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  • @llli*mommal's Avatar
    Today, 07:01 AM
    Welcome to the forum! So, when baby unlatches, do you ever see the tip of the nipple blanch (turn pale)? What does the nipple look like- is it symmetrical, like a pencil eraser, or asymmetrical/wedged/creased/shaped like a new lipstick? It sounds like you are actually doing VERY well, considering that you have a very new, very young baby and have been struggling with a tie, with a small mouth, and with mastitis. Often if you just wait, you get to a point where the baby is bigger and better at nursing and then the pain stops. Hang in there!
    1 replies | 78 view(s)
  • @llli*mommal's Avatar
    Today, 06:55 AM
    How are things going now, mama? Sorry I didn't respond earlier- things were kind of bonkers in my life for a while. :eye
    3 replies | 159 view(s)
  • @llli*mommal's Avatar
    Today, 06:54 AM
    Hey mama, looks like we missed your post. How are things going now?
    1 replies | 180 view(s)
  • @llli*mommal's Avatar
    Today, 06:52 AM
    Welcome to the forum! How did the weight check go? And how's your sanity? :) I'm hoping that the weight check was great and that everything is fine at this point, but I suspect that it isn't because the advice the LC gave you seems pretty dodgy to me. There is nothing wrong with a baby being a "snacker". It is 100% normal for a breastfed baby to feed frequently, and for short periods. Your baby's feeding frequency seems to have been on the very high end of normal, and that's something to keep an eye on but not, IMO, to try to change. I'm also concerned that you were given a shield. A shield is a great tool for a baby who is difficult to latch, and can sometimes be useful for a mom with sore nipples. But it is not a great tool for a baby who can latch, and a mom with sore nipples should probably try some other things, like different positions, before resorting to a shield. Also, shields can slow milk transfer to the baby, leading to longer feedings, less milk intake, and lower supply. A baby who is screaming after every feeding is certainly concerning. But I would not suspect reflux at this point. Instead, I would be more concerned about the baby's milk intake and breastfeeding in general. If you get your breastfeeding relationship shorted, and baby is gaining well from nursing alone, no shield, no bottled supplements, and baby is still screaming after feeds, then it's time to think about reflux.
    1 replies | 77 view(s)
  • @llli*mommal's Avatar
    Today, 06:39 AM
    Welcome to the forum! Nipple confusion isn't something that always happens. If your baby will latch onto the breast, latch him on as much as possible ASAP! It's fine if he is "only" nursing for comfort. The more he associates the breast with comfort and relaxation, the more likely he is to continue to latch on and to someday transition to exclusive breastfeeding. I would definitely try an at-the-breast supplementing system. It seems like your baby is a good candidate for using one. I would also aim to make bottlefeeding as much like breastfeeding as possible. So, when it is time to feed the baby, open your shirt and cuddle him close to your bare breasts. Make sure you pause the feeding from time to time, so that baby gets used to the natural ebb-and-flow rhthyms of milk flow from the breast. Switch the baby from one side to the other over the course of the feeding, as you would switch him from breast to breast. Keep the amount of formula or expressed milk in the bottle small- 2-4 oz is sufficient for a 3 week old baby, and smaller bottles and more frequent feedings are better (if less convenient). What sort of pump are you using, and how often are you able to pump?
    1 replies | 100 view(s)
  • @llli*mommal's Avatar
    Today, 06:31 AM
    Welcome to the forum! Until 12 months, you're supposed to supplement with formula if you don't have enough breastmilk. If baby is only nursing 2-3x per day, and is only getting 1 oz of expressed milk, my feeling is that a bottle of formula is probably something you want to throw into the mix. It's the closest thing to breastmilk that you can feed your baby, and therefore what you want to supplement with for the time being. Once baby hits 12 months, you can give him whole cow's milk or goat's milk or other whole-milk dairy products (yogurt, cheese, kefir), or a carefully selected menu of non-dairy solids and beverages. If you choose not to use animal milk, you should talk to your child's doctor. Coconut and almond milk are not acceptable replacements for breastmilk or dairy products in a child's diet- they don't have the right mix of fats/protein/carbohydrate/calcium. It's often said that nursing just 3-5x per day is sufficient to meet a child's needs for "dairy". If you increase your nursing frequency, you can avoid the question of what to give your baby instead of your milk. What do you think, mama?
