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  • @llli*n.lea's Avatar
    Today, 12:01 AM
    My son is 9 weeks and for the last month has been steadily increasing his nighttime sleep lengths. He now sometimes will sleep for an entire 7 hour stretch (though it's usually more like 5 hours). By the time he wakes for his first night feed I am so full it's almost painful. When he does his first feed he eats for 5 to 10 minutes on one side and then falls back asleep. I'm not even sure if he's emptying the breast he feeds on. When he wakes up 2 or 3 hours later for his second night feed I'm torn between giving him the same breast he fed from last feed to make sure it gets "emptied" or giving him the breast he ignored as by this point I'm pretty sure I could knock someone out if I hit them on the head with it. My two worries with this situation are: 1. Will my supply be affected by going so long without "emptying"? He feeds a lot during the day, every 1 to 2 hours on average. He also tends to cluster feed like a madman in the few hours leading up to bedtime, tanking up for the ling sleep I assume. 2. I worry that he's getting too much foremilk in the night feeds, since they are so very full when he first feeds from them. I think this might be the case because, after the first long sleep it tends to go something like this: wake up hungry after 2-3 hours, feed, sleep; and then wake up hungry every 1-2 hours after that to feed, sleep or possibly be kept awake by massive gastric distress culminating in intense wind and/or explosive, sometimes frothy, poops.
    0 replies | 11 view(s)
  • @llli*n.lea's Avatar
    Yesterday, 11:16 PM
    Starting at 8 weeks my lo also began to sometimes object to the cross hold position, preferring the football hold sometimes. I was assured that, since he otherwise appeared in good health, that nothing was wrong and he just wanted to change things up. So it's totally normal for babies to object sometimes to a hold or even a breast every now and then. As for your baby arching away sometimes, it's also normal and if she's not crying as she does it or showing signs of pain then she's fine and you aren't doing anything wrong. I do agree with the pp that she should be held for longer than 5 minutes and in different positions. While babies are delicate, they tend to be a bit sturdier than I think a lot of first time parents think they are. As with the nursing hold, perhaps she just wants some variety in how she's held. Do you give her much tummy time? Maybe she's trying to exercise her neck muscles by arching. Something my lo loves is to lay on me, chest to chest, as I recline. He'll push himself up and look around. It's tummy time while holding him, best of both worlds.
    13 replies | 433 view(s)
  • @llli*canadianemily's Avatar
    Yesterday, 09:41 PM
    Hi all, I would really like to have another baby soon, and my cycle returned when my son was 18 months. It seems regular now, and I'm pretty sure I'm ovulating. My problem is I'm almost too afraid to try for fear that I can't work out the logistics of sleep with a new baby and toddler. I have bedshared with my son since he was born. He has only ever fallen asleep nursing at night. He still wakes frequently in the night. On a good night, he'll sleep until somewhere between 3am and 5am, and then wake every hour or so until 7 or 8 when he's up for the day. On a bad day, he can be up every hour or two all night. When he was born, and for the first six months, he woke up every hour all night. It then gradually got better over time until where we are now. Though I hope it will be different, I don't expect that sleep pattern to be different with a new baby. I just can't imagine having two children who are waking constantly and on different schedules. This is the nightmare playing in my head: I move my older one into his own room while I'm pregnant, but continue to night nurse and end up in his room most nights. New baby arrives, and I start bedsharing with that one, but still need to go to my toddler when he wakes up, but I have to take the baby with me because he's crying because I moved and tried to leave. I have no idea what I could do at this point that would result in anyone going back to sleep. I have to assume I'm alone and my husband isn't available. He is...
