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  • @llli*crr.2017's Avatar
    Today, 07:14 PM
    I pump 3 times a day every 3 hours at work. (Mon- Fri) Im away from baby for almost 10 hours. I normally pump 3-4 oz (have gotten as much as 6 oz before) a session usually bringing home 13-16 oz. I've been using the medela 24mm flanges that came with my pump since day 1. But now after pumping my nipples kind of tingle. I think my flanges are the wrong size but I'm not sure if I should go up a size or down a size. I think I have small nipples, maybe even flat but i have large breasts. The first time I pump of a morning the 24mm flanges seem okay but as the day goes on its Iike my breast becomes more stretchy and more gets sucked into the neck of the flange. Also I have noticed a red ring at the base of my nipple on one side (the side I would consider to have the larger nipple). I tried the pumpin pals small and medium flanes but they don't seem to draw out all the milk. I feel like I am sitting there forever and hardly get any milk out. I'm okay with using the regular medela flanges but just don't want to cause any damage to my nipples or breasts. And I don't think the tingling is normal. Also I always use the pump on the lowest suction.
    0 replies | 0 view(s)
  • @llli*bear.mommy's Avatar
    Today, 05:45 PM
    Hi again, @llli*maddieb, again, thank you for your time and response! This is the most helpful and thorough response I've received to date--others I've consulted have simply recommended block feeding or other solutions, without looking at the entirety of symptoms/issues I'm experiencing. The midwife wanted me to pump to build up a stash, and she suggested the morning because that's when I have the most milk. She also suggested a pump at night so that I could get a few more hours of sleep. When I mentioned the OS, she didn't really give it much mind and said the pumping will not exacerbate the OS (I disagree). The last IBCLC I met with also recommended that I start building a stash. I don't understand why they are encouraging this, as I didn't indicate an immediate need for a large freezer supply. I agree with you, I was more inclined to wait and see if my OS would resolve before getting back into pumping. I am going to hold off on pumping for a while and hope that my milk supply will regulate itself soon, as you mention. It's reassuring to know that I'm at peak milk production right now and that hopefully things will settle down soon! "What is much more common than a baby who will not take a bottle is the baby who starts to refuse to nurse after getting bottles, and that can be much harder a problem to fix. This is something that never happens immediately, rather, it happens maybe many weeks or months after bottles are introduced, and is more likely to happen the...
    2 replies | 81 view(s)
  • @llli*bear.mommy's Avatar
    Today, 05:23 PM
    Hi @llli*maddieb, thank you so much for your detailed response! I truly appreciate your time. I hadn't considered whether the ibuprofen could be masking certain symptoms--by chance, today I forgot to take the ibuprofen after early this morning and did notice I was feeling slightly (very slightly) achy with stiff hand joints. Temperature is 99, which doesn't seem too high, and I had been assuming the fatigue was due from my overall postpartum recovery. Now given what you say, I'm not so sure! I have been experiencing painful engorgement and noticed it especially today--normally LO nurses every 2-3 hours, almost on the dot, but today and last night he has been going 3-5 hours between feedings. Today I have been trying to hand express earlier and more frequently (so my breasts don't stay engorged too long) just to relieve some of the pain and lumps. My breasts get engorged as soon as 1-1.5 hours after LO has nursed. I'm not sure my strategy is helping, however--the engorgement seems bad today. Also, the external skin on my left breast is even more sensitive today (the way your skin tingles when you have a cold, say). I don't think I feel any plugged ducts remaining, but I agree it is possible there are some deep inside that I am missing. So now I, too, am wondering if this is undiagnosed mastitis! Thinking aloud, I did complete a week's worth of Keflex AB several weeks ago for a (perineal) infection--I didn't notice that that did anything for my breast pain, looking back. ...
    2 replies | 137 view(s)
  • @llli*trifides's Avatar
    Today, 01:19 PM
    The other tip I would add is (as written elsewhere) is try and feed with as few clothes (top half!) as possible so there is more skin contact. That also kept her trying longer and she was way more relaxed. Not always possible I know. Breastfeeding is a great thing to do for your baby - I have got the whole way through the winter without her getting sick among other things. Thanks again for all your help!