    1 replies | 10 view(s)
  • @llli*mommal's Avatar
    Today, 06:21 AM
    :ita Or just do it. You don't need the doctor's go-ahead to nurse your baby. You can feed her formula- or expressed milk!- by bottle, and then latch her onto the breast. Baby has been fully fed by bottle, so there's no harm in having her also nurse afterwards. Any additional milk she gets will help her flush out the jaundice. Are you making sure to give baby plenty of direct sun exposure? UV light is a great way to break down bilirubin. A sunny window is good, but outside in direct sun, with as much skin uncovered as is possible given the weather, is better!
    3 replies | 66 view(s)
  • @llli*mommal's Avatar
    Today, 06:16 AM
    Welcome to the forum and congratulations on the new baby and on making it 9 weeks of exclusive pumping! That's a real achievement! Given that you feel constantly full and in pain, have recently had mastitis, and feel like you have clogged ducts, you probably do not want to be decreasing the number of times you pump right now. The best way to deal with fullness, clogs, and mastitis is to remove milk from the breast more frequently, not less. But instead of pumping for 20 minutes per pump, try making some of your sessions brief, maybe 5-10 minutes, hand-express rather than pumping if you can, and don't try to fully empty the breast. You're aiming to keep milk flowing and keep yourself comfortable, not empty yourself out and boost production even higher. How much milk are you pumping per day? If you can give us a sense of that, maybe we can help you figure out how to throttle back on supply and on pumping. I know that pumping sucks. 20 minutes spent on pumping, every 3 hours, means you are spending around 3 hours per day on pumping!!!! But now is probably not the time to decrease the number of pump sessions. Maybe in the future, when you have managed to get the clogs and oversupply sorted out, then you can work on decreasing to fewer pump sessions. But please keep in mind that while some EP moms can get down to just 4-5 pumps a day and still have enough milk for their babies, most EP moms need to pump more often in order to get enough milk and stay...
    1 replies | 28 view(s)
  • @llli*vlynnw's Avatar
    Today, 05:26 AM
    My 11 month old (he'll be one in 2 weeks, which is sad for me), is partially weaning himself. I own my own business and my work days are busy leaving me little opportunity to pump these days. I'm lucky if I pump once during the day, I'm only getting maybe an oz when I pump. I'm a lazy pumper I'm just so sick of being hooked up to it. When we started this journey I was an over producer, and so I would only pump 1-2 times a day and get a full days worth of milk. Now my boobs are tiny and I feel like there's nothing left in them even though I know baby is drinking from me. Baby nurses 2-3 times a day. He refuses to nurse if we're out and about as he's too busy. I'm letting him decide when we are done. But here's my question. Since I am not producing a stash any longer to continue breastmilk while we are apart do I start giving him cows milk? I'll be honest I'm not a fan of dairy and really don't want to do that. LO is not a picky eater so I feel he gets plenty of nutrition and good fats in his diet. What about coconut or almond milk? Or because he is still nursing 2-3 times a day and he does have a good diet do I not worry about it at all and only give him water during the day when he's at daycare or we're out? Hopefully I'm posting this in the right spot, any advice is much appreciated. I'm kind of lost with what our next step should be with my once over supply now being very under and inadequate.
    1 replies | 10 view(s)
  • @llli*cccd's Avatar
    Today, 05:23 AM
    Hi, with my first child, we were admitted to the hospital with severe jaundice at 5 days old. They did not want me to supplement with formula but they wanted me to exclusivly pump to see how much milk I was making. Needless to say, 48 hours later we had nipple confusion and baby wouldn't latch. I was pissed off and exhausted. We got past it and nursing resumed as normal. With my second child, they wanted me to give formula, which I did, but with hospital drs permission, I still had baby latch after each bottle feeding. So he was mainly fed first. This completely solved the problem of nipple confusion and we got back to breast feeding right away. I know it's Saturday, but maybe you can contact your Dr with that idea.
    3 replies | 66 view(s)
  • @llli*babyk14's Avatar
    Yesterday, 08:28 PM
    My Lo is 9 weeks old. She was born 6 1/2 weeks early and stayed in the NICU for two weeks. In combination of being in the hospital and having a hard time latching I was unable to breastfeed, however since the day she was born I have been pumping. My supply has never been an issue, and I think might actually be an oversupply. I was pumping every 3 hours for about 20 minutes. However I am trying to reduce that. I honestly don't know if 20 minutes is sufficient or overkill. I am constantly in pain with both of my breasts, they never feel empty and constantly feel like I have clogged ducts. Recently I had a case of mastitis in my left breast. Ouch! I am trying to reduce the amount of times I pump in a day and honestly just trying to reduce the constant pain I am in. Any suggestions on how I go about reducing the number of times I pump, and helping to make my breasts feel better without the hard rocks in them?
