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  • @llli*snackycake's Avatar
    Today, 01:16 PM
    Just checking in with an update. I went to see a family physician shortly after moving in the hopes that both the baby and I could be treated at once, but since his medical records haven't arrived yet there was nothing she could do for him. :cry In any event she didn't seem to be particularly knowledgeable about thrush, so she just checked her reference materials and prescribed me more Diflucan and sent me on my way, which I suppose bought me another 14 days of breastfeeding to figure this out (7 left now . . .). I have an appointment with an IBCLC on Friday who works out of a nearby center specializing in women's health. Maybe she can help me sort this out. I'm wondering if what I thought was returning thrush on the baby is actually just milk tongue - it's just toward the back, not on the whole tongue anymore, and it doesn't seem to be responding to Gentian Violet but also doesn't appear to be spreading. Maybe we had thrush before but got rid of it and now I just have some other nipple issue? Who knows? I just want it resolved, I feel like I spend half my time sterilizing things and swabbing my nipples and the baby's mouth and trying to keep our linens from getting purple stains and shopping for probiotics and on and on and on . . . I'm on maternity leave but as I mentioned, I've just moved and have plenty of other things I need to be doing rather than fighting a never-ending (and losing!) battle with yeast. Thank you all for your encouragement, at any rate. Please...
    16 replies | 1131 view(s)
  • @llli*parakeet's Avatar
    Today, 12:33 PM
    My son is turning four months this week. For the past week or so he has taken to screaming at the breast. It looks like he simply does not want to nurse. Same with the bottle. Just doesn't want it in his mouth. The only time he will actually eat is when he's sleepy or he is swaddled and there's white noise. Otherwise he just fights and fights feedings. Nursing was never easy with this one. He was born a month early, had jaundice, had a tongue tie, had excessive sleepiness. Just when I thought things are getting better the screaming has started. A typical feed looks like this - offer breast, eats 3-4 minutes, starts screaming. Let him play, then offer breast again and more screaming. Then swaddle, and put white noise, eats for 5 minutes. Then unswaddle and play more. Then feed more as he gets close to his nap time. Another 5 minutes of food. An IBCLC did a home visit yesterday and he took 2.2 ounces over the course of one feed. He gets one bottle of expressed milk a day while I sleep and that too he drinks 2-2.5 oz. He eats 7-8x a day. His weight gain has always been minimal. First three months he was averaging 5oz/ week and during this fourth month he has gained 12oz. From what I understand this is the lowest range of acceptable. The LC mentioned something about oral aversion and was going to get back to me with occupational therapist names.
    0 replies | 4 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 06:33 PM
    Hi kellena, I agree with carm3, you would have to up your milk production by, first and foremost, increasing how often you pump - possibly by quite a lot. And that would probably mean pumping more often at work unless you work part time. Of course you want to help this mom, but at this point, assuming you even can, do you want to increase your milk production to the extent needed? You might want to think about how this would impact you- your work, your time, your fertility etc. I also wonder why the mom needs donor milk and how much she needs. If is a lot, she may want to line up several donors.
    2 replies | 51 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 06:13 PM
    Well the good news is that if your baby is already not nursing much overnight, that will help, as the typical gentle weaning tips are much easier to implement when you are awake. Also your child is nursing with a fairly low frequency already- meaning, the weaning process that began when baby started eating solids is already well on its way. So maybe it will help you to think of this as not making your child wean but rather, as speeding up the process that is already happening. LLL has long suggested that, when possible, weaning goes best when it is allowed to occur gradually. This is deliberately vague, because how gradual is gradual? It depends on the situation. It sounds like you would like the weaning process to be over fairly soon, but you are also not contemplating needing to abruptly wean in just a few days...do I have that right? Anyway, there are two excellent books on weaning I would recommend. The Nursing Mother's Guide to Weaning and How Weaning Happens. They will be able to give you may ideas and also specific information about what is happening both for mom and child during the weaning process. You do not need both, one is fine. If you just want some quick suggestions, the typical and most recommended weaning strategies can be summed up like this: Don't offer, don't refuse. Avoid: (situations or position that cause child to want to nurse or expect to nurse.) Distract: say "Let's do..." (anything aside nursing your child might want to do or...