    16 replies | 1265 view(s)
  • @llli*zozja's Avatar
    Today, 11:24 AM
    It's been 9 days since the last time I nursed my 2 year old. I didn't get engorged which is great but I still have lots of milk if I hand express and I'm worried that I'm going to get a clog. I was prone to clogs while breastfeeding and had to take 7200 mg of lethicin to keep them at bay. I'm down to 3600 now. Anything I can do to help ny body dry up? Also in pregnant so I know I can't take sage. My other question is my toddler still asked to nurse a few times a day. We weaned gradually - taking away one feeding a week and she was down to nursing only a few times / 24 hour period anyway. But it makes me so sad when she asks. How long did it take for other peoples toddlers to stop asking?
    0 replies | 30 view(s)
  • @llli*trifides's Avatar
    Today, 10:53 AM
    Just had my levels done - TSH is 2.2 and T4 is 14 so I'm back in normal range. I still don't fell 100% but my supply is much better, confirmed by babys renewed enthusiasm to breastfeed!
    16 replies | 1265 view(s)
  • @llli*maddieb's Avatar
    Today, 12:16 AM
    Hi bear.mommy. I responded to your other post about the breast pain and I suggest check that out. It was not clear on that post how much over production (OP) you are having. So it sounds pretty bad, but take heart, OP is almost always a temporary problem. You are at the peak time for milk production right now. Even if you did nothing at this point, your milk production would almost certainly begin to reduce to a more manageable amount over the next several weeks. Also, please do not worry about your baby overeating! Yes babies whose mom has OP gain rapidly at first. This is perfectly fine, it all evens out later. Ok, so I will take the questions one at a time. A baby nursing one side at time is fine. But no, you do not want to have one breast go more than a few hours without milk removal (unless you are intentionally block feeding, more on that below.) So, as I suggested in your other thread, can you encourage your baby to nurse more often? Baby nursing with high frequency will probably help and cannot hurt, because baby will not take in more overall, but rather, less at each meal. Frequent nursing also helps reduce fast flow, so should help baby be a little happier and calmer overall. It sounds like you have OP, as you are reporting most of the symptoms including above average rate of weight gain. But that is still not a reason to block nurse necessarily. Again, given a little time, OP usually solves itself. Also, block nursing in this situation where...
    2 replies | 81 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 09:57 AM
    Hi bear.mommy, I am sorry you are having this problem. If it persists, I think you might want to consult with a board certified lactation consultant. In my experience, dullish, aching pain in the lactating breasts is not out of the ordinary. It does not mean you are particularly sensitive, it just means there is a lot going on in the lactating breast and that normal activity can cause some discomfort, and it could be either on one or both breasts. What I find worrying in your case is the fact you have a history of poor latch and injury, and the pain sounds more intense than typical. Also the great deal of sensitivity on the skin surface sounds worrying to me. To me that IS a sign of either engorgement or breast infection (mastisis, not thrush, more on that in a moment.) You do not describe being engorged, but you have OP and get plugs that go away when baby nurses. That sounds like it may help to have more frequent milk removal. How often is baby nursing now? Could you encourage baby to nurse more often, do you think? Maybe it would help to always have baby start on the painful side? Is there any chance of a hidden plug, one so deep you are not noticing it, or do you think you are feeling sufficiently "empty" between nursing sessions that you would notice a plug that is not going away?
    2 replies | 137 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 09:35 AM
    Kellymom talks about friction blisters in this article. Could that be what is going on? http://kellymom.com/bf/concerns/mother/nipplebleb/ If you cannot pump or nurse, can you hand express? It is really important that you continue to take milk out of that breast. As far as baby eating, it is quite possible that baby will be able to get enough milk from one breast while you work this problem. If you hand express and manage to save the milk in a bowl or cup, you can try offering baby that expressed milk in an open cup if you think it is needed. If you would like a link to a video of a baby this age cup feeding let me know. Also you can try reversing or otherwise changing the angle of baby's latch to see if that makes nursing possible. When I was healing from a bad bite I laid down and brought baby over my shoulder to nurse, reversing the latch. it is usually fine to nurse while nipple injuries heal, although of course it can hurt.