    1 replies | 28 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 03:59 PM
    Many babies for legitimate reasons really cannot nurse in the first few weeks, and while yes this may mean baby refuses to latch at first, baby can almost always be brought to the breast (or back to the breast) with patience and persistence. Your child has a deep biological and instinctual need to nurse, and keying into that is the key if baby really does refuse to nurse- and baby may not refuse at all. That said, has your doctor explained to you why you may not nurse your child at all, rather than simply supplementing additional formula (or your pumped milk) over and above nursing if that is needed? Have they provided you with the studies or protocols that show that withholding the breast is in any way needed as a treatment for slow gain or jaundice? I am pretty sure this not a typical protocol. I think your doctor's advice is possibly incorrect or at least, needlessly potentially harmful, and you should get a second medical opinion? I am linking the protocol from the academy of breastfeeding medicine which I have not read lately: http://www.bfmed.org/Media/Files/Protocols/Protocol%2022%20Jaundice.pdf This is written by doctors for doctors. It also would make sense to see a board certified LC (IBCLC) if you can, to make sure there is no issues with your baby's ability to transfer milk normally. Of course an LC can also help you if baby is refusing to nurse. Now, as to what to do if you indeed do need to continue to formula feed and not nurse through weekend,...
    3 replies | 66 view(s)
  • @llli*southernbelle0412's Avatar
    Yesterday, 12:16 PM
    HI! My baby is a week and a half old. At her 1 week checkup, the doctor was concerned about weight gain and jaundice. We had her levels checked, and they were high, so I was instructed to stop breastfeeding and bottle feed her with formula until the levels were stabilized. Today, the jaundice levels had gone down and her weight is up, but the doctor insists on continuing the bottle feeding until Monday for another recheck. I am beside myself. I am doing what he is saying is best for her, but I want to nurse her. I've been pumping 8-9 times a day to keep my supply. However, I am worried to death that if I can proceed with breastfeeding on Monday, that she will no longer want to latch and feed from the breast. I'm sure I'm a hormonal wreck right now, but am I worrying too much? How hard is it to relatch a newborn after interrupting the breastfeeding this early? I've heard that nipple confusion is a huge issue especially when it's this early! It will be almost a week of bottle feeding when I can go back to breastfeeding her. Help!!!! Thank you!!
    3 replies | 66 view(s)
  • @llli*mommal's Avatar
    Yesterday, 11:57 AM
    Welcome to the forum and congratulations on the new baby! Supplementation is NOT usually needed for breastfed babies. If it were, how would the human species have survived all those millennia until the first safe formulas were developed, which only happened about 120 years ago? :) The doctor's advice was pretty dodgy. When it comes to weight gain, we are looking for a baby to be back to birth weight by 2 weeks of age. Your baby has met that standard. In addition, you aren't sore or bleeding any more, you feel like baby has no difficulty in latching, and baby's poops and pees are normal. That all suggests that breastfeeding is going fine at this point, and all you need to do is to nurse baby when she cues, to nurse her when your body cues you to nurse (like when you feel like it would be convenient to have baby nurse, or when you feel the need for a cuddle or would like to put your feet up), to continue to watch her diaper output, and to make sure she nurses at least 8x per day (10-12 nursing sessions would be more typical for a baby this age). If you are still doubting yourself, see a lactation consultant, preferably one who is an IBCLC, for an in-person evaluation of breastfeeding. If your pediatrician thought something was wrong, a trip to the IBCLC is what should have been suggested instead of formula! Also, the doctor's suggestion- a bottle of formula after every nursing session- is not only bad breastfeeding advice, it's bad supplementing advice. If...
    1 replies | 97 view(s)
  • @llli*elphaba's Avatar
    October 20th, 2016, 08:42 PM
    At my baby's first appointment she was 2 wks and 3 days old and weighed in a little over her birth weight (but just 1/2 oz higher) and the doctor said I should start giving her a bottle of formula or expressed breastmilk at each feeding?? I was planning to exclusively breastfeed because it's what I'm comfortable doing to bond with my baby, the first week and a half was tough: my nipples were bleeding and dry, but she had no issues latching on and ducking and then eventually it stopped hurting... the only time my baby seems unhappy and unsatisfied with feeding is between 4 am 9am she gets frustrated and pulls on my nipple unlatching and I usually switch back and forth between my breast... but other than that she poops and pees normal.. I try to change her as soon as her diaper gets dirty so she goes through about 6-8/ day... is supplementation usually needed for breastfed babies? I'm new to this and was hoping I wouldn't have to use any bottles, but now the doctor has me doubting myself.