    1 replies | 41 view(s)
  • @llli*mamer3's Avatar
    Yesterday, 03:33 PM
    Just wanted to update and fill you in maddieb after all your help. So 2 days after my last post, DD got a simple cold but it meant she went off her solids and so the doctor decided it was time to go to the children's hospital. His referral letter stated that she was severe failure to thrive with fine and gross motor delay :( She was admitted and we stayed there for 5 nights. She had chest xray, bloods, pre and post feeding weight check (she went up 6oz's) and lots of assessment and discussion with a paediatrician and dietitian. In the end nothing was found! Which was great but still quite confusing how she ended up so small. The dietitian was very pro breastfeeding and very supportive, the paediatrician less so and appeared to be frustrated with not being able to tell what her intake was and had been, but overall there was good support. The paed at one point mentioned giving formula but was leaving that to the dietitian to decide and thankfully she was having none of it. Whilst in there her weight went from 5.38kg (she'd lost weight in the few days before being admitted and a different scales too I suppose) to 5.77kg :) So the paed said we needed to see now if that continues and if not further tests on her kidneys etc will be done. So we were sent home to have weekly weights and follow up appointments. The dietitian wants a 4oz weight gain a week. And gave lots of info on high calorie foods etc plus minimum of 6 feeds/day and not to let her go more than 6 hours...
    8 replies | 665 view(s)
  • @llli*iveehill's Avatar
    Yesterday, 02:52 PM
    I am having some health issues that may require me to start the weaning process. :cry I have systemic candida and heavy metal toxicity, which has resulted in severe thyroid issues and other symptoms. It might not sound bad, but the symptoms are debilitating. My daughter is 17 months old. I cannot treat these issues as long as she is breastfeeding, and I have put off the treatment now for about 10 months. I'm afraid that my health is going to suffer permanently if I put off treatment much longer. I always told myself that I would breastfeed until my daughter self-weaned, but now that does not seem to be an option. I am having a very hard time emotionally. Can anyone give some gentle weaning tips for me? I won't be able to do it if it is traumatic. Her nursing schedule is as follows: 6:00 am wake up and nurse 10:00 am bottle of breast milk (work days) or nurse on off days 2:00 pm bottle of breast milk (work days) or nurse on off days 6:00 pm nurse 9:00 pm nurse and bed Sometimes she also asks to nurse at other random times.
    1 replies | 41 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 01:40 PM
    Yes there is no way around it, even when working perfectly lactation aids tend to be quite fiddly. But remember using one would only be temporary. Same with a shield, although if baby is latching and nursing ok without a shield, no need for the shield. Some babies have a harder time nursing or latching at certain times, also if baby starts nursing with normal frequency of 10-12 or more times in 24 hours, baby is not likely to need supplementing every time baby nurses. So occasional use of shield and/or lactation aid can also work. I found my old shield and tried it today, and it is pretty much as I remembered getting it on, it took some pushing and pulling as well as breast shaping to get it to "seal" properly. Also the whole thing except the very end of the tip needs to be inside out when you start. Shield fit is tricky as it has to fit both baby and mom! A shield is too small for mom if she cannot get her nipple into the tip, or if, when she does, when baby nurses, her nipple tissue is pulled through the holes (yes I have seen this happen, ow!) Otherwise it might be an ok fit for mom even if only the nipple goes into the tip- you probably would not want too much areola in there. When I just tried it, a small ring of areola around the base of my nipple went in but that is it. For baby it has to "fit" in the mouth obviously, but remember that when a baby nurses properly they take the nipple WAY far back into their mouth, so it can be surprising how much they can...
    8 replies | 299 view(s)
  • @llli*carm3's Avatar
    Yesterday, 01:33 PM
    I think that if you're going to see any significant increase you'll need to really up your pumping frequency. More milk removal = more milk made, basically. A lot of moms have better success pumping with a higher end hospital grade pump, which can be available to rent. How much milk are you looking to donate? Ie, are you going to be her sole source of milk? If so, you'd have to really do the every 2 hours pumping thing I would think, in order to get that much. You can also try some herbal galactagogues, like Fenugreek and Goat's rue, though I don't have any personal experience with them. Oatmeal as well is supposed to be good for boosting supply. But really, I think the frequency of removal is what's going to make a difference. Just curious - does your friend have a history of low supply? I just wonder why she's looking for a donor ahead of time - if she's had issues in the past that she'd like help with, please let her know we're here to help :)
    2 replies | 51 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 01:22 PM
    Yes of course I am very much aware of the dismal way mothers who want to breastfeed are too often treated in hospitals. Sadly and incredibly, I have even encountered many women who had midwife assisted home or birth center births but were not given adequate breastfeeding assistance in the hours and days after baby was born. It is so sad to me that some mothers feel shame or guilt about not being able to nurse their babies when in fact they should be outraged at the lack of informed and respectful post natal assistance from the medical community. Instead mothers are at best given inadequate help and at worst actively undermined. It sounds like you experienced both. That is why I pointed out that you "should" have gotten more and better help early on. Every mother should, too many do not. So unfortunately it is up to us to advocate for ourselves and our babies and do what we can to get the help we need. I so wish it were easier but you can only do what you can do.
