rivka: (family)
rivka ([personal profile] rivka) wrote2005-04-16 05:40 pm
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So that's what they're for...

(Still with the short updates until I can get the whole birth story written up.)

We went to the pediatrician on Thursday, the day after we left the hospital, when Alex was just under 72 hours old. She had lost about 14 ounces of her birth weight, and the pediatrician wanted us to come back for a weight check yesterday. At that point, she had lost another half-ounce, and the nurse practitioner told us to supplement every other feeding with formula, by syringe, after she'd had all the breast milk she was going to take.

I accepted the formula and the syringes and went home planning to get a second opinion from our midwife, who was already scheduled to come by for a lactation home visit that evening. (Reason #462 why I love my midwives: imagine an OB doing lactation home visits.)

Between the pediatrician visit and the midwife visit, Alex nursed approximately every 1 to 1 1/2 hours. A lot of times they were snacky feedings, only ten minutes of vigorous nursing until she was asleep, but still: every hour and a half. By the time the midwife got here, I was much less anxious about whether the Critter would gain weight. She kept up the super-frequent feedings until 3am, when she obligingly slept for four straight hours so that I could get a little rest. She also, between 8pm and 8am, had seven dirty diapers. That's just not the sign of a malnourished baby.

Today the frequent nursing continues, but on a slightly saner schedule - every two hours, on average, with plenty of dirty diapers. She's become much more efficient about eating, just in the last couple of days. If I pick her up when she's in a calm, alert state, she makes ludicrously cute mouth-opening faces, like a baby bird, and tries to dive for my breast. I'm not saying that I don't think we'll have any problems from here on out, but for the most part she really gets it, and I get it too. Yay for nursing.

My family has started a pool on how much weight she'll have gained by our next weight check on Monday. My guess is two and a half ounces, and all without formula supplementation.

[identity profile] brian1789.livejournal.com 2005-04-17 02:50 am (UTC)(link)
Actually, as long as Alex isn't dehydrated, the nurse was IMO giving you bad advice... if she isn't getting enough, the way she stimulates your breasts to increase production is by feeding super-frequently. It's a feedback control system... eventually, you'll start producing more, she'll feed less often and things will stabilize for awhile. Adding formula to that will artificially decrease her feeding frequency, so your breasts will conclude that no greater output is needed, and the system won't be stable except by continuing to supplement...

[identity profile] ljgeoff.livejournal.com 2005-04-17 04:22 am (UTC)(link)
Yeah, I agree. Supplemental feeding will decrease nursing, which will decrease milk production - a vicious cycle.

[identity profile] pariyal.livejournal.com 2005-04-17 06:19 am (UTC)(link)
I fought the baby clinic for months with the twins; they (the baby clinic, not the twins) kept wanting me to supplement. I knew that it was a vicious cycle, and I knew that I could produce enough milk because I'd had more than enough for the first.

Don't believe them. Alexandra seems to be doing fine, and it's normal for babies to lose weight at first. Stupid baby clinic, they want all babies to have above-average weight. My smaller twin was just below the broad coloured band of average weight, neatly following the expected shape, and they told me she wasn't growing enough. (looking at tall thin healthy nine-year-old-- yup, she's just built that way)