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  • @llli*158breastfeed's Avatar
    Today, 11:36 AM
    My LO is 2 months old. She usually will have her last night feeding around 11p and then will stretch until 4a or 5a. When she wakes to eat in the morning she only eats for a short amount of time (usually 5 min.) and only on one breast (she usually falls back asleep and doesn't want the second breast). I then have to pump because I still feel so full. During the day she feeds regularly every 2-3hrs. My question is should I set an alarm to pump every 2-3 hours at night since she has this 4-5 hour stretch to keep up my supply? Will my supply dwindle if I don't pump at night even as she gets older and her night stretches get longer?
    0 replies | 4 view(s)
  • @llli*mommal's Avatar
    Today, 11:13 AM
    The further you go, the better. Thrush can be really stubborn. I personally think the way to go about this is to see if the LC confirms the thrush suspicion, and then see the doc and get meds for you AND baby. It's important that both members of the nursing pair be treated, since it is common for one member of the nursing pair to be asymptomatic even though both are colonized by the problematic yeast. Once you have meds in hand, THEN you make the all-out assault on the thrush, spending the duration of your treatment washing your sheets/towels/shirts/bras/burp cloths on hot, and sterilizing your pump, bottles, and pacifiers. That way you're not wasting your efforts, right?
    10 replies | 164 view(s)
  • @llli*mommal's Avatar
    Today, 11:07 AM
    You're absolutely right that people don't just spontaneously dry up for no reason. So what is happening, most likely, is that being at the office and needing to rely on the pump is having a negative effect on your supply. Pumps are generally not as effective at emptying the breast or maintaining supply as babies are, and office schedules generally prevent moms from pumping as often as they would be nursing if they were home with their babies. But don't freak out! First, you're only at work for 3 days a week, so your baby has 4 days a week to nurse on demand and keep your supply where he needs it to be. Second, the average feeding for a nursing baby is just 2-4 oz at a time. So when you pump 2 oz, that's actually totally normal output. 4 oz at one go is actually very much on the high side for pump output. Here are some suggestions for improving things: - Pump more frequently at the office, if possible. - Pump in addition to nursing when you are home with your baby- adding sessions at home can make up for shortfalls in what you bring home from the office - Use a better pump - Make sure your current pump is functioning properly - Make sure your shields are properly sized - Nurse on cue when you're with your baby, and don't be afraid to offer more often than he seems to ask - Nurse at night. "Never wake a sleeping baby" is great advice when mom is having no trouble getting all the milk she needs, but night nursing is great for supply and can help make up...
    1 replies | 29 view(s)
  • @llli*sunsetbean's Avatar
    Today, 11:03 AM
    Thanks again! I am using lotrimin today since pharmacy is closed and LCs are out of peds office. One more question...since I think we have a mild case of thrush, how much far do we need to go with boiling, cleaning, etc of things? A lot of the treatment sites on kellymom don't even mention these measures.
    10 replies | 164 view(s)
  • @llli*maddieb's Avatar
    Today, 09:30 AM
    Yes see this is why I part ways with the "gain is good let baby sleep" idea. Sure, from baby gain standpoint all is good. But breastfeeding involves both mom and baby. Long stretches of baby not nursing WILL decrease milk production. It is inevitable. Will it reduce it "too much?" Probably not, if there are no other production challenges coming along. But so often there are other production challenges, like mom working outside the home. That said, as I am sure you know, what you were pumping previously (5-6 ounces) was unusually high for per session pump output. 2 ounces is actually considered very good pump output for when a mom is nursing around the clock. It is likely that when you are back at work and settled into a pump routine, your per session output will increase, but whether it will be that high again is anyone's guess. It is also possible that once you are working, your daughter will seek to nurse more often on her own overnight. Since you are co-sleeping, she can do this easily and as you said, you can always encourage this. The great thing about milk production is that to a certain point it is malleable. If it decreases some due to less frequent milk removal, it can usually be re- upped with more frequent milk removal. I am really sorry you are not sleeping well...I am sure the hand pain is not helping. Here is a place encouraging your baby to nurse overnight my help you, as the hormones released when nursing promote deep relaxation and sleep. I do...
    6 replies | 141 view(s)
  • @llli*laura.farret's Avatar
    Today, 09:15 AM
    I always rolled my eyes at women who said they were drying up as a cheap excuse to stop breastfeeding, but it seems to be happening to me. This is the second time that I come to the office and pump about half of what I used to. I used to et about 4 oz each time, now I'm lucky if I get 2. I work three days a week and my EBF. Baby feeds very frequently when I am home and I bed share, so he eats through the night. Baby is almost 4 months now and, aside from the fact that he appears to be teething, there have not been any changes. We also suspect that he may have GERD, and we will discuss that with the pediatrician in two weeks. Lately baby is been extra fussy but since he was born he has been gassy so we're used to him being upset. Baby is 3 months and a half and he still has a good number of wet/poopy diapers. He's about 16 Lb What is happening? I refuse to give up!