    1 replies | 136 view(s)
  • @llli*bear.mommy's Avatar
    Yesterday, 04:25 AM
    Hello! FTM here of a 7-week old boy, EBF. I'm experiencing pain in my left breast and cannot figure out what it is. I am curious if anyone has ideas or has experienced this as well? It's a throbbing, aching, pulsating pain that's similar to the pain you feel when you get a toothache. Sort of a raw-nerve type pain. It seems to radiate all throughout my breast, such that I can't quite pinpoint where the pain is starting/ending. I had this pain in BOTH breasts when I started breastfeeding (which, btw, was a rocky start, with damaged nipples, bad latch, etc.) but now the pain is limited to my left breast. The pain comes and goes, but when it comes, it lasts for a while (over an hour?) and sometimes makes me cringe. It also makes it hard for me to fall asleep. The external skin is very sensitive to touch, and it hurts even if I gently stroke the skin. However, as I mentioned, the pain comes and goes, and when it goes, my breast seems fine (no pain, not nearly as sensitive)! To add, I had friction blisters early on and a scab on the left nipple that took weeks to heal; now the nipple seems healed. LO's latch seems fine--the nipple does not come out looking misshapen. It doesn't hurt during a feeding. The pain comes randomly (i.e., not just after a feeding). I don't think it's vasospasms since I don't see a change in color and also, the pain is there even when I'm dressed warmly. There is no redness on my breast. I do get lumps but they seem to go away when LO feeds. I...
    2 replies | 137 view(s)
  • @llli*bear.mommy's Avatar
    Yesterday, 04:09 AM
    Hello! I'm a FTM of a 7-week-old EBF boy. We had a rocky, difficult start with breastfeeding--my milk did not come in right away, plus I felt so much excruciating pain from my son's powerful/bad latch and my nipples toughening up that I resorted to mostly (machine) pumping during the first month. Finally it stopped hurting so badly when my son nursed, and I've been able to breastfeed and almost entirely avoid pumping for the past 1-2 weeks. Granted I still experience some terrible pain, but it's (a) limited to an aching, throbbing pain that comes and goes only in my left breast; and (b) neither I nor my OB can figure out what is causing it (not thrush, no symptoms of mastitis, not letdown pain which is something I experience separately, etc.). My main problem now is overactive letdown and what I think is oversupply (at least in my "stud" left breast). My breasts never feel fully drained after my son feeds. Also, if I do pump, I get 3-4+ ounces in my left breast and 2-3 in my right breast. When I have given my son a bottle, however, he eats about 3 oz max. The OALD is worse in my left (stud) breast--LO chokes, gasps, cries/screams from the fast and heavy flow. I try to lean back to help with the gravitational flow, and this seems to help a little. My son only feeds on one breast at each feeding, which seems fine as he has plenty of pee diapers and is gaining weight well/rapidly (he was 8 lbs. 11 oz at birth and just yesterday was weighed at 14 lbs. 4 oz). He also...
    2 replies | 81 view(s)
  • @llli*momma1707's Avatar
    May 23rd, 2017, 08:57 PM
    My LO is 5 months old and EBF. I recently noticed something looking like a clear bubble in the middle of my nipple. It was painful when nursing but tolerable to some extent. I didn't have any pain when not nursing. Yesterday the bubble seems to have gone and now I see a red spot at the same area like it's wounded and needs to heal. I don't know what it is but now when I try to nurse LO the pain is so much worse and I couldn't go through with it. I don't pump and LO doesn't take bottle. I am not sure how to get through with this. Any suggestions on how to heal nipple or lessen the pain for me to be able to nurse LO. please help.
    1 replies | 136 view(s)
  • @llli*maddieb's Avatar
    May 23rd, 2017, 08:19 PM
    Hi, and welcome. My four year old sometimes latches really oddly and I have to ask her to stop and try again. Usually just helping her adjust her position and telling her to open wide, relax, and nurse gently helps her figure it out. She has said for a long time there is no milk, but she still wants to nurse especially at bedtime. I know there is SOME milk, but not much, so I agree this probably has nothing to do with your production. In my experience with two older children that weaned pretty much on their own terms, is that it is a little surprising when they are just not nursing anymore, even when the weaning was very gradual.
