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  • @llli*lllmeg's Avatar
    Today, 05:12 PM
    I don't think pump output is going to tell you much about whether or not there is a plug. A plug may affect only one duct, and most moms have many. I once had a plug the size of my open hand and baby was able to get milk fine from that breast. BUt you do not need to have a plug to get mastitis. They just often occur together. I don't think the timing is odd, just confusing. Our body is more open to infection including mastitis when we are worn out. On top of everything else, you had a sick child to deal with this week. Also, you may be fighting the flu as WELL as having mastitis. Sorry to say. If you really want to hold off on the abs, some moms do recover from mastitis without them. Here is more: http://www.llli.org/docs/0000000000000001WAB/WAB_Tear_sheet_Toolkit/18_mastitiswhatcanyoudo.pdf
    4 replies | 35 view(s)
  • @llli*camille's Avatar
    Today, 04:59 PM
    That makes me feel a lot better! I do hear her swallow when she first starts nursing, but I never feel engorged anymore so I think I probably just make a little milk at this point. I hadn't considered that she might want to continue even if theres little/no milk, so thats comforting to hear your daughter did. Thanks for sharing your experience with me!
    2 replies | 51 view(s)
  • @llli*filmmommy's Avatar
    Today, 04:51 PM
    I definitely am stopping the fenugreek. Sadly, I took two caplets today before fever started. I had been engorged and took a long walk, so thought the soreness was from that. I am a little upset the IBCLC didn't think that would be a big issue, but she also didn't know that I was still damaged. I didn't see it as that terrible of damage, but maybe it is. Little guy is nursing very hesitantly on that side. I feel so bad for him. He latches on and then only sort of nibbles, and will only take a few swallows. I guess I'll try to pump whenever uncomfortable and try to get him to nurse occasionally on that side. Now I have to watch his diaper output since the other side is lower supply. BTW, I pumped on the engorged side for about 8 minutes and the milk flew out from the first second. I pumped over 2 oz in that time. The poor guy has had a really hard time today on that side, which used to be considered the good side. He keeps acting hungry, but then is scared to nurse, I think. Thank you for the help. I guess I'll have to wing it tonight and see how it goes. I've called local leaders and my LC but no answers, so I appreciate your help. I really don't think I'm plugged up, but I have pretty large breasts so hard to say. I would think I wouldn't have pumped so much if that were the case, right? Sadly, I have not been able to express much by hand on that side. I'm not sure why -- I'm not great at it, but maybe because I'm stressed I'm failing. I guess...
    4 replies | 35 view(s)
  • @llli*tclynx's Avatar
    Today, 04:41 PM
    My understanding is that hand expression/massage is less likely to stimulate increased production as much as pumping will. If you want to increase production on just one side I think you might need to pump/nurse more on just that side but at the moment the more important issue is the engorgement and possible mastitis on the other side, deal with that first before worrying about anything else. As to the Fenugreek, I don't think you need to wean off that the way you do when coming off Domperidone or Regalin.
    4 replies | 35 view(s)
  • @llli*lllmeg's Avatar
    Today, 04:31 PM
    This sounds like classic mastitis to me , but classic mastitis does feel very much like the flu. So that is very hard call. ] What to do for engorgement is to get milk out of the breast as frequently as possible, any way that works. Usually this means nursing, with pumping and hand expression or just massaging milk out in the shower, whatever works for you. If you wish to reduce production at the same time, don't "empty" the breast necessarily. Just get milk out enough to soften. However, if you have mastitis, that is the more immediate issue, (more immediate than overproduction) and the advice for mastitis (aside from abs if needed) is "empty breast, lots of rest." And yes, "empty" is relative. But it means keep the milk flowing out of the breast as much as possible. You cannot take any galactagogue in the hopes it will increase production on one side only. If it works, it will increase production all over, leading to overproduction if production was already normal. So I would strongly suggest stop the fenugreek and any other galactagogues of any kind immediately. Whether mastitis or the flu, you are sick. Let yourself be sick. Call in any and all help and favors.
    4 replies | 35 view(s)
  • @llli*krystine's Avatar
    Today, 04:00 PM
    Thank you! They had a fun birthday. It's just hard to believe they're one although it was a very exhausting first year!
    7 replies | 220 view(s)
  • @llli*krystine's Avatar
    Today, 03:59 PM
    my experience is that at that age they don't necessarily care if there's milk or not so it's fine. Do you know that you're even still making more than a couple of drops of milk? Do you see many swallows? It really doesn't matter at this age, in my opinion and experience and she can nurse as long as you both want at this point, milk or no milk. Congrats! My daughter nursed over 3 yrs, too and I didn't have much milk the last year due to pregnancies/miscarriages.