    8 replies | 299 view(s)
  • @llli*kelleena's Avatar
    Yesterday, 12:33 PM
    Hi, I am the mom of a 3 year old that still nurses. We nurse when she wants to cuddle or have milky or naps and night time. I pump from time to time at work when I start to feel pressure. I have been asked by a mom that is due soon if I might be willing to donate. I have donated in the past when my LO was young and she knew this. I'd like to help her out however I just get very little when I pump. I am looking for recomendations to increase that or increase the lactation since my LO is probably not taking as much as she used to. I drink water only, no caffieen, eat healthy anything is greatly appreciated.
    2 replies | 51 view(s)
  • @llli*deja's Avatar
    Yesterday, 03:31 AM
    Also, just to add, as far as help in the hospital goes, it borders on ridiculous. All these pamphlets about nursing and all that, they keep asking if you're nursing, but if you ask for help you won't get it. With my first I really needed help from them, the best I got was a nurse squeezing my nipple really hard and when a few drops showed she said - You have milk. It's not a lot but it's enough to feed the baby. And that was it. This time around everyone just ignored me since it's my second child. And even if I did ask for help, specific help regarding nursing, I don't think there's anyone there educated enough to help me. The best they did was lay the baby by me and put my breast in her mouth in the side lying position and bid me good night. That was after I asked they help me put her on the breast in a different position. She said it was night and time to sleep.
    8 replies | 299 view(s)
  • @llli*deja's Avatar
    Yesterday, 03:21 AM
    Thank you soo much for all your words of support and for taking the time to write all this. Unfortunately support is something I don't have. The most support I get is from my husband, which is basically - he's all for me breastfeeding, he's not opposed to anything I want to try, he'll go buy what I need or drive us, but that's about it. It's kind of my concern, all this. And for others, from the experience with my first, I don't even dare say we're having problems with breastfeeding again. I'll try some more with the shield, I did most of what you described, bit maybe need to stuff the nipple a bit more in. I did try once more later on, but it was the same. She didn't really latch on to it, didn't want to even try more than once, and it kept bending on me. I'll take them with me to the LC consult. I have two sets of Avent shields in two sizes. The small ones look to be better but when I put them on, just the nipple fits in and the feeling is again as if the baby is sucking on just the nipple so I guess it's too small. The standard one is huge in her mouth but it's probably the right size for me. Last night I somehow got her to latch and ventured to try the tube in her mouth. She did flinch a bit but didn't protest. It was all so clumsy, the tube kept falling off, the latch felt shallow and weak, the tube was far too short for that but at least now I know it is possible.
    8 replies | 299 view(s)
  • @llli*maddieb's Avatar
    June 25th, 2017, 11:41 PM
    Wow honey this has not been your year. I am so sorry for your loss. So, you had a baby, you all got sick, you broke your ankle, your dad dies suddenly...and you moved house...all in the space of a few months? Wow. Well, if anyone looks at you cross-eyed about bottles you have my permission to pour it over their head! I think your plan sounds good. I think there are many things that may have caused the decrease, but usually there is really only two main ways to make it increase, and that is frequent and effective milk removal and galactagogues. (And do not forget hydration!) I do not know what a low carb diet does, I suppose that is for the PCOS? I once saw a talk on PCOS at a lactation conference and the person said fish oil (like you take as a supplement) is helpful, but I forget why. The thing about upping production with milk removal is to do it as often as you can, meaning, as often as you can that works for you. From what I have read about it, frequency of milk removal is more key in increasing production than is how "empty" the breast is made, but that is important too. That is why moms are told to pump after nursing. But that is just not a convenient time to pump for many moms, or mom does not have time to pump until no more milk is coming etc. So, that is not the only choice. In other words sometimes it is better to pump when most convenient so that you can pump more often, even if those sessions are short. The book Making More Milk has many tips for...
