated situation. Desperate mama needs help.  (Read 647 times)

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Offline KimberlyNYC

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Hello Friends,

My son will be two in March and he has never STTN. It is complicated by eating issues.  Quick history: LO had a terrible case of coxsackie virus when he was five months old, which caused painful ulcers in his throat. Overnight he quit the pacifier and bottle and would only allow the breast in his mouth. Two weeks later I had to go back to work. When I went back he would hunger strike for the entire 8 or 9 hours I was at work and only eat when he could nurse, despite my pumping and leaving milk for him with his loving, patient nanny. He would not take any bottle. We tried them all. Our nanny resorted to using an eye-dropper to get any calories into him and his weight plummeted. It went from 33% to 8% that first month I was back at work and has since continued to go down. It is now below 1%. We have a feeding therapist and nutritionist trying to help us with his eating (even now, over a year later, he still has an aversion to food and would prefer to nurse).  Because his weight was so low and we knew he was truly starving I continued to nurse him at night. Though he has his own crib I would get up to nurse him 3-5 times a night. Now he sleeps in the same room with his big brother (5 yrs) but is still waking two or three times a night to nurse. I have not had more than 2-3 hours of sleep in a row since he was born almost two years ago. I am desperate for sleep and am starting to feel angry and resentful in the night when I am awakened. Here is a typical day/night:

6:15 up for the day, nurses 15-20 minutes

7:00 Mommy and big brother leave

7:15 Breakfast

7:30 Nanny arrives, daddy leaves

Btwn 10:00-11:00 goes down for nap, sleeps 1 - 1.5 hours

When wakes, has lunch

Snacks are offered regularly and he is always given food upon request

5:00 Mommy and big brother come home

5:15-5:30 nurse

6:00 dinner with whole family

7:00 bath, pajamas, book

7:30 Nurse - about half the time he falls asleep at the breast in the first 20 minutes and I put him down in his bed asleep. The other half of the time he will nurse for 45-60 minutes and become acutely upset if I try to pull him off.

7:45 big brother gets into bed, daddy tells a story and signs a song

8:00-8:15 parents leave room

At this point if he is not asleep he will talk to his brother or sing to himself. If he still can't sleep after about 20 minutes he calls for mommy and becomes increasingly frantic if I do not come. If  I come in and try PU/PD or singing, etc.,  nothing will soothe him except to nurse. This means I often nurse him again for 45 minutes until he falls asleep and I put him in his bed. By now it is often 9:30.

11:30 wakes to nurse. Nurses 20 minutes, goes back to sleep

2:00 wakes to nurse, 20 minutes then back to sleep

4:30 or 5:00 wakes to nurse - He is often brought into our bed for this one so that he'll go back to sleep and we can get a bit more sleep before the alarm goes off at 6:00.

I feel overwhelmed by the feeding and sleeping issues, which we think are connected. He is very very intense about nursing and he becomes desperate if I try to put him off ever.

Any advise on how to handle the NW or eating would be so so appreciated. Has anyone dealt with anything like this? We feel very alone. 

Many thanks,

Kim

Offline Lolly

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{{HUGS}} That all sounds very traumatic and hard work.

I'm no expert on the breastfeeding so will get more eyes but my gut says that you are going to need to stop the breastfeeding during the night in order for him to eat more in the day. He should be eating enough in the day now but if he is feeding so frequently in the night he's not going to be hungry enough in the day in order to eat.

It maybe that you are going to need someone else to do the resettling at night to take you and the milk out of the equation. Is he able to get to sleep by himself at all or is he nursing to sleep? What happens for his nap during the day?

I think too that the nap is an issue - 10 -11 is too early for a nap and his nap is short so it's not restorative and then he has a long stretch to bedtime so will be over tired by then and so not sleeping well.

By 2 most toddlers are sleeping around 12.30 for 1.5-2 hours, and their day need to be 12-13 hours long depending on the nap. So, if he wakes at 6 I would do
6 - wake
12-1.30/2 nap
6.30/7 bedtime (aiming to be asleep at this time)

What do you think? I will shout out to the breastfeeding ladies for help though!

Laura


Offline amayzie

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Hi Hon- You can try offerring water at night instead. that puts your mind at ease that he;s not thirsty- but is no where near as satisfying as the boob so they won't wake up just for that. We just offer the water in a cup. I know i get thirsty some nights so i don't like to offer NOTHING

If you are looking at dropping the night feed/s then the strategy Lolly suggests can be a good one (someone else doing it). Generally i've done the 'do anything but BF' to get them to sleep option. If you are trying to break a BF prop then you don't want to be worrying about independant settling- that will come after he's not asking for the feed.
Katy, Mummy to Hamish!


Offline Erin M

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(((hugs))))
At his age he has some level of understanding too -- I'd talk to him during the day, tell him something like " Mommy's boobies (or whatever you call it) are sleeping at night, milk only comes during the day" and them stock to your story at night.  That will be the hardest part, to stick to it once you start since if you cave and nurse you've only taught him that screaming longer will get you what you want.  Has your doctor, nutritionist given you the green light to wean the night feeds (I imagine they would at this age, just checking to make sure)?  I'm also with Katy's "do anything but feed" approach.

Offline Fiver

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Totally agree with Lolly - my DH was able to go and settle DD in the night once we were satisfied she was getting sufficient nutrition during the day.

What's your nutritionist's take on what's happening right now and do they have any strategies or solutions to offer you?
*** Amanda ***