No wet diapers

[charmediamsure]

Ugh. You guys. I'm so sorry about these freakouts but I am legit freaked out again.

Juliet woke up this morning with a fairly wet diaper that had a bunch of that rust stain like she is dehydrated. A few hours later she had a diaper that was a little bit wet with a spot of rust staining. Now she hasn't wet a diaper since she was changed around noon (it's 9pm).

She is sleepy (we have to go in on Sat for them to check her bili levels) and she has had 3 15min sessions in the window for sun exposure today to help.

She has been nursing but unless she is wide awake which isn't often, her latch sucks. She sticks her tongue up to the roof of her mouth which blocks the nipple. And she doesn't open very wide. I've been undressing her, blowing on her, using a wet cloth, and tickles to get through some nursing sessions.

My milk came in today and seems rather plentiful. At one point after nursing about an hour ago she ended up with the hiccups.

Still no wet diaper. I'm upstairs laying in bed with Jack because he is being difficult for H so H is downstairs having skin to skin with Juliet until I get Jack to sleep. I am going to pump some milk and see if that helps when she is too sleepy to latch properly.

Help? What should I do? Does she sound dehydrated?

[shevacc]

Does your pedi have a line to call in? I would be concerned after 9 hours with no wet diapers. If you can't reach the pedi I think you should bring her in.

ETA - try feeding her with a bottle and/or a syringe after you pump

[imimahoney]

I'm sorry. I would call asap or bring her in. 9 hours is a long time.

[fusion]

I would be concerned, but do try to pump and feed it to her and see if she takes it in. Have you checked/ had her checked for tongue/lip ties?

[Na]

I would call the pediatrician. Try a bottle if you can as well.

Also as fusion said, look for tongue/lie ties.

[careyalis]

Hugs! I would definitely call for peace of mind. Blake had difficulty with his latch when he was new, and drinking from a bottle made a huge difference. I would definitely try feeding her a pumped bottle to get some fluid in her.

[charmediamsure]

She doesn't have a tongue tie because she easily lifts her tongue. She does seem to have a lip tie though.

[TrudyCampbell]

I would call.

[dbe100408]

I'll just echo everyone else. I would call. I'm so sorry you are having to worry, Charmed.

[Deleted]

Take her to emerg. You'll be seen immediately and should be a quick in and out. Do it for her and your own sanity! Lots of love!

[eav2c]

I would try feeding her with a syringe in addition to nursing. At least them, for peace of mind, you know she's getting milk.

I do think you should call but in the meantime while you hear back I would try to use a syringe. Oliver wasn't great at latching in the beginning and I was able to hand express a few ml's to give in a syringe.

Hugs, it's going to be okay.

[kdrake8]

I would call too honey, or go in somewhere, but stay calm too. You are catching this quickly and taking care of it. Love you honey.

[creamsiclechica]

Jul 30, 2015 20:45:28 GMT -5 kdrake8 said:

I would call too honey, or go in somewhere, but stay calm too. You are catching this quickly and taking care of it. Love you honey.

Everything she said!  Don't panic, but definitely call! Love you!

[jenbelle]

I hope you have gotten some answers by now. Sending lots of hugs!!!

[ktstorm]

My milk took a while to come in with Benjamin and he had a few diapers like that. We didn't call the pedi because we had to go in for a weight check anyway, but when we brought it up to him he said its not uncommon in newborns especially if they're sleeping longer stretches than 2 hours. I would call for your own peace of mind.

[charmediamsure]

I just sterilized the pump parts and water to try formula. Water is cooling for formula and I am pumping.

I called and they said I could bring her to the er but they would prefer I try to give pumped milk or formula to see how much fluid I am getting into her and then come in if she isn't wetting.

Ugh you guys I'm so worried. I can't cool that water to give her the formula any faster.

[rxbeth]

You might have an easier time hand expressing. In the hospital I expressed into a small medicine cup and then sucked it up into a medicine dropper.

[shevacc]

You're doing a great job staying on top of this and being proactive. Take a deep breath, you can do this!

[Faevantastic]

I had this issue with E the first few days I brought him home. It turned out that I was too engorged and he wouldn't latch. My LC suggested that I take a warm shower and then pump and then we fed him via a tube. i had no idea about the engorgement issue because I wasn't feeling any discomfort at all. good luck!

[carawestt]

Jul 30, 2015 21:02:34 GMT -5 rxbeth said:

You might have an easier time hand expressing. In the hospital I expressed into a small medicine cup and then sucked it up into a medicine dropper.

I was going to say this too. I hand to hand express colostrum and spoon feed Calvin when his blood sugar was low. It helped a lot.

[alicia45]

I'm sorry. Ditto the syringe advice. Have you been logging it all? With the syringe or bottles, you'll be able to log the amount and get a good idea over the day of input and output.

[rxbeth]

If you are engorged and having a problem getting her to latch, try reverse pressure softening. It essentially pushes the excess fluid away from the nipple so it is easier to latch on. It was a life saver for me.


www.breastfeedinginc.ca/content.php?pagename=doc-EngRPS

[greenkitty98]

Jul 30, 2015 20:21:36 GMT -5 charmediamsure said:

She doesn't have a tongue tie because she easily lifts her tongue. She does seem to have a lip tie though.

How far can she stick her tongue out? P had a mild tongue tie that affected latch. She could lift her tongue without a problem, but she couldn't reach it forward past her gums, which is what they need to do for a good latch.

And I hope she is able to take some formula or pumped milk and then have a wet diaper fairly quickly for you.

[charmediamsure]

I pumped and all I could get from both sides was a total of less than an ounce. I put a nipple on it though and she sucked it right down. Tried to give her the formula and she gave me a disgusted face. Going to keep trying the formula and keep pumping.

[Na]

That's great she took the bottle! You are doing great. Hang in there.

[artgal84]

Jul 30, 2015 21:22:13 GMT -5 rxbeth said:

If you are engorged and having a problem getting her to latch, try reverse pressure softening. It essentially pushes the excess fluid away from the nipple so it is easier to latch on. It was a life saver for me.


www.breastfeedinginc.ca/content.php?pagename=doc-EngRPS

This is what I was going to suggest! It works so well. Thinking of you guys.

[lolaburns]

I'm so sorry, K. A wet diaper is coming soon and you are doing a great job.

[mlkgls]

I'm so sorry this is so stressful. Itty bitty babies are so hard! I hope she's soaking that diaper before you can blink.

You're doing a great job!

[charmediamsure]

Ok. So she was totally refusing to take the formula. I opened up her diaper just to wipe her with a wipe to wake her more to see if she would be hungry enough to take the formula and...

She did the biggest black poo I have ever seen. It emerged as a giant black blob. I'm talking like at least 3 tablespoons full. H and I were shocked and he was like "well, poop is as good as pee, right?" And while we were debating that she did a huge pee. We cheered like New England had just won the Super Bowl.

So, do I keep pushing the formula? Should I just pump as long and as much as possible and give the pumped milk?

Not that I have anything against formula but I really want to avoid it as an absolute last resort.

[ladydi]

Yay for pee and poop! Since she drank the milk you pumped I would keep pumping and putting her to the breast as much as you can. Maybe you can try and see a lactation consultant to get help with her latch.