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My son is a week old yesterday, and breastfeeding is going smoothly, except one thing. He is constantly spewing.. sorry for the language, but no other word describes it! It is coming out of his mouth, nose, I swear even his eyeballs sometimes! I am worried that he is spitting up most of what he is eating. He hasn't had a poopy diaper since yesterday evening, and they haven't been very wet either. How long should I wait to see if he wets or poops before calling the doctor? He was needing a diaper change every two hours or so.
He was nursing about every three hours (on demand) and only on one side for about 20 minutes or so (until he unlatches himself.) Since 9:30 this morning, he's wanted to eat about every 45 minutes to hour and a half, and he has wanted both breasts, but each one for only about ten minutes. I burp him every time he unlatches himself. Right now I am trying to give him one breast, wait fifteen minutes, and then offer the other, so maybe it doesn't all fill his belly at once.
When my milk first came in, we had issues with overproduction, but I think that problem has tamed now. Now it is just him spitting up ALL the time. He was born with a lot of mucous in his belly, and the doctors say that he will be spitting that up and having problems with it until he is about a month old. Could that be contributing??? I don't know if I am overfeeding him and that is why he is spitting up... he just always seems hungry. I figured it is a growth spurt.
I wouldnt worry about switching sides... the hindmilk is what he gets towards the end of the feeding, which is heavier & full of fat & nutrition - and what fills him up. Let him eat off one side for each nursing session unless he seems aggravated or still hungry, then offer the other side.
The spitting up is totally nromal - does it seem to cause pain? if so - it could still be a bit of an oversupply or even a bit of an overactive letdown - both of which are common esp in the early weeks & even months when your supply is really high (most moms overproduce initially until their body levels out somewhere between 4-8 weeks).
It's really not a medical problem though unless there are other signs of problems. Its normal & their body is just adjusting to finally having to digest food. If it does seem to cause pain or he seems to have an excessive amount of gas (remember - some is normal)... then you can try eliminating dairy products, one of the main sources of food sensitivities in babies. Some moms also find taking probiotics daily helps with fussiness & gassiness in BF newborns.
Finally - to tell if hes getting enough - count wet/poopy diapers. A total of 5 - 6 wet/poopy diapers a day after 1 week of age is normal. Whether its 6 poopy, or 4 poopy & 1 wet, 5 wet & 1 poopy, doesnt matter. Just a total of 5 - 6 a day is a good sign that your baby is well hydrated & getting enough. Only when it drops below that is there cause for concern. And remember - they have very small stomachs, so not a lot goes in, and not a lot comes out. A tbsp or two is normal for a wet diaper. Sometimes, with disposable diapers, you may not even know baby has wet. Putting a square or two of toilet paper in the diaper will help you see if baby is just wetting lightly & the diapers absorbing it all
HOpe that helps!
Also - I woudl raelly encourage you go to get to a LLL meeting in your area - it will really help with confidence & getting adjusted to being a BFing mommy
Thanks for the advice! He is back to wetting and soiling again, but still spitting up a lot. As long as the diapers are coming, I know he's getting something in his belly; it just scares me when I see him spitting up what looks like 4-6 oz literally right after coming off the breast. It makes me wonder how any of it is getting down!!! It's so easy to second-guess everything as a first time mom!
My DD was always a spitter, and I thought the same thing. I could swear she was spitting up everything she just ate, how could she be full? I never found a real cause for it or a solution, just keep burp cloths and bibs on hand!
Andrea, mom to 3 beautiful girls - Abigail (8) Annabelle (6) and Alexis (3)