    1 replies | 29 view(s)
  • @llli*mommal's Avatar
    Today, 07:08 AM
    Okay, that does sound like mastitis! The reason I asked is that sometimes health care professionals step in with antibiotics for something that turns out not to be masttis- for example, a mom with thrush-related pain might be given antibiotics because the doc thinks "pain in the breast = mastitis". And the last thing you want, when you suspect thrush, is to have unnecessary antibiotics further unbalance your microbial community. Excellent! I think hands-on help is a really good idea. Here's what I would do: - Nurse as much as possible but don't be too afraid to pump when you really can't stand to nurse.
    10 replies | 164 view(s)
  • @llli*sunsetbean's Avatar
    Today, 04:34 AM
    Thank you. We just had an early morning feed and I noticed the glass "cut" feeling again AND for the first time ever I saw a slight flaky film on the areola after she came off the breast. This must be thrush!!!! And I've had a dull aching in both breasts since being on the antibiotics, which would also point to yeast I think. The mastitis came on very quick with severe flu like symptoms and incredible pain in my right breast that eventually made a big red area. It's all responded well to the antibiotics. I am meeting with a really good IBCLC this Monday morning. What should I do until then for the pain? It did hurt less to pump than it has to have her on the breast. I don't want to diagnose for sure until I meet with her, but if there are simple things I can do today to mitigate pain or start treating the yeast, I'd like to. In retrospect, I now believe the symptoms started to get worse after I finished my probiotics post birth, around 4 weeks. I bet we have had a mild yeast infection that has gone undiagnosed for weeks because we've had all these other TT issues going on as well, and I've been calling what I've been feeling fissures. This is making more sense now!!! As far as vasospasms, my nipples were always extremely sensitive during pregnancy, and with my first DD (who also had TT and was a winter baby) I remember having sensitivity to the weather and when I would open my deep freeze!! This summer weather has helped I think.
    10 replies | 164 view(s)
  • @llli*7preemiemum's Avatar
    Today, 04:25 AM
    Bumping up my post here Guys, just bear with me again and my world disaster probs;)aaaach i wish i could actually joke about it Anyways, so we r still pumping, i just have a few quests again, wanted to know what u all think As I prev wrote the combo of eping by day and nursing eve, night n early morning worked well until 8 months When i found dd suddenly "upped" her breast refusal by a few notches Happens to be this coincided with me cutting thru her medela teet which as its a tiny hole was driving me crazy by the lengthy feeds So cut it to make the hole bigger n suddenly the milk flooooooowed Im not joking that her breast refusal seriously became more sever from that point on Do u think its related? Also, there was absolutely no paced feeding going on. She takes between 3-5. oz a feed depending on her hunger state of the day, that very much varies by her, also her intake of solids does
    28 replies | 710 view(s)
  • @llli*katy77's Avatar
    3 replies | 191 view(s)
  • @llli*katy77's Avatar
    Today, 03:38 AM
    I created an id to reply to this. I am 38 weeks pregnant and have been BF my son (now 18 months) throughout pregnancy. Much of what happened with me didn't fit the standard timing but perhaps my experiences will help/ be interesting to you. From about 2 months pregnant I started to find BF painful. I don't know if you have ever had a milk blister but it felt like that. This was relieved when I used lanolin or coconut oil on my nipples before nursing. For a month I would not BF without one of these creams. My milk dried up for the most part around 4 months but my son continued to comfort nurse (he still got some milk) and to my surprise at about 5 months my milk came back again. I did notice my milk turned to colostrum at about 8 months. None of these changes affected my sons desire to nurse at all. Another big thing was pain not when actual nursing but when the milk is coming in. If my chest is cold it can be absolute agony. I advise to have shawls and sweaters that fit well during pregnancy. Even on sunny days do not leave the house without something warm you can put on your chest. I used a hot water bottle in bed sometimes as well. Keeping my chest warm stopped the pain.
    3 replies | 191 view(s)
  • @llli*mommal's Avatar
    Yesterday, 09:55 PM
    :ita Terrific advice from MaddieB. Can you tell us more about the medical issue which is keeping you from nursing? Maybe we can help!
    2 replies | 115 view(s)
  • @llli*mommal's Avatar
    Yesterday, 09:52 PM
    For the tendinitis, icing when possible and anti inflammatory drugs like ibuprofen should help.
