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  • @llli*maddieb's Avatar
    Today, 08:12 PM
    Some babies do just sleep longer than others. My oldest never went more than 2-3 hours in a stretch until he was almost 3 years old, next one slept 6 hours in a row while right beside me the first week and completely freaked me out! So yes longer stretches can be normal. But, no harm in waking baby when you feel full and it will only help milk production going forward as well as help in avoiding plugs. Sounds like in all other respects your plan is working well and I really like that you can nurse baby once during your work day. And yes I agree getting 10 ounces in 2 pump sessions indicates a very healthy production. This output may reduce over time so do not let that worry you.
    5 replies | 66 view(s)
  • @llli*fishmama's Avatar
    Today, 07:32 PM
    Hi there, My son is 7 weeks old and we have struggled hard with breastfeeding from day 1. His latch was shallow and he would not open his mouth very far at all. The LCs at the hospital pretty much insisted that I use a nipple shield to help him out because his pallet was high and my nipples are "soft" (though subsequent LCs have told me "there is nothing wrong with my equipment.") My LO's posterior tongue tie was IDd inthe hospital and they cut it with scissors while we were there, but I never noticed a difference with his nursing. We saw another LC as soon as we left the hospital and she advised me to entice my baby to latch with expressed milk in a feeding tube with a syringe. This didnt seem to make much of a difference either, but I worked hard to learn proper latching technique and during the second week of his life I thought I had finally mastered it. The next day I was severely engorged and I noticed my baby hadn't been wetting enough diapers and I began to worry. I wondered if the new latch was the problem, so I let him nurse the old (painful) way, and he did soften my breasts, but still no wet diapers. I pumped to see if I could get some more milk to syrenge feed him, but ai could only express 4 drops. I panicked amd called the Drs office. The pediatrician asked us to come in asap, she weighed him and advised us to give him formula in the SNS at the breast. I cried and cried and began my rigorous pumping regimen(which I am still performing at 7 weeks) to get my...
    4 replies | 151 view(s)
  • @llli*ote.eme's Avatar
    Today, 06:57 PM
    Thank you for all the info! She only goes four-hour stretches without nursing during the work day because I do a long nursing session with her over my lunch hour every day. They are good about giving her small amounts for bottle feeds, thankfully! She usually nurses twice in the morning before I go to work, and two to four times in the evening before bed, depending on the day. I just do it on-demand. You asked about pumping output... I have only been pumping at work for a week so far, just twice a day since I nurse at lunch. I usually get about 10 ounces total for the day. You also asked about overproduction, and yes I have had issues with that off and on. I think. Forceful letdown for sure. She rarely sleeps 11 hours (has only done that twice), but 8-hour nights are pretty common for her, so I'll start doing some extra night feedings. I have no objection to night feeds. My first baby was up all night every night eating, so I expected that this time too. I was surprised and feeling lucky that she sleeps so long. :) But I don't want to muck things up, so we'll go toward more night feeds.
    5 replies | 66 view(s)
  • @llli*charlie2015's Avatar
    Today, 06:29 PM
    At that age I found it easiest to get things done during my daughter's awake periods, because like your son, she was a big fan of what my husband called the "snack and snooze". When she was awake however (not during her meltdown evenings, but when she was happy in the mornings) I could generally lay her on her mat on the floor and she would look at the toys for 15-20 min before fussing, and then I could buy myself some more time by shifting her/ switching the toys/ singing loudly/ reciting nursery rhymes/ etc. That was the main way I got laundry/ dishes/ minimal housework done. Occasionally she would fall asleep in the stroller and keep sleeping when we got home and I would do stuff. At that age my husband could also still bounce her to sleep and she would nap on him. She would also sleep in the carrier, but I found it a little hard to do stuff with her on my front. It is much easier now to do stuff if I'm wearing her on my back, but four months is too little for that. I also pretty much only rediscovered cleaning and cooking when my daugter started to crawl (crawling babies eat dirt if they find it) and eat some solids. Before that we vacuumed pretty rarely and ate a lot of delivery/ yogurt/ crackers kand cheese/ etc. I was amazed how long we went without turning on the oven. Occasionally we used the stove for pasta. I think this must be somewhat a first baby dilemma though - because if you had an older child you'd obviously need to do a little more cooking and...
    2 replies | 49 view(s)
  • @llli*mommal's Avatar
    Today, 06:20 PM
    :ita with all the above.
    5 replies | 66 view(s)
  • @llli*mommal's Avatar
    Today, 06:19 PM
    :ita The transfer from mom's arms to cool cot is pretty jarring, and I never found a way to do it without waking baby up unless the baby was already very deeply asleep, which made the process more exhausting than it needed to be. Therefore, co-sleeping worked well for me. I could nurse the baby and then leave her in the nice wam bed and sneak away for a while. I was happy having my kids in bed, but i know that doesn't work for everyone. Some people prefer to put a mattress or futon on the floor of mom's room, so that mom can slip in and out of baby '/ sleep space and still enjoy her own bed.
