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  • @llli*lllkaren's Avatar
    Today, 08:49 AM
    My primary source for complementary feeding info is the World Health Organization's Infant and young child feeding: Model Chapter for textbooks for medical students and allied health professionals, pages 19–28. It recommends starting to offer animal-source foods like meat, fish, and poultry at 6 months, along with other iron-fortified foods ("Average iron intakes in infants in industrialized countries would fall well short of recommended intake if iron-fortified products were not widely available"). My suggestion would be to talk to your baby's doctor about whether iron or other vitamin/mineral supplements would be warranted at this point. I agree with mommal and maddieb -- unless your baby is not gaining enough weight, there's really no reason to start giving her formula. A vitamin/mineral supplement would do just as well at filling any nutritional gaps but without replacing breast milk, which has a lot of important components that aren't found in formula.
    14 replies | 514 view(s)
  • @llli*kmrs's Avatar
    Today, 08:10 AM
    I wanted to update for rogi2430. Supply is fine! It definitely picked up as time went on. I know they say its not related, but I wonder if it was stress and lack of sleep, plus I was sick the week before. I work 7.5 hrs a day 5 days a week and have almost an hour drive so I pump 3 times while at work. I try to do 20 mins 3 hours after he last ate, 20 mins over lunch (usually about 3 hrs from prior), and then a quick 10 min pump 2 hrs later. Then I feed him when I get home about 2 hrs after. I nurse him as much as possible in the evenings and I think that has not only made a sufficient supply, but more than enough. Ive thought aboit cutting the last pump session but it makes it so I have enough for an extra bottle the next day in case I get help up at work or stuck in traffic. Then I always have an extra to freeze when its not needed the day before. Have you started back at work? I hope everything goes well for you. Its so tough and I feel for you, but it only took about 2 weeks for us to get adjusted. I know everything here is different for every person but I hope some of this helps you.
    5 replies | 231 view(s)
  • @llli*mobaby's Avatar
    Today, 07:56 AM
    Thank you for your detailed response!! Very helpful. I'm replying but probably not in order because I'm on my phone so typing from memory :) - pumping to establish supply is NO JOKE!! Getting my supply has been a "goal" since with my first son it tanked due to latch and palate issues and no matter what we tried (and worked closely with ibclc) it just keep tanking so I've been determined. He was undiagnosed until 10-12 weeks despite several lactation appts. Hoping this work continues. I'd like to make it to a min of 6 months but a year would be optimal. -I just mentioned to hubs this morning we should do the expressed milk BEFORE nursing because I feel like he cries sometimes after because baby is used to finishing with a bottle. If we can reverse the cycle he may not cry after. And maybe reducing to 15 mL before nursing and see if he's satisfied. -I would like to nurse more frequently as he is still feeding 9-10 times and getting the expressed milk but if we can nurse for more sessions I can ditch this pump (for the most part- I go back to work In 8.5 weeks :() and have some time to do other things and be able to nurse on the go. I would be fine nursing him all day long and pumping a few times per day, for work stash (although I have 5-7 days stored already) and to ensure I'm drained. -I was able to successfully nurse 2 sessions yesterday without any expressed milk following. Yay! -it's good to know my supply shouldn't tank if I keep nursing him on demand and not...