    0 replies | 17 view(s)
  • @llli*novila's Avatar
    Yesterday, 07:21 PM
    hi mommal, about 3 months ago, the babe was at a routine checkup and doc said she was underweight and in the 25th percentile. After initial shock wore off I discovered she'd been truly asleep at the breast while "sleep-suckling" where she moved her mouth but wasn't really drinking. This may or may not have been the cause of my low milk supply, but once I realized this I started supplementing with formula on doc's recommendation and pumping like crazy to up my supply. With the help of LC's in my area, I started pumping after babe's meals, power pumping, back to night pumping, and of course stressing out. At the end of this stressful time with no increase (approx 1 month), I then started fenugreek and blessed thistle (LC advice) and continued doing sporadic pumping, mostly after meals. After being on these several weeks, LCs confirmed herbs were not helping and since pumping did not seem to help either, I could also try Golacta. But once I checked the price on that I privately declined the offer, stopped stressing out and instead bought the book "Mother Food" which outlines all manner of galactagogues and diet advice for low supply. Since this I've tried brewer's yeast, oatmeal, flax, lactation cookies including those ingredients, malted beverage, green drinks with wheatgrass and recently am trying sesame seeds, more malted stuff and barley (soon will try). I know others have had lots of success with these but so far I am not having any luck after changing my diet...
    5 replies | 224 view(s)
  • @llli*lllkaren's Avatar
    Yesterday, 08:49 AM
    My primary source for complementary feeding info is the World Health Organization's Infant and young child feeding: Model Chapter for textbooks for medical students and allied health professionals, pages 19–28. It recommends starting to offer animal-source foods like meat, fish, and poultry at 6 months, along with other iron-fortified foods ("Average iron intakes in infants in industrialized countries would fall well short of recommended intake if iron-fortified products were not widely available"). My suggestion would be to talk to your baby's doctor about whether iron or other vitamin/mineral supplements would be warranted at this point. I agree with mommal and maddieb -- unless your baby is not gaining enough weight, there's really no reason to start giving her formula. A vitamin/mineral supplement would do just as well at filling any nutritional gaps but without replacing breast milk, which has a lot of important components that aren't found in formula.
    14 replies | 536 view(s)
  • @llli*kmrs's Avatar
    Yesterday, 08:10 AM
    I wanted to update for rogi2430. Supply is fine! It definitely picked up as time went on. I know they say its not related, but I wonder if it was stress and lack of sleep, plus I was sick the week before. I work 7.5 hrs a day 5 days a week and have almost an hour drive so I pump 3 times while at work. I try to do 20 mins 3 hours after he last ate, 20 mins over lunch (usually about 3 hrs from prior), and then a quick 10 min pump 2 hrs later. Then I feed him when I get home about 2 hrs after. I nurse him as much as possible in the evenings and I think that has not only made a sufficient supply, but more than enough. Ive thought aboit cutting the last pump session but it makes it so I have enough for an extra bottle the next day in case I get help up at work or stuck in traffic. Then I always have an extra to freeze when its not needed the day before. Have you started back at work? I hope everything goes well for you. Its so tough and I feel for you, but it only took about 2 weeks for us to get adjusted. I know everything here is different for every person but I hope some of this helps you.
    5 replies | 242 view(s)
  • @llli*mobaby's Avatar
    Yesterday, 07:56 AM
    Thank you for your detailed response!! Very helpful. I'm replying but probably not in order because I'm on my phone so typing from memory :) - pumping to establish supply is NO JOKE!! Getting my supply has been a "goal" since with my first son it tanked due to latch and palate issues and no matter what we tried (and worked closely with ibclc) it just keep tanking so I've been determined. He was undiagnosed until 10-12 weeks despite several lactation appts. Hoping this work continues. I'd like to make it to a min of 6 months but a year would be optimal. -I just mentioned to hubs this morning we should do the expressed milk BEFORE nursing because I feel like he cries sometimes after because baby is used to finishing with a bottle. If we can reverse the cycle he may not cry after. And maybe reducing to 15 mL before nursing and see if he's satisfied. -I would like to nurse more frequently as he is still feeding 9-10 times and getting the expressed milk but if we can nurse for more sessions I can ditch this pump (for the most part- I go back to work In 8.5 weeks :() and have some time to do other things and be able to nurse on the go. I would be fine nursing him all day long and pumping a few times per day, for work stash (although I have 5-7 days stored already) and to ensure I'm drained. -I was able to successfully nurse 2 sessions yesterday without any expressed milk following. Yay! -it's good to know my supply shouldn't tank if I keep nursing him on demand and not...
