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  • @llli*canadianemily's Avatar
    Yesterday, 01:29 PM
    Hi all. My LO is almost 26 months now, but at about 18 months or so, right before I got my period back, I had a blood panel run to check for thyroid issues but all it found was a low blood count. My doctor told me to take iron and B12 supplements. Now I'm having other health issues and am worried that was a sign of internal bleeding from a cancer or something (I have hydronephrosis with yet unknown cause, but nothing of concern yet on ultrasound and non contrast CT).. I know I was very anemic right after birth, but my levels went back up so quickly on supplements that my doctor had to call to tell me to stop taking them. I have had this issue on and off my whole life, but that's common with menstruation. I feel very stupid for not mentioning at the time that I didn't have my period back. When I asked her to recheck my levels, I had just started my period again and she knew this and said, well, since you just started it you're probably fine since that's what normally causes it. Again, stupidly, I didn't ask why it was low in the first place then. I'm hoping it's just a B12 issue, as I think I generally have that low as well. I do eat red meat so should not have a problem getting adequate iron. Just wanted to know if anyone else ever had low iron more than a year after birth but before your period came back.
    3 replies | 50 view(s)
  • @llli*asingleton5's Avatar
    Yesterday, 10:03 AM
    Just wondered what some people think about how much I am pumping if it seems like a good amount to keep doing with what babies eating while im away. My LOs bottle feedings seem to vary! She usually seems to eat on average 8-10oz give or take a little at daycare. Usually more with my husband for some reason (as much as 16 one day, but average maybe 12 with him) & I am away usually 11 hours? But she will eat like 1.5oz then a couple hours later maybe 3, then a few later maybe 4, then say another couple hours or a few another 1-1.5. Sometimes the amounts more consistent just varies. With my husband it is usually 3-4 oz a feeding! Her amounts have increased tho, she was beginning off only eating 1-1.5 ounces every idk 2-3 hours? When i first went back to work. She feeds off one breast when I BF her. (Also spreading out her feedings with me when I am off- Was feeding every 1-1.5 hours for a long time, now its every 2-3 more so). Here is how im roughly pumping: 7 or 730am- 4-6 oz depending when I last fed her! 1030 (Most days unless super busy)- 4 oz 1230 (lunch)- 4oz 330ish- 4 oz.
    1 replies | 49 view(s)
  • @llli*jstan's Avatar
    Yesterday, 07:06 PM
    Thank you so much for explaining this. Actually I can feel multiple letdowns during a feeding. Sometimes even before a feeding or while taking shower. I must have misunderstood, I thought baby has to keep getting letdowns to get more milk, especially the hindmilk. In which case it is likely to be my baby's impatience with the slow flow. Also perhaps as the breastmilk increases and the formula milk in the SNS bottle decreases, I think I should be careful to make sure baby gets as much breastmilk as possible before he gets the formula milk. Again, thank you for your reply. It is very helpful.
    4 replies | 121 view(s)
  • @llli*mommal's Avatar
    Yesterday, 06:25 PM
    Despite a rough history, it sounds like you're a breastfeeding pro! At this point, I think the problem is a very normal one, which is lopsidedness. Most moms have some degree of differing production between breasts, and sometimes it can become extreme, especially after a bout of mastitis or when baby has a strong preference for one side. The best way to fix this issue is to continue to give the underproducing breast more frequent stimulation and milk removal. The more often and more completely you can get that breast emptied out, the more milk it will make. So nurse more and pump more on that side. Do be aware, though, that it may not be possible to even out this difference, especially if the baby is unwilling to nurse well on that side.
    1 replies | 102 view(s)
  • @llli*mommal's Avatar
    Yesterday, 06:00 PM
    It's not "really, really weird" for women to have low iron, but it's unusual enough in a woman who eats red meat that I think it's worth some more conversations with your doctor about supplements and follow-up testing.
    3 replies | 50 view(s)
  • @llli*mommal's Avatar
    Yesterday, 05:56 PM
    That's awesome! My kids also started eating a lot at around 14-15 months. Makes me wonder if that is the actual magic age for enjoying solids... Though I am sure it's not!
    20 replies | 1341 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 05:32 PM
    It is normal for bottle intake to vary. So that is fine. Assuming your baby nurses overnight, the rule of thumb is baby will drink about 1 to 1.5 ounces per hour of separation. This is based on the idea that the average total intake is 25-35 ounces per 24 hour day. So if you are separated from baby 11 hours, typical intake should be between 11 ounces and 16.5 ounces. But of course some babies will not need that much, and some might take more. What you want to watch out for is numbers consistently way above or way below this rule of thumb average. It is generally best if bottles are small and more frequent as opposed to large and less frequent. Between one and four ounces is fine, but 4 ounces as a rule might be too much.
    1 replies | 49 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 05:10 PM
    You can increase production at any point- theoretically. First, trouble shoot your pump and maybe change when you pump. Assuming your baby is nursing fairly frequently and you are pumping on top of that, milk removal is probably often enough. So galactagogues might be something you want to look into. Kellymom.com has reliable info, but somewhat limited.
