Things are a tad busy around here, as you can imagine. We took the girls to an appointment with a neonatologist at Kaiser - Riverside last week, at their high risk clinic. Makayla's now on Reglan for her reflux, and I have seen some improvement, though she still seems to have some discomfort. She weighed 7 lbs, 3 oz - quite the little cuddly chub! The doc wasn't concerned about her apnea alarms, and actually, she hasn't had any more alarms since she's been on the Reglan - which makes me think the apnea episodes may have been related to the reflux.
Mackenzie's giving us some problems in the feeding and growing department, though. She only weighed 4 lbs, 5 oz, which meant she had only gained 1 oz in the 8 days since her previous appt...not good!! She seems to have developed a major aversion to eating - at least from the bottle. She just screams and tenses her whole body and arches her back and pushes the bottle away with her arms and shakes her head back and forth - as many ways of saying "NO!" as she can possibly come up with! It's quite frustrating for her and for whomever is feeding her! She demonstrated for us while we were in with the doctor, so he didn't have to just imagine what we were describing.
Anyway, the doc put in a referral for the craniofacial team (that's who will treat her cleft issues) and for occupational therapy (to help with feeding and with sensory issues). The OT referral hasn't gone through yet, but her appointment with the craniofacial team is this Friday in Fontana. The nurse from the team called yesterday and gave us a few tips on feeding, so we've been trying those out - some of them seem to help. She's also going to bring some different bottles/nipples for us to try on Friday. I also met with a lactation consultant yesterday - she got to witness and experience firsthand what happens during feedings - we have her sympathy! She gave me a supplemental nursing system to try out with Mackenzie - it's basically a bottle filled with breastmilk hanging from my shirt, with a small, thin tube that I tape to my breast - so when she latches on, the tube also goes in her mouth and give her extra milk. We had a little success with it yesterday - will continue to try, since she really enjoys breastfeeding. We tried to do a pre-nursing and post-nursing weigh-in for her, to see how much milk she's able to get, but the scale where we met was not very accurate, so it didn't really work. I'm going to see her again tomorrow at a place that has a much more accurate scale, so we'll try again. She's also been weighed on that scale before, a couple weeks ago, so it will be an accurate measurement of how much she's gained in that time.
So between Makayla wanting to nurse every couple hours, and the feedings with Mackenzie being so time-consuming and stressful - seems like feeding is about all we have time for around here!!!
Both girls have a well-baby check-up with the pediatrician this Saturday and will get their first round of shots - yikes! Here's to hoping they don't both get all fussy and miserable afterwards! Will definitely be pre-dosing them with Tylenol!! It's bad enough when one baby is fussy after shots - can't imagine it multiplied!
Anthony is just thoroughly enjoying his baby sisters. He loves to touch them and kiss them - and wants to be really really helpful. So helpful that he tried to pick up Makayla out of the swing a couple days ago when she was fussing. Yeah, gonna have to keep an eye on that!! ;)