    2 replies | 54 view(s)
  • @llli*mommal's Avatar
    Today, 06:12 PM
    :ita That sounds soooo familiar! That is exactly how my kids were at that age. They didn't subscribe to the "mom puts baby down in the crib for a nap" philosophy. As far as they were concerned, naps happened on mom or in motion, and the crib was nothing but a torture device. At 4 months, the only way I could get them to nap without me was to nurse them to sleep and then sneak them into a swing, which had to stay in motion for the duration of the nap. Any other approach was a waste of time. My kids also nursed every 1-2 hours at least at that age, and my firstborn was definitely more of a 1-1.5 hour interval nurser. So my perspective on this is that it is 100% normal. I think the best thing I learned from my firstborn, that I used with my second child, was that "getting things done" was completely overrated. No-one ever died from a dirty floor, or eating too much take-out pizza. If I had it to do over again, I would do less and relax more. Read more novels. Tell my husband to scrub the toilets. Make more dinners consisting of frozen ravioli and a bagged salad. Since you can't change the baby, how about trying to adjust the things you are trying to do? What I mean is, what tasks are you struggling to do? Cooking? Cleaning? Paying bills? If you can share what you need to do, we may be able to suggest ways for you to save yourself time and effort, so that you can spend more time nursing and napping with the baby.
    2 replies | 49 view(s)
  • @llli*mommal's Avatar
    Today, 06:02 PM
    :ita with everything in MaddieB's post above!
    2 replies | 77 view(s)
  • @llli*bhacket4's Avatar
    Today, 11:14 AM
    Struggling during the day to get anything done because baby wants to nurse every 1.5-2 hours MAX (sometimes every hour).. and for him to get any naps whatsoever, he will only nap laying on my "breast friend" pillow while comfort nursing. Sometimes he pops off, and I try to put him over my shoulder to move him.. but he immediately wakes up and won't go back down. For him to take any naps during the day, he must be sleeping on me while nursing?? He's almost 4 months, and he's been like this since birth. All my friends babies they can lay them down half awake and their babies go to bed. Mine, won't at all. :confused:
    2 replies | 49 view(s)
  • @llli*maddieb's Avatar
    Today, 09:36 AM
    I would suggest not letting a 13 week old baby sleep quite that long with no nursing, especially if you are back at work. Going back to work is a problematic time for milk production, both because bottle fed babies are often overfed and consequently nurse less, and also because pumping tends to not be as effective as baby nursing for keeping milk production in the best shape. And a baby going longer then 6 to 8 hours every night with no nursing is also likely to be problematic for milk production. We know, for example, that once there is a 6 hour daily gap of no milk removal, moms have a much higher chance of fertility returning (if it has not already.) Now, getting a period does not mean mom no longer makes enough milk, I am not saying that at all! But we know that 6 hours daily of no milk removal seems to be enough to shift mom's hormonal balance and that means something. Also, you know baby is sleeping too long because you are getting engorged. Baby may be getting enough to eat. But that fullness is telling your body to reduce milk production. Breastfeeding is a two way street and that fullness is your body telling you baby must nurse. So I would suggest waking baby to nurse at least once or twice overnight. More than that would be fine. Yes it is ok to wake a sleeping baby in order to protect your milk production and your breastfeeding relationship! 3 month old infants have no biological need to sleep such long hours, in fact that kind of stretch is not a normal...
    5 replies | 66 view(s)
  • @llli*maddieb's Avatar
    Today, 09:19 AM
    Personally I found this age a very nice age for bedsharing. Baby large/old enough to no longer need to be to one side and could instead be between DH and I, so no worries about him falling out. And not so large baby is taking up too much bed. If I wanted to get up, I felt pretty safe about leaving this age child in the center of the bed, as mine were the sit up and cry type if they woke, not the stealthy crawl off the edge type. But with a mobile child falls are a risk do that has to be considered. I did find I could successfully nurse some of my kids down some of the time and then transfer them into crib. Some of the time, not all, and one was really hard to do this, one easy, and one medium. So every baby is a bit different about this. I found it helped to nurse baby well to sleep, then once baby unlatched, stay laying beside baby for at least 5-10 minutes. And then make sure the transition is smooth-gently lifting baby, gently putting baby down. I would place an unwashed T-shirt with my scent in the crib with baby so baby could smell me. Some moms make sure the crib is warmed with a hot water bottle ahead of time.
    2 replies | 54 view(s)
  • @llli*ote.eme's Avatar
    Today, 06:15 AM
    And by sleeping through the night, I mean 8-11 hours depending on the night.