    1 replies | 143 view(s)
  • @llli*maddieb's Avatar
    May 23rd, 2017, 08:03 PM
    Hi Shelbymitchell! welcome to the forum. So, here are some thoughts. Newborn babies need about 20 ounces per day after week one, (less then that before that, almost nothing right after being born, then it increases rapidly to about 20 day 7) and from 25-35 OZ per day after about week 4 or 5, and then it stays about that amount. (Moms CAN increase production after week 4 if needed, but baby does not need more) This means, that what happens between the end of week one and week 4 or 5 is a gradual increase in milk production. Of course, some moms are already making 25 or more ounces per day by the end of week one, and some are making too much, and in those cases, no need for production to increase. These numbers are of course somewhat general, but it is unlikely baby would need more than this. I am giving these numbers to you because I think it is important to understand how much babies actually need overall, instead of focusing on what baby appears to want at a single meal, or what you can pump at a single pump session.
    1 replies | 131 view(s)
  • @llli*shelbymitchell's Avatar
    May 23rd, 2017, 05:52 PM
    My first born was formula fed, I tried breast feeding and gave up because I had extremely bad pp depression and it was so hard for me to connect to him, I got diagnosed with post partum hypothyroidism as well, and was told that my hormones could be effecting my milk too. I promised myself that my second baby I'd breast feed ! So here I am, exclusively breastfed in the hospital & on the second night baby screamed ALL night long, then when we went home he had orange crystals in his diaper which caused my first baby to stay in the nicu! So I freaked out and we breast and supplemented until the signs of dehydration were gone. My issue is now, my baby is 3 weeks old, I pump / latch him every 2 to 3 hours and no matter how much I produce he is still hungry. He has to always finish his feedings with 2 extra oz of formula or pumped milk. I hate this, because I feel like I'm failing him by not producing enough for him. I tried for 2 days to only pump, to see how much I was producing.. I only pump 2oz total between both breast each time, and my baby is eating 3-4oz per feeding. I'm drinking a lot of water, taking vitamins and even have been drinking a mama lactation feeding supplement and nothing has upped my supply. I've been producing the same amount since the first week. Help.
    1 replies | 131 view(s)
  • @llli*kristen.ellsworth's Avatar
    May 23rd, 2017, 07:41 AM
    My daughter will be three this week. We’d still been nursing at bedtime and in the morning every day, but it seems that from one day to the next, she forgot how to latch. She just sucks noisily and ineffectively for a few seconds and gives up. It’s not a problem, obviously, at her age. It’s just a surprise because that’s not how I expected weaning to happen. I thought she might lose interest, or my supply might dry up, or I’d have to decide to tell her, “No more nanu,” one day. I hadn’t heard of a child just losing the skill overnight! She is a bit sad about it and asks if I can teach her how to nanu again, but I’ve been saying, no, I don’t think I can and this must mean that she’s a big girl now. Her nose is slightly stuffy (spring allergies), but we have nursed through much worse, of course. I think my menstrual cycle is finally returning, and this coincided with the end of a light period, but I can still easily express milk so I don't think it's a supply issue. Also, she's not complaining that there's no milk, she's saying that she can't remember how. I'm not looking at this as a problem to solve - it's probably just as well for weaning to happen now, and it's probably sort of lucky if it happens naturally. I just wanted to see if this is a common thing to happen.
    1 replies | 143 view(s)
  • @llli*maddieb's Avatar
    May 22nd, 2017, 02:19 PM
    PS a little hand expression between nursing sessions can be very helpful in relieving engorgement. If you are so engorged you need to pump a bit, that is also ok. Yes of course pumping will increase milk production. But when engorgement is severe, it is the engorgement itself that is the most potentially serious and immediate problem and in that case you want to try to avoid it. Usually you only want to pump or hand express enough to relieve the pressure.
    2 replies | 380 view(s)
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