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  • @llli*luckyduck28's Avatar
    Today, 12:24 PM
    I'm looking for some advice regarding oversupply, lactose overload in baby and full drainage and block feeding. My lb is four months old. From very young he started to show the following symptoms: congestion; mucus explosive nappies; sleeplessness; fussing at the breast; arching; terrible wind and tummy cramps etc etc. He had a 90% tongue tie cut at five weeks old. From early on I realised I had oversupply. Milk would leak constantly and would spray out all over the place. I would go through tons of breast pads a day. Through my own research online I decided that his symptoms may be due to food allergies. I subsequently cut out dairy (told my doc about this, she agreed but didn't know much about bf, just let me get on with it) I thought I saw some improvement but not much. Over the coming months is cut out more and more foods in the constant search for what he was allergic too. Symptoms might appear to get better but then would get worse. Culminated in blood in his stool and a trip to accident and emergency. Paediatrician there told me she didn't think it was allergies as I had already cut out all major ones and more. She told me to go back on normal food too see what happened. I did that and there was no change. So through more research I finally came upon the lactose overload oversupply information. This seems to perfectly describe his symptoms and confirmed that I did have oversupply. So long story short I have decided to go down the full drainage block feeding method. I...
    1 replies | 28 view(s)
  • @llli*npahl's Avatar
    Today, 05:45 PM
    I have to start back to work in 4 weeks and I would like to start weaning my baby to formula because it's going to be too hard to pump at work. Any suggestions on how I do that? She will take a bottle if I pump. Just not sure if I should use supplement formula or just the regular that I'm going to use.
    1 replies | 20 view(s)
  • @llli*maddieb's Avatar
    Today, 06:04 PM
    Hi! There are many options to consider when a nursing mom is returning to work. So it would help to have a few more details. Do you want to keep nursing when you are home, and have caregiver give baby formula when at work? Or do you prefer to wean baby entirely from the breast, and formula feed exclusively? Is it your decision that it will be too hard to pump, or would you prefer to pump but work is not cooperating? Would you be interested in trouble shooting any anticipated issues with pumping? If you needed to for your own health and comfort, could you pump or hand express milk at work for any amount of time or frequency, even if it wasn't enough to make enough milk to leave for baby? It would also help to know how old baby is, if you seem to make more than enough or just enough or a little less than enough for baby at this point, how many times in 24 hours baby nurses, and about what the separation times each day will be once you are back at work.
    1 replies | 20 view(s)
  • @llli*maddieb's Avatar
    Today, 04:22 PM
    Hi! 7 ounces per side certainly is a lot to pump, but how long had it been since baby nursed? If a mom has a large breast storage capacity and it has been some time since baby nursed, then she is going to pump out much more milk than average. This output certainly suggests you make plenty of milk, probably more than baby needs, but whether this means you have problematic overproduction is not clear from the info provided- possible, yes, but not certain. Is baby gaining with a well above average rate? You want to be sure that reducing production is safe. Did you ever try just regular block nursing (without the "full drainage" part) and was that not effective? Now that you have already done a "full drainage" then you do not need to do it again, necessarily, correct? Now you just block nurse. The problem with the full drainage part is that fully draining the breast regularly (even once a day) -or pumping at all if baby is exclusively nursed- is that pumping tends to increase production. My understanding is that the full drainage part of FDBF is for moms who are having difficulty reducing production using just block feeding, especially when the OP is leading to serious health issues (ie- breast infections, painful plugs) for mom. A baby being uncomfortable, very gassy, and having mucousy, explosive poops- or even blood in poops- is usually not indicative of a serious health issue even if the lactose overload is the cause. This does not mean do not block nurse, if it is...
    1 replies | 28 view(s)
  • @llli*gold86en's Avatar
    Today, 04:01 PM
    I just wanted to say thanks to stw for coming back to this thread and letting us know how everything turned out! It's good to hear the dilemma was worked out! Thanks for the update!
