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  • @llli*tclynx's Avatar
    Today, 10:36 AM
    Yes as Mommal says, a good IBCLC appointment is a good idea now. And an IBCLC may well be able to help your with some of the physical therapy exercises for oral motor or suck re-training after the tongue/lip tie release. IBCLC's may also be able to help with scale or pump rentals if that is appropriate for you. AND perhaps also help you determine if supplementing is still necessary and if so how to go about it and help you with your supply IF supplementing is still necessary etc.
    3 replies | 56 view(s)
  • @llli*tclynx's Avatar
    Today, 09:52 AM
    He is now able to latch and transfer milk well when my supply is up like in the morning and he is not all distracted. So at least that part of the problem is finally resolved thank goodness. So now I'm just trying to up my supply enough that I can stop supplementing/pumping. My supply is so close really, just seems to be a bit out of schedule with the baby since I haven't used any formula since the 4th of July. I've been managing with supplementing with what I pump. Now that isn't as much as the Dr expects me to be supplementing (he said give him as much as he will take by bottle after nursing every time) but since I'm using the SNS that advice doesn't really seem to apply very well. And I am actually struggling to get him to take 4-5 oz of supplement per day lately even so. I am not comfortable giving much less at this point since he still doesn't seem to gain weight when I give less than that. I'm planning to do the 90 mg or 3 tablets 3 times a day when I get the full supply but that might take ten days but I'm nervous to go to that dosage until I have enough to be able to take if for a while and have a taper down quantity to make sure I don't run out and have to go cold turkey and risk the withdrawl side effects. So right now I'm just doing the 4 tablets a day. Dr Jack Newman's site actually recommends starting with the 90 mg per day and that in some cases the effect is noted in as little as 4 days but often it takes weeks and they recommend going at least 6...
    128 replies | 4768 view(s)
  • @llli*tclynx's Avatar
    Today, 09:22 AM
    normal breastfed babies usually eat between 1-4 oz at a time and to an extent it also depends on mom's storage capacity as well as babies tummy size. It may be possible for babies to take quite large bottles but that doesn't necessarily mean then really need or even want that much at once but if they are allowed to simply suck the bottle down in one swift go without pausing, the signal that tummy is full doesn't reach the brain before the bottle is empty. Adults even do this if they eat too fast, it is easy to wind up stuffed and uncomfortable. Formula fed babies will usually start getting bigger bottles fewer times per day because formula is harder/slower to digest and because it is convenient for caregivers. As to a baby taking several 1 oz bottles in the evening, well to me that could just mean "cluster feeding" which often happens in the evenings during "fussy time" anyway. Babies don't always take the same amount at every feeding. You might want to figure out what the smallest amount baby is normally happy with when fed via paced bottle feeding and make that the normal bottle size and if baby is still hungry then the 1 oz top ups are fine.
    6 replies | 153 view(s)
  • @llli*tclynx's Avatar
    Today, 09:10 AM
    Yep, I agree that the descriptions alone could indicate either way but with the supplementing as well seems to indicate milk transfer or supply issue.
    12 replies | 254 view(s)
  • @llli*tclynx's Avatar
    Today, 08:59 AM
    lack of pain with a poor latch can also be from a weak/disorganized suck. I know my LO's problems were masked by early supplementing and his clamping down/poor latch didn't really start hurting me bad till I was trying to wean off the supplements and he was working harder to get the milk out and my supply was already compromised. Improving supply along with correcting tongue/lip tie and improving his oral motor skills with a therapist are the steps we have been taking.
    21 replies | 354 view(s)
  • @llli*lllmeg's Avatar
    Today, 08:46 AM
    I agree with mommal that this may be milk from previous nursing experience, rather than milk from this pregnancy. It would be early for any milk production from the current pregnancy, and any leaking of colostrum would typically not be too much and it would be clear probably. If you think this is milk from this pregnancy, and there is a lot of it, and it appears to be mature milk, then I am not sure. I cannot find anything in my research but I do know of mothers where this indicated some hormonal issues. Since you always battled with milk production before, I wonder if there were any hormonal issues involved with that. So you might want to get clarity from your doctor if there is anything they might want to test for.
