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  • @llli*carm3's Avatar
    Today, 06:51 PM
    You actually shouldn't need a script for the gentian violet, you should be able to get it at a pharmacy without the script. Just make sure that you have the correct concentration -apparently it's often stocked as 2% in the states, and you want to just use it as 1%. http://www.breastfeedinginc.ca/content.php?pagename=doc-UGV He does suggest using it with the APNO so that it doesn't dry it out too much. If you can't get the APNO (I know you said you've got just the lotrimin) then I would try a bit of olive oil to keep things from drying out too much. :angrypin to that doctor for suggesting it's not that bad. Hopefully you won't have to deal with him again. As for the probiotics, I would do the dry powder on the finger a couple times per day. Hang in there mama, you can beat this and you're right that it'll be so worth it!
    16 replies | 367 view(s)
  • @llli*allie7n's Avatar
    Today, 05:30 PM
    Hi ladies! I’m new to the forum. A little about myself. Just started back at work (two days so far). Baby girl is 12 weeks old and I’ve been EBF as well as usually pumping once in the middle of the night regularly (usually around 2-3am after baby wakes for her one middle of the night feeding). There have been a couple of days where I’ve had to be separated from baby and had to pump a few times during the day while away with not too much trouble. I’ve never responded great to the pump as I really have to use lots of massage and compressions, but still get usually 4 oz between the two breasts if there has been a good 3 hours since I’ve fed her or between pumpings. My left side has been the better producer when feeding her and lets down much easier, but the right responds better to the pump usually, which is weird. At work I’ve been pumping 3 times. About 2.5 hours apart. Anyways, the problem has been that all of a sudden now that I’m back at work I can’t get anything really out of my left side when pumping. Maybe a half an oz each session at work (so about 1.5 oz through the day). I know there’s more milk in there as this is the side that DD feeds off of better in the first place. I’m getting about 2.5 oz from the right side each time, but this is only adding up to 9 oz throughout the work day which won’t be enough to leave for the 9 hours I’m gone at work. I’ll keep pumping a middle of the night session to help offset, but my question is, why all of...
    0 replies | 6 view(s)
  • @llli*sarahfv's Avatar
    Today, 04:41 PM
    Well she slept better and was happier the last 2 days- so I know the gas is unrelated. Tried putting probiotics on my finger- but I have to do it at least 10 times to get a full dose, and she hates it (plus its sticky so it's not easy to get it all off). She wouldn't take a bottle with the probiotics mixed in, but then took one with just plain milk last night (drank the whole oz right up). And is rejecting it today with the probiotics. I wonder if she can taste it? I hate wasting all the milk. For the pump- I think the standard flanges were too big- the second time I used it, it left a red ring on my areola and was very sore. l had it on low- couldn't handle any higher. Went to the doctor again today to get Gentian Violet prescribed. He wrote me the prescription but he actually suggested it wasn't that bad and he recommend I not do anything. :mad: It's very frustrating not having a pediatrician in town and having to see a different family physician/nurse every time. The drawbacks of living in rural Alaska.. Now I'm not sure the Lotrimin is working for me either. I noticed a slight decrease in pain after a day, but it hasn't improved any more since then, and the pain during letdown has returned. :( Crossing my fingers the gentian violet works for both of us! And that it doesn't dry out my nipples and cause more problems.
    16 replies | 367 view(s)
  • @llli*maddieb's Avatar
    Today, 02:37 PM
    Your best bet is probably to do an online search for pumping in the workplace laws in your province or city, and check to see if there is a national law in place. If you have a local breastfeeding coalition they may have info for you as well. I do not know how it works in Canada but in the US while there are laws protecting the rights of pumping mothers in the workplace, they vary state to state, they do not apply to every business and they are difficult to enforce. We also have some federal protections now ( I think) but the same issues persist. Educating your supervisors about the many benefits to THEM of being supportive of nursing/pumping mothers is sometimes more effective than relying only on the law. There are a few articles online regarding talking to your employer about pumping. One thing employers are often unaware of is that sub-optimal milk removal places the mother's immediate health at risk, leading to a possible loss of work time. Also, since your baby is 8 months old, you may not need to pump as often as moms who are back to work when baby is 2-3 months old. How often you would need to pump is going to depend on your situation. We can offer suggestions about that if you give us more info about your work situation and how much baby is nursing at this point and anything else that may be relevant. It may be you can get by with pumping on your normal break times.
    1 replies | 28 view(s)
  • @llli*davesgirl's Avatar
    Today, 12:49 PM
    I'm going back to work in a few weeks after EBF my 8 month old baby. I will need to pump at work. My higher up supervisor is supportive, but my immediate supervisor is not. Are there any laws protecting my right to pump at work??
