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View Full Version : Re-establishing breastfeeding with an 8 week old prem



mum2hannah
05-11-2006, 23:21
Hi Pinky,

I have an 8 week old daughter who was born by ceasarean at 36 weeks gestation due to growth restriction in the womb. She was just on 5lb at birth and spent 2.5 weeks in special care being tube and bottle fed. I was never able to establish breastfeeding with her although did so with my first daughter under similar circumstances. I was expressing and feeding her EBM entirely for the first six weeks and sought face to face advice from a couple of lactation consultants at four weeks, one of which was extremely helpful and helped me get my daughter attached and feeding with a couple of minor technique alterations. Despite my greatest efforts, I was not able to reproduce this success on my own (quite probably due to the pressure I was putting myself under to "get it right" and I'm sure my frustration was passed onto my girl...). I decided at that point that I would continue to express for as long as possible and bottle feed her the EBM, occasionally trying to get her to attach. My supply started to wane quite quickly, so I started on Motilium but ended up with a blocked milk duct two days later (I am told that the Motilium and blocked duct are not necessarily related, but I suppose I was dubious given the close time frame). This was all two weeks ago and amidst the pain of trying to clear the blockage, I thought I would try to attach my daughter again. Lo and behold, I was able to and have been feeding her - only a couple of times a day, and mostly for my own satisfaction, as I know that there is hardly any volume left there now as she takes a full bottle feed afterwards. In the past week, it has got increasingly easy to attach her, but I am getting not much more than 20-30ml when I express (just did this out of interest to see how much was there). Do you think that if I were to start taking the Motilium again and try topping her up with less formula after feeds so she gets hungry sooner and therefore feeds more often from me, I could get the breastfeeding thing happening again? What sort of time frame do you think it would take? After 8 weeks of trying so hard, I have been so close to giving it all away so many times, but am compelled to keep trying with every small victory. The fact that she has got a lot bigger and stronger and seems now to "get it" when it comes to breastfeeding encourages me too. I feel bad for the ups and downs I have inflicted on my family in the face of my desire to feed her, in particular my very patient three year old., but if there is a small chance that I could get it happening without too much more disruption to family life, I am prepared to give it a crack. Apologies for the novel I have just written - talk about pouring your heart out! Looking forward to hearing from you and hope you can help :)

Sarah

Pinky McKay
07-11-2006, 20:28
Hi Sarah,

What a lucky baby!!! You have probably done most of the hard yards in the face of enormous stress about your baby's wellbeing and a small child to care for as well, during the early weeks.

Now that your baby 'gets it' , you shouldnt have the same level of struggle as you have so far and it shouldn't take too long to get breastfeeding happening. I hesitate to give you a time - perhaps you could think of a time that would suit you such as 2 weeks, then reassess how things are. They will probably be so much better that you will be very happy to continue and with less stress you will be more available to your other little girl too.

Right now your baby is the most vulnerable little one and you have come so far it would be a pity to also experience the grief and 'what ifs' if you didnt have a go at increasing your supply now that your baby is a willing partner in the breastfeeding relationship. However, whatever you decide, every drop of milk as well as the closeness she has received through your efforts so far has been wonderful for her health and bonding with you.

You say you are only getting 30 mls when you expressed -this is great as compared to expressing, your baby sucking will get more than this - the direct sucking and skin contact stimulate your hormonal response while the performance anxiety of seeing how much you can squeeze out will inhibit the result to some extent - so go girl!!! You are doing brilliantly.

A helpful resource would be the booklet from Australian Breastfeeding Association - "Increasing your supply" . Meanwhile, lots of skin to skin contact will aid your hormones and sucking will stimulate the milk. As you suggest you can gradually decrease the amount of formula and 'wean' your baby onto the breast. Even a few days of skin to skin contact will make a HUGE difference to your supply - so a search on 'Kangaroo care".

You could try the motilium again but do check with your health carer as I can't give medical advice.

Best of luck,
Pinky