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20/11/2013 at 17:53
As per title really - we had to start using nipple shields as R couldn't / wouldn't latch at all (my boobs are very big with flat-ish nipples which I think caused the problem). He now feeds really well on either side, but I want to get rid of the shields eventually if possible (if we can't, we can't - but I think we need to try asap before we get to the stage where he only feeds with shields - he's 16 days old today so it is early days).
Yesterday he managed a full feed without shields but was quite fussy coming off and onto the nipple. Today I tried again and he would latch well, have about 3 or 4 sucks, then come off and spill some milk out of his mouth. It almost seemed as though he was getting too much milk in his mouth / getting it too quickly ad couldn't cope. Would the let down seem quicker / less controllable to him without shields? Is it just a case of him getting used to it?
With shields, he latches and stays latched until he's finished, he's very quiet and content in his feeding. I don't want to disrupt this but if it's normal to be a bit fussy while they get used to feeding without shields then I'll persevere.
20/11/2013 at 18:28
20/11/2013 at 18:29
20/11/2013 at 18:38
No amount of twiddling gets my nipples out - I've even tried ice cubes! Once he's been latched for a while it pulls them through the shields so I could take the shield off then and re-latch? Good idea about leaning back more. There is a bf cafe which I'm going to next week hopefully!
20/11/2013 at 19:06
Has he been checked for tongue tie often if they have TT they can't latch to bf but the shield is fine. Just with you saying he cant latch and is fussy. Would be worth a BFC having a look
20/11/2013 at 19:30
No he hasn't - thank you, I'll try and get someone out - the HV says she can put me in touch with an infant feeding consultant if I want, but otherwise noone has mentioned TT despite all our initial feeding problems!
20/11/2013 at 19:34
He might not have but its really important to rule it out, very common in boys, both mine had them, Ls was severe and couldn't feed I's was subtle and he couldn't stay latched. 5 mw missed it but the bfc spotted it immediately
For now I'd just hand express a little off so he can try to latch on when softer.
20/11/2013 at 20:25
Defo take up offer of feeding consultant - they are the experts! Breastfeeding is difficult, so well done for getting this far.
20/11/2013 at 21:54
My lovely breastfeeding lady said to wean off the shields by starting a feed with the shield, then taking him off, removing the shield and carrying on. It gives time to draw the nipple out and also gets some of the milk out so easier for them to latch on. She suggested starting with 5 mins on shield and then slowly reducing that time over a few days.
20/11/2013 at 22:37
You don't necessarily need to get the nipple to point out, but if you squash the end of the breast so that there is an amount that can fit into baby's mouth that might help. Was the only thing that worked for me, then after a few days you won't need to do it, you can latch normally. Also starting with shields then removing is useful, though not if baby is really hungry, used to really annoy my lo! Good luck, it is possible.
21/11/2013 at 12:40
Thanks all, we have an appointment at the lactation clinic on Monday so hopefully if he has tt then it'll be identified, and if not then we should get some help anyway - I don't always think his latch it quite right even with shields as his top lip isn't always flared.
21/11/2013 at 13:07
is his tongue heart shaped? is he windy? does he make a clicking noise when feeding? did you have a lot of trauma to your nips? get them to check for upper and lower tie
21/11/2013 at 15:22
I'm still using shields 6 months on, sometimes he manages without and he does want to do it himself but usually he can't latch on for more than a few sucks. I was advised to latch with shields and if they stop for a break whip it off and hope they don't notice but that never worked. Have you tried the deep latch technique?
21/11/2013 at 16:11
I found this on Pinterest about tongue tie www.pinterest.com/.../132574782752936199
Also this shows you the way to try getting baby to latch www.pinterest.com/.../497999671266592788
I fed my first 2 with the aid of shields, it wasn't until I got to #3 that the MW told me that babies should be able latch on to any shaped nipple - I always thought mine were too flat for successful breastfeeding. So I tried without and was amazed when he started latching on. I also had some wonderful advice from the Hitchers of old, Kellymom and an NCT breast feeding counsellor. Have you tried the NCT helpline? 0300 330 0771 (8am - 10pm, 7 days a week) www.nct.org.uk/one-one-support
If your let down is fast try leaning backwards when you start feeding, gravity slows the flow.
21/11/2013 at 17:59
I can't see evidence of a tie myself, but of course I don't really know what I'm doing - I've just had a bit of a look and googled images! If he does have one I suspect it's a posterior tie. He doesn't have a heart-shaped tongue, but does sometimes click (when not using shields - he doesn't click on the shields). I did have trauma to my right nipple in the first few days but he wouldn't latch on the left at all so I figured it was just over-use and not being used to it - we didn't use shields until day 5.
TP - is the deep latch technique where you shape your breast (I've been squeezing it in line with his nose and chin to make it as flat as possible) and then kind of shoving it to the back of their mouth? He gets really frustrated and shakes his head from side to side when I try it but I'll ask the consultant for more advice in case I'm doing it wrong (I was shown it when he was 1 day old but haven't revisited it with anyone).
He managed a 10 minute feed earlier without a shield and without breaking the latch at all - he stopped for a rest and I whipped the shield off. I think we'll get there but it's another learning curve for both of us and we've both started to find feeding with the shields really easy and this takes a bit more effort on both our parts!
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