    2 replies | 179 view(s)
  • @llli*lraquel's Avatar
    Yesterday, 07:50 AM
    Hi all, I need some advice about my breastfeeding. My baby girl is 9 months old today. She was EBF until 6 months (I pumped when I was at work, and BF directly when I was at home). and then she started solids with a passion! She loves everything. Her favorites are yogurt, avocado and bread. From 6 to 9 mo. I was BF 4x per day (7am, 12pm, 4pm and 7pm). The first 6 months she gain weight steadily and was >80% at every visit. Here's my concern/dilemma. For the last few days she's on an nursing strike. She's been teething (top 4 teeth all at once!) and last week she bit me a couple of times and after that I stopped the BF session. But the next feeding she wouldn't want any. And now she cries when I offer my breast! :cry I decided to pump until she wants to get back to BF, but it's been so sad to see my milk output! I pump between 10-15 oz TOTAL everyday! I know her BF sessions have been decreasing on time steadily since around 6 months. She used to nurse for 30 minutes, 15 minutes each side and lately sometimes she takes each side for 5 minutes and she's done. So I'm not surprised my output has decreased. But now I'm worried I have been undernourishing her. I haven't supplemented at all with formula. So, here's my question: If I keep on pumping I think I can increase my supply to what it used to be (I used to pump 4-5 oz per session 3x day some months ago) or
    0 replies | 65 view(s)
  • @llli*mommal's Avatar
    Yesterday, 05:49 AM
    :ita I think it's really instructive to try to get into the head of a newborn baby. A newborn is born with the instinct to latch onto things that look and smell a certain way. That is pretty much all he knows. He needs time to figure out that the hungry feeling in his tummy can be soothed by the act of latching on and feeding, and that it works the same way every time. Some babies do get a bit distracted by their hands, or will use their hands to lever themselves off the breast- they have no idea that pushing away from the breast or trying to suck on a knuckle is counterproductive to the goal of fixing that hungry feeling inside, or that it's driving mom a bit bonkers! MaddieB suggested the "hug the breast" position for his hands. If that seems helpful but doesn't always work because little hands can go flying everywhere, it might help to try swaddling baby before you feed him- who knows, maybe that will help him focus a bit better.
    2 replies | 161 view(s)
  • @llli*mommal's Avatar
    Yesterday, 05:34 AM
    :ita with MaddieB. I would encourage you to do just one additional thing: try to get a video of the wheezing/coughing/choking to show to the LC and the pediatrician, if neither of those people has seen one of these episodes themselves. As MaddieB said, most of the time wheezing and coughing and appearing to choke is a result of fast milk flow. That was certainly the case with my second baby, who often made noises like a creaky screen door or gagged and coughed all the time when the flow was too fast for her. But occasionally there is something else going on, and it's a good idea to share that with your healthcare professionals.
    2 replies | 125 view(s)
  • @llli*mommal's Avatar
    Yesterday, 05:30 AM
    Do you want to give us the rundown on your situation, and on what you have tried to increase supply? Maybe we can help. :)
    5 replies | 224 view(s)
  • @llli*n.lea's Avatar
    Yesterday, 01:43 AM
    I had a similar problem, but only on one side. My nipple didn't become erect easily and when it did it was overall larger than the other one but oddly shaped and I think it was too large for my baby to get a good latch on it, which led to pain and both of us favoring the "good" side, which lead to uneven supply. It was a very trying first month is what I'm getting at. I nearly gave up several times, there were many tears. Honestly, what got us through it was sheer stubbornness on my part and my son's mouth growing to better fit the nipple on his part. Plus both of us working on getting a good latch. It was a learning experience for us both. I want to say that it WILL get better. I know I didn't believe the people that said things like that in the forums I lurked in trying to find answers, but it's honestly true. I did also pump to help bring out the nipple, which did helped a little, but I found too much to bother with. I did find that pinching the nipple helped bring it up a little, but that might not work for you. What honestly worked the most for the both of us was changing the position we nursed in. I had started with the standard cross hold, which worked wonderfully for the "normal" side but was hell on both of us on the flat side. We found that the football hold worked miracles for us. He got a better latch coming at the nipple from that angle and it therefore hurt less while he nursed. After a good few weeks of him getting a solid latch I found that the...