    6 replies | 141 view(s)
  • @llli*mommal's Avatar
    Yesterday, 09:44 PM
    Based on your description, I'm thinking that your troubles are a mix of three issues which are very hard to distinguish from each other. First, I think there is an excellent chance that you have thrush. You had antibiotics for GBS+ at birth, you have the radiating ground glass pain, and you're on antibiotics right now. I know you're not seeing a lot of other symptoms- the yeast diaper rash, the oral thrush, the slit-like cracks, the pink/red nipples, the flaky skin- but that doesn't rule out thrush. I personally would want to eat both yourself and the baby and see if the pain improves. Second, I think there's every reason to think that you have an issue with the baby's latch. The asymmetrical nipples, the prior existence of w tongue tie, and the pain during feedings are suggestive of a poor latch, so keep on using the reclined positions and maybe go back to see a LC for more help on getting a deeper latch. Third, there's a good chance that the poor latch is giving you vasospasms, which are painful constrictions of blood flow related to compression of the nipple. Vasospasms will usually be visible as a post-feeding blanching of the skin of the tip of the nipple- perhaps that's the slight white color you're observing after some nursing sessions? The best thing about vasospasms is that they are the easiest of the 3 potential problems to treat: apply heat and the vasospasm should diminish. So keep a hot water bottle or heating pad handy and slap it on when the...
    10 replies | 164 view(s)
  • @llli*andie613's Avatar
    Yesterday, 08:40 PM
    Your description sounds like yeast though it may not be overtly obvious on a visual level. I would suggest trying Jack Newman's all purpose nipple ointment: http://www.breastfeedinginc.ca/content.php?pagename=doc-CP. I used this for months with my first baby after a tongue tie caused cracks, mastitis, yeast, and a poor latch the took a few months to correct. The ointment is safe to use while nursing and does not need to be washed off. If yeast proves to be the culprit I would suggest trying gentian violet (also discussed on the Jack Newman site). It's a bit messy and can stain clothing purple, but worth it. It can also be used to treat a vaginal yeast infection when other creams don't work and you can't take fluconazole, such as during pregnancy.
    10 replies | 164 view(s)
  • @llli*m11612's Avatar
    Yesterday, 08:38 PM
    http://kellymom.com/ages/older-infant/biting/#whattodo I would try treating it like biting. It is just a part of teaching breastfeeding manners. Breastfeeding is a two way relationship in which both parties deserve respect. She may not realize that what she is doing hurts/bothers you and you can teach her. This is all easier said than done. I know because my son has started doing that too. I am not taffy! I do think it has to do with impatience for let down. :( I feel so bad taking him off because I know be doesn't mean any harm. However, I want us both to enjoy nursing. Good luck! :)
    2 replies | 167 view(s)
  • @llli*andie613's Avatar
    Yesterday, 08:30 PM
    I second the My Breast Friend pillow. I loved mine, especially the fact the the pillow is flat on the top so baby is not rolling towards you while nursing. I even carted mine around with me until DS was over a year old! You can find them on Amazon for about $35.
    3 replies | 106 view(s)
  • @llli*rw0804's Avatar
    Yesterday, 05:47 PM
    We have champion sleeper daughters! Yeah, in the first four weeks or so I woke her to feed but the LC and pediatrician said to let her sleep after that since she was well beyond her birth weight. But certainly for the last 8 weeks it's been the same (nurses to sleep, she wakes only once during 8ish hours, sometimes at 2am sometimes more towards 4-5am). My OB said my supply would regulate itself to make less at night as a result but still fine during the day, which seemed to be the case until this week which is after a while of these short feedings happening and why I worried they are linked. That all said, I'm wondering if the stress of returning to work/leaving her and poor sleep (due to said stress) is really the reason. I just pumped (my one pumping session to add to a stash) and pumped only 2 oz total whereas I normally get at least 5-6. So needless to say that kinda freaked me out. Oh man, it is painful! Luckily though we caught it relatively early and it seems to be getting better. I think that's a great idea to try different positions, will do!
    6 replies | 141 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 05:32 PM
    Oh Ok, I had one of those too, but she was a smallish baby (under 7 lbs birth weight) so go figure! I chalked it up to my having over production, but as she is almost three and still the most reliably lengthy sleeper in the family - waking an hour or longer after her older brothers in the morning, I now think it is just some aspect of her personality. Ouch that sounds really painful! As baby gets older, different positions where baby takes more control might help?
    6 replies | 141 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 05:23 PM
    Well all sounds really good! But does nursing still hurt? Some babies just will not open wide in the classic "gape" prior to coming on the breast, but this is not necessarily needed for comfortable latch. For the timing issue, Where does baby spend the most time when not nursing? One way to get the breast to baby quicker is to hold baby with easy access most of the time, including while baby sleeps, as early cues occur while baby sleeps. if football is working keep doing it be all means, but be sure you are comfortable as well. if you look at my july 2 reply here, I link to some good latch help ideas. http://forums.llli.org/showthread.php?123676-Breastfeeding-After-Tongue-Tie
    3 replies | 197 view(s)
  • @llli*rw0804's Avatar
    Yesterday, 04:42 PM
    Thanks for your help! It's baffling to me: we co-sleep, no pacifier (ever), and she is rarely swaddled (and if so arms-out) -- she's always been a big night sleeper, only waking once to nurse (and my supply never suffered until now). The LC I saw pinned it on her being a big baby. I always nurse her to sleep and never cut nursing short. But I can try encouraging more nursing at night. That's great to hear about the short feedings being okay. Mommy thumb is a kind of tendonitis: https://en.wikipedia.org/wiki/De_Quervain_syndrome Mine is getting better with wearing a brace but it makes holding her very difficult when nursing on the other side. Thanks again!
