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  • "Maybe baby" started this thread

Posts: 438

Reg: Oct 26th 2006

Location: Liverpool

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1

Friday, May 2nd 2008, 7:18am

Bf a premature baby??

Hi all
Little one is now 2 weeks old and was born at 35 weeks gestation. After being in the incubator for a week and being tube fed she has now been in a cot for a week. Since the day after the birth Ive been expressing 7 times a day (once in night) and getting 30 -40 mls each time and she is almost exclusively EBM through a tube now. We've been trying breastfeeding on and off since she was born but she just doesn't get it. Sometimes shes windy before we even start, sometimes she latches and falls asleep. Sometimes we have 2 sucks and falls asleep.

My problem is that shes got to get this feeding sorted before she can come home and its just the feeding that is stopping that. I believe that she has to do 48 hours on the chosen method. After years at that hospital for tx, then almost daily visits and a few stays for pre eclampsia I dread being there to try to feed a baby who isn't interested. Being watched by a load of nurses and other parents while you struggle to feed is just awful. The BF lady has been to check her latch, but she wasn't pulling away from it the way she often does or falling asleep after one suck.

Does anyone have any similar experiences to share? I just wonder if it would be best for both of us to move on in the interests of my health and getting her home???




Me 37 DH 35
PCOS since 1991
TTC 4.5 years
1st IVF Sept 06 - BFN
FET Mar 07 - BFN
2nd IVF Aug 07 on the NHS! Yippeeeeee - EC 3rd September 19 eggs - 2 fertlised - :BFP: Its a girl !

Baby Iona born April 2008 - 5 weeks early - The light of my life

  • "Maybe baby" started this thread

Posts: 438

Reg: Oct 26th 2006

Location: Liverpool

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2

Friday, May 2nd 2008, 7:26am

Also meant to say shes had a cup feed yesterday which she loved, so the food inthe mouth she likes.

Also I'm still on 2 lots of pills for high blood pressure, could these affect everything.

Would just love to be doing this learning about each other at home ...... ;(




Me 37 DH 35
PCOS since 1991
TTC 4.5 years
1st IVF Sept 06 - BFN
FET Mar 07 - BFN
2nd IVF Aug 07 on the NHS! Yippeeeeee - EC 3rd September 19 eggs - 2 fertlised - :BFP: Its a girl !

Baby Iona born April 2008 - 5 weeks early - The light of my life

This post has been edited 1 times, last edit by "Maybe baby" (May 2nd 2008, 7:41am)


Pootle

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Posts: 7,078

Reg: Mar 31st 2007

Location: By the coast

Children: 2 beautiful girls.

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3

Friday, May 2nd 2008, 7:31am

Morning

My DD was born at 32 weeks - due to pre eclampsia as well. I did the same as you - expressed for a few weeks and tried to get the breast feeding thing going. However, she just couldn't get to grips with breast feeding and in the end I abandoned the idea. I was really disappointed as it was something I'd wanted to do but in the end I felt the anxiety it was causing me wasn't worth it.

She came home at 35 ish weeks and turns 3 this month!

I think you just have to do what you feel is best for BOTH of you. You can read the literature, listen to a hundred people but you're the one who knows best for your situation.

Lots of luck.

x






My family is complete...I am grateful every day

DD1, natural miracle, 2005
DD2, IVF miracle, 2008


mrsjasper

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Friday, May 2nd 2008, 7:59am

My baby wasn't prem but she didn't latch on very well when she was born. She was given a cup too, and syringe fed colostrum, and in my opinion it made her lazy. I think if I had offered her breast as the only opition she would have learned how to do it. After 11 weeks of trying to latch her on at every feed and expressing every 3-4 hours day and night, I was producing 100 mls of milk a day and was exhausted and had to switch completely to formula. Of course the situation is different with prem babies, they haven't the fat stores of a full term baby. But I think if she knows how to breastfeed, don't let her feed any other way, wake her up to feed at least every 2 hours and in between if she shows signs of wanting to feed. Get the specialist feeding advisor to see you more and contact either the nct 0870 444 8708 or la leche league 0845 465 1855 helplines.