    3 replies | 203 view(s)
  • @llli*n.lea's Avatar
    Yesterday, 01:01 AM
    We went through this with our son not that long ago ourselves. He's 9 weeks now, but he started having major problems passing gas, usually in the mornings, around the 1 month mark as well. We found that using a gentle "bicycling" motion on his legs helped him pass wind, better than massages did. It also helped to bring both his knees into his chest (like he's squatting, but still lying on his back). Every baby is different of course, what works for one won't necessarily work for another, but hopefully you find something that helps. I also found that he seemed to pass gas more calmly when he was nursing. He'd still make sounds, but they were less strained sounding. Frequent burping while nursing also seemed to lessen the instances of bad gas. I would burp not only at the end of the feed, but half way through as well. I hope some of these tips help bring comfort to your LO. And as the previous posters said, it's completely normal at this stage and it's nothing to do with your diet. It's just hard to be a baby sometimes.
    3 replies | 320 view(s)
  • @llli*maddieb's Avatar
    August 27th, 2016, 10:53 PM
    Wow, that is a lot to be dealing with when your baby is 2 weeks old, I understand why you would be worried. Let's take the concerns one at a time. Baby wheezing and choking- the most common reason for this is that the milk is flowing too quickly for baby to handle the flow. So then the question becomes, why can't baby handle the flow? Is it because the flow is really just super fast or forceful (sometimes it is) or is it because baby has some nursing/feeding issues that are interfering with baby's ability to coordinate suck and swallow? Now, that is the most common breastfeeding related reason. I imagine there might be other, health related reasons a baby would cough or choke, that may be entirely unrelated to feeding. That is something you would need to talk to your pediatrician about. So, how to help if my first guess is correct? First with supplements: I would suggest do not use bottles to supplement a 2 week old. Try a syringe instead, gently easing a tiny amount of milk into baby's cheek, a little at a time. Wait for baby to swallow then do a little more. You can also try using an open cup, which believe it or not, when done correctly is probably less likely to cause choking than a bottle. If you do use bottles, you want to help baby control the flow so baby does not get more than baby can handle at once. You do this with how you position the bottle, in a way that only a small amount of milk is coming into the nipple at a time. This is also called paced...
    2 replies | 125 view(s)
  • @llli*maddieb's Avatar
    August 27th, 2016, 08:27 PM
    I think that baby having a latch issue that went unnoticed due to you having OP so baby gained normally at first is more likely than baby not nursing enough to gain normally only due to baby being distracted. But even so, it seems odd weight gain rate dropped so dramatically. Did you block feed or doing anything else to actively reduce milk production? As far as how long it will take to regain production, that is not something anyone can answer. Usually production can be increased, sometimes significantly, but I am not sure it will ever again be as high as the early weeks, as it is normal for production to reduce a bit from that. Also no telling how long it might take. Also I am not sure the issue is your production, really, rather than baby being unable to transfer milk normally? But if you even think production is playing a part, it certainly makes sense to try to increase production now. This kellymom article is probably the best online source of info for increasing milk production: http://kellymom.com/hot-topics/low-supply/ Also if baby needs a faster flow to stay interested, have you tried breast compressions? http://www.breastfeedinginc.ca/content.php?pagename=doc-BC iirc Newman has written more about milk flow and how a slow flow can cause a baby to lose interest in nursing, or something like that. I am not sure it is online, it might be in his book. Well if baby is taking in 1-4 ounces at a nursing session, that would seem to indicate normal or...
    3 replies | 173 view(s)
  • @llli*ramatae's Avatar
    August 27th, 2016, 06:57 PM
    He became much more alert and was often distracted around that mark. My 4yo daughter was home from school starting at 8 weeks, which I think may have also contributed somewhat. However, I now think that in the beginning I had oversupply, and this all may be a latch issue all along (not transferring enough milk over time and now my supply is regulating down). Is this a likely possibility? If so, how long will it take to regain supply? He was never ill. He’s always been somewhat fussy. During the day, baby doesn't want to nurse until he's ready to nap. Even so, I was and am still feeding him frequently (more than ten times and I dream feed him during naps to ensure he gets as much as possible). Sometimes during the day when he cues, I try to feed him and he pushes away, so I try again 30 minutes or so later. I would say his appetite seems to be poor during the day. I know it's unorthodox. When I go to our BF support group my baby is so distracted he never gets in a full feed. That's when we initially found out that he wasn't transferring much milk after a let down (I would manage to keep him interested for about five minutes, but after that he was much more interested in jabbering with other babies). At home, however, I was able to do checks pre and post feeding. I did this after we found out he hadn't gained in two weeks. During the day he takes anywhere from 1 ounce to 4 ounces during a feeding session. The larger amounts are from when he dream...
