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  • @llli*maddieb's Avatar
    Today, 10:17 AM
    size is irrelevant to required daily or per meal intake. It has long been established that breastfed babies do not require more milk intake as they age (beyond 4-6 weeks.) (meal size may increase as baby ages, and nurses a bit less frequently, but not THAT much) and in fact required daily intake starts lessening as baby starts regularly eating solids or due to the normal growth slowdown as baby approaches one year of age. I agree you need clarification of exactly why this change is deemed necessary by the day care. What is best care when bottle feeding a 9 month old is the same as a 9 week old- smallish meals, given frequently, when the child indicates hunger or thirst, with the total amount each meal varying as child seems to desire when the bottles are given carefully using paced feeding positioning and built in pause techniques, to give the child a chance to stop the feeding when sated. Your day care may not be willing or able to feed your child this way, but that does not make their way healthy or more appropriate. Think about it. Bottles are supposed to be as much like breastfeeding as possible, as breastfeeding is the normal way to feed a baby that is being replaced by bottles when necessary. Is it likely your baby gets 7 or 8 ounces every time baby nurses? If your baby were home with you, would he only nurse twice all day? Also, if your child is eating solids, how much solids overall is your child getting and how much does he nurse when you are together and...
    6 replies | 38 view(s)
  • @llli*h26's Avatar
    Today, 08:56 AM
    I should also mention that my kid is big for his age. 94th percentile for height and 65th for weight. So maybe it's to be expected that he'd eat more than other infants his age.
    6 replies | 38 view(s)
  • @llli*h26's Avatar
    Today, 08:49 AM
    Perhaps my state has regulations about it. Can anyone point me to the federal regulations (or guidelines, whatever they may be)? How would I go about finding the state regulations? I've been curious about it for a while.
    6 replies | 38 view(s)
  • @llli*bsua65's Avatar
    Today, 08:45 AM
    Yay! Have been on the forums a lot less, but wanted to pop on and see how it's going for you! Am glad you've done it :)
    67 replies | 5140 view(s)
  • @llli*hayashi's Avatar
    Today, 08:36 AM
    At 8 months, I only brought two 4oz bottles to daycare. But I had caregivers give baby the bottles between meals (puree), not at meal times. At meal times, I provided them with a sippy cup filled with water.
    6 replies | 38 view(s)
  • @llli*mommal's Avatar
    Today, 08:35 AM
    You are not failing your doctor. Your doctor is failing you by giving you stupid advice. 15 minutes per side, every 2-3 hours is terrible advice- you're both going to be miserable and theorems a good chance that the baby is not going to get enough to eat on that schedule. Any chance of getting a scale for home use?
    23 replies | 1391 view(s)
  • @llli*bsua65's Avatar
    Today, 08:31 AM
    I weaned off dom when DD was 10 ish months. She still nurses on demand at 17 months (which is now:) ). She probably still feeds 8-12 times a day and has solids too. I replied on alphawoman's post in her early days. I was on a relatively low dose and weaned off dom slower than Newman's protocol. My LC's working theory was I only needed the dom while DD's milk transfer skills were poor.
    2 replies | 75 view(s)
  • @llli*mommal's Avatar
    Today, 08:24 AM
    That is neither reasonable nor okay. He should not be eating 7-8 oz at a time, because he is a breastfed baby. Breastfed babies typically eat more like 2-4 oz at a time when at the breast, and they typically eat more frequently than formula-fed babies, around every 1-3 hours. If caregivers are bottle-feeding in a breastfeeding-supportive way,mother should mimic breastfeeding as much as possible, meaning that they should aim to give small, frequent bottles rather than large, infrequent ones. If this is a US daycare, the caregivers should also be aware that federal guidelines do NOT require that unused breastmilk be discarded. That is the rule for formula, not breastmilk. You have to read the fine print to figure that out!