    2 replies | 77 view(s)
  • @llli*lllmeg's Avatar
    Today, 08:28 AM
    Of course every visual aid has limits. The pictures are just to give you ideas. This is why you experiment with your baby to find what works for you. Laid back simply means mom is leaning back. The picture in the LLL doc shows a mom about as far back as you would want to go. You can certainly 'do it' with much less lean. Moms can do "laid back" in a straight back chair or sitting crosslegged on the ground or on a park bench-anywhere. Baby can be in any position. Great. Just make sure they are done accurately with a very sensitive infant scale. Not even all digital baby scales are the right ones for this. The only thing wrong is you thinking that long and/or frequent nursing sessions are abnormal or indicate something is wrong. They do not. If you do not want to sessions to be so long all the time, then I would suggest, if baby has fallen asleep, rather than making baby nurse longer, let baby go to sleep nursing, and when baby is well asleep, unlatch baby gently. Falling asleep while nursing is normal. If you have to stop the session to attend to your needs, then of course, stop the session as you need. But there is nothing inherently wrong with long sessions. They only indicate a possible issue IF baby is gaining poorly. No. Again, assuming normal weight gain, this is a normal variation on nursing behavior. Babies get fussy at the breast just as they get fussy any other time. If baby does not want to nurse, he can stop. And if he wishes to nurse again in...
    12 replies | 254 view(s)
  • @llli*filmmommy's Avatar
    Today, 08:17 AM
    I just put some cold on it and it's definitely less noticeable. It's so hard to explain, unfortunately! It's less than pea-sized -- more like a flattened pea! I did get examined yesterday and they thought it was plugged and felt more lumps. I only feel the one small one now under the red spot. Both the LC and midwife made it sound like the red spot was the road to trouble, so I'm working very hard to resolve it. But I don't want to make things worse. It's been so difficult -- I'm constantly wondering, "Am I pumping too much/not enough? Is he emptying enough? Should I be doing something else?" So I really appreciate your quick responses! It also looks better when I take ibuprofen, but I have been trying to spread it out so I know if my fever returns.
    16 replies | 214 view(s)
  • @llli*lllmeg's Avatar
    Today, 08:07 AM
    If the massaging and heat appear to be making the area more inflamed, I would suggest, stop doing that, whether it is a plug or not you do not want the area more inflamed. Does it change in size ever? It sounds like a plug to me but of course, it is possible it is something else. You would have to be examined by a doctor probably to find out. But if anything you are doing is making it look worse or feel worse, stop doing it. As long as you keep getting milk out of the breast as much as you can, it is probably ok to leave the plug itself alone for a bit.
    16 replies | 214 view(s)
  • @llli*bsua65's Avatar
    Today, 08:02 AM
    I used to take 10mcg 3 times a day and that was enough in the early days for me at least. (Am down to 2 times a day now). I was advised it can take up to 2 weeks for the full effect to show, so fingers crossed it Will keep improving for you! Sounds like he is feeding well at least sometimes if he is coming off full and you have spare :)
    128 replies | 4768 view(s)
  • @llli*bsua65's Avatar
    Today, 07:56 AM
    I ditched a cover because it was too hard with fussing under it and instead wear a vest and a t-shirt so one up one down. It means very little shows... Over time I just got used to her potentially flashing me if she fusses, but my biggest confidence boost was being around other women feeding as it is less bad than you think! I had issues with bottles, but my lo had them early on and it's supposed to be less likely to cause issues if they are introduced past 6 weeks which your lo is. Have you had any support to check her latch is ok and she is transferring milk fine?
    4 replies | 112 view(s)
  • @llli*filmmommy's Avatar
    Today, 07:51 AM
    So is there a chance this isn't a plug? It feels like a pea-sized lump, but I can't always feel it, either. The red spot is right over it -- right above the areola. But I am worried if it's not a plug, all this massaging and heat is making the area more inflamed. I haven't done the nursing upside down, because LO has been trouble nursing anyway since this happened, and has been choking a lot. But after he nursed I pumped leaning forward (and this was after a very hot shower and massaging) and I'm not noticing much difference.
