Reply to Pediatrician vs lactation consultant - conflicting advice to follow

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I would encourage full feeds. If baby is just snacking, he's not getting the hindmilk which has a higher concentration of fats, which in theory should satiate him longer.

Also, I mean this kindly, are you feeding him every time he cries? Sometimes babies cry for other reasons and it doesn't mean they are hungry.

I breastfed my first for 2.5 yrs and my second is still going at 2.75 years so I'm a huge breastfeeding proponent but I think it can be done without having baby on your boobs all day if it's too much for you. I had a goal of every 2 hours at a minimum- sometimes they just wanted to be held or have a paci or change of scenery or diaper change etc. They never had any problem with weight gain (the opposite actually) and I never had problem with my supply. [/quote]

OP here. We don’t feed him every time he cries. I will change him, burp him, use a pacifier, etc. If that all fails, I will put him on the breast. He’s usually will root and stick out his tongue when he is hungry.

He’s only 2.5 weeks old. He doesn’t care about scenery or anything like that. He pretty much just eats and sleeps. [/quote]

I'm trying to imagine the logistics of doing this every 30 min. Is he falling asleep at the breast? If so, I would consider wanting to eat more 30 min later more of a continuation of the first feed, in which case I would try to keep him awake to get a full feed. Once he's eaten a full feed (2-3 oz), he shouldn't be hungry again for a while so if he's still awake I would put him down for a nap after about 1 hour awake; or try a nap in your baby wearing device or stroller and go on a walk. [/quote]

OP here. He sometimes fall asleep but now always. I use a tracker app for time and ounces. This was yesterday.

6am - 31 minutes - 2oz 
7am - 8 minutes - .5oz 
7:45am - 9 minutes - .5oz
9am - 12 minutes - 1oz 
9:30am - 5 minutes - .5oz
10am - 4 minutes - .5oz
10:30am - 9 minutes .5oz 
11:30am - 18 minutes - 1.5 
12:00pm - 12 minutes - 1oz 
2pm - 22 minutes - 2.5oz
4pm - 28 minutes - 2oz
5pm - 10 minutes 1oz 
6pm - 8 minutes - .5oz
7pm - 5 minutes - .5oz 
7:30pm - 5 minutes .75oz 
8pm - 8 minutes - .5oz 
8:30pm - 4 minutes - .5oz 
9pm - 3 minutes - .5oz 
9:30pm - 4 minutes - .5oz
10pm - 5 minutes - .75oz 
10:30pm - 5 minutes - .5oz 
11pm - 18 minutes - 1.5oz 
1am - 24 minutes - 2oz ( bottle) 
3am - 32 minutes - 3oz 
4:45am - 28 minutes - 2oz

[/quote]

OP, my nipples hurt for you! Some cluster feeding is normal in the evenings but this is basically around the clock. I would definitely try to space things out. [/quote]

OP here. My nipples hurt and they are raw. I ended up pumping one day for most of the day because I needed a relief. It felt so good to go every 3 hours. He still ate every 30 minutes to 2 hours but at least it wasn’t on me and my husband did a lot of those feedings. I’ve been considering pumping in the afternoon/evening to give myself a break until he spaces it out.

I’m not sure how to space out feedings if he’s actually hungry. I don’t want to force him to wait when he is hungry. [/quote]

I sympathize with the anxiety of hearing your baby cry and thinking "I have to feed him he's hungry," but look at your chart.  At a bare minimum: the times he's eating less than an ounce?  He's categorically not hungry at the start of those feeds.  He's using you as a pacifier, not a food source.[/quote]

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