03/05/2020
Weight gain is not everything! If you feel like something isn’t right with breastfeeding, ask an IBCLC!
jamibatte.com
I wrote these words three years ago and they still hold true:
I think we as a medical community are doing a significant disservice to mother-infant dyads when we look at breastfeeding and bottle-feeding as having one singular purpose: weight gain. I’d like to argue that there’s more at stake here.
When feeding, particularly breastfeeding, doesn’t go well, many different symptoms can come about. This table shows the percentage of babies in our study who exhibited a particular symptom associated with tongue tie or lip tie. What the table demonstrates is that there are a LOT of issues that can come up when a tie gets in the way. Even in the presence of normal weight gain (or great weight gain), I am of the opinion that breastfeeding can still be pathologic.
What infuriates me is when I hear a dyad asking their doctor (or in some cases, pleading with the doctor) to listen to what mom is saying about how dysfunctional breastfeeding is going, only to hear a response about where the baby is on the growth charts. While it’s certainly important to maintain weight gain, I will once again emphasize that the presence of normal weight gain does not mean that feeding is normal! Normal weight gain is not a trump card for other symptoms that are present, especially when those symptoms may be ruining a family life (like reflux/colic can).
An example: let’s say I have plantar fasciitis. I go to my doctor complaining about it, but he responds with “Well, you walked in here, didn’t you?” If I continue to ask about pain, how my other hip is starting to hurt from overcompensating on my good foot, and how it’s slowing me down, and the response is “You’re still able to walk so you’re good,” I would probably find a new doctor.
When a mom complains that the baby is causing pain or sucking in air or getting frustrated on the breast or leaking out of the sides of the mouth or any of the other symptoms displayed and the doctor comes back with a comment about adequate weight gain, it’s an intentional diversion. And that’s disrespectful on top of practicing medicine poorly.
I maintain that like breathing and circulation and other basic functions, breastfeeding should be a normative behavior. Babies should be able to develop in a state of calm, where parasympathetic vagal nerve tone is high. Like if breathing or cardiac issues were present, the baby experiencing feeding problems is under a state of stress, and I don't think that is healthy, regardless of the baby's weight gain.