    6 replies | 141 view(s)
  • @llli*minasmomma's Avatar
    Yesterday, 03:22 PM
    Sorry it took me so long to reply, there was an issue with my login. Baby is nursing about 10-12 times a day, basically on demand. It may be more but I have been so busy that I even forget to get my app running when I start to nurse. Her poop output seems to be great too, she has less frequent poops per day, 2 on average, but her poop amount in those two could equal 4 diapers lol. Her pee output is great in my opinion so I think she is getting enough at this point. Still waiting on the appointment next week to get her weighed. I am having issues with her opening her mouth wide when I go to put her on. She begins to suck on an imaginary teet before I can get the breast in there. I have tried to use my knuckle to place on her chin to help open it longer.......my timing on this isn't the best. Is there any resource for helping that issue? I have altered my hold to the football hold with plenty of support for her body with pillows and blankets and referencing videos and literature I am holding her correctly I just cant get the boob in her mouth fast enough right now.
    3 replies | 197 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 03:05 PM
    I would be less concerned about the short sessions and more about the long sleep stretch, as far as impact on milk production. It is fine to encourage a baby to nurse more overnight, and/or to eliminate or cut back on sleep lengthening measures (pacifier, swaddling, baby sleeping in a separate room) so baby might cue to nurse more often on her own. I am not saying 3 month old sleeping that long every 24 hour period is necessarily bad, but since it is pretty unusual in the breastfed baby it is always a little red flag to me. Especially with a return to work looming, night nursing might be something to consider encouraging. The return to work and the need to pump rather than nurse for several hours is the most dangerous time as far as milk production is concerned. Overall, short frequent nursing sessions at this age are entirely normal. As long as baby is being given the opportunity to nurse as long as she likes, nurse to sleep, etc, then it is fine if baby choses another way for now. This may well change anyway. I am not sure what mommy thumb means... Do you mean she always needs you to shape the breast in order to latch? For the whole session or only when latching? Have you tried different positions to help baby latch better? I suggest do not worry about how the way your baby nurses effects how your baby will eat at day care. They are such totally different things- your baby may well not cue as often at day care. I would suggest be very sure your baby's...
    6 replies | 141 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 02:44 PM
    Did you nurse your first two children or were you also EPing? For most mothers who are working on "bringing in" a normal milk production when only pumping, this is wrong. Pumping has to replicate what a newborn typically does. Newborns typically nurse 10-12 times OR MORE in 24 hours. Of course, many of these sessions are not all that productive, but they are still vital. So, the bare minimum typically suggested for exclusive pumping in the first two months (approximately) is 8 times in 24 hours. After that, 6 times MAY be ok. It depends on the mom. Diferent moms, different breasts, make a difference. Some mothers need to pump more often than others, just as some need to nurse more often than others. If you possibly can, Yes and Yes. But you are not trying to get more milk per session, or rather that is a secondary concern. What you are trying to do (always, but especially at this critical period) is tell your body that there is a hungry baby and so it needs to step up milk production so you can make enough milk over all. Right now, your body is being told there is about half a baby, not a whole one, if you see what I mean. Your body is not going to want to make more milk than that half of a baby needs. So, your body should respond to more frequent milk removal by making more milk overall. If baby cannot nurse, you do that by using a pump or hand expression (or both) to mimic how a normal healthy newborn eats at the breast, which is very frequently both night...
    2 replies | 115 view(s)
  • @llli*missfickleness's Avatar
    Yesterday, 01:48 PM
    So here is the latest on my relactation project: I'm pumping 3-4oz per day now. I generally see an increase of a half ounce (give or take a little) per day. :) Wyatt is now willing to nurse using just a nipple shield, no SNS necessary. He has nursed for up to 20 minutes at a time using just the shield. When I pump after he nurses, I get just a few mL, so he is able to transfer at least some milk.
    5 replies | 538 view(s)
  • @llli*nybkmom's Avatar
    Yesterday, 01:09 PM
    Hello fellow moms, I am looking for help and advice with my breast milk supply, which I find too low. I had a planned c-section on June 27th (due to a medical issue). I am currently exclusively pumping (due to another medical issue). I have a medela double electrical pump.
    2 replies | 115 view(s)
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