    2 replies | 169 view(s)
  • @llli*lraquel's Avatar
    Today, 07:50 AM
    Hi all, I need some advice about my breastfeeding. My baby girl is 9 months old today. She was EBF until 6 months (I pumped when I was at work, and BF directly when I was at home). and then she started solids with a passion! She loves everything. Her favorites are yogurt, avocado and bread. From 6 to 9 mo. I was BF 4x per day (7am, 12pm, 4pm and 7pm). The first 6 months she gain weight steadily and was >80% at every visit. Here's my concern/dilemma. For the last few days she's on an nursing strike. She's been teething (top 4 teeth all at once!) and last week she bit me a couple of times and after that I stopped the BF session. But the next feeding she wouldn't want any. And now she cries when I offer my breast! :cry I decided to pump until she wants to get back to BF, but it's been so sad to see my milk output! I pump between 10-15 oz TOTAL everyday! I know her BF sessions have been decreasing on time steadily since around 6 months. She used to nurse for 30 minutes, 15 minutes each side and lately sometimes she takes each side for 5 minutes and she's done. So I'm not surprised my output has decreased. But now I'm worried I have been undernourishing her. I haven't supplemented at all with formula. So, here's my question: If I keep on pumping I think I can increase my supply to what it used to be (I used to pump 4-5 oz per session 3x day some months ago) or
    0 replies | 48 view(s)
  • @llli*mommal's Avatar
    Today, 05:49 AM
    :ita I think it's really instructive to try to get into the head of a newborn baby. A newborn is born with the instinct to latch onto things that look and smell a certain way. That is pretty much all he knows. He needs time to figure out that the hungry feeling in his tummy can be soothed by the act of latching on and feeding, and that it works the same way every time. Some babies do get a bit distracted by their hands, or will use their hands to lever themselves off the breast- they have no idea that pushing away from the breast or trying to suck on a knuckle is counterproductive to the goal of fixing that hungry feeling inside, or that it's driving mom a bit bonkers! MaddieB suggested the "hug the breast" position for his hands. If that seems helpful but doesn't always work because little hands can go flying everywhere, it might help to try swaddling baby before you feed him- who knows, maybe that will help him focus a bit better.
    2 replies | 140 view(s)
  • @llli*mommal's Avatar
    Today, 05:34 AM
    :ita with MaddieB. I would encourage you to do just one additional thing: try to get a video of the wheezing/coughing/choking to show to the LC and the pediatrician, if neither of those people has seen one of these episodes themselves. As MaddieB said, most of the time wheezing and coughing and appearing to choke is a result of fast milk flow. That was certainly the case with my second baby, who often made noises like a creaky screen door or gagged and coughed all the time when the flow was too fast for her. But occasionally there is something else going on, and it's a good idea to share that with your healthcare professionals.
    2 replies | 104 view(s)
  • @llli*mommal's Avatar
    Today, 05:30 AM
    Do you want to give us the rundown on your situation, and on what you have tried to increase supply? Maybe we can help. :)
    4 replies | 197 view(s)
  • @llli*n.lea's Avatar
    Today, 01:43 AM
    I had a similar problem, but only on one side. My nipple didn't become erect easily and when it did it was overall larger than the other one but oddly shaped and I think it was too large for my baby to get a good latch on it, which led to pain and both of us favoring the "good" side, which lead to uneven supply. It was a very trying first month is what I'm getting at. I nearly gave up several times, there were many tears. Honestly, what got us through it was sheer stubbornness on my part and my son's mouth growing to better fit the nipple on his part. Plus both of us working on getting a good latch. It was a learning experience for us both. I want to say that it WILL get better. I know I didn't believe the people that said things like that in the forums I lurked in trying to find answers, but it's honestly true. I did also pump to help bring out the nipple, which did helped a little, but I found too much to bother with. I did find that pinching the nipple helped bring it up a little, but that might not work for you. What honestly worked the most for the both of us was changing the position we nursed in. I had started with the standard cross hold, which worked wonderfully for the "normal" side but was hell on both of us on the flat side. We found that the football hold worked miracles for us. He got a better latch coming at the nipple from that angle and it therefore hurt less while he nursed. After a good few weeks of him getting a solid latch I found that the...
    3 replies | 197 view(s)
  • @llli*n.lea's Avatar
    Today, 01:01 AM
    We went through this with our son not that long ago ourselves. He's 9 weeks now, but he started having major problems passing gas, usually in the mornings, around the 1 month mark as well. We found that using a gentle "bicycling" motion on his legs helped him pass wind, better than massages did. It also helped to bring both his knees into his chest (like he's squatting, but still lying on his back). Every baby is different of course, what works for one won't necessarily work for another, but hopefully you find something that helps. I also found that he seemed to pass gas more calmly when he was nursing. He'd still make sounds, but they were less strained sounding. Frequent burping while nursing also seemed to lessen the instances of bad gas. I would burp not only at the end of the feed, but half way through as well. I hope some of these tips help bring comfort to your LO. And as the previous posters said, it's completely normal at this stage and it's nothing to do with your diet. It's just hard to be a baby sometimes.