    1 replies | 28 view(s)
  • @llli*maddieb's Avatar
    Today, 12:20 PM
    Hi! So glad to hear that you and baby have found a groove, baby is doing well, and you are still nursing your baby! Here is the thing about IGT. Some moms with IGT-like breasts have entirely normal milk production Some moms with normal looking/feeling breasts do not make milk or much milk IGT varies in the severity with which it harms milk production. Moms with IGT with low milk production can often optimize their milk production using the many techniques for increasing low milk production. This does not mean they will be able to have normal milk production if the IGT is severe, but it does mean that using those same protocols and galactagogues may result in making more milk. In the same vein, non-optimal breastfeeding management (basically, non-optimal milk removal) is going to be harmful to milk production in any situation, and this will of course be more pronounced in a mom who has some other issue possibly harming her milk production. So yes, a situation of tongue tie and many of the other practices or circumstances that tend to adversely effect milk production are likely to make the situation of IGT more problematic and in that case, the experience with each baby may be different. IGT may or may not be accompanied or caused by hormonal issues that also reduce milk production. Sometimes the hormonal issues can be addressed to help mom produce more milk. Even if you have no fertility issues it may make sense to check your hormone levels. Some moms with or...
    43 replies | 3599 view(s)
  • @llli*mrs.bashaw's Avatar
    Today, 11:33 AM
    was only able to nurse on one side with my ds due to what I assume it's scar tissue from nipple piercing issues long ago. I'm 7 months along with my dd and really want to nurse on both sides more than anything. Is there anything that can be done to increase my milk release?
    0 replies | 29 view(s)
  • @llli*saw30's Avatar
    Today, 05:53 AM
    Well I thought I'd come in with an update, and a question or two. I never managed to make much more milk (maybe a bit hard to say). My son will be 5 months in 2 days. He is doing well, drinking lots of formula via an SNS. Any breastmilk he is getting is a very small amount. I am still sad about it but kind of in a groove. For a while I rationalised that I just "regulated" before the tongue tie was cut and that's why I never made much milk. Last couple of days I was thinking maybe I'd try renting the pump again and see if now, when things are more relaxed than in those early weeks and me and the baby are getting lots of sleep if I can't get some more milk going. But while I was googling around about that I thought about the thing I dread - IGT... I always had weird shaped breasts, really big areolae, small flattish nipples, nipples point downward and slightly inward, breasts have always been extremely droopy even as a teenager - dad called them "orange in a sock" breasts :/ There's not a big gap between them, like I wouldn't say 1.5inches at all, they mostly seem to begin at the same point of the chest, but they are quite "flat" in the sense that at the base they're not very dense at all, feel very soft. They've always been big, but also weird like I described. I never thought I had hormonal problems, my periods have always been insanely regular and pretty much textbook in length (give or take one or two days), but the boobs, they're suspicious.
    43 replies | 3599 view(s)
  • @llli*maddieb's Avatar
    December 3rd, 2016, 05:03 PM
    Oh and for pumping pain make sure flanges fit correctly and you are not pumping at too high a setting.
    16 replies | 367 view(s)
  • @llli*maddieb's Avatar
    December 3rd, 2016, 05:02 PM
    Well that is a pain. Are you sure you can't just put a little on your finger or nipple for baby to suck off? Gassy and fussy is just too common to chalk up to being caused by anything you are doing. It is possible I guess, but just as possible it has nothing to do with it.
    16 replies | 367 view(s)
  • @llli*sarahfv's Avatar
    December 3rd, 2016, 04:12 PM
    Well I got the baby probiotics and it needs to be dissolved in liquid. So now I'm pumping and you're right, it hurts! I could only handle about 5 minutes but got 2 oz. I hope this helps. Now baby has been way more gassy and fussy the last few days and I wonder if it's caused by part of our treatment. She had me up from 1-5 this morning and is still crabby today.
    16 replies | 367 view(s)
  • @llli*mommal's Avatar
    December 3rd, 2016, 02:04 PM
    :ita with MaddieB. I am especially :ita that 3 months is when a lot of moms have a crisis of confidence, often related to changes in how their breasts feel, how fast their babies eat, and how the babies act at the breast. Aside from at-the-breast fussiness and fast feedings, do you have any other reasons to suspect low supply, like baby having poor diaper output? I'm really sorry that you and your baby aren't feeling well! I also am not sure if you have a viral illness or mastitis- though I would lean towards mastitis for mom and a cold for the baby- but regardless, the prescription for health and continued nursing is basically the same. "Empty breast, lots of rest!"
    2 replies | 135 view(s)
  • @llli*maddieb's Avatar
    December 3rd, 2016, 11:14 AM
    Yes Dr. Jack Newman has been trying to alert the medical community about the issue of scale inaccuracy for years. I personally know a mom who had her young (couple months old iirc) baby weighed twice in one day, one at her baby's doctor's office and one at the WIC office, and the scales showed a 1/2 pound difference. As far as the green mucousy poops, I think the IBCLC may be able to help you figure out that puzzle as well. It may be an issue with dairy, but there are other possible causes. And sometimes that poop is just normal for that baby.