    16 replies | 214 view(s)
  • @llli*bsua65's Avatar
    Today, 07:47 AM
    Just to add milk is drink as well as food too... So even if you as an adult schedule meals I bet you don't schedule sips of water/cups of coffee etc! And that's not even factoring in nursing for comfort :)
    11 replies | 314 view(s)
  • @llli*luvmy.munchkins's Avatar
    Today, 06:44 AM
    thank you...yes she has been to her dr. Im not sure exactly which tests were run....but the ones that were done came back normal. ill direct her yo the link you gave me.
    2 replies | 73 view(s)
  • @llli*sailorscout27's Avatar
    Today, 06:04 AM
    ok. that makes me feel better. thanks tclynx and sonogirl we tried yesterday evening the 2 1/2 oz bottles and he just seemed so fussy afterwards. granted i dont recall him sucking on his fingers or rooting around. my husband did the bottle feeding. he kept giving him 1oz bottles like every 30 min after he finished. i told him he may not be hungry. he could just be tired. the lack of sleep is messing with our judgement. i guess my husband makes me feel like i am with holding his food by only giving him 2 1/2. but we need to do whats right for our lo. will he eventually need more than 2 1/2 oz at one time? my mom took care of my breast fed daughter back 11 yrs ago. but she said she didnt think that she took more than 4 oz at one time. thanks in advance for all your advice and info.
    6 replies | 153 view(s)
  • @llli*zaynethepain's Avatar
    Today, 06:01 AM
    And here I was thinking this doesn't look like low supply at all. I guess we disagree on this one, tclynx! I see very similar patterns in my little guy with my abundant milk supply. The second description sounds like my lo when he needs to burp or when he was just a bit thirsty and wants something else now, like a change of scenery. The first description sounds like a newborn enjoying snuggles with his mama. I have a link but I can't post it right now about surviving the fourth trimester. The newborn phase sucks. It really does (I'm stuck in bed under my toddler and baby and oh boy do I have to pee!) But it gets better. Most babies seem to hit a developmental milestone between 8-10 weeks and their nursing/life gets a bit more organized and efficient. They discover a whole new world beyond mom's boobs. In the meantime do you have a wrap, sling, or carrier? My ergo and ring sling are sanity savers! It takes a bit of practice but my lo loves it. It takes a bit of faith to breastfeed. I agree a scale might give you the peace of mind to stop supplementing. As to the latch, it's likely fine if is comfortable to you. Neither of my boys' latch looked perfect and my oldest would often compress the nipples to a lipstick shape but there was no pain and they both gained well
    12 replies | 254 view(s)
  • @llli*mommal's Avatar
    Today, 05:33 AM
    Sorry, I missed that you had an older kid! So you know all about the spontaneous meltdowns that happen when your child is suddenly and unpredictably hungry and cranky and just needs some crackers! Babies are really no different, except their need for random snacks is even more extreme than a toddler's. Most of my BF information comes from the following sources: - Womanly Art of Breastfeeding - AAP policy statement on Breastfeeding and the Use of Human Milk - other moms - Breastfeeding Answers Made Simple - a whole bunch of other books which I am forgetting right now because I haven't yet had my coffee
    11 replies | 314 view(s)
  • @llli*tclynx's Avatar
    Today, 05:27 AM
    If you can, I would recommend getting at least temporarily a baby scale so you can weigh before and after feedings for a bit to get an idea of how much baby manages to take in. Look for a scale that reads down to a tenth of an ounce or at least 1/2 an oz or the equivalent in grams. I actually got one just this week for about $50 USD. You might also be able to rent a good one. You might also want to look into using a lactation aid so you can supplement right at the breast and maybe get him to fill up at the breast and get his supplement all at the same time. In nursing comfortable or is he hurting your nipples? Saddly, this does sound like a low supply issue, there may be herbs or medications that might help and there are some medical issues you want to check for since some conditions can be treated which can help improve supply issues. As to marathon nursing sessions. Do the compressions and switch sides a couple times and then let him comfort suck as long as you are comfortable but yes eventually you do have to detach him on occasion even if it is just for a few minutes. This is where the at the breast supplementer really helps since you can put into it as much as you expect him to take at a feeding and you get to breast feed and supplement all at the same time and if he gets full and falls to sleep you don't have to wonder if he is really still hungry.