    3 replies | 314 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 10:53 PM
    Wow, that is a lot to be dealing with when your baby is 2 weeks old, I understand why you would be worried. Let's take the concerns one at a time. Baby wheezing and choking- the most common reason for this is that the milk is flowing too quickly for baby to handle the flow. So then the question becomes, why can't baby handle the flow? Is it because the flow is really just super fast or forceful (sometimes it is) or is it because baby has some nursing/feeding issues that are interfering with baby's ability to coordinate suck and swallow? Now, that is the most common breastfeeding related reason. I imagine there might be other, health related reasons a baby would cough or choke, that may be entirely unrelated to feeding. That is something you would need to talk to your pediatrician about. So, how to help if my first guess is correct? First with supplements: I would suggest do not use bottles to supplement a 2 week old. Try a syringe instead, gently easing a tiny amount of milk into baby's cheek, a little at a time. Wait for baby to swallow then do a little more. You can also try using an open cup, which believe it or not, when done correctly is probably less likely to cause choking than a bottle. If you do use bottles, you want to help baby control the flow so baby does not get more than baby can handle at once. You do this with how you position the bottle, in a way that only a small amount of milk is coming into the nipple at a time. This is also called paced...
    2 replies | 104 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 08:27 PM
    I think that baby having a latch issue that went unnoticed due to you having OP so baby gained normally at first is more likely than baby not nursing enough to gain normally only due to baby being distracted. But even so, it seems odd weight gain rate dropped so dramatically. Did you block feed or doing anything else to actively reduce milk production? As far as how long it will take to regain production, that is not something anyone can answer. Usually production can be increased, sometimes significantly, but I am not sure it will ever again be as high as the early weeks, as it is normal for production to reduce a bit from that. Also no telling how long it might take. Also I am not sure the issue is your production, really, rather than baby being unable to transfer milk normally? But if you even think production is playing a part, it certainly makes sense to try to increase production now. This kellymom article is probably the best online source of info for increasing milk production: http://kellymom.com/hot-topics/low-supply/ Also if baby needs a faster flow to stay interested, have you tried breast compressions? http://www.breastfeedinginc.ca/content.php?pagename=doc-BC iirc Newman has written more about milk flow and how a slow flow can cause a baby to lose interest in nursing, or something like that. I am not sure it is online, it might be in his book. Well if baby is taking in 1-4 ounces at a nursing session, that would seem to indicate normal or...
    3 replies | 155 view(s)
  • @llli*ramatae's Avatar
    Yesterday, 06:57 PM
    He became much more alert and was often distracted around that mark. My 4yo daughter was home from school starting at 8 weeks, which I think may have also contributed somewhat. However, I now think that in the beginning I had oversupply, and this all may be a latch issue all along (not transferring enough milk over time and now my supply is regulating down). Is this a likely possibility? If so, how long will it take to regain supply? He was never ill. He’s always been somewhat fussy. During the day, baby doesn't want to nurse until he's ready to nap. Even so, I was and am still feeding him frequently (more than ten times and I dream feed him during naps to ensure he gets as much as possible). Sometimes during the day when he cues, I try to feed him and he pushes away, so I try again 30 minutes or so later. I would say his appetite seems to be poor during the day. I know it's unorthodox. When I go to our BF support group my baby is so distracted he never gets in a full feed. That's when we initially found out that he wasn't transferring much milk after a let down (I would manage to keep him interested for about five minutes, but after that he was much more interested in jabbering with other babies). At home, however, I was able to do checks pre and post feeding. I did this after we found out he hadn't gained in two weeks. During the day he takes anywhere from 1 ounce to 4 ounces during a feeding session. The larger amounts are from when he dream...
    3 replies | 155 view(s)
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