Author Topic: Is there any way to get LO to take better feeds?  (Read 1119 times)

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Offline scruffymax

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Is there any way to get LO to take better feeds?
« on: February 04, 2014, 10:57:39 am »
DS is 13 weeks old.  He has always been a quick feeder (usually 10 mins max from birth). 

He currently feeds approximately 3 hourly during the day, around 6:30am, 9:30am, 12:30pm, 3:30pm, then 5:15pm, then I give him a bottle of formula (up to 150ml) at 6/6:30pm (bedtime) and he has a DF bottle of formula (150ml) at 10pm and usually a NF (BF) around 3am - for ages he has been going between 1 and 2 night feeds but we've had at least 4 or 5 days of only 1 NF and I have successfully resettled him if he has woken earlier.  I only actually started trying to resettle him over the last few nights and it has gone well and I don't think he "needs" to NF so I will continue with this.

The problem is that during the day he's inconsistent as to whether he will take a "good" feed and I feel it really affects his demeanour and how settled he is during his awake time, even how long he can stay awake.  Sometimes he is perfectly happy to lie on a rug and look around for half an hour but other times nothing makes him happy.  I know this is pretty normal baby behaviour but I think it seems to be related to whether he has a full tummy or not!

When feeding, he gulps and gulps down initially but then within a few minutes doesn't want more.  I don't think it's a supply or flow issue because even if I offer him the second side he doesn't want it, or might suck until letdown and then pull off (with milk spraying everywhere!)

I initially started the DF bottle of formula so that DH could do one of the feeds (which he continues to do), and then added the BT bottle because he was just so fussy and difficult to feed at this time - bobbing on and off, crying etc.  He sometimes has a bit of a BF after the BT bottle but I think it's more of a comfort suck than a feed as such.

I wonder whether he could possibly need to go longer between feeds so more hungry?  His overnight feed is definitely his longest (often 20 mins, 1.5 or 2 full sides, but it's also a slow feed as he is so sleepy).  This afternoon his 3:30pm feed was after 3.5 hours and he took a really good feed and was really happy, whereas he had only taken little feeds before that all day and had been quite grumpy.  He sleeps pretty well - usually 1.5-2hr naps, 2 in the bassinet and usually 1 in the carrier plus the late afternoon catnap in the carrier.  A lot of the time he transitions through sleep cycles without a peep, sometimes cries out then resettles himself, and sometimes I have to resettle him but that is definitely getting less frequent.  So I don't think he is actually waking from hunger but it is a struggle to get him to 1hr20min awake time most of the time so it would be hard to stretch his feeds because he always wants to feed as soon as he wakes up - I haven't tried really hard to distract him when he wakes though.

He's a skinny little fellow (below 25th percentile for weight and 75th for length) and I'm sure he would be happier if he had a fuller belly most of the time!  An "easy" solution might be to switch to formula but I would prefer to continue breastfeeding until 6 months at least.  I'm open to suggestions!



Offline Shdef

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Re: Is there any way to get LO to take better feeds?
« Reply #1 on: February 04, 2014, 12:07:44 pm »
Have you tried nappy change and a little A-time before switching to the other breast?

The amount of milk they take varies a lot with each feed, so it will be normal to be more or less settled at times. He is quite slim, so I would definitely feed on demand and not stretch too much unless he is not hungry at all.
« Last Edit: February 04, 2014, 22:25:00 pm by Steffi »

Offline *Ali*

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Re: Is there any way to get LO to take better feeds?
« Reply #2 on: February 04, 2014, 21:58:04 pm »
You already have great advice from Steffi so I'll just add a few other thoughts.

Have you tried feeding in the dark nursery as soon as he wakes up from a nap? This is a common age for distraction to start so babies can sometimes just take what they need to satisfy the initial hunger and then get more interested in what is going on around them.

Was he tall and thin at birth or is that new?

Do you think you have a forceful letdown that he is struggling with? It sounds like it if he is coming off after letdown and the milk it "spraying" out. Have a look here for ideas on dealing with that if it is an issue.
Oversupply and Overactive (Forceful) Let-Down

I wouldn't go to less than 3hrly feeds in the day yet. He is still quite young. If he is looking to feed at 3hrs then I'd follow his cues.
Cadan Dec 2009 and Colby Aug 2011


Offline scruffymax

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Re: Is there any way to get LO to take better feeds?
« Reply #3 on: February 05, 2014, 04:21:20 am »
Thanks for the suggestions.  He was tall and thin at birth, and a few weeks ago we noticed he was slipping down in the percentiles (from 25th to 10th) (this was after a period when he had been hospitalised with a virus).  It was then that we introduced the dreamfeed and changed formula and that week he put on over 200g so the nurse was happy with this and we are due for a fortnightly weigh this week.

I had been doing an extra feed 20-30mins after the initial feed but stopped as I didn't want to encourage snacking but have gone back to this today and it has meant he has taken more milk and been a bit more settled.  I don't think he is struggling with forceful letdown as he handles it fine on the first side, it is just if I try to put him on the second side straight away that it bothers him (like he's saying, I don't want anymore Mum, why are you force feeding me!)

Feeding in a dark nursery is probably a good idea - a bit difficult to implement with a 2 year old running around but I will do my best to feed him in a non-distracting environment.  His pattern of feeding hasn't really changed since birth so I don't think it's an age/development thing, but anything is worth a try.  Thanks for the tips - will see how it goes!



Offline *Ali*

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Re: Is there any way to get LO to take better feeds?
« Reply #4 on: February 05, 2014, 08:19:24 am »
A 20 min break won't lead to snacking I wouldn't think. Think of it as letting the main course go down before the pudding ;)

Some babies only feed single sided for months so he may well not need that second side if he is refusing it.

It could also be that he gets used to the slowed flow of the first breast and then gets annoyed that the second side starts coming out quickly afte let down perhaps? Maybe just laying back when feeding would be enough to help if that is the problem.
Cadan Dec 2009 and Colby Aug 2011