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  • @llli*basilvet's Avatar
    Yesterday, 10:19 PM
    I have a medela pump and am having problems getting the right fit breast shield. A 24mm is too large - it sucks up too much of my areola and leaves my areola red and sore. A 21mm is too small - my nipple rubs on the sides and gets raw (even if I use coconut oil for lubricant). I bought a 22mm insert for the 24mm shield from Maymom and am having problems with that too. My nipple seems to fit well without rubbing and my areola does not get sucked up. However, I get a ring on my areola where the insert stops and meets the larger breast shield. I pumped with the insert for 2 minutes and now have bruises in a ring from the insert. Any way to fix this problem? I am getting extremely frustrated with getting the right shield size and am considering buying a totally different brand pump. I start work in a week and am trying to get a storage supply but it is slow going because I just can't seem to get the right shield size. Thanks for your advice.
    0 replies | 9 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 06:33 PM
    If you are getting nothing at all when you pump, my best guess is there is something wrong with your pump, or the flanges are too big for you. Norm for a mom to pump "extra" when she is nursing around the clock is about .5 ounces to 2 ounces total when she pumps. Here is a good article about this: http://kellymom.com/hot-topics/pumping_decrease/ Bottles and pumping are usually best held off on for the first 4-6 weeks for several reasons but assuming breastfeeding is going very well with no concerns it may be fine to start before then. Anytime bottles are introduced you need to be careful about how bottles are given, how much is in each bottle and also be aware that mom may need to pump when baby gets a bottle anyway, or her milk production may be impacted or she may become engorged or worse. So, many moms have found that night bottles do not end up helping them out because it ends up being more work than reward. I assume you want husband to give a night bottle so you can get a longer sleep stretch? Assuming baby is gaining well and nursing frequently (8-12 times or more in 24 hours) overall, your husband can take a turn comforting baby for 3-5 hours once a day possibly without bothering with a bottle. Also there are many other ways to increase your overall sleep with no risk at all to breastfeeding. A good book on this subject is Sweet Sleep.
    1 replies | 64 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 06:23 PM
    Ok got it. Baby is gaining well and that is consistent with lots of poop when baby goes, so there is clearly no problem with intake and that is good. Baby may start pooping more often now that she is getting so much more milk, and that may help baby be more comfortable. But, some babies do poop less often than others and there is nothing wrong with that, although it may be one reason baby seems to be having issues with gas. Since the act of nursing encourages the bowels to move, this is another reason frequent nursing may be helpful.
    5 replies | 111 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 03:29 PM
    Obviously there is some risk with any narcotic. Especially since these are common drugs of abuse, mothers are cautioned strongly about using them. On the other hand, therapeutic and controlled doses over a few days for acute pain are probably fine as long as baby is closely monitored for any issues. Narcotics like hydrocodone are routinely prescribed post C-section and those mothers are not told to not nurse. But again that does not mean there is no risk. My best suggestion is to call infantrisk in Texas right away (they are only open to 5 central I think) and talk to someone so they can discuss with you dosage, risks etc. find the number at www.infantrisk.com If you miss them you can look the medication up here: https://toxnet.nlm.nih.gov/newtoxnet/lactmed.htm Read the whole entry carefully. There are always risks to stopping nursing and bottle feeding and pumping for any length of time, even just a couple days. The primary risks are to your milk production and to baby's acceptance of the breast again. Baby going back and forth fine now means nothing as regards the future as usually babies do go back and forth fine until they start to refuse. So those risks have to be weighed against the risk of nursing baby while taking a needed medication. Also you might talk to dentist about prescribing a non-narcotic pain reliever, as you may be able to manage your pain without the narcotic, especially after a day or two. If you decide to bottle feed there are...
    1 replies | 61 view(s)
  • @llli*jgreiff's Avatar
    Yesterday, 03:22 PM
    Yes, I'd say there's generally a lot of poop when she goes - I usually hear 3-5 'squirts' in succession, then if i don't get her changed in the next minute or so, it will leak up the back or front. Usually the whole diaper is pretty full
    5 replies | 111 view(s)
  • @llli*ajwelch88's Avatar
    Yesterday, 01:43 PM
    My baby is 3 weeks old and I've been breastfeeding on demand around the clock. When he's napping, I try to pump so my husband can possibly help with feedings at night. Baby latches well, eats/poops/pees/sleeps fine, has gained weight, but lately I've got nothing coming out of the pump! Obviously I'm producing enough milk to keep baby happy, but don't get why I can't pump anything anymore. Is it because I am feeding him on demand or am I not making enough? Thanks!
    1 replies | 64 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 12:58 PM
    What you describe as far as poops is consistent with an issue of fast letdown. Since you are pretty sure that is happening, I think you can chalk the poop look up to that and not worry about any allergy. It is interesting that baby is not pooping more often, though. Are the poops pretty big? Yeast allergy? In a newborn? That has me scratching my head. A yeast overgrowth (thrush) might cause nursing pain for mom and hard to get rid of diaper rashes for baby. Thrush can be hard to get rid of even with proper treatment, so some moms have to change their diets to avoid things like too much sugar and carbs that are helpful to systemic yeast overgrowth. But that is to stop the yeast overgrowth in mom's body. Your LC would have most likely ruled out thrush while you worked with her, it is not all that common anyway. If you were going to avoid anything due to a possible allergy in baby, the food group to start any eliminations with is dairy. Again, not all that common for dairy to a be a problem but possible and surely much more common for dairy to cause issues in breastfed baby than any other food. But I think what you are describing is almost surely simply normal or due to the fast letdown. I think a probiotic is fine to try. Certainly there is some scientific evidence for that helping, while there is none for gas drops or gripe water. Also, some of what is going on may be due to the need for early supplementation with formula. The earlier formula supplementation is...