    5 replies | 1008 view(s)
  • @llli*mommal's Avatar
    Today, 12:01 PM
    A normal nursing frequency for a young baby is anywhere between 8x per day and 10-12x, or even more, per day. The feeding pattern is unlikely to be clockwork. Sometimes the baby is going to take a long nap, so feedings may be a little more widely spaced. And sometimes the baby is going to be in cluster feeding mode, so feedings are going to be almost non-stop. The baby will nurse, and you'll put him down, and then he will want to nurse again almost immediately. When babies are taking smaller amounts, they are likely to nurse more frequently, so if the scale indicates that baby got 2 oz or less, it would be completely normal for him to want to feed 10 minutes later, or an hour later, or 2 hours later. The more often you put him to the breast, the better, because more nursing = better supply. It sounds like you got advice somewhere along the way that babies "should" have regular eat/play/sleep routines. There's a lot of this sort of stuff floating out there in the baby advice biz- it sells a ton of books because it promises a predictable life and a happy baby, though neither of those things are anything any responsible person would promise you. Am I correct? If so, I would suggest changing your mindset about what is normal and what babies actually need. Normal: feeding frequently, erratically, being hungry right after "finishing" a feeding. Normal: not being interested in play at just 8 weeks old. "Play" for an 8 week-old baby can occur at the breast- baby...
    9 replies | 230 view(s)
  • @llli*mamanoah's Avatar
    Today, 11:32 AM
    I joined LLLI because this is exactly what my little is going through (turned 16w yesterday) and I am at a loss. He was a very punctual eater -- every two hours -- and now can go 4-6 hours without eating much at all. This morning I fed him on all fours and realized I need help! I don't have suggestions but wanted you to know you are certainly not alone.
    2 replies | 134 view(s)
  • @llli*dormir41's Avatar
    Today, 07:32 AM
    Morning! It sounds like you have done a lot of work already. Kudos to you! It sounds like you are doing most of the things recommended to get baby back to the breast. What stands out to me is your comment about her wanting an instant reward. Have you tried expressing a bit of breastmilk and leaving it on your nipple when you try to latch on baby? When my little one was a newborn and wanted milk instantly, that helped to coax her to nurse. No idea if you've seen this kellymom article, but linking it in case you haven't and might find it helpful. It's written for newborns, but there are techniques in there that could work for older babies too: http://kellymom.com/ages/newborn/nb-challenges/back-to-breast/
    1 replies | 110 view(s)
  • @llli*jessie90's Avatar
    Yesterday, 10:44 PM
    Definitely makes sense! I am willing to try anything to skip supplementing! When you say nursing more frequently, with 2 oz feed, how often would you say that is. Every 2 hours? Because I can't quite get my head around the timing of it all. If we nurse for 30 mins, then playtime for 15-30 mins, there is only 1 h left for putting to sleep and actual nap (which would be around 30-40 mins then) Is that enough?!? With the pumping - if the ml consumed start to drop meaning my supply is dwindling down again, wouldn't it be extremely hard to get it back up? The stress of losing my milk is almost unbearable to me after endless nights of pumping. Also he still squashes my nipples. It's no longer painful but they do come out with a crease line across them. Is that an indicative sign that he is not nursing effectively? I don't think he does empty the breast well because there is so much more milk pumped after the feed but maybe he actually nurses fine and its normal to have that much milk left?
    9 replies | 230 view(s)
  • @llli*mommal's Avatar
    Yesterday, 09:08 PM
    This is a great question! It really speaks to the heart of the concerns of a lot of moms: how do you KNOW when you can safely skip the supplemental bottle and just nurse? Part of the reason this is a great question is that it is a tricky one. On the one hand, if the baby is able to transfer milk well, then you can just put him back on the breast and trust that if he wants to eat, he will find a way to get milk out because even a breast that feels empty still has milk in it. But if you have a baby who has difficulty transferring milk, putting him back on the breast may mean a lot of effort for little gain. I think the way to sort this dilemma out is with time, and the scale. You have a healthy, growing baby, right? That means you have time to play with your baby's feeding pattern, because it's not like he's a scrawny baby who is in danger of failing to thrive. He can withstand a couple of days of you trying something new, even if it means his intake is a bit lower than ideal for that couple of days. So if this were my baby, I would try to skip the supplement any time the scale indicated that the baby got 60-70 ml at the breast. This may mean that he will want to nurse again very soon after he last nursed, and that's fine- unless it makes you too sore, in which case you might want to take a break, and give him a small bottle while you pump. But that's just one approach! You could also give very small supplemental bottles after he nurses- let's say 30-50 ml....
    9 replies | 230 view(s)
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