    5 replies | 164 view(s)
  • @llli*jhart's Avatar
    June 25th, 2017, 10:06 PM
    Yes, I think the stress from the ankle must have triggered the unusually long mastitis. Also the whole family was recovering from norovirus, so just generally I was feeling off my game. And then about two weeks after the mastitis, my father died unexpectedly. The baby and I went home for the funeral. I didn't take the pump with me but should've because that's when the formula supplementation really took off. It wasn't until I got home again, fully a month after the mastitis, that I was able to start trying to build my supply again. Talking to the IBCLC today, it sounded like it may have just been too long between when my supply first dropped and when I started pumping. No one is treating me for PCOS. We've recently moved. So my current plan is: - low carb diet - try to get hold of some domperidone, which the IBCLC suggested - continue pumping - try this approach for three or so weeks and then reevaluate
    5 replies | 164 view(s)
  • @llli*maddieb's Avatar
    June 25th, 2017, 03:54 PM
    Ha ha, yes, I get it. Ok you broke your ankle? Goodness. I cannot even imagine! I wonder if the stress of that could also have played a part? I only had mastitis with one of my kids, (but three times) the first time I also thought I got through it without antibiotics and then a few days later, wham. Sometimes to recover the body needs more help. If you feel fully recovered no reason to worry about it now, I am just thinking for the future. I get wanting to avoid abs of course. Who is treating you for the PCOS? maybe it would help to get tested now to see if the issue is likely to be hormone related. You would need a doctor to prescribe a pharmaceutical galactagogue. I think most moms get them from their ob but any doctor could prescribe. Unfortunately many will not. But it depends on where you live and on your doctor. If you want to learn more about this here is a little info, and you can research more as you like: http://www.breastfeedingonline.com/reglan.shtml#sthash.DvHtOaxN.dpbs
    5 replies | 164 view(s)
  • @llli*jhart's Avatar
    June 25th, 2017, 11:39 AM
    Hi Maddie, thanks so much for this response! I did see an LLLL a month ago and am seeing an IBCLC today. Regarding social circles, I guess I mean more the people who haven't heard my story but would see me with the bottle. I can't say to everyone I meet, "Let me tell you about my tuberous breasts and mastitis!" you know? I'm trying not to stress about it. Regarding the mastitis, I've gotten it once with each of my kids and never taken antibiotics. I take the baby to bed for three days and that's that. What happened this time is I broke my ankle, and had a day or two where I didn't eat. The mastitis started a few days after that. It cleared after three days as usual but the inflammation continued and migrated around my breast as I said. I massaged whatever area was inflamed in order to promote blood flow. It did hurt when I was massaging, but I didn't think I was doing damage. Aside from the duration of the inflammation, nothing seemed unusual at the time. The more I think about it, the more I think it may be hormonal related to PCOS. I do feel that my estrogen level is back up. I'm going to try low-carbing it. I don't even know who I would go to to get a pharmaceutical galactagogue.
    5 replies | 164 view(s)
  • @llli*maddieb's Avatar
    June 25th, 2017, 11:19 AM
    Ok thanks! Please keep us updated.
    10 replies | 332 view(s)
  • @llli*maddieb's Avatar
    June 25th, 2017, 10:24 AM
    deja I can tell you are very frustrated. Here are my thoughts. Moms are warned about nipple confusion because it is a real thing- bottles interfere with breastfeeding for several reasons. And some of these reasons are not about bottles at all but about the fact of baby getting supplements in any form. However, I think these warnings are causing you to think that because your baby got bottles, and baby is not nursing, this means bottles ruined everything and now your baby will never nurse. I would suggest there is no reason to think this. A baby this young who will not nurse has not forgotten how. Nursing- or at least the impulse to try to nurse, is instinctual, and your baby's instincts would not be erased this quickly. When a baby this young is not latching, or having an extremely hard time latching, or latches but will not nurse normally, while bottles/supplementing may be playing a part, most of the time the fact is baby CANNOT latch and nurse normally for some (usually entirely fixable) reason. In other words it is not that baby won't but that baby can't. This is consistent with the problem you were having in the first place, right? Baby could not latch normally so you had to start supplementing.
    8 replies | 299 view(s)
  • @llli*deja's Avatar
    June 25th, 2017, 08:26 AM
    At this point if she latches once a day after much struggle, it's a good day. It seems as if she's completely forgotten how to latch. She did root and open her mouth (not wide enough but still) and do the usual "steps", but now she doesn't do that anymore. She just opens her mouth a little bit and expects the bottle or something similarly firm and long without much effort on her part. Despite the preemie teat, the paced feeding, smaller portions and everything we've been doing, seems the bottle has done a lot of harm. As for nursing, most of the time she'll scream and complete refuse to even try, but on those times she is willing to give it a go, she'll try once or twice to latch and when it doesn't work, that's it. And on those rare occasions she will try and perhaps even catch the nipple, it'll be a struggle -my nipples are soft and just slip out of her mouth, she'll manage to suck in the nipple itself and not much more. I let down quite easily the first round now, so she'll suck something out that way too. And I let her, despite the bad latch, since that's the best I can get ATM. I tried a nipple shield but she can't even latch onto that. She doesn't know how to, what to do, the shield is quite large/wide, the "flaps" keep bending outward under the pressure of my breasts (not sure how to explain that) and it's just not going well. Trying a lactation aid is pretty much pointless at this point since she'll hardly latch at all, let alone getting a tube in through...
    8 replies | 299 view(s)
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