    3 replies | 173 view(s)
  • @llli*novila's Avatar
    August 27th, 2016, 06:08 PM
    Thank you for the advice! In fact the dom started working today, so you were both right and that may be why the plugged ducts. Turned out to be two plugged ducts, one in each breast, before I got up in the morning. I was desperate because my pump was not helping to clear the badly plugged duct at all when I wrote. Also, I was sleeping on my back with no bra or tight clothing, and haven't had any plugged ducts for a long time. I also massage and use compression regularly when feeding. I'm still not sure why that is happening exactly, especially with the pump, but I'll look into it. I am extremely glad the dom is working but yes for the price of a few plugged ducts I can't complain. I'm taking it independently of any professional help because I was under care of lactation consultants and none of them were able to help me. They said I should be glad I had any milk at all, when I was underproducing, and trying everything within my power to increase supply. I may have IGT in at least one of my breasts for whatever reason because it is the smaller breast and only drips watery milk like a faucet. Something else my LC's were not able to suggest or tell me either. Anyways that all seems water under the bridge at the moment, and I'm just glad to see my production is up. I will check out those articles maddieb, thank you!
    5 replies | 224 view(s)
  • @llli*cdfazio's Avatar
    August 27th, 2016, 05:17 PM
    Hi all, new to breastfeeding and to the forum...I met with a LC a week ago because I was having latch problems with my newborn. She basically just gave me a nipple shield and then told me to ween him off it in about a week. I have not had any success getting my newborn (2 weeks old) to latch on without the use of the nipple shield. Although the nipple shield has been great, it did impact my milk supply and I had to increase my pumping to try and bring it back. Additionally, I've had some issue while feeding (both bottle and breast) where he sounds like he's choking on the milk and we have to stop and sit him upright. He even coughs and wheezes, which is really frightening. It interrupts the breastfeeding after we get into the right position and have to move him out of it. It almost sounds like he needs to clear his throat but can't. We purchased new bottles which are supposed to reduce the choking but not with much success. Anyone else have this issue...it's freaking me out. He is also still falling asleep rapidly at the breast and rarely can go more than 10 minutes before falling asleep no matter how we shake his hands, use cold compresses etc.., which means he naps for a bit then wants to eat again and creates a feeding process which takes upwards of an hour. We end up giving him a bottle a few times a day because we can't seem to get him to complete a full feeding even with the nipple shield. Should I be worried about the choking sounds? What can I do to...
    2 replies | 125 view(s)
  • @llli*maddieb's Avatar
    August 27th, 2016, 04:06 PM
    I think the idea that baby is still learning is the most likely. I doubt baby is more interested in his hands than in nursing, it is more likely he cannot figure out where to put them yet and they are getting in his way. I have a couple suggestions that may help, but you may already be doing these things or may find something else is working better for you. That is fine. Trust your baby and your instincts. As long as baby is getting enough milk and nursing is comfortable for you, all is well. -Hold baby most of the time snuggled to your chest (clothed or not) and encourage baby to nurse frequently. This will act to slightly reduce the rate of milk flow, which might be what baby is reacting to causing baby to pull off. -Try leaning back a little bit, into a relaxed lean with your back and neck and head well supported by pillows or the back of the couch or whatever, and snuggle baby on top of you to nurse. This also acts to slightly reduce milk flow and helps baby "orient himself" on your body. -Gently ease baby's arms into a "hug the breast" position so they are not coming between baby's face and your nipple. Kneading the breast is a natural behavior of infants, but sometimes baby needs help getting those arms and hands out of the way.