    7 replies | 146 view(s)
  • @llli*norajsmama's Avatar
    December 3rd, 2016, 07:12 AM
    I had no idea, I guess I never really thought about it. All they have are those balance scales! Well at least the LC should be able to do an accurate weight. Thanks so much for your help!
    7 replies | 146 view(s)
  • @llli*maddieb's Avatar
    December 3rd, 2016, 12:41 AM
    @llli*maddieb replied to a thread Weaning books in Weaning
    Nursing Mother's Guide to Weaning and How Weaning Happens. They address weaning at any age including toddler years. Mothering Your Nursing Toddler is the classic guide to all aspects of nursing a child beyond age one. It includes an excellent chapter on gentle weaning.
    1 replies | 89 view(s)
  • @llli*maddieb's Avatar
    December 2nd, 2016, 10:53 PM
    Survey says, scale error. Different scales (unless they moved the same scale from room to room, and if that was done that may impact the calibration?) And, balance scales are NOT the right kind of scales for weighing infants. Good digital infant scales are way more accurate. Not saying this is the entire issue necessarily, but I do think this could be causing at least part of it. You would not believe how much scale error can impact things.
    7 replies | 146 view(s)
  • @llli*maddieb's Avatar
    December 2nd, 2016, 10:41 PM
    Hi Elizabeth. I am so sorry you are ill. Have you confirmed that your have mastitis (a breast infection)? I am a little confused if you have the flu or if you have mastitis. Or both? Normal milk production does not stop on a dime. If baby was gaining normally exclusively nursing before you and baby were ill, there is really no reason to think your milk production would have plummeted to almost nothing with only a few days of illness or mastitis. Yes illness might cause a temporary milk production drop, but this is usually minor and short-lived. I do not know what exactly you mean when you say that you cannot pump much, many moms overestimate what they think they "should" be able to pump. But in fact pump output is not typically a good indication of milk production anyway. Baby is/has been ill and that could easily explain baby being fussy at the breast or changing nursing patterns and sleep patterns. Of course these change all the time anyway. Also many 3 month old babies get plenty to eat in 5 minutes at the breast. Additionally, 3 months is the age at which many moms think they are experiencing low production based on how their breasts feel and how baby behaves, even if they have not contended with illness. Almost always, this concern is an entirely false alarm. See article I will link below for more on this. You need your rest and to be as comfortable as possible. There is no reason for a nursing mom to avoid otc pain relievers/fever reducers, except...
    2 replies | 135 view(s)
  • @llli*isla.smommy's Avatar
    December 2nd, 2016, 10:18 PM
    Looking for some good books to read regarding gentle weaning of a toddler that loves to nurse.
    1 replies | 89 view(s)
  • @llli*elizabethfawcett's Avatar
    December 2nd, 2016, 10:06 PM
    Please advise me. I have a 13 week old 16 pound baby girl who is the light of my life. She is exclusivly breast feed. Monday I woke up with a very sore breast and a lump. Along with a high temp of 103 and a cold. Baby had a temp of 100.4. Her health got better but my went down hill. I started amoxicillin on Monday night along with Tylenol and Advil every four hours. Up to today: my milk has dwindled to almost nothing and it killing me. When she gets on she eats for a few minutes then gets fussy and pulls off. I have started pumping between feedings but I don't get much. She is probably getting five minutes and she needs ten. I'm trying water and I've stopped the Tylenol but I have to stay on the antibiotic. She barely slep all day I think bc she doesn't have a full belly. I just tried a formula bottle and she won't take it. Please advise.
    2 replies | 135 view(s)
  • @llli*norajsmama's Avatar
    December 2nd, 2016, 09:56 PM
    It was a different room than our normal room, and the scales are not digital but the balance kind. Do those ever break I wonder? She was naked each time.
    7 replies | 146 view(s)
  • @llli*norajsmama's Avatar
    December 2nd, 2016, 09:53 PM
    Thanks for the reply! I can't think of anything that has changed in the past month. I have always eaten dairy and have no digestive issues. She does seem to be more bothered by the letdown than she used to be. But I can see it when it comes out when I pump and it does not look that strong so I have no idea what the problem is. So tonight after nursing her to sleep I pumped 2.5oz, usually I pump for 5-10 minutes when I pump. To me they felt totally empty so that was surprising. And baby was totally relaxed, hands open, limp body which to me says "I'm full!" I will definitely find a LC. And my instincts say to keep pumping in case it's a milk transfer issue... Don't want to impact my supply.