    1 replies | 167 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 05:03 PM
    If your 2 year old has a regular nap, then nap then if at all possible. I personally found lying down and sleeping with baby when his older brother napped a must for me. No it did not work every day but often enough. Otherwise, are you concerned baby is not sleeping enough? Infants generally sleep as much as they need to, and that is going to vary. I would suggest put baby in the wrap (maybe try another one if this one seems to not be comfortable for baby) and do whatever you were otherwise going to do and your baby will sleep as much as he needs. Or you can try sitting down and nursing baby while you read to or play a quiet game with your 2 year old. Also my kids never liked wraps that covered their heads. As needed for the design of the sling or wrap, I pulled the fabric up enough to support baby's neck and head, but they hated having anything higher than that. So your baby wakes up at 5:45 in the morning and will not nurse back to sleep? I was also "blessed" with early rising children. My first two. How I handled it varied. My favorite method was to have husband take baby and get up and make breakfast or whatever so I could get a lie in. This was a fair tradeoff since with me sleeping beside and nursing the baby all night husband got plenty of sleep- despite being in the same bed with us husband eventually stopped waking at all when baby stirred. Sometimes baby would end up back with me and then nurse to sleep again. Sometimes I was able to stay in bed...
    3 replies | 132 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 04:41 PM
    OK I get what you are saying, but I think it is just way more complicated than that. Let downs can occur with no physical stimulation. That is what happens when a mom leaks. Let down is a hormonal event that is triggered by many things. And all you need is one letdown per feeding generally speaking. The milk starts flowing, and baby gets whatever is there. If it is not much (say mom has a smaller breast storage capacity) than maybe that baby will need to nurse more often than another. I am not saying that more letdowns is not helpful in baby getting more milk at a feeding, I am just saying that in the normal course of things multiple letdowns per feeding is not a concern. Baby needs to be nursing well enough to transfer milk normally, which is not really the same thing as triggering more letdowns, if that makes sense. Great breast compressions are helping! That is a good idea. If you think baby is frustrated with a slow letdown, have you tried a little hand expression prior to nursing? Also fennel is an herb that supposedly helps with slow letdown. Sorry that is all I know about that, you will have to find a reliable source for dose advice.
    4 replies | 121 view(s)
  • @llli*canadianemily's Avatar
    Yesterday, 03:46 PM
    I'm not sure if my levels are still low. They were never retested. I guess that would be step 1, but I've responded to treatment for it in the past. I'm mostly just wondering if it's really, really weird and rare for nursing moms of toddlers to have low iron before they get their period back. I know breastmilk is not supposed to really take much iron. I am concerned about a colon or ovarian cancer that may be bleeding or otherwise causing anemia (don't think my levels were so low to be considered anemic she never requested follow up tests). My CT didn't show evidence of this, though it wasn't specifically to check for those things. But they were looking for anything that might be obstructing my urinary tract, either within it or outside of it. Guess I'll have to bring it up to my doctor, though she'll think I'm nuts bringing up something from that long ago.
    3 replies | 50 view(s)
  • @llli*carm3's Avatar
    Yesterday, 03:25 PM
    Are your levels still low? I'm a little confused on that point. If they are, could you ask your doctor about pernicious anemia? Sometimes people can't properly absorb B12 orally, so all the supplements in the world won't bring your levels back up. It might be worth asking about intramuscular B12 shots. I'm not sure about the hydronephrosis issue. In terms of internal bleeding, have you talked to your doctor about this? Are you worried that it might be some sort of colon cancer? You could ask about doing stool samples for occult blood. I would definitely encourage you to discuss these concerns with your doctor. It sounds like things are complicated in your situation and you have a lot of unanswered questions that are weighing on you!
    3 replies | 50 view(s)
  • @llli*jstan's Avatar
    Yesterday, 07:32 AM
    Thank u for ur reply. It is very helpful. I think perhaps part of the reason is that I released the SNS too soon because baby is used to constant flow from SNS, so he gets impatient when the flow slows down. But I was under the impression that the more vigorous a baby sucks the quicker he could trigger letdowns? I have been doing a lot of breast compressions these two days and it seems to help empty the breasts a lot better and saves me time from doing too much expressions after feeds. Thank you for the link. It is very useful.
    4 replies | 121 view(s)
  • @llli*hawkeye-mom's Avatar
    Yesterday, 06:21 AM
    I actually did bedsharing last night and I have started reading sweet sleep too. My only issues now are baby wakes up 545 (not ideal for me) when he has gone down at 730 (fell asleep on my chest after two failed attempts to lay him down) until my husband and I went to bed at 920. He won't stay calm with my husband in bed right now. Also, what should I do for a nap? I have a wrap but he doesn't always want to settle. He always wants to chew on the hand that is on the side that would cover his head if he'd lie down. Also my daughter doesn't take as many naps (only an afternoon one). Any suggestions on the naps? Thanks,
    3 replies | 132 view(s)
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