    2 replies | 161 view(s)
  • @llli*maddieb's Avatar
    August 27th, 2016, 03:50 PM
    Why is this? There is no need to make a baby work really hard to get milk out of a bottle. That might make feeding quite frustrating. They do not have to work really hard to get milk out of the breast. But, as mommal suggests, paced feeding technique slows down the feeding and allows baby to set the pace of the feeding, making it more like nursing at the breast. I think this is the best article I have found about bottle type and breastfeeding and does it matter. There is lots of misleading marketing out there about bottles, and this article addresses what the facts are as far as we know: http://theleakyboob.com/2012/03/bottle-feeding-breastfed-babies/ There are no easy answers when it comes to choosing the "best" bottle. The overall point this IBCLC is making is that what is best depends on the baby. She even cautions that paced bottle feeding can be over done and done incorrectly, if the needs and signals of the baby are not being followed. I would agree with that. On the other hand, I think the good and importance of paced feeding technique when done correctly and in the right circumstances is not stressed enough in that article, unfortunately. Paced feeding instructions usually stress the idea that baby's signals be followed, and adjustments be made as needed. With gravity feeding, this is less likely to occur. Since none of my babies were bottle fed and I wanted to learn more about it, I have made it a point to try my hand at feeding babies bottles...
    2 replies | 241 view(s)
  • @llli*karliek's Avatar
    August 27th, 2016, 03:29 PM
    Hi! I'm new to these forums - I just gave birth to my son 8/18 and so far besides some sore nipples the first few days, breastfeeding as been going well! The past couple days babe will fuss, I'll go to feed him and he'll instantly calm as my nipple touches his lip. He opens wide and latches for a few seconds then unlatches and keeps playing with his hands, starts to cry ect until I relatch. He'll do this 5 times or so until he's actually latched on good. My guess was maybe he's distracted by his hands and still learning? Either that or I noticed that my milk is coming out at a fast drip, maybe he's gotten a little lazy for lack of a better word and is enjoying a milk covered nipple, and not wanting to actually suck right away??? Any thoughts ladies?? Thank you!
    2 replies | 161 view(s)
  • @llli*maddieb's Avatar
    August 27th, 2016, 01:39 PM
    Hi, I am sorry this is going on, you must be very concerned. So, gain was textbook normal or even slightly above average for 10 weeks, then quickly and dramatically slowed? Any idea why? Anything at all change at 10 weeks, with your health, baby's healthy, nursing habits...anything? Are you sure all weight checks have been done accurately, and on the same scale? Weight gain rate slowing after 3 -4 months is normal and expected. Yet 2.5 months is a little early for gain to slow that much. However, for a baby who is now 4 months old, 3 ounce gain a week is within a normal range I believe. Plateaus are also not all that unusual. But no gain at all for several weeks or weight loss is often an indication something is wrong. During the time baby was not gaining was baby ever ill? Was baby nursing with normal frequency- at least 10 times in 24 hours? Was baby fussy or otherwise acting hungry but would refuse to nurse, or was wanting to nurse a lot? Does baby appear to have poor appetite or disinterest in nursing? This all sounds a tad odd. It is not common for before and after nursing weight checks to focus on let down. Milk transfer does not typically require that a mom is letting down at that moment. What did the IBCLC say? To me this sounds like it could be that there is a latch and/or suck swallow issue going on, or it could be that baby just did not want to take in all that much each feeding. Pauses where there is no swallowing can be entirely normal. Do you...
    3 replies | 173 view(s)
  • @llli*maddieb's Avatar
    August 27th, 2016, 12:17 PM
    Hello and welcome. If you pump 30 or more ounces a day, that indicates milk production is likely normal at this point. That is amazing and a testament to the incredible work you have done so far. This is also going to make getting baby to the breast much easier. Also very good news. This indicates baby is capable of normal milk transfer as far as I know. Baby took about another 1/2 ounce from the bottle but that does not mean baby needed that, or that baby would not have gotten that at the breast if baby had nursed a bit longer. Right? And baby has been gaining well, right? So overall baby is getting enough eating 2 and a 3rd ounces 10 times a day? But a breastfed baby is more likely to nurse 12 or MORE times a day. So, meals may be smaller, but more frequent. Not that 2 and a 3rd ounces is an overly large meal, it is not. But when a baby is nursing, meal size normally varies from less than an ounce to 3-4 ounces. So a breastfeeding baby does not need to eat the same amount every time and is not likely to.