    5 replies | 111 view(s)
  • @llli*mammaboo's Avatar
    Yesterday, 12:25 PM
    hi I just had painful dental surgery and my dentist prescribed hydrocodone for the next couple days. Should i bottle feed my 14 week old son with my stored milk? If so, how long after I take the last dose can I nurse him again? He seems to do fine going from breast to bottle and back, just not sure how long he will have to take a bottle if that will bother him. Any help would be very much appreciated!
    1 replies | 61 view(s)
  • @llli*jgreiff's Avatar
    Yesterday, 11:34 AM
    Thanks so much for your reply! Yes, nursing is now, for the most part, comfortable. Occasionally it will still be painful when she first latches, but that goes away as soon as she starts sucking. Also, she has a tendency sometimes to pull away from her initial latch and just want to take the nipple, which I've associated with her trying to control the flow and get less. When this hurts, I break her suction and have her re-latch. Usually she latches on pretty quickly too, but in the past few days, every now and then, when I put her on she'll just keep her mouth open and not latch until the 3rd or 4th try. But when she does, she tends to be good from then on. Another question I realize I didn't include: her poop has been more runny in the past week or a little over, and this has coincided with the increased straining and grunting that I assumed were gas. It's still mustard yellow and smells the same, but the consistency is closer to egg whites. She's still going probably 3 times a day, but I feel they're more spaced out, like she'll sometimes do 3 between 4am and noon, and then nothing the rest of the day until 4am the next day. According to our parents, both my husband and I had a yeast allergy as babies. Is a possible allergy anything I should be concerned about? Thanks for your other suggestions! Yes, we have tried other positions, but I mostly use the cross cradle, because it seems the most comfortable. I can hold her in that and recline and she does stay latched, so...
    5 replies | 111 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 11:12 AM
    hi jgreiff and welcome! First I want to be sure - is nursing now comfortable for you? If so, then what you are seeing is possibly related to the milk flow being a little faster than baby can easily handle. Fast weight gain + the gasping and choking are classic signs even without the gas. This is NOT in any way a major problem. The vast majority of the time, it will resolve entirely on it's own over the next several weeks as your milk production levels off to what baby needs rather than more than enough. Ok so in the meantime, here is what helps the most with fast let down: Nursing frequently and changing nursing position to help the flow slows down a bit. Nursing Frequency: This helps because the less time milk has to accumulate in the beasts, the less the flow. This will NOT increase your milk production like pumping extra would because baby will just eat a bit less each time. To nurse more frequently, all you need to do is encourage your baby to nurse more often. It won't hurt you or baby even if this means gently waking baby some times, day or night. Often all it takes is picking baby up or (if you are already holding sleepy baby) moving baby to the breast. You may not need to actually wake baby. Babies can and will nursing entirely in their sleep as well. Since baby is waking every two hours overnight, you can leave overnights alone and encourage more frequent nursing during the day. If baby prefers taking one side at a time, fine. If baby wants both, also...
    5 replies | 111 view(s)
  • @llli*jgreiff's Avatar
    Yesterday, 08:55 AM
    Hi, I'm a first time Mom, and have had a rocky start to breastfeeding with my daughter. Her latch was very painful from the start, and by day 4 my nipples were cracked and bleeding. I saw an IBCLC, who noticed that she had a severe tongue and lip tie, and, when we weighed her before and after feeding, actually wasn't transferring any milk. I saw a pediatric dentist, who corrected both ties, at 9 days old. In the meantime, I was exclusively pumping and feeding her with a SNS tube on my finger, which she was able to suck. For the first few days, since she hadn't actually been removing any milk up to that point, I was still only producing colostrum, and not enough. So, for about 3-4 days, we had to supplement with formula, before my supply finally increased (around day 8 or so). I worked with the IBCLC on her latch after the tongue tie revision, and it took her about 3-4 days to really get a good one that didn't hurt, and where she was transferring well. I've since been going to breastfeeding support groups weekly, where I can continue to weigh her before and after feeds to make sure she's taking in enough, and for the last little over a week we've been exclusively breast feeding, no more supplementation. Now, however, we're seeming to have the opposite problem, in that I think I may have a strong let down and she's getting too much at once. Almost every time she latches on my left side, after sucking for a few moments, she pops off and chokes, coughs, and gasps for...
    5 replies | 111 view(s)
  • @llli*mommal's Avatar
    Yesterday, 07:03 AM
    Welcome to the forum! The first thing I have to say is "Ouch!" A crack bad enough to last a whole month is no joke. Kudos to you for soldiering on despite it! I think you should feel confident that it will eventually heal even if you do nothing. Most cracks are caused by latch issues, and most babies outgrow these issues. Bigger baby = bigger mouth = deeper latch = the end of nipple damage. I had deep cracks for a long time, and just when I had given up hope of them healing, they closed up. Since most cracks are caused by latch issues, the best thing to do is to try to fix the baby's latch. Help from a lactation consultant, preferably an IBCLC, is a good idea. She can help you with positioning techniques which should minimize trauma and speed healing. Lanolin does help with moist healing, but there is more that you can do. My IBCLC recommended a combination of equal amounts of bacitracin antibiotic ointment (infection fighter) and 1% hydrocortisone cream (reduces inflammation). You use a pea-sized amount, mixed an applied using a clean fingertip. Gel pads are also very soothing and keep the cracks from sticking to your bra or nursing pad or whatever. Finally, it can really help to moisten the scabs before nursing, because when they re-open, it's not quite so painful. You can soak the nipple with a moist washcloth, or you can immerse it in a shot glass full of warm water. (Bend over, immerse the nipple in the shot glass, bring the shot glass back up to...
    1 replies | 86 view(s)
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