After SH’s experiences with her firstborn, M (check here and here), she’s kindly come back to tell us about her experience dealing with getting her son’s posterior tongue tie dealt with. Tongue tie is not always diagnosed correctly – and posterior tongue tie is even more tricky to diagnose (more info here). Here is part 1 of her experience with E:
“After a fairly dramatic birth (heartrate plummeting, crash team called in, emergency ventouse, apgar score of 2, resusscitation) I was just relieved to get E onto me for some skin to skin time. He made his way to the boob and had a long feed, and continued to feed well for the first 24 hours. I was delighted, as M hadn’t latched on at all in that time, and had been readmitted to hospital with jaundice after a couple of days. E’s latch didn’t feel 100% right, but it wasn’t terrible either, and looked okay (as confirmed by the midwife) so I was hoping that it would sort itself out within a couple of days, and be easier for him anyway once my milk came in. I’d breastfed M until she was 2, and was a year into training as a breastfeeding counsellor, so didn’t anticipate any major difficulties in getting feeding established.
Almost as soon as we brought E home (24 hours after birth) things seemed to have shifted + he was much sleepier and less inclined to feed, and also feeding less well when he did manage it – bobbing on and off. Within a day or two he was clearly a bit jaundiced, and with our experience of Megan, we were eager not to let it get to the stage of a hospital readmission again. So I started doing a bit of hand expressing of the colostrum and letting him lap it out of a spoon. My milk was beginning to come in, but he didn’t seem to be getting the hang of feeding. He was getting sleepier, not pooing and just losing interest in feeding completely. My nipples were also getting sore by this stage – with all the bobbing on and off he was doing it was near impossible to ensure a perfect latch every time, and he was also scrabbling at me with his hands, and rubbing his face over them too.
So we decided that things were spiralling out of control, and we were going to take a step back. We decided on a plan of 24 hours of expressing & bottle feeding, aiming to get an ounce or two into him every few hours and then once we were satisfied that he was hydrated, we’d go cold turkey on the bottles and do lots of skin to skin to re-establish breastfeeding and be able to fully concentrate on latch/positioning without the worry that he was getting more and more jaundiced.
He did seem brighter after that 24 hour break and had no trouble going back to the breast, and the midwife reassured us that he didn’t look terribly jaundiced and that he was only 1oz under his birth weight of 6lb 12oz. I think she thought we were being rather over anxious parents. I did ask her to check for a tongue tie, as it would have fitted with both his behaviour & the damage to me, but she thought it looked fine.
By this time, it was clear that my nipples were in a pretty horrific state. Although I was aware that the latch wasn’t 100% perfect 100% of the time (mainly through all this on/off/on/off action), I was a bit taken aback that I’d obviously got it so wrong without realising. I was absolutely rubbed raw, cracked, bleeding at times and very, very sore. I read up on moist wound healing & started using jelonet gauze patches as well as lansinoh.
Things got worse and worse over the next few days and by the time he was a week old we really weren’t having much fun. Each feeding time seemed to be a horrible battle – it felt like we were fighting each other, E was just so “angry” with the process and we’d regularly both be in tears for an hour or so, during which time he’d have small patches of actual sucking amidst all the screaming or alternatively he’d latch on only to fall asleep instantly. I switched to rugby ball hold as I just couldn’t bear any more pressure on the same parts of my nipples that were so damaged. He was sleepy, scrawny (at 10 days he weighed the same as he had done at 4 days) and we were again getting worried about his hydration – we saw some urate crystals in his nappies, and he was pooing alarmingly infrequently. I’d express a little if he refused to latch on completely, and then try him again and then if he hadn’t taken much at all, I’d try to express some more and get that into him. I hadn’t built up any stock of expressed milk, so it was just whatever I could get off at that moment. Feeding him on demand wasn’t an option as he just wasn’t demanding it, but we were unsure as to whether we should be trying to feed 3 hourly or more frequently and with each feed a 1-2 hour battle, there was barely any time for E to sleep in-between, let alone me to rest…”
Sounds like a stressful start to the breastfeeding relationship – after a tricky birth as well. Check back in a few days for part 2 and diagnosis of the tongue tie. Does any of this sound familiar to you? Feel free to email with your experience – you may help another mummy or mum to be – ourbreastfeedingexperiences@gmail.com
Thanks,
Becky + Baby Thor
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