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  • @llli*bear.mommy's Avatar
    Today, 04:09 AM
    Hello! I'm a FTM of a 7-week-old EBF boy. We had a rocky, difficult start with breastfeeding--my milk did not come in right away, plus I felt so much excruciating pain from my son's powerful/bad latch and my nipples toughening up that I resorted to mostly (machine) pumping during the first month. Finally it stopped hurting so badly when my son nursed, and I've been able to breastfeed and almost entirely avoid pumping for the past 1-2 weeks. Granted I still experience some terrible pain, but it's (a) limited to an aching, throbbing pain that comes and goes only in my left breast; and (b) neither I nor my OB can figure out what is causing it (not thrush, no symptoms of mastitis, not letdown pain which is something I experience separately, etc.). My main problem now is overactive letdown and what I think is oversupply (at least in my "stud" left breast). My breasts never feel fully drained after my son feeds. Also, if I do pump, I get 3-4+ ounces in my left breast and 2-3 in my right breast. When I have given my son a bottle, however, he eats about 3 oz max. The OALD is worse in my left (stud) breast--LO chokes, gasps, cries/screams from the fast and heavy flow. I try to lean back to help with the gravitational flow, and this seems to help a little. My son only feeds on one breast at each feeding, which seems fine as he has plenty of pee diapers and is gaining weight well/rapidly (he was 8 lbs. 11 oz at birth and just yesterday was weighed at 14 lbs. 4 oz). He also...
    0 replies | 0 view(s)
  • @llli*momma1707's Avatar
    Yesterday, 08:57 PM
    My LO is 5 months old and EBF. I recently noticed something looking like a clear bubble in the middle of my nipple. It was painful when nursing but tolerable to some extent. I didn't have any pain when not nursing. Yesterday the bubble seems to have gone and now I see a red spot at the same area like it's wounded and needs to heal. I don't know what it is but now when I try to nurse LO the pain is so much worse and I couldn't go through with it. I don't pump and LO doesn't take bottle. I am not sure how to get through with this. Any suggestions on how to heal nipple or lessen the pain for me to be able to nurse LO. please help.
    0 replies | 34 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 08:19 PM
    Hi, and welcome. My four year old sometimes latches really oddly and I have to ask her to stop and try again. Usually just helping her adjust her position and telling her to open wide, relax, and nurse gently helps her figure it out. She has said for a long time there is no milk, but she still wants to nurse especially at bedtime. I know there is SOME milk, but not much, so I agree this probably has nothing to do with your production. In my experience with two older children that weaned pretty much on their own terms, is that it is a little surprising when they are just not nursing anymore, even when the weaning was very gradual.
    1 replies | 51 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 08:03 PM
    Hi Shelbymitchell! welcome to the forum. So, here are some thoughts. Newborn babies need about 20 ounces per day after week one, (less then that before that, almost nothing right after being born, then it increases rapidly to about 20 day 7) and from 25-35 OZ per day after about week 4 or 5, and then it stays about that amount. (Moms CAN increase production after week 4 if needed, but baby does not need more) This means, that what happens between the end of week one and week 4 or 5 is a gradual increase in milk production. Of course, some moms are already making 25 or more ounces per day by the end of week one, and some are making too much, and in those cases, no need for production to increase. These numbers are of course somewhat general, but it is unlikely baby would need more than this. I am giving these numbers to you because I think it is important to understand how much babies actually need overall, instead of focusing on what baby appears to want at a single meal, or what you can pump at a single pump session.
    1 replies | 40 view(s)
  • @llli*shelbymitchell's Avatar
    Yesterday, 05:52 PM
    My first born was formula fed, I tried breast feeding and gave up because I had extremely bad pp depression and it was so hard for me to connect to him, I got diagnosed with post partum hypothyroidism as well, and was told that my hormones could be effecting my milk too. I promised myself that my second baby I'd breast feed ! So here I am, exclusively breastfed in the hospital & on the second night baby screamed ALL night long, then when we went home he had orange crystals in his diaper which caused my first baby to stay in the nicu! So I freaked out and we breast and supplemented until the signs of dehydration were gone. My issue is now, my baby is 3 weeks old, I pump / latch him every 2 to 3 hours and no matter how much I produce he is still hungry. He has to always finish his feedings with 2 extra oz of formula or pumped milk. I hate this, because I feel like I'm failing him by not producing enough for him. I tried for 2 days to only pump, to see how much I was producing.. I only pump 2oz total between both breast each time, and my baby is eating 3-4oz per feeding. I'm drinking a lot of water, taking vitamins and even have been drinking a mama lactation feeding supplement and nothing has upped my supply. I've been producing the same amount since the first week. Help.