    2 replies | 51 view(s)
  • @llli*filmmommy's Avatar
    Today, 02:58 PM
    Back again with more problems -- just when I thought we were getting better. So I'm wondering if the bad latch has caused me mastitis. I don't think I have/had a plugged duct, but I do often get engorged on that side -- it used to be my "good" side. I was taking fenugreek to increase the flow on the "bad" side. I"m down to taking 1 capsule 3x a day. I was trying to wean slowly. I think it might be an infection from cracked nipples rather than plugged cut, but not sure. Today I've been getting engorged really quickly, and it's happened other times so I thought it was the fenugreek and each time cut back. I can't go more than an hour or so without being so full it's hard to latch the little guy. I now have fever and chills, and achiness. HOWEVER -- my daughter was sick with sore throat and fever three days ago, and her fever was as high as 102.6, which is where mine is right now. Maybe the general achiness is contributing to the fullness and pain? I'm guessing maybe not. My midwives said we should give it 24 hours in case it's viral, but I don't know what to do about this engorgement. I don't think it's plugged, so I worry about increasing by over-pumping. But I have no idea if he's eating enough from that side, because it's stuffing him. He's been spitting up a lot today and even choking on the spit-up (a rare occurrance). So I think it's pouring out of that side every time he nurses (as much as every 1.5 hours, as little as every 4 at night). I pumped...
    4 replies | 35 view(s)
  • @llli*zaynethepain's Avatar
    Today, 02:49 PM
    http://kellymom.com/bf/normal/newborn-nursing/ http://kellymom.com/bf/got-milk/supply-worries/low-supply/ http://kellymom.com/bf/got-milk/perceived-insufficient-milk/ My lo is 16 weeks now. I remember thinking several times in the first two months that if I were a less experienced mother I'd be convinced something was wrong with my supply. I didn't pump until this month but the constant nursing and fussing and ' empty ' breasts surely gave me that my baby is starving feeling. We just kept switching sides repeatedly and doing breast compressions. On and off for hours. He gained 4 lbs the first month and two the second so he was clearly taking in plenty of milk. I'm delighted to be on the far side of the newborn stage. I think with some faith in yourself, you could easily wean back off the supplements. One question I don't see mentioned in your post. How many times does he nurse overnight? Any long stretches of sleep with swaddling or a pacifier?
    3 replies | 109 view(s)
  • @llli*ruchiccio's Avatar
    Today, 02:40 PM
    I send along 1 oz for each hour separated. My baby won't eat more. We are separated from 10-5:30 and I feed at about 5:45-6 and send along around 8 oz. I send whatever I pump the day before, and it's never the exact same amount so between 7.5-9oz. You can send an ounce per hour and the rest in frozen bags so it'll take more effort to rewarm so they won't be so quick to push and you know your baby has more if he ever wants.
    6 replies | 82 view(s)
  • @llli*carla1331's Avatar
    Today, 01:21 PM
    thanks everyone i guess i will stick with 2.5oz bottles!
    6 replies | 82 view(s)
  • @llli*tclynx's Avatar
    3 replies | 109 view(s)
  • @llli*camille's Avatar
    Today, 12:23 PM
    My daughter turned 3 this summer and we are now down to one nursing session a day (for about 15 min or so until she falls asleep for nap). She is still very attached to nursing and really looks forward to it. I'm very happy with our once-a-day schedule for the time being. I'm concerned that my milk might dry up before she is ready to completely wean. Anyone have experience breastfeeding once a day, and know how likely my milk is to stick around or slowly disappear? So far in our breastfeeding journey I have not had supply issues. Thanks for any insight y'all can give me!
    2 replies | 51 view(s)
  • @llli*tclynx's Avatar
    Today, 09:33 AM
    Offering to feed at every little fuss isn't as big a problem as if they are not doing paced bottle feeding or if they are pushing him to finish the bottles. At least if you send small bottles and small top ups, they have to pause to top up the bottle. If you are sending large bottles and they don't do paced bottle feeding he can easily wind up over eating and it can become very hard for you to keep up with supplying the bottles and he may also not be as interested in eating when you are together which makes it even more difficult to keep up your supply.
    6 replies | 82 view(s)
  • @llli*mommal's Avatar
    Today, 09:28 AM
    :ita with the PP's suggestion to get a wrap or other carrier- to me, it sounds like your baby just doesn't want to be put down, which is a normal and healthy baby behavior that happens to drive a lot of moms absolutely bonkers. With a carrier, baby could be on you with you having to be pinned to the couch. Breast compressions might help your baby stay active at the breast for longer: http://www.breastfeedinginc.ca/content.php?pagename=doc-BC
    2 replies | 96 view(s)
  • @llli*lllmeg's Avatar
    Today, 09:24 AM
    So how many times a 24 hour days is baby nursing now? Also, how many times do you pump each day? what type of pump? Pump output is not an accurate measure of production. I don't know metric, so mils and grams, I really can't follow. So if anyone can convert to ounces I would appreciate it. Basically, this is what I see. What am I missing? Baby gained fine and all was well until you started block nursing. Block nursing reduced your production. But baby continued to gain well even so. You got mastitis. Any idea what led to the mastitis?