    5 replies | 66 view(s)
  • @llli*ote.eme's Avatar
    Today, 06:08 AM
    My kiddo is 13 weeks old and nurses on one side at a time at home. When I went back to work last week, I pumped on both sides at once every time. Today I'm feeling engorged overnight. My baby sleeps through the night most nights, and I haven't felt engorged at night for a while, so I'm wondering if I inadvertently increased my supply by pumping on both sides even though she usually only eats on one. Should I only pump one side at a time at work? Or could this all even out? I only pump twice at work. This is my schedule: 7:45 nurse 10:00 pump 12:15 or 12:30 nurse her on my lunch break 3:00 pump 5:15 nurse
    5 replies | 66 view(s)
  • @llli*mummyslittlethunder's Avatar
    Today, 05:43 AM
    Hi, I'm new here, enjoying bf my nearly 7month old. How can I feed to sleep if he goes into his own cot if the cot is in the lower position? Has anyone resolved this, please? At the moment I can feed to sleep and lay him in the cot as cot is in high position. It won't be for much longer though as he's growing quickly. The only option I can see is for me to feed him until drowsy, then lay him down. As I think I would be very lucky to be able to put him in the cot in the deep position with him staying asleep. How do people resolve this? Just by co-sleeping? Any feedback helpful. Thank you.
    2 replies | 54 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 10:30 PM
    Are you actually separated from 6 am until bedtime? If you are home earlier than that, what happens if you offer to nurse when you get home? Some babies will nurse less often at night if they have the chance to nurse more during the day. So that is one reason to see if baby might nurse more during the day. Also more nursing would quite possibly mean baby takes less in bottles, if that is what you are looking to do. Overall, more frequent nursing so that nursing frequency is more or at least on par with bottles may increase the chances of the nursing relationship lasting longer, should that be something you would like. I see no reason nursing and bottle feeding have to match, at least not very closely. So, you could try increasing baby's nursing frequency when you are home with baby if you like and leave bottle frequency as it is. And/or, try increasing the frequency of bottles, as it may be that more frequent bottles will mean that they are smaller overall- that is how it works with older kids and adults, as typically, small meals more often helps reduce overall intake when that is needed. (Of course, you will have to watch any tendency to just keep giving baby the same huge bottle more often.)
    7 replies | 164 view(s)
  • @llli*livingtemple's Avatar
    Yesterday, 09:03 PM
    When I'm on a work day, I nurse him at wake up (6am) and bedtime (usually 6:30/7pm) and now with the new 1-nap schedule have him set to have a bottle before and after nap. I'm open to better suggestions, though! I was mostly just trying to mimic with a bottle what I do with nursing: Home day: 6am wake, nurse 7am breakfast 11am lunch 12pm nurse/nap 2:30/3 wake, nurse 6pm nurse/bed
    7 replies | 164 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 08:46 PM
    No, the pauses should actually come every few sucks. So every 20-30 seconds. When a baby is nursing they pause very frequently to swallow and just see what happens. They do not unlatch, and nursing mom usually makes no note of it. But that is the pattern that paced feeding is supposed to mimic. This video explains the positioning and pauses very well: https://www.youtube.com/watch?v=UH4T70OSzGs How long are you at work and how often does baby get a bottle? That can give you the number. You are right the typical recommendation is baby needs about 25 - 35 ounces of milk total per day, and if baby is nursing at night and cue nursed when you are home, that translates very simply and effectively to baby's intake requirement being somewhere between 1 to 1.5 ounces per hour of separation. So, as an example, for an 8 hour separation, 8-12 ounces total. Broken into three bottles, that is about 3-4 ounces per bottle. Of course that number is the recommendation for a baby who is living entirely on breastmilk and gaining very rapidly as a baby does between 1-6 months or so. It is entirely possible your baby, who is eating lots of solids and most likely headed for (or already in) the big gain rate slow down that is typical at about a year, does not need anything like that amount of milk over 24 hours. It is very hard to find evidence based intake recommendations for babies this age, and except for the book My Child Won't Eat I am not sure where to send you for that info....
    7 replies | 164 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 08:28 PM
    Hi hblwmom, sorry you are having this concern. I can assure you many, many moms have issues with low milk production and there are many ways to increase milk production. And even more moms think they have a production issue when in fact all is normal. It is hard sometimes to figure out what exactly is going on. What is interesting (and a good sign you are getting some pretty breastfeeding supportive advice, in my opinion) is that the supplementing plan your pediatrician has suggested is 1) very specific as far as total amount to supplement (yay! this makes me very happy you would not believe how rare that is) and 2) really is not much at all. And yes even that small an amount of supplement might be the difference between slow gain and baby gaining normally. But if all the pediatrician thinks baby needs is 3 ounces extra a day, that is not much of an increase needed in what baby gets at the breast. 3 ounces is the equivalent of 1-2 feedings, normally. So I wonder if simply increasing how often baby nurses would not do the trick just as well? What do you think? You are pumping. How much milk do you get when you pump? Could you/do you supplement with that milk? Sometimes moms are told there is a problem when in fact gain is within normal range. So if you would like to post a compete weight check history with weight and day/week of life, noting whenever a different scale was used, then we can comment about that. It would also help to know how many times a day...