    6 replies | 38 view(s)
  • @llli*filmmommy's Avatar
    Today, 08:21 AM
    That seems like a huge bottle to me. Even 5 oz sounds a lot, although if you can pump enough for 3 each day and he still nurses when you're home he is probably a hungry guy. My LOs only had about 3-4 oz in their bottles generally, and my son barely wants his. I would have them stick with what they're doing for now, and then maybe cut back to two 5 oz bottles closer to a year. Did they say why they want to make this change? Smaller bottles are better -- as he eats more meals, he may waste more milk if he has giant bottles.
    6 replies | 38 view(s)
  • @llli*h26's Avatar
    Today, 08:11 AM
    My son is 9.5 months old. At daycare, he has been having three 5 oz. bottles of breastmilk with two meals. The bottles are given close to mealtime. His caregivers at daycare would like to give him two 7-8 oz. bottles instead. Is that reasonable? OK? Can he or should he eat that much in one go? Will he get hungry between bottles? I'm also concerned about waste because they are required to dispose of any milk in his bottle that he doesn't finish.
    6 replies | 38 view(s)
  • @llli*freddybee's Avatar
    Today, 07:57 AM
    Took baby to dr. He says to feed her no more than 15 min on each side and not more often than every 2-3 hours. I know this goes against all the breastfeeding books/info. So I tried it for the most part of 1 day, shushing, and rocking, and taking her out for walks just to keep her calm. Then came the evening and I was exhausted and she was inconsolable, so I gave it up... Next day I was able to get my baby weighed before and after 1 feeding- she took 2.2oz of milk... that day she allowed somebody else to bottle feed her around 1.5oz of formula, and then later she took an oz from me and I never saw her so happy and calm and playful. Of course, after that she refused another bottle after the next feeding and just cried until I nursed her for an hour or 2 to put her to sleep.. Today she's refusing bottles and crying until I put her back on my breast and I'm at my wits end. I'm failing to keep my daughter well fed, failing to keep her happy, failing my doctor.
    23 replies | 1391 view(s)
  • @llli*mommal's Avatar
    Today, 06:12 AM
    You won't lose the option to pump in between nursing sessions. Supply is "use it or lose it", but the loss isn't permanent unless you want it to be. Let's say you just nurse and your supply adjusts to be just enough to feed your baby. You would still have milk in between feedings which you could pump out, causing your body to get the message that there is increased demand, and causing supply to increase. In other words, add pumping sessions and you'll have more milk to pump! The only real issue is time; it can take a while to bed supply via extra pumping sessions. So it might make sense to start pumping some time before you need to go back to work, just in case it takes you time to create a frozen stash.
    5 replies | 150 view(s)
  • @llli*crystacular's Avatar
    Today, 01:58 AM
    Maddieb, my sister mentioned that as I am establishing my supply in these early weeks I might lose the option to pump after/in between feeds if my supply is just enough to feed the baby. I've heard that supply is a "use it or lose it" kinda deal and I didn't want that to be the case with pumping. BF is getting better day by day. Baby can get very fussy, taking a few sucks then pulling off and arching his back and crying and then bobbing around for the nipple again, but his weight gain is good. I don't have fast flow (no spraying going on here) so I don't know if it's gas that's bothering him, or maybe a slow flow? Thanks for the advice!
    5 replies | 150 view(s)
  • @llli*maddieb's Avatar
    Today, 01:48 AM
    Hi and congratulations. Oy my head is reeling. I was just talking to a friend about how almost everything moms are told about nursing is wrong. But it really upsets me when that misinformation is coming from someone who is supposed to be an expert in lactation issues! First off, any lactation consultant that tells a mother of a brand newborn to pump every time baby nurses ONLY because of a return to work, even an early one, rather than due to some specific low supply issue, should be reported to her employer and/or certifying board. I am serious. Oversupply is a potentially serious issue that can make a mother seriously ill with mastitis and totally derail breastfeeding. Mothers do NOT have to induce overproduction in themselves in order to pump enough milk to leave for separations either before or after returning to work. As far as I know, there is no evidence that pumping for this purpose helps in any way with the transition back to work or breastfeeding longevity. To help moms and babies in this situation best, they need 1) As trouble free a start to breastfeeding as possible, so mom and baby love nursing and nursing is as simple and natural as possible. 2) An excellent pump in good working order 3) Time and space to pump as much as she needs to at work, and this will vary mom to mom 4) A caregiver for baby who is committed to learning how to feed baby in a breastfeeding supportive way 5) For separations to be as short and infrequent as possible especially when...