    1 replies | 97 view(s)
  • @llli*mommal's Avatar
    October 20th, 2016, 08:21 PM
    No, 12 oz is not overfeeding him. Until a year, breastmilk should be the baby's majority source of nutrition, and after 12 months you still want it to make up a lot of his nutrition. Healthiest thing he can ever eat, right? I think leaving 12 oz when you only pump 9 makes perfect sense when you consider that the pump typically does not empty the feast as well as the baby does. That is, baby may take 12 oz when he nurses but pumoing instead of nursing might yield a lesser amount.
    18 replies | 954 view(s)
  • @llli*mommal's Avatar
    October 20th, 2016, 08:18 PM
    Sounds completely normal to me! :)
    20 replies | 1145 view(s)
  • @llli*mommal's Avatar
    October 20th, 2016, 08:17 PM
    Keep watching the diapers very carefully, but don't worry about a single green diaper. Most likely it's a normal variation. But if you see a bunch of green diapers in a row, it may be time to reassess. Hang in there! You are doing an awesome job and we all know how hard you're working!
    10 replies | 387 view(s)
  • @llli*mommal's Avatar
    October 20th, 2016, 08:15 PM
    Welcome to the forum! So interesting to hear that you have had the same issue with the "stones"- it makes me wonder if they are more common than we think? Anyway, thrush as a root cause for the stones makes perfect hypothetical sense. Yeast would cause inflammation and might even provide some sort of physical structure which would then calcify...
    19 replies | 2284 view(s)
  • @llli*livingtemple's Avatar
    October 20th, 2016, 01:12 PM
    @llli*mommal, thanks. Is there any way to know if the 12oz is technically overfeeding him? I guess I'm wondering because since my body is so tuned in to him at this point, I'm wondering if the reason I "only" pump 9 is because that's what he typically takes, and therefore that's what I should leave for him. Thoughts?
    18 replies | 954 view(s)
  • @llli*cwallace's Avatar
    October 20th, 2016, 12:03 PM
    Hello When my baby girl was 6 days old we had our first LC visit. At the time I felt that I was breastfeeding her ever 20-30mins and only for 5-10min long sessions. The good news is that baby hadnt lost weight but gained an ounce. The recommendation was that baby was a "snacker", and that we should mix up her feeding schedule to give me more of a break, and feed every 2-3 hrs. The recommendation was to use nipple shields (since I have "half" nipples), feed her for 15mins each breast, then pump the remaining for 15mins and feed it to her through bottle at the next feeding (therefore baby would get 15mins each breast and a bottle with ~1oz at every feeding). After a majorly stressful afternoon, we got baby onto the 2-3hr schedule... in fact I would have to wake her up every 3hrs to feed her. This lasted pretty well until day 10 (although I did not enjoy the 1hour long feeding sessions). By day 10, baby would be screaming after each feeding, to the point where I couldnt put her down to pump. After two days of her screaming in pain after each feeding, I looked online and it seems that baby has reflux... is this common for a baby so young? I am assuming that its from putting too much milk into her, along with possible air from the bottle. When baby is calm, she seems to be gasping and guggling and just very uncomfortable. I may seem calm in this post but I am at my wits ends because we have had to change so much over the past week and nothing seems to be making baby...
    1 replies | 77 view(s)
  • @llli*lovefitness84's Avatar
    October 20th, 2016, 11:12 AM
    Yeah, he wanted me to do it ASAP, but sure by the procedure date :-/ Ok, thank you for the advise. I may try Dr. Gordon's nightweaning method.
    2 replies | 96 view(s)
  • @llli*hawkeye-mom's Avatar
    October 20th, 2016, 11:08 AM
    My little guy had his shots on Tuesday and he was sleepier than normal, which I wasn't concerned with. Yesterday, it took him 5 hours before he finally nursed and that was with many rejected offers (cried on either side). I tried feeding with a syringe and tried giving Tylenol for pain. He finally nursed and of course spit up because he always does. He nursed enough to relieve fullness, but not to empty, like he did last week and before. He nursed on one side for 4 to 5 minutes, every 3 hours during the day. He used to nurse a bit longer (7 to 10 minutes) up until Monday (we were traveling and I don't think he likes nursing in the car). During the night, he did have a couple 5 minute sessions, but then two 1 minute ones, where he popped of at my letdown. I had to pump in the middle of the night cuz of that. This morning, he immediately starts to cry if I try to nurse him on the right side and he's only nursed on the left. I pumped the right a but ago became refuses it. I'm offering a lot and when I'm not, he's kicking and smiling. I just want to know if this is normal behavior or even if it's his normal. He's always been quick and only nursed on one side. I just need some reassurance that it's fine and he'll go back to nursing a bit more or something.
    20 replies | 1145 view(s)
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