    7 replies | 146 view(s)
  • @llli*mommal's Avatar
    December 2nd, 2016, 08:36 PM
    Sounds like a good plan. Just remember that practice bottles don't need to be given every day, and that they should be small. 1-2 oz is plenty. Any time you go a long stretch without removing milk, your body will interpret that as a sue to reduce supply somewhat. However, for many moms a single 5 hour stretch is not particularly problematic. Best way to deal with long stretches of no milk removal is generally to watch your body carefully for signs that supply is dropping. If it is, then those stretches are too much and you need to either nurse or pump during those intervals. The rule of thumb is that a baby will need around 1.5 oz per hour of separation from mom. Sometimes baby will take more or less than this amount, but if she always takes more it is a good idea to talk to her caregivers about overfeeding.
    1 replies | 94 view(s)
  • @llli*mommal's Avatar
    December 2nd, 2016, 08:23 PM
    Think of foremilk and hindmilk as useful shorthand for a much more complex reality. The major problem with these terms- IMO- is that there are these weird parasitic concepts that attach to them- like the idea that foremilk is "low fat" and not satisfying, or green poop is caused by baby not consuming enough hindmilk. I think it can help to imagine yourself as a woman living a thousand years ago, who never worried about foremilk and hindmilk because she had never heard of them. Most of the day she hung out with the other village women, tending her goats or planting potatoes or whatever. The baby nursed whenever, and if the baby's poop was green, the mom didn't worry because she had seen plenty of other green-pooping babies who did just fine.
    6 replies | 210 view(s)
  • @llli*mommal's Avatar
    December 2nd, 2016, 08:15 PM
    :hug Of course you have the back-to-work blues! Nature intends for moms and babies to stay together. The problem here is society, which expects moms to rush back to the workplace long before they or their babies are generally ready (I say generally because there are, of course, some moms who cannot wait to race back to the office!).
    1 replies | 147 view(s)
  • @llli*mommal's Avatar
    December 2nd, 2016, 08:12 PM
    Any chance of scale error between the 1 and 2 month visits? Did the baby get weighed on 2 different scales, or was she weighed in the nude one time and dressed another?
    7 replies | 146 view(s)
  • @llli*mommal's Avatar
    December 2nd, 2016, 08:09 PM
    :ita with the PP. In almost all cases, all you really need to do is to trust your body and to eat a decently healthy diet- no need to be extreme about it! Any prenatal vitamin is fine; they all contain pretty much the same thing and the only thing that really differentiates them is the marketing. If you want to make sure your DHA levels are what they should be, eat some seafood. There are plenty of low-mercury options. If you want your vitamin D levels to be what they should be, go outside and get some sun on your skin, no sunblock. For pale-skinned people, 20 minutes of sun exposure per day is generally sufficient to create sufficient vitamin D. If you happen to be a dark-skinned person living at a northern latitude, you may need more sun exposure or a vitamin D supplement. The same goes for your baby- sunshine is the best way to make vitamin D for most people. Regarding building your child's immunity, the best way to do that is to breastfeed. Breastmilk gives your child antibodies and immune-active compounds which coach his developing immune system to recognize the difference between harmful and non-harmful substances. It also contains a large portion of prebiotic oligosaccharides, which are there specifically to foster the development of a healthy gut flora. So there is no need to supplement him with prebiotics. The second best thing you can do for your child's immunity is to expose your child to plenty of dirt and germs. I don't mean that...
    5 replies | 146 view(s)
  • @llli*maddieb's Avatar
    December 2nd, 2016, 08:00 PM
    I think you were smart to ask about seeing a lactation consultant and I would suggest pursuing that. Here is why. I am glad doctor is not alarmed, as this probably means she is seeing a baby she sees as overall healthy, and that is very good. But the fact is, a baby gaining one pound between age one month and age 2 months is quite slow gain. This is the time average gain is twice that, and after 2-3 months gain normally begins to slow. I have seen it time and again- doctors will be relaxed about slow gain at first, only to become alarmed at 3 to 4 months when gain becomes even slower. Unfortunately, by then it might be much harder to fix a breastfeeding problem if that was the cause of poor gain- and frankly, some kind of breastfeeding problem- either with your milk production (unlikely given your good pump output) or with how well baby is able to transfer milk at the breast or how often/long baby nurses- is far more likely a cause of poor gain than a dairy allergy. Another odd thing is that baby gained very well in the 3 weeks before that (between 5 day check and one month.) The difference in gain rate during month one and month 2 is very dramatic. So that makes me wonder, what happened that changed that? Did you introduce dairy to your diet when baby was a month old? Or did something else change at one month? An IBCLC can watch you and baby nurse and see if anything seems amiss. She can do a before and after nursing weight check to see if baby is transferring...
    7 replies | 146 view(s)
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