    2 replies | 50 view(s)
  • @llli*maddieb's Avatar
    Today, 01:13 AM
    Have you tried a lactation aid? One source of ideas might be websites/articles for those who are nursing or attempting to nurse adopted children and have experience with trying to bring to the breast "older" babies that have never nursed before. Some of these moms can really think out of the box. If you can connect with your local LLL or other breastfeeding support, they might have names of moms who have been through this kind of issue you can personally contact. Of course LLL meetings would be great places to go for ideas and support in any case. I have found that simply being around nursing babies often encourages the reluctant nurser to give it a try. I would suggest that if your baby is licking your nipple, she does have an idea of what is going on. After months of no nursing at the breast, baby has been very well taught that bottles are where she gets milk and that she must find another way aside from the breasts to get comfort as well. So ANY interest in the breasts, however momentary, is a step in the right direction and shows she has some instinct leading her in the right direction. Holding baby skin to skin on moms chest has been shown in studies to help babies nurse more/better even at a few months old. Holding and snuggling your baby as much as you possibly can, clothed or not, may help. Perhaps rather than mom "trying' to nurse, you can help baby find her own way by holding baby against you, you leaning back and supported by the wall or couch back or...
    1 replies | 57 view(s)
  • @llli*pixiehawk's Avatar
    Yesterday, 11:30 PM
    Due to a medical condition she could not nurse. I was pumping and skimming the milk, then adding a high calorie medium chain fat formula to it. I was able to nurse her one time the day she was born, but then they figured out her chest was filling with fluid due to the high chain fat in breast milk and we couldn't do it again. She was then fed through IV's and a g-tube for the next 3 months or so. then the next 3 months it's been all bottle fed until we could start adding the whole momma milk slowly to her diet. Since the fluid has not come back I can nurse again. However, she has no idea what is going on, has no idea what momma is attempting to do, and just wants her bottle darn it! I've tried when she's hungry, when she's mostly full, wide awake, kinda drowsy, etc. I always express just a little so there is a little on my nipple- she'll lick that off, then get antsy for her bottle. Meawhile my poor nipples feel like the next time they are put in the pump they just might get yanked off and while I know it's not what she's doing I'm feeling pretty rejected as well. My son never had any issues nursing and didn't stop until I was in the hospital before my daughter was born for a week and a half. I am looking for any advice on how to help her figure it out. I would love to be able to get home from work and nurse my little girl instead of having to pump and watch someone else feed her. oh, she's 6 months old
    1 replies | 57 view(s)
  • @llli*midnightsangel's Avatar
    Yesterday, 10:36 PM
    I don't really have advice specific for your situation but in regards to the pumping you don't need a huge freezer stash. Usually enough to cover 2 or 3 days is plenty because when you go back to work you'll be pumping milk instead of nursing. That pumped milk will then go to baby the next day and so it continues. It's nice to have some extra saved up in case of spills or emergencies etc but you don't need tons. if I were you (I also had super over supply but I didn't pump much) I would gradually stop pumping. You don't want to get engorged so do this slowly by reducing duration of sessions and then dropping them all together. This will.signal your body that you need less milk so you will make less. Your baby is still young so your body naturally produces a lot until about 3 months when it more closely matches demand. Be careful with block feeding. It is nice for over supply but you can eventually get into under supply. Im not very experienced in this area but I think would block feed for a few days whike you're tapering off the pump and then when you're done you can do the "normal" way of offering breast A first then B if baby wants. Next session start on B and offer A etc. Hopefully a more experienced momma can give you more personal advice :hug