  • "1xbaby pls" is no longer a member of FZ

Posts: 2,647

Reg: Apr 4th 2006

Location: Wales

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5

Friday, May 2nd 2008, 8:11am

My 2 were born @ 32 weeks due to pre eclampcia, and i expressed whild in hosi for 3 weeks but went to bottles at home, Im sure the nurses told me there sucking reflex sometimes wont kick in till 38weeks. Good luck mb x x
1st go ICSI - @ royal shewsbury and Telford NHS funded
25 eggs collected 27/3/06
15 fertilized - 8 grade A - 2 transfered 30th/3
test date - Thursday 13th April, BFP :D :D :D
:baby: ITS TWINS :baby:
M.L & J.F - Born 9/11/06 6w prem (6lb 5oz & 4lb 10oz)

  • "1xbaby pls" is no longer a member of FZ

Posts: 2,647

Reg: Apr 4th 2006

Location: Wales

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6

Friday, May 2nd 2008, 8:14am

Youe could ask them for a screen whlst you feed, takes a bit of pressure off and ask about doing Kangaroo care before a feed i used to do it and im sure it help milk my come in & relax us before a feed x x x
1st go ICSI - @ royal shewsbury and Telford NHS funded
25 eggs collected 27/3/06
15 fertilized - 8 grade A - 2 transfered 30th/3
test date - Thursday 13th April, BFP :D :D :D
:baby: ITS TWINS :baby:
M.L & J.F - Born 9/11/06 6w prem (6lb 5oz & 4lb 10oz)

Posts: 1,805

Reg: Oct 7th 2005

Location: x

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7

Friday, May 2nd 2008, 12:57pm

my second son was also born @ 35 weeks, despite threatening to come out for the previous 3 weeks (premature labour). he was born at 2.5kg.

his lungs failed at birth and he was in an incubator for a few days. on the third day I was allowed to see and cuddle him.

for the next three days I combined expressing milk and trying to get him to latch. I would pull the curtains around me to feed him, and it would be just me & him. I had BF nurse check the latch, said that it was ok, and from that moment I realised that he could latch even if he didnt want to.

at day 5 he weighed 2.0kg.

he was also a very sleepy baby up until his natural due date, so would often fall asleep on the boob. I just made sure I offered the boob to him every 2 hours morning, afternoon and through the night as well.

He was jaundiced as well and struggling with his temperature, so I just wrapped him up and cuddled him when he was awake. When he was awake, I would open my shirt so my upper chest was open and place his head and face against my skin so we had lots of skin to skin contact.

By day 6 he was feeding exclusively on my breast, and day 7 we were allowed to go home but we had to weigh him once a week.

He would often for the next 2-3 weeks only need to feed for 5 minutes. if he fell asleep feeding, I would try to wake him up but if he wouldnt, then I wouldnt worry, and I would just wait until the next 2 hour time slot and try again.

I ended up exclusively breast feeding (with day time expressing + bottles because I was back at work) until he was 6 months, 2 weeks; then we tried solids, and then at 7 months we moved onto formula bottles as he suddenly went on a boob strike and only liked bottles and pumping was too stressful.

he is now 9 months and 3 weeks actual age. he is a HUGE lad. he wears clothes for 9-12 months which his elder brother was wearing at 12+ months!



Right, the first thing is to realise that your latch is good, if your BF counsellor has seen it and has says so, so now you need to find the inner confidence in yourself that you & your baby are capable of doing this and can do this.

Then, when it comes to your tablets, I would take them directly after feeding your daughter so there is the longest gap possible between taking them and feeding her just to make sure they arent affecting the taste of your milk (although if she is drinking EBM then I dont actually think they would affect the taste, but better safe than sorry).

Also - your nipples - are they inverted, or flat, or do they stick out somewhat? if they stick out, that makes it easier for your baby to latch properly. If they dont, then I would recommend popping down to Boots and buying some breast shells (shells not shields). Pop these on about 10 minutes before a feed as they extract the nipples out slightly and completely painlessly.

And finally..... do you want to breastfeed? Because if your heart you dont want to, then no advice will help if your heart really isnt in it. And I'm sorry if I sound like I am being harsh because dear god the last thing a new mum with a premature baby needs is harsh words! I'm just trying to be realistic. If you dont want to do it, or cant face the idea of it, then it wont work. If you do want to, then you have to perservere, and try and find confidence in yourself to realise that you have done it and you can do it again, and it will work!

