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@Ash: it is awful. My son had MSPI he screamed for 12 - 15 hours straight every single day from day 2 through 3 months old. It was miserable. I tried everything from not feeding often to feeding all the time. We held him, we put him down, we put him in a swing, nothing made any difference. But we made it through and nursed until he was 2 (because of the MSPI). I had to learn all of this on my own as my pediatrician and the LC were useless. But we didn't have latching problems.

There is nothing wrong with formula feeding or pumping if you want or need to do that. Though, I think you should talk to your doctor about depression as well. Feeding your baby should not make you feel this way.

@Ash: There does NOT have to be blood in the stool to be MSPI. My son NEVER had blood in his stool and most definitely had MSPI. Whatever it is, there is probably not an immediate fix. Everything is going to take time. Our MSPI took 3 days to get better and 2 weeks to get good.

ETA: You know he can be efficient in 30 minutes because he is at night. Watch the Happiest Baby on Block video and love your swing. We would swaddle our son and put him in that swing. It was fantastic!

@Ash: No, like @brownie: said there does not need to be blood for MSPI. We just got that added "bonus" with both our babies.

After consulting with your doctor and if you decide you still want to try to continue nursing I would eliminate at least dairy (I would probably do soy also since about 50% who react to dairy also react to soy) and see if that helps. There should be an improvement once the milk proteins work their way out of both of your systems, but just be aware that it can take time to completely work their way out (usually 2-4 weeks, but took 6 weeks with DS), but if it is MSPI you should see some improvement each day.

Also, something to consider is that if you do switch to formula it might not be the answer you are looking for and there could be a trial and error process with that as well. If I were you and decided to switch to formula, I would continue to pump for awhile to make sure the formula worked, that is if you could stomach doing it (not sure how exactly you feel besides breing at a loss right now).

Have you tried wearing him? Babywearing was a life saver for us! DS hated the swing.

@Ash: There is absolutely nothing worse than dreading every feeding and Lord knows, I've been there! About six or seven weeks in is when it started to get better for us but prior to that I just tried to get through one feeding and one day at a time.

I definitely second the suggestion to consult with an IBCLC and checking out KellyMom. In the meantime could you try just feeding off one breast at a time? It might help your LO to take in more of the fatty hindmilk.

Another suggestion I have is to check out the LLL support forums, the ladies over there have a much more detailed knowledge of bf'ing and can probably give you some really good advice - here's the link!

http://forums.llli.org/forumdisplay.php?111-Breastfeeding-Your-Newborn-(0-3-months)

@Ash: I am so sad and happy for you. Sad that you have to deal with ppd but so happy that you are going to get the help that you need!

@Ash: hugs mama! Foremilk/hindmilk imbalance is SO NORMAL--seriously, it's a very very common issue. It usually sorts itself out as the baby gets older and there are many things you can do to help--block feeding being one, and letting some of the foremilk flow out before latching the baby being another. I agree with checking out kelly mom's website and meeting with an IBCLC. Hang in there!

@Ash: @brownie: you guys commented on my mspi thread and I just found this one by searching mspi ppd. My daughter is on Nutramigen day 2 and shes crying and I'm crying and just sad and stressed out.

And that being said, I could have written your posts in this thread Ash! My daughter would act hungry, seem to nurse for awhile but then seem upset and hungry later. An awful nurse told me "you're obviously doing something wrong. She shouldn't be hungry again already. " then other times LO would shake her head around and root but refuse to latch. I asked so many times "why is this so hard" and said it didn't seem right but I couldn't put my finger on why. She never followed the easy "root, latch, eat, sleep, poop, repeat" that my son did. Even though this is my second child and I've had her a month I feel like I am a brand new FTM still figuring it all out. Longest ramble ever...? Haha.