Sunday, November 4, 2012

5-6 week update: the "weight-ing" game :)

In Rockford at her Baby Dedication :) 
Height/Weight:
22.5 inches
15.25 inches (head circumference)
            Birth- 14 inches
8 pounds 5 ounces

Size:
Gradually transitioning into 3-6 month clothes already! She is almost EXCLUSIVELY in 3-month clothes!
           
Favorites:
Food- BREASTMILK! J No dairy or gluten!
Book- “On the night you were born”
Song- “Beautiful, beautiful” by Francesca Battistelli
Toy- My boobs.
Non-toy toy- My boobs.
Time of day- any time as long as she’s fed, clean, and napping!
TV show- She watches a little bit of TV now!
Thing to giggle at- She thinks its funny to stick her tongue out or when she sneezes.

her 1st little halloween outfit
Firsts/Milestones:
- Not only does she make eye contact with us, but also she is starting to talk to us! Along with smiling and laughing!! We LOVE it. She is talking more and more! Watch this amazingly cute video of her! Don’t mind my weird conversation I’m having with her about her poop! Haha
-She is starting to try to blow little raspberries!
-We love hearing her big (and little) poops!
-We went to Rockford for the first time and we had her Baby Dedication! We still have yet to receive the pictures (which I will post later). The short ceremony we did at my home church basically was to signify that we are dedicating her to God...that we agree to raise her according to His will...to raise her in a Godly home! It meant so much to us and she had the cutest little outfit on courtesy of her Grandma “Mithu” (my mom) and her auntie Maria!
-Sadly, she experienced her first cold. The whole Dorough household got sick. She’s a pretty good sleeper at night (3-4 hour stretches before nursing then she goes right back to sleep) but for 3 nights, she was so restless and throughout the day she was too. I am still sick but imagine taking care of a restless and clingy baby while I also had NO sleep. Very difficult. She’s doing better now but I’m still checking her temperature like every 5 mins!

Due to the stupid virus (great for her immune system horrible for her weight!), she lost weight (visually) and we got a little concerned. However the following day she started to sleep better and started nursing literally EVERY hour actively...not as much for comfort. Our 6-week doctor’s appointment, she only gained 1 oz since her last appointment around 5 weeks. Although I would have been concerned about a week ago, this time I’m not because she doesn’t have a metabolic problem but she was sick! Her poops are very mustardy yellow (awesome!), she’s peeing a lot, eating well...so we have confidence once she kicks this virus in the butt, her weight will gradually increase! We were also encouraged that she grew in length and head, which in itself takes metabolic processes and energy so she is getting nutrition! Her fat stores may not be filling up but I know in time, she will plump up and become our little chunker!


So my last blog (1 month update) discussed the issue of “OVER PRODUCTION” of milk. I didn’t discuss really what that means or how I fixed it so I figured I use this blog to do that. I’m sure you can google it too and get more expert advice but this is from my point of view only.

Her 2nd Halloween outfit with daddy!
Overproduction is basically what it sounds like. You make WAY too much milk. It isn’t discussed too often because many people struggle with the opposite program, which can be a huge reason why their baby doesn’t gain weight properly.

Overproduction can also cause slow weight gain or even the opposite- fast initial weight gain that levels out until you fix the issue. It can make the baby gassy because your newborn tries so hard to keep up with the influx of milk that they end up swallowing a lot of air.

Other problems: bad latch issues because the baby is trying to control the milk that they end up pinching down (ouch!), spitting up (because the flow of milk is too fast), extreme forceful letdown (OUCH), a lot of leakage (during and in between nursing), slow weight gain, and green frothy poopy diapers (HUGE sign)!

Initially I thought “YES I MAKE WAY TOO MUCH MILK! WHAT A GOOD PROBLEM TO HAVE.” Then after multiple doctor’s appointments...slooow weight gain..tons of green diapers...and a gassy baby- I started to re-think that excitement.

I started my own research, spoke with a lactation consultant over the phone, and attended a Breastfeeding USA meeting. I obviously felt like a failure that I could not provide nutrients to my baby...we were both against feeding her formula so I did everything I could.

The huge problem with overproduction is that the baby gets an imbalance of foremilk and hindmilk. Foremilk is what comes first and has a lot of lactose and the hindmilk is what is more attached to the milk ducts that have all the fat. Due to the lactose content in foremilk, babies don’t absorb it and can’t break it down too well so the poops aren’t the nice yellow mustard color that you want. The hindmilk has all the fat and calories, which help the baby, gain weight!

The problem women (with this issue) encounter is that you nurse on one side then switch too soon to the other side and there is an imbalance in the different kinds of milk.

Here’s what I had to do:

So I had to start BLOCK FEEDING, which basically means that I fed on one side for as long as she wanted for 3-4 feedings in a row before switching to the other side.

I also had to (sadly) introduce a pacifier and limit her from comfort sucking since that will stimulate your milk supply as well. We chose the Avent Soothie, which has not caused any issues with nipple confusion. I do let her comfort suck for about five minutes beyond her feeding.

I usually wear a camisole around the house so breastfeeding could be easy since I’m home alone however my lactation consultant recommended to wear a supportive nursing bra which can cause some constriction that may also send my brain signals to stop producing so much milk.

She was a delicious piece of sushi for halloween:)
I had to obviously watch for signs of plugged ducts or severe engorgement but unfortunately the point is to cause a bit of engorgement so that your brain receives the signals to halt the production. During the first week or two of her life, I had plugged ducts (so painful) that almost led to mastitis so when I had to fix this problem, I got a bit worried but I was able to avoid it. I was pumping way too often so I stopped that completely.

Although they were all simple solutions, unfortunately, it wasn’t immediate. I had to do this for 2 weeks before I saw any results (with her). During this time though, I had to supplement her through a bottle with the milk I pumped from the first week of her life that had a ton of hindmilk. That is probably how we got her to gain so much weight in only 3 days. After that time period, we went back to exclusively breastfeeding to measure the work I put in but then she got sick (she is on the end of the sickness right now) and it stressed her body out quite a bit that she lost some ounces but did not go below her weight from the last appointment which is a good sign that my work paid off.

My letdown is also less forceful (it use to cause me to bend over in pain!) and the milk isn’t squirting out like it did (which is another symptom). Her latch is also much better now that the milk isn’t gushing into her mouth and she has a lot more control over the flow.

I still block feed (only for 2 feedings in a row) but due to the fact that I am an “overproducer”, she never really “empties” one side before she is satiated so I only have to feed her on one side.

I never expected to have this many issues with breastfeeding (we had a lot of latch issues...plugged ducts...etc) but I completely appreciate the entire science and art of it all. I know that after delivering Estella drug free and going through all that real pain...I knew I could not give up with breastfeeding even when it seemed so easy to do so.

She is 6 weeks old now and we have a lot of these issues worked out however I know it will continuously be a work in progress.

“Why don’t you just bottle feed her?!”

What makes it all worth it?

When she looks up at me already and gives me a beautiful smile. Another form of intimacy that I never could imagine.

She knows that I am taking care of her and that makes my world go round.







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