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Kellie Eason RN, RM, IBCLC
Nurse, Midwife, International Board Certified Lactation Consultant, Infant Feeding Therapist
Another brilliant post from Dr. Jack Newman shared......
'This exclusively breastfed 3 month baby is pulling at the breast after only a few minutes breastfeeding because the flow of milk from the breast has decreased. The mother started off with an abundant milk supply and her supply is still good, but the milk supply has decreased. In this case, because the baby did not have a good latch, due to a tongue tie. Late onset decreased milk supply can also cause the baby to have mucus and BLOOD in the bowel movements. Though there are many possible reasons for blood in the bowel movements, allergy to something in the breastmilk is very rarely the cause. The cause is late onset decreased milk supply' Dr. Jack Newman, Paediatrician & International Board Certified Lactation Consultant
I see this.......EVERY SINGLE DAY and I support approximately 50 families per week on average for all sorts of complex feeding issues.
Early on in lactation, a lot of mums will have an abundant breastmilk supply & will often feel that their baby is "feeding well".
Provided that their babies drain their breasts effectively, their babies will continue to thrive & mums will continue to have an adequate breastmilk supply.
It is not uncommon for babies to reach their 3rd to 4th month of age and mum's find out that their baby has had poor weight gain between their 8-12 week check.
This may be because their:
How can you tell your baby is feeding well and able to continue to thrive?
1. TRUST YOUR INSTINCTS
If you have a hunch that something isn't quite right, even if its despite reassurance by health professionals, trust your gut, it will always steer you in the right direction
2. CHECK IN WITH AN INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT (IBCLC)
After your breastfeeding establishment period (approx 6-8 weeks)
check in with an IBCLC a few times until your baby is 3 months of age, to ensure that your feeding your is continues to be on track.
Please note, that not all IBCLC's are trained to assess infants for oral motor dysfunction including tongue and lip ties. It is not part of the basic "training" for IBCLC's to be mentored into assessing these oral and musculoskeletal restrictions in babies
3. SPEAK TO OTHER MUMS TO SEEK RECOMMENDATIONS OF IBCLC'S or HEALTH PROFESSIONALS THAT THEY HAVE FOUND TO BE HELPFUL WITH FEEDING THEIR BABIES
4. THESE SYMPTOMS OF ORAL MOTOR DYSFUNCTION ARE NOT EXHAUSTIVE, BUT IMPORTANT TO LOOK OUT FOR:
-Baby feed seeking soon after a breastfeed
-Recurrent blocked ducts/mastitis/nipple vasospasm/thrush
-White coating to the back of your baby's tongue
-Nipple compressed like a lipstick after breastfeeds
-Need to remove bottle frequently because teat gets compressed
-Baby looking uncomfortable, back arching and/or stiff & squirmy whilst feeding
-Gulping and/or gagging with feeds
-Poor sleep/snoring/noisy sleeping
-Milk leaking out of baby's mouth whilst feeding
-Your baby has a preferred side to feed from
-'clicking' noises whilst feeding
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