    2 replies | 77 view(s)
  • @llli*livingtemple's Avatar
    Yesterday, 08:00 PM
    Thanks, all for your responses and help. Yes, LO is still getting up 1-3x per night but typically not nursing a full feed. Sometimes (more especially the first wake up) he will take a little more, but I've taken to not offering both breasts over night so as to gently encourage night weaning, also unlatching him perhaps a few moments before he might truly want. Usually he nurses a few minutes, I lay him down, he adjusts a bit and goes back to sleep. Work situation has been going on for a few weeks now, but baby has been fed bottles before (date nights, errands, etc.). Yes, parents and husband are doing pacing as much as they know how - holding bottle so nipple is more horizontal and not totally full of milk, giving him little "breaks," not encouraging him to drink and drink. I've asked that they also "switch sides" which I'm not sure is happening. @lli*maddieb, how often should one do the technique you mention (let all milk drain out of nipple and wait for baby to signal he wants more)? Every 3 minutes? 5 minutes? I agree that perhaps an "ounce limit" is in order to try other comfort measures to see if milk is being used as a "go-to." But not sure what that limit should be?
    7 replies | 164 view(s)
  • @llli*hbwmom's Avatar
    Yesterday, 06:44 PM
    3 month is old is 10 lb 9 oz and should be close to 12. I'm finding LO and I are lazy with feeding and she is content without being absolutely full. Our pediatrician wants us to supplement (1 tsp to 1 oz x 3/daily). Clearly my supply isn't given her the calories she needs. So now I'm making sure to offer her the other side, taking fenugreek, mothers milk tea and pumping 3 times a day. My breasts are feeling empty. She falls asleep at the breast all the time. I'm torn. Any advice to increase my supply? Anyone been in this situation? Thank you for the help!
    2 replies | 77 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 03:47 PM
    So, not familiar with bottles. Curious if baby this age even needs a bottle rather than maybe a cup? Paced bottle feeding properly done is going to be your best bet for slowing down flow. All nipples drip. I suspect paced feeding is not being properly done as far as how baby and bottle are positioned. HOWEVER. A baby this age should really be able to 'pace' themselves. Paced feeding is really more for younger babies, I am not even sure it will work with an almost one year old. But I would suggest have caregivers making sure bottle and baby are being positioned properly (so the nipple is never full of milk and rate of flow is reduced by gravity) and that pauses in drinking (by tipping nipple up/bottle down so the milk drains out of the nipple, in order to stop flow all together for a few moments) are being encouraged. If baby wants more, bottle can be re-tipped up just enough so there is a little milk in the nipple. Sometimes the key is to not totally remove the nipple from baby's mouth, but to instead stop the flow for a bit to see if baby really wants more or not while tip of nipple rests on baby's bottom lip or gently in the mouth. If baby does not start 'reaching' to take the nipple again, then bottle can be gently removed. If this is not making sense let me know, may be I can find a video. I suspect perhaps a little laziness is going on, and baby is being fed bottle after bottle rather than caregiver engaging in other comfort measures or baby entertaining...
    7 replies | 164 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 03:28 PM
    Unfortunately there have not been good studies on the impact on breastfeeding from tongue tie nor lip tie and whether surgical correction helps. Even the definitions/diagnosing criteria of tongue and lip ties is not agreed upon. What appears to be the consensus among breastfeeding experts including doctors who are also breastfeeding experts is that tongue tie CAN (but does not always) cause issues for nursing- meaning primarily, pain and injury from latch for mom and/or poor milk transfer by baby, and that surgical correction CAN (but does not always) improve the situation. There is less such consensus as regards lip tie. There is also consensus that properly performed surgeries are not likely to cause any harm. But no harm does not mean there will be improvement. I would suggest talking to whoever is recommending surgery and whoever is going to do the surgery for the experience of their clients and their recommendations for after care. This protocol on treatment of tongue tie from the Academy of Breastfeeding Medicine (doctors writing for doctors) may also be helpful to you: http://www.bfmed.org/Media/Files/Protocols/ankyloglossia.pdf I do not know anything about gag reflex tongue tie, but certainly a nipple shield might cause a baby to gag if it is too big (the tip is too long) for baby. A nipple shield would also cause air swallowing, particularly if it is too large. Colic occurs in babies with no feeding issues. It is very common. I know that some say air...
    4 replies | 151 view(s)
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