  • "Maybe baby" started this thread

Posts: 438

Reg: Oct 26th 2006

Location: Liverpool

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8

Saturday, May 3rd 2008, 6:27pm

Thanks to you all for your wise words and experiences. Yesterday I had two lovely nurse with me all day as I tried to latch her on. They had both breastfed, one of which had a prem baby. Baby just won't have it. We tried every trick in the book, but it just feels like she isn't even getting anything when on the rare occasions she has her usual 1 suck on the breast. We've been ringing the feeding adviser every day for 3 days and they are finally coming to see me tomorrow. I'm hoping for another trick to get her interested but it just seems cruel when she just doesn't want to do it. Added to this of course my milk level is now dropping.

Thanks for all your advice. I think I'm going to be pragmatic and make a decision on whether to continue trying based on whats best for both our sanities!




Me 37 DH 35
PCOS since 1991
TTC 4.5 years
1st IVF Sept 06 - BFN
FET Mar 07 - BFN
2nd IVF Aug 07 on the NHS! Yippeeeeee - EC 3rd September 19 eggs - 2 fertlised - :BFP: Its a girl !

Baby Iona born April 2008 - 5 weeks early - The light of my life

Torisen

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Posts: 3,468

Reg: Jan 1st 2006

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9

Saturday, May 3rd 2008, 6:34pm

I am actually horrified that you have not already been seen by a BF advisor???!??!?!?!?!?!??!?!?!?!?!?!??!?!?!?!
I popped out to my local BF support group when DS was 2 days old and they sorted me out straight away (he would not latch on either) and after that we had 11 months of BF.

XX
ICSI Jan 2006 - BFP
MC one twin at 6 weeks
DS born in Oct 2006
BF DS 10 months 3 weeks and 5 days
FET 11/07, ICSI 12/07 (ABANDONED), ICSI 2/08, IUI 5/08 - BFN
Clomid IUI 7/08 BFP MC a twin... again :(


Posts: 814

Reg: Mar 6th 2006

Location: Essex

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10

Saturday, May 3rd 2008, 8:10pm

I had that problem with one of my little ones, they came at 35 weeks and I could not leave until they put on weight, I had to bottle and bf to get their weight on as even thou they were drinking loads they were still losing weight for about 3days! anyway I expressed and bf and bottle fed formula, one of my little ones struggled with BF as her mouth was so small she struggled to get my nipple in her mouth (bless), Nuala loved it straight away, I managed to get them home and she did eventually managed to latch on after a couple of weeks, I just kept trying her every feed and then gave them breastmilk and then had to once or twice top up with formula.
Melanie
1st IUI cylce 10 March 06 BFN
2nd IUI cycle 19th June 06 BFN
3rd IUI cycle 6th Sep 06 BFN
4th IVF 31st March at St Barts :BFP:

Daisy born @ 35wks 20/12/07 12.16am 4lb 13.5 oz
Nuala born @ 35wks 20/12/07 12.18am 5lb 10oz


  • "Maybe baby" started this thread

Posts: 438

Reg: Oct 26th 2006

Location: Liverpool

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11

Monday, May 5th 2008, 7:27am

good news !

She has now had 3 big breastfeeds! I think the problem was as Melanie describes a mismatch between mouth and nipple size. I put some small nipple shields on and after a few goes she was away. I m not counting my chickens yet but its huge step forward.




Me 37 DH 35
PCOS since 1991
TTC 4.5 years
1st IVF Sept 06 - BFN
FET Mar 07 - BFN
2nd IVF Aug 07 on the NHS! Yippeeeeee - EC 3rd September 19 eggs - 2 fertlised - :BFP: Its a girl !

Baby Iona born April 2008 - 5 weeks early - The light of my life

Torisen

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Posts: 3,468

Reg: Jan 1st 2006

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12

Monday, May 5th 2008, 9:00am

That is fantastic news Maybe Baby!!!
Keep at it, every chance you get! You will get more and more comfortable doing it! XX
ICSI Jan 2006 - BFP
MC one twin at 6 weeks
DS born in Oct 2006
BF DS 10 months 3 weeks and 5 days
FET 11/07, ICSI 12/07 (ABANDONED), ICSI 2/08, IUI 5/08 - BFN
Clomid IUI 7/08 BFP MC a twin... again :(





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