    2 replies | 179 view(s)
  • @llli*ramatae's Avatar
    August 27th, 2016, 12:12 PM
    Hello, all! I'm hoping someone might be able to provide some suggestions for our situation outlined below. My son is four months (20 weeks) old and has been exclusively breastfed since birth (born 7lbs, 7oz). He had been gaining weight steadily (an ounce per day) for the first 10 weeks, the next 6 weeks his growth slowed (2-3 ounces per week), there was no gain for the three weeks, and now this week he's losing weight (he started daycare and is refusing bottles). He has weighed 14lbs, 9oz for the past 4 weeks. When my son’s growth slowed, I began to wonder about milk transfer. What I’ve found through weight checks with an IBCLC and at home, is that he gets about a half of an ounce of milk each time my milk lets down. My milk tends to let down every five minutes after the initial let down when nursing. Swallowing during the initial let down lasts 30 seconds to a minute. In between let-downs, there is rarely swallowing going on. On the other hand, when I pump while away from baby, once I let down milk will spray for ten minutes and I can get one to three ounces per side in ten minutes, so I know I have enough supply. Consequently to the above, to get him 2 ounces at the breast, he must stay at the breast for at least 30 minutes (15 on each side), that is about how long it takes for me to let down four times. And of course, if he's hungrier than that, or if there are interruptions or he's distracted (often the case), the nursing “session” takes an hour or...
    3 replies | 173 view(s)
  • @llli*maddieb's Avatar
    August 27th, 2016, 11:39 AM
    I agree with mommal. If this has anything to do with the domperidone, it would be that the plug is a possible indication the dom or something else you are doing to increase production is starting to work. The most common cause of plugs is that milk is not being removed from the breast frequently or effectively enough. Yes there are other causes but that is the biggy, and usually the most important thing to correct if plugs start occurring. Of course frequent and effective milk removal is also the key to adequate milk production. Plugs are a common issue with breastfeeding. Much more common and usually much less problematic than low production, so I would suggest do not get too upset about the plug. There is no need to be desperate about clearing the plug. Yes, you want to clear it.. but sometimes that takes several days. It is ok. If pumping is hurting you, you might want to try other methods for clearing the plug and also troubleshooting your pump. You say one side (the one with the plug) was producing 'normally." This sounds like you are taking the dom to increase production in one breast? But of course, if it works, the dom will act to increase production in both breasts. Nothing against domperidone but it is usually possible and preferable to increase production using various methods of increasing the frequency and effectiveness of milk removal. I assume you are under the care of a lactation consultant for low production and they suggested the use of dom...
    5 replies | 224 view(s)
  • @llli*maddieb's Avatar
    August 27th, 2016, 11:21 AM
    Yay for poops! Always a good sign. That poop is coming from somewhere! Also great you are going to see an IBCLC. I suggest, read the appointment info I linked above. If you are feeling there is more milk in there after baby nurses and baby will not nurse more, then hand expression may help and cannot hurt. I do not think you have to do it after every feed, however. Do what you can, what feels right. You do not want to exhaust yourself and do not worry if there is not much. The best and most direct method for increasing milk volume into baby is encouraging lots of nursing. If you are not going to give your baby what you express, then yes there is no need to try to collect it. But if you did want to collect it, a sterile container just means something that has been sterilized. You could boil a glass or bowl or something, (make sure it is something that can be safely boiled, I am pretty sure any container that can safely go in a dishwasher and microwave can be boiled but not positive.) If you do manage to get some milk into a container, cover it with plastic wrap or a sterilized lid and put it in the fridge, where it will stay fine for several days. If you decide supplementing is needed, and you do not have a syringe, baby can be fed what you express with a spoon or small open cup- either something that has also been sterilized or just a plastic spoon or cup that came wrapped. A small glass like a shot glass would make an excellent vessel for both milk storage and...
    4 replies | 226 view(s)
  • @llli*venerye's Avatar
    August 27th, 2016, 11:00 AM
    He finally pooped! It took over 2.5 days. One blowout and another large bowel movement back-to-back. I have him dressed down to a diaper to keep him more awake & hopefully skin to skin will help, also doing the breast compressions. I am going to set up something with the hospital lactation consultant on Monday and maybe rent a hospital-grade pump as well. Should I hand express after every feed, just to empty the breast more? I don't have anything sterile here at the moment to catch the milk for baby's use. I don't generally respond well to pumping/expression, but I can get some out...
    4 replies | 226 view(s)
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