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Would you like a cheeseburger with that?

Posted: August 14th, 2010 | Author: | Filed under: Misc. | 6 Comments »

Just when we thought everything was going great, we hit a bump in the road.

It seems that although this kid is nursing around the clock, he’s not gaining weight.  As in he’s gained one ounce since he was discharged on Sunday.  Apparently you are supposed to gain back everything you initially lose by two weeks.  We’ve got four days to gain eight ounces.  The pediatrician is none too pleased.

Of course at the appointment we are told to supplement.  And only feed him every two hours, none of this “on demand” stuff we’ve been doing.  What exactly do you suggest I do as he frantically roots around at everything he comes into contact with while I wait out those two hours?  Both of these things go against everything I’ve learned about breastfeeding in the past 2 years.  First of all, you want to feed more, not less.  Second, supplementing is the downfall of nursing in my experience and I’ll be damned if it all falls apart this time. 

There are a few things that could be going on here that make me want to not follow doctors orders on this one.  First off, his bili levels have spiked a bit.  At 9 days old he’s sporting a 15 from the serum test- that’s the highest a serum has come back so far.  Why they didn’t throw him under the lights while we were in the hospital is beyond me (especially knowing what we went through with Lincoln who didn’t spike until we went to discharge).  I would have happily done that but they took a more wait and see approach.  Wait and see translates to no lights and a baby who has issues with nursing.  Now I have a sleepy baby who’s probably not using his excellent latch to the best of his ability simply because he’s sleeping through his feedings- nothing wakes this kid up.  The other thing is he’s at the point (days 7-10) where he could just be cluster feeding.  The lack of weight gain could again be contributed to an inefficient milk transfer due to the fact that he’s sleeping through his feedings. 

Throw in the crazy post-partum hormones and I am obviously not dealing with this very well.

When the on-call ped called with the bili results last night I told him I wasn’t on board with supplementing.  It’s about all I could spit out without breaking into a full-on ugly cry.  I can barely type the words without breaking down (fuck).  He said they are most interested in finding out if he’s getting enough.  If he nurses like he is and can’t/ won’t take much from a supplement, that would show he’s getting enough and just gaining slowly.  If on the other hand nurses like he is and then takes another ounce or two, well, maybe we need to add in the supplement.

That makes sense, I can understand that.  Still not on board, but willing to see what we’re dealing with here.  I thawed out the syringes of colostrum I pumped in the hospital (15ml) and pumped immediately following a 30 minute nursing session (2.5 ounces).  He took the colostrum and a little over half an ounce- with a dropper, no bottle shall touch those tiny lips until I go back to work.  That doesn’t seem like a lot to me, but we’ll see.  Since then he’s been sleeping pretty much around the clock- we have to wake him up to eat.  Not sure if I like this, it seems like he’s getting less this way.  We’ll probably end up supplementing more tonight simply because I KNOW he’s not eating enough now. 

Can you see why I didn’t want to do this in the first place?

(AHHHHHHHHHHH! and also FUCK!!!!!!!)

Here is a picture. He is very cute.  And yellow.

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6 Comments on “Would you like a cheeseburger with that?”

  1. 1 KatyM said at 2:17 pm on August 14th, 2010:

    I am a lactation consultant at ANW, your mom/mother-in-law (?) Julie E asked me to check in with you. My cell is 612-812-9419. Please call me or the Infant Feeding Program at ANW 612-863-4638.

  2. 2 Mr. Wonderful said at 3:25 pm on August 14th, 2010:

    Honey. You are doing a great job with Judah. Please don't get discouraged. I love you.

  3. 3 CharleyJax said at 5:47 pm on August 14th, 2010:

    Just another encouragement… on Day 10 of life, Jax went 10 hours with no feeding whatsoever. I was in full-on panic mode. We were all hysterical and hormonal. We did the supplemental nursing system (finger feeder) because I felt as you do about bottles… and after one more day, he got back on track. See if you can get your hands on an SNS, or if you can just try the dropper or even a little cup (they did that with formula at the hospital w/ the boys because I wouldn't let them use a bottle).
    Just hang in there. Know you're not alone, and that you're not doing anything wrong!!

  4. 4 Emily R said at 8:01 pm on August 14th, 2010:

    You know what? You've breastfed two babies. You know what you're doing.

  5. 5 Leah said at 1:09 pm on August 16th, 2010:

    Listen to your husband. [tearing up here] And oh my gosh, that picture?! So cute and I love that I see glimpses of the boys in him all ready. 🙂

  6. 6 Sarah, Goon Squad Sarah said at 5:30 pm on August 25th, 2010:

    He is beautiful!

    I mean rugged… handsome.

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