    12 replies | 254 view(s)
  • @llli*mommal's Avatar
    Today, 05:26 AM
    It's normal to have some milk for up to a year after complete weaning, so I don't think it's too surprising that you have some now, when pregnancy is doing all sorts of funny things to your body.
    2 replies | 77 view(s)
  • @llli*mommal's Avatar
    Today, 05:25 AM
    Prune juice might be better. You could also avoid the constipating BRAT foods (bananas, rice, apples, and toast/bread) and switch her solids to the constipation-fighting ones: soft fruits like blueberries, cherries, apricots, peaches, pears, and plums.
    2 replies | 89 view(s)
  • @llli*mommal's Avatar
    Today, 05:15 AM
    Your nipples never get tough. They aren't meant to. The reason nipples are sensitive is so that moms can know when their babies aren't latched on well, and readjust them. If you don't have pain during nursing, that's a good sign that your baby's latch is as it should be.
    21 replies | 354 view(s)
  • @llli*mommal's Avatar
    Today, 05:12 AM
    Good suggestions above. Have you been to see a lactation consultant, preferably an IBCLC, since your baby's tongue/lip ties were fixed? Now would be a very good time to go in for a consult, especially one that included a weigh-feed-weigh measurement done on a professional scale. You might also want to rent a professional scale and do your own measurements- they are very good for helping you figure out how much your baby transfers over the course of the average feeding.
    3 replies | 56 view(s)
  • @llli*lila.stern's Avatar
    Today, 05:09 AM
    I met with a lactation specialist and she said it is nipple confusion. :( The way she sucks on my breast is the way you would on a pacifier/bottle. Her lower jaw is not open wide at all. It's been so hard to retrain her. I've been at it practically the whole day because she wouldn't nap and was always hungry. She would fall asleep at the breast and then wake-up and then fall asleep again and so on. I tried the trickling method where you drop milk on your breast as she nurses to supplement her feeding. But it has been a struggle! She would always latch on/off and squirm or cry and I only have two hands to work with. When she cries, I would cry as well.. I really need all the strength I can muster. If her latch is bad why don't I feel any pain? Are my nipples that tough already? lol
    21 replies | 354 view(s)
  • @llli*mommal's Avatar
    Today, 05:07 AM
    Is he completely awake during the night, or is he mostly sleeping but waking frequently to nurse? If it's the latter, it's normal. If he's awake the whole time, it's still normal, but he might be reverse cycling: http://kellymom.com/bf/normal/reverse-cycling/
    2 replies | 90 view(s)
  • @llli*mommal's Avatar
    Today, 05:04 AM
    Has she seen a doctor? If not, she really should go. Milk production that is not associated with pregnancy (a.k.a. galactorrhea) can have a lot of different causes, and while some of them are benign, many of them are not. This article discusses the evaluation and management of galactorrhea: http://www.aafp.org/afp/2012/0601/p1073.html
    2 replies | 73 view(s)
  • @llli*mom.to.little.pie's Avatar
    Today, 03:47 AM
    Thank you for the useful links. I find it very confusing to follow the latch advice when all the diagrams/pictures are of much bigger breasts! Mine look nothing like that and when following their advice baby ends up latched on with a much smaller mouth than is shown in the pictures... maybe that's just the best way for us? I tried the laid back thing. I like it, not sure if it's practical for all the time though. I do think more weigh, feed, weighs would be useful. I just want to describe the two main types of feed that we have - to know what I should be changing.
    12 replies | 254 view(s)
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