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BF issues with my preemie! Annette Topham Due September 10; 4 kids; Utah 634 posts
30th Oct '12

Ok so every time i latch him on the breast he chokes within 5sec of sucking. Then he ends up throwing up everything he just ate. I know my flow is very fast for him so I tried to pump it out and bottle feed him and he spits up less and rarely throws up now. But he eats every 2 hours with 2-3oz. Sometimes he eats more. I pump every 2 hours and quite often only get 2oz. I dont know what to do, I am on mothers milk and feenegreek. I dont drink much caffeine and i am running on an hour or so of sleep a day with other kids in the house. What can i do to make him more full without using formula and such. I had to give it to him last night just to give him more and he ended up tossing everything up around 8 this morning. i am tried you know! But i love my little munchkin lol

NopeNotGonnaDOIt 6 kids; Cuba 3000 posts
30th Oct '12

Try pumping until you let down and then offer the breast. The flow should be slower then.

NopeNotGonnaDOIt 6 kids; Cuba 3000 posts
30th Oct '12

Pump though your let down that is. Eventually he will be able to nurse through your letdown. My ds had a hard time and he was overdue and huge. He still has to take breaks on my one side that is extra fast but he is getting the hang of it now. He's almost 3 months.

Annette Topham Due September 10; 4 kids; Utah 634 posts
30th Oct '12

i seem to always have let downs before i get to pump. when i do pump i dont have them very often. Not sure what I am doing wrong besides my timing being off lol

NopeNotGonnaDOIt 6 kids; Cuba 3000 posts
30th Oct '12
Quoting Annette Topham:" i seem to always have let downs before i get to pump. when i do pump i dont have them very often. Not sure what I am doing wrong besides my timing being off lol"


you may just have over supply, overactive letdown. You'll regulate eventually, I did around 8 weeks.
just pump for a few minutes before nursing and see if it helps any.

Annette Topham Due September 10; 4 kids; Utah 634 posts
30th Oct '12

I tried that too. No luck on it. He will latch on for a min or so afterwards and start to choke again then throw up then get a bad case of hiccups. I felt bad for him so I did the bottle.

NopeNotGonnaDOIt 6 kids; Cuba 3000 posts
30th Oct '12
Quoting Annette Topham:" I tried that too. No luck on it. He will latch on for a min or so afterwards and start to choke again then throw up then get a bad case of hiccups. I felt bad for him so I did the bottle. "


my ds got the hiccups all the time too, but he was able to keep it down. He does have a bit of reflux but its getting better. Have you tried nursing after a full pumping session then? Like after 15-20 minutes pumping? You could nurse first then offer what you pumped to fill him up.

Annette Topham Due September 10; 4 kids; Utah 634 posts
30th Oct '12

yes i have done that too. ugh its so frustrating and i want to bf.

NopeNotGonnaDOIt 6 kids; Cuba 3000 posts
30th Oct '12
Quoting Annette Topham:" yes i have done that too. ugh its so frustrating and i want to bf. "


All you can do is keep trying. Eventually he may surprise you, unless there is a physical reason he is unable to latch correctly besides just being too young or small. If not, they will get the hang of it and be able to keep up with the flow as they get older. The fact that he still can't nurse very well after a pumping means you've got plenty of milk in there, pumps just aren't the same as babies! In the meantime to get more milk out of pumping though I would just increase the amount of times you pump. If he eats every 2 hours, try to pump every hour to give yourself a boost, kind of like what cluster nursing does.
It sucks when there are other kids around though, they get to feeling left out. But if you pretend you need help perhaps your other one can pump with you, help feed the baby ect. And drink lots of water - 1 bottle after each feeding. You'll be peeing alot but it helps supply tremendously. Good luck, I hope everything works out the way you'd like :)

Annette Topham Due September 10; 4 kids; Utah 634 posts
30th Oct '12

he latches on just fine. its the flow he has issues with. Then i cant get him to burp then he throws up everything.