    1 replies | 40 view(s)
  • @llli*kristen.ellsworth's Avatar
    Yesterday, 07:41 AM
    My daughter will be three this week. We’d still been nursing at bedtime and in the morning every day, but it seems that from one day to the next, she forgot how to latch. She just sucks noisily and ineffectively for a few seconds and gives up. It’s not a problem, obviously, at her age. It’s just a surprise because that’s not how I expected weaning to happen. I thought she might lose interest, or my supply might dry up, or I’d have to decide to tell her, “No more nanu,” one day. I hadn’t heard of a child just losing the skill overnight! She is a bit sad about it and asks if I can teach her how to nanu again, but I’ve been saying, no, I don’t think I can and this must mean that she’s a big girl now. Her nose is slightly stuffy (spring allergies), but we have nursed through much worse, of course. I think my menstrual cycle is finally returning, and this coincided with the end of a light period, but I can still easily express milk so I don't think it's a supply issue. Also, she's not complaining that there's no milk, she's saying that she can't remember how. I'm not looking at this as a problem to solve - it's probably just as well for weaning to happen now, and it's probably sort of lucky if it happens naturally. I just wanted to see if this is a common thing to happen.
    1 replies | 51 view(s)
  • @llli*maddieb's Avatar
    May 22nd, 2017, 02:19 PM
    PS a little hand expression between nursing sessions can be very helpful in relieving engorgement. If you are so engorged you need to pump a bit, that is also ok. Yes of course pumping will increase milk production. But when engorgement is severe, it is the engorgement itself that is the most potentially serious and immediate problem and in that case you want to try to avoid it. Usually you only want to pump or hand express enough to relieve the pressure.
    2 replies | 339 view(s)
  • @llli*maddieb's Avatar
    May 22nd, 2017, 10:01 AM
    Hi. Engorgement can be a sign of overproduction, but more typically this early on it is simply normal (many moms make too much when milk first comes in) OR it is a sign that baby is not nursing well enough or frequently enough. Baby may be getting plenty of milk, but if mom is having frequent episodes of engorgement, that may still indicate a latch problem. Since you are having engorgement even right after baby nurses, I wonder if maybe you need to have a consult with a lactation consultant to make sure all is well. More info: http://www.cwgenna.com/lconsult.html Did you have an IV in the hospital? If you had an epidural or c-section or an IV for any other reason, you may be very "water logged" at this point. This means you could be experiencing edema, (too much water in your cells) which can seem similar to and also can worsen engorgement. Are you swollen anywhere else? It can be very obvious in the extremities, but if you have edema you have it everywhere, including your breasts. OP- Unless overproduction is causing a serious problem, it is usually safest to let nature take its course. Over a few weeks, your body should get the message that it is making too much milk and begin to reduce production on its own. Block nursing gives the body a very strong, immediate message to reduce production quickly, and also can worsen engorgement (as that is kind of how it works) so at this stage is not typically recommended unless the OP is very severe, and then you still have to...
    2 replies | 339 view(s)
  • @llli*jnjsess's Avatar
    May 21st, 2017, 09:25 PM
    I am nursing my 5th baby, I had oversupply issues with all but my 3rd baby. My last baby was my worst case of over supply, it did not clear up until 12 weeks, and he had all the symptoms, green poop, coughing, gagging, crying, gained a lot of weight quickly, etc.. My 5th baby is one week old. I constantly have engorged hard breast that never soften, even after eating. Luckily he has nice yellow poop, doesn't seem to have too much trouble nursing aside from the occasional choking, but it seems like for the most part he can keep up with the flow. I have been block nursing, only pumping a tiny amount to draw out my nipple occasionally, I started drink Sage tea 2x a day, and helatch seems fine. Does this sound like oversupply still if he seems so much happier, and having great yellow diapers? Does it sound like engorment in this case is more swelling than over supply?
    2 replies | 339 view(s)
  • @llli*mommadaw's Avatar
    May 21st, 2017, 12:50 PM
    Wow this is so much great and non judgemental information. Thank you SO much. It's so hard to get any help cause very one thinks you shouldn't or they just let their babies cio. I will look into the books you suggested. I really really appreciate your thorough response. Thank you :)
    2 replies | 373 view(s)
  • @llli*djs.mom's Avatar
    May 20th, 2017, 08:04 PM
    I am glad you figured it out! I am really proud of you for sticking with it. Breastfeeding doesn't have to be an all or nothing thing. And if using formula helps you keep at it, then I am glad that it's a tool available to you. Do you have any idea what your ratio looks like at this point?
    14 replies | 1205 view(s)
  • @llli*maddieb's Avatar
    May 20th, 2017, 03:19 PM
    Hi, thanks for answering my questions. So you have only the birth weight? No other weights were done even in the first few days? Anywhere? What was her weight when you saw the pediatrician this last time, and how many weeks old was baby at that weight check? Before you started supplementing, how many times in a day did baby poop and what did they look like? If it was not every day, how much did baby poop? Since you started supplementing on the doctor's orders (I assume) they must have wanted baby to be weighed again shortly to see if supplements were the answer (after all, poor gain could mean other problems)- has baby been weighed since you started supplements? If so what was the result? Of not, when is baby getting weighed again? !!!!Ok. So every three hours would be exactly 9 times a 24 hour day. Right? 9 X 4 equals 36. Are you saying your baby is being given 36 ounces of formula every day, AND nursing 9 times a day? Because 36 ounces would be more than most babies needed, even if they were not nursing at all.