    3 replies | 109 view(s)
  • @llli*carla1331's Avatar
    Today, 09:09 AM
    my job only allows 6 weeks from the date baby is born....... so i pump while at work... I wish i could be home!!
    1 replies | 33 view(s)
  • @llli*lllmeg's Avatar
    Today, 08:31 AM
    Hi. Newborns tend to sleep a lot. this is usually normal, but sometimes indicates a problem. Some babies sleep longer during the day and are up more frequently at night. This is normal at this age, and, as long as baby is eating often and getting enough milk, not a problem. Nursing duration also normally varies baby to baby. It would really help if you could tell us your child's weight history from birth, explain how many times a 24 hour day your child nurses, how much supplemental milk baby is given every day (how much each time how many times a day?) and how many times you pump each day, and what kind of pump you are using. also please tell us if nursing hurts, if pumping hurts, how much you are typically able to express when pumping? also how many times a day does your baby poop and describe the stools
    1 replies | 86 view(s)
  • @llli*lllmeg's Avatar
    Today, 08:23 AM
    can you explain what you mean by 'spotty'? this age, very frequent stooling is entirely normal. as is yellow stool. and gas but I would suggest making sure baby is bottle fed this way, as it allows baby to control the feeding more and helps prevent overfeeding, something that often happens with bottles http://www.llli.org/docs/0000000000000001WAB/WAB_Tear_sheet_Toolkit/22_bfabreastfedbaby.pdf foremilk/hindmilk is how some people (erroneously, imo) explain the normal, subtle and very gradual changes in the fat and lactose content in breastmilk that occurs over the course of a nursing or pumping session. IN other words, there is not two kinds of milk, there is one. In some cases where a mom has overproduction, yes, a baby gets lots of the higher lactose foremilk and in SOME of those cases, this leads to a bit more discomfort with digestion. But this is not a health issue. And the entire idea of foremilk vs. hindmilk is almost always a non issue whether a baby is breast or bottle fed. However, if you are find that you are very full or engorged before you pump, and do not find your breasts well softened after pumping, there MAY be some issues there. But the most serious issue would not be about foremilk or hindmilk, but whether your pump and or pumping routine is effective or not. It is important both are very effective so that milk removal happens well enough to keep your milk production in good shape and also to prevent the many issues that occur if the breasts...
    1 replies | 84 view(s)
  • @llli*carla1331's Avatar
    Today, 08:09 AM
    Hey, I make sure to feed him around 6am.. i drop him off for 6:30 and i pick him up around 3:45pm.. I feel like they are just feeding him at exactly every 2 hours or at any little fuss he makes.. I did explain to them that they will know when he is hungry and not to just feed at every 2 hours... Its hard not being there!!
    6 replies | 82 view(s)
  • @llli*lalalola777's Avatar
    Today, 08:09 AM
    I;m using a Medela PIS. I've tried two different size flanges with no impact on effectiveness. I pump both sides a once. I usually pump about 10 minutes because that's as long as I can manage before I start to be too frustrated!! I haven't pumped more than maybe 3-4 times in 24 hours mostly because of how ineffective it seems. I am supplementing and always using the SNS as you said. The suggested supplement amount was increased because they wanted her to get back to birth weight more quickly. She hasn't been weighed in almost a week but last week she gained 2 oz in 3 days and that was with the formula supplementing at closer to 5 oz per day. My LC did not discuss IGT but she did ask if I had any breast changes during pregnancy. I would say they were pretty minimal. I had some soreness at times and itchiness and some increase in size but nothing dramatic. I had my first baby 6 years ago so I don't remember things super well but I don't recall having much breast change at all with her, possibly even less than this time. I don't have any hormonal issues that I'm aware of. The LC also asked how long it took me to get pregnant. With both pregnancies it took about 3 months - so no fertility issues.
    4 replies | 168 view(s)
  • @llli*tclynx's Avatar
    Today, 08:08 AM
    make sure the inlaws understand and use paced bottle feeding. If they are just pouring the bottles into him without any pauses, then it will seem like he could take a large amount and still seem hungry. That is NOT supportive of breastfeeding. Most moms find sending small bottles plus 1 oz top ups if needed works better
    6 replies | 82 view(s)
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