    2 replies | 50 view(s)
  • @llli*jewell0405's Avatar
    Yesterday, 10:24 PM
    Hello!! I'm new to this site and a first time mom...my precious little boy is 3 weeks old. When I gave birth, my LC told me to pump every time after I nursed him because I'm wanting to start building a supply for him when I return to work 6 weeks from now. So I have been doing that until this past week when I've discovered (self-diagnosed) that I had an issue with oversupply: (1) breast constantly full, (2) sometimes milk would spray as I'm trying to get him to latch, (3) trying to get him to latch was a battle- he would make these "mean" looking faces and shake his head off the breast and/or push against me, (4) he would sometimes gulp, choke, sputter, or cough during feedings at breast, (5) mom having extremely sore nipples constantly, (6) feedings may be short, lasting only 5 or 10 minutes total, (7) he would burp or pass (screaming painful) gas frequently between feedings, tending to spit up a lot, and (8) he had watery explosive stools. So based on all those symptoms, and from what I've read about oversupply (or Hyperlactation or any other term it's referred to as)- I kinda self-diagnosed myself with this issue. Please by all means correct me if I'm wrong. But for 3/4 days I've been trying to correct this issue- for two days I did the block feeding and during the entire correction phase I pumped 2 minutes the beast that I knew he was going to feed from just to remove the foremilk. And I still pump once or twice a day so I can continue to build my milk supply...
    2 replies | 50 view(s)
  • @llli*pteroglossus's Avatar
    Yesterday, 10:04 PM
    Hi everyone, thanks for your thoughts. I had not thought about the option of not talking to her about it. She is quite reserved and I try to prepare her for new things like swimming lessons, going to dentist, etc. But I guess weaning is more like talking or walking, and you don't really need to talk about it! Yes, the thing I would like most is for her to fall asleep at naps without a nipple in her mouth. But she will NOT do it. I can lie with her for three hours and she does not fall asleep. She plays in the bed, until I get sick of lying there. Eventually I send her downstairs to my husband so I can get some work done. I feel that naps are still important, but she freaks out when I pull the nipple out unless she is 100% dead to the world (which is often hard to achieve). If I don't put the nipple back in, she cries and wakes up, and then won't go back to sleep again. sigh. I know 20 is just a number to her (but scary to me - ha ha)…what I meant by denial is that she just can't imagine life without nursing. It's so important to her. Songsparrow - I am probably not the best person to advise on how to get a child to sleep without nursing, but what I did at night was eventually, after she was >3, I told her as she came to nurse at night "when my boobs get tired I am going to say 'boobs are tired' and then it will be time to stop nursing and go to sleep". She cried and fussed the first night, but then she got into it. Actually it precipitated a very nice time for us,...
    5 replies | 153 view(s)
  • @llli*alphawoman's Avatar
    Yesterday, 02:29 PM
    Yes, me. I have a thread detailing my process: http://forums.llli.org/showthread.php?122089-Hugs-please-Tapering-off-domperidone-at-3-25 In a nutshell, I tapered off a dose of 120mg/day to nothing in about 4 months, dropping a pill every 1-2 weeks from my daily dose. Between 120mg and about 50mg there was little, if any, drop in supply and we kept up 8ish nurses per day. My son is 3.5 (was 3.25 at the time). We went from nursing 8+ times/day at the outset to 3-5ish times/day now. I found that, as the dose got lower, I would have about a week every month where my body would try to ovulate and my supply would drop considerably, regardless of whether I increased my domperidone dose or not. These hormonal drops are temporary and usually only last a few days. If you LO is well established on solids in a few months, I'd give a taper a try. You might not be able eliminate your dose completely, but you probably will be able to reach your minimum effective dosage. Then, as your daughter gradually chooses to nurse less as she matures, you can drop more pills without any disturbance to either of you.
    2 replies | 75 view(s)
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