    3 replies | 246 view(s)
  • @llli*trifides's Avatar
    May 20th, 2017, 02:42 PM
    Absolutely, it's a simple 2 minute blood test and worth doing before you throw in the towel!
    14 replies | 1205 view(s)
  • @llli*peachesandcream's Avatar
    May 20th, 2017, 01:40 PM
    Hello thank you for replying! 1. I don't have one, she has been to the pediatrician just this once in the last week... mainly due to insurance changes etc. She weighed 6 1/2lbs when she was born. 2. This all has come to a head within the last 3 weeks. I started feeding her a 4oz bottle after nursing every three hours. I just got my breast pump today. It's a Medela. I'm planning to nurse (which doesn't last long as she gets frustrated) and then pump. 3. Kind of funny. With my youngest sibling my mom had trouble nursing and so come to find out he was tongue tied . When I started to realize my baby wasn't getting enough to eat, that was the first idea that came to my head. I presented that to my pediatrician and they checked it, and she confirmed that she was indeed tongue tied.
    3 replies | 246 view(s)
  • @llli*maddieb's Avatar
    May 20th, 2017, 12:08 PM
    You can see an internist or GP for this. They can do a breast exam and prescribe anti biotics. Also, as a post partum mom feeling so worn down, you probably want to have a full workup including thyroid function testing. Feeling exhausted and vaguely ill is quite likely because there is actually something wrong, and it may or may not have anything to do with your breasts. Your milk production will reduce when you tell it to reduce, and your can do that by GRADUALLY reducing either how often or how long you pump. (Or probably best, reducing both.) It is always best to gradually reduce milk removal. This is what a baby does naturally as they wean- gradually they nurse less and less often, taking less and less milk each time they nurse, as they require less and less milk each day. Over many months or even years this happens. That is how milk production reduces safely and naturally. When weaning off pumping, this natural process is what you are going to try to emulate. From what you are saying, I am guessing you probably want to move it along much faster than it would typically happen. Ok, the only problem with that is, since you have the issue with the reoccurring plug as well as a possibly injured breast, that complicates things, because most likely, the faster you wean off pumping, the more likely you will see issues with plugs and/or mastitis. You may want to contact an IBCLC to see if they would be able to help you find a process where you can more safely but more...
    1 replies | 107 view(s)
  • @llli*maddieb's Avatar
    May 20th, 2017, 11:37 AM
    @llli*maddieb replied to a thread Night weaning 8m old in Weaning
    I laugh when people say that to wean you "cut one feeding at a time." Ha! If only it were that simple! There are many ways to approach weaning, or rather, partial weaning. That is what night weaning amounts to- a partial weaning. The problem with night weaning is that to do it, you have to do the same things you would do for any other time weaning- do not offer, avoid taking nursing related "positions", delay, distract, substitute and shorten. These are proven and effective means of gradually weaning and reducing milk production safely and without undue trauma and upset. The problem is, these strategies tend to be much, much harder to do in the middle of the night when you are trying to sleep, than during the day! If you want to night wean, it is going to be much easier if you have a parenting partner or some other help for comforting and soothing your child overnight. A concern particular to this age, just to be aware of, is this is prime time for nursing strikes. Weaning attempts at this age in particular seem to trigger strikes in some babies. I would also suggest that night waking/nursing at this age is only partially triggered by hunger and thirst. That is certainly part of it, and why the substitution strategy (offering food and water) may help even for night weaning. But lots of what is going on at this age is that sleep patterns are changing. Every human starts out sleeping about 80% of the day, and ends up sleeping about 33% of the day. What is less...
    2 replies | 373 view(s)
  • @llli*maddieb's Avatar
    May 19th, 2017, 11:04 PM
    Thank you for the update and explanation about your experience, as well as your tips for other moms. I love those ideas. Wow I hope mommal stops in and sees this. She is always urging moms to get their thyroid function checked!
    14 replies | 1205 view(s)
  • @llli*maddieb's Avatar
    May 19th, 2017, 10:59 PM
    Sounds like you and baby are doing very well! Thanks so much for the update.
    4 replies | 463 view(s)
  • @llli*mama7008's Avatar
    May 19th, 2017, 07:28 PM
    Thank you both for your responses! I realized I'd forgotten to reply. =) We went home from the hospital the day after I posted, and his behavior immediately changed (now it's more a matter of making sure he wakes up enough rather than having hours of wake time/cluster feeding!). I think it must have just been a combination of normal cluster feeding and being in the hospital that was causing issues. He's been averaging a lb weight gain per week(!), so thankfully no issues transferring milk.
    4 replies | 463 view(s)
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