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  • @llli*jessie90's Avatar
    Yesterday, 09:44 PM
    Hi Mommal, I didn't read your response as critical at all!!! So no worries :) I know everyone just tries to help here. I hired baby scales and weighed him for 2 feedings (scale broke after that so I am getting new one today) and he took around 60-70 ml. So I topped him up extra 50 ml of EBM. I read somewhere they meant to eat on average 100-120 ml each feeds so I went by that. Sometimes I do wonder if he needs the top up but then he comes off the breast very unsatisfied and when I try to burp him he just goes into "I want more scream". So I put him back at the breast before I offer bottle but then he just suckles on the breast without swallowing anything. If he does that for another 10 min I just take him off, give him bottle and start play/sleep routine because I need to pump. And I know if he tried harder he would get more milk because now I am able to pump 30-40 ml post feed which would satisfy his needs completely. It's so frustrating. If I take him off without the bottle and try to put him to sleep he will be either rooting on my arm the whole time or just sit wide awake for hours. Also if I give him bottle with less milk as soon as I take it away from him he goes ballistic and cries like I seriously hurt him or something. Breaks my heart so I give him more until the cry changes from horrible scream to little whimpers. If he has a lot of EBM then he doesn't cry at all. I always took his cry as "I have empty stomach mummy" so I topped up if necessary.
    2 replies | 42 view(s)
  • @llli*mommal's Avatar
    Yesterday, 08:21 PM
    How much is in the top-up bottles? And how do you know what amount the baby needs, post-feeding? The reason I ask is that I'm wondering if baby is perhaps getting too much supplement, and that's why he's going so long between feedings. If that's the case, decreasing the amount in the top-ups might result in more frequent nursing and more clear opportunities to pump. Many moms try to pump right after finishing a nursing session, because that gives them a lot of stimulation and also a break before the baby nurses again. ETA: I'm worried that the above might sound critical, and it's not intended that way! What you are doing is very challenging, whIch I know because I have BTDT. So I have nothing but respect for what you're doing!
    2 replies | 42 view(s)
  • @llli*mommal's Avatar
    Yesterday, 08:12 PM
    Thanks for answering those questions! Based on your answers, I think there is a strong possibility that you have 2 different things going on, both of which can cause a burning or "ground glass" pain that occurs in between feedings. The first thing which could explain what you are experiencing is thrush, which is a yeast infection of the breast and the baby's mouth. The fact that the baby has a yeast rash in his diaper area suggests that the yeast is elsewhere, too. Doctors and other medical professionals often miss thrush because they don't know that it can occur in the breast and have been trained to look only for the classic symptom, which is pearly white patches in the baby's mouth. So when you say that your doctor ruled out infection, I don't buy it. Clearly what he/she was looking for was bacterial infection, which would likely cause lumpiness and fever. I'm glad that got ruled out, but I still think there's a good reason to believe that thrush is in the mix. The second thing which could explain the pain you are having is vasospasms, which is a sudden, painful constriction of blood flow to an extremity. The telltale symptom of a vasospasm is to see the extremity turn white. Here is what I would do, in your shoes: - Try to get treatment for thrush. The baby's pediatrician may be more familiar with thrush than your obstetrician, and may be willing to prescribe antifungal treatment for you and the baby. Both mama and baby should be treated, even if...
    5 replies | 269 view(s)
  • @llli*sfmamamia's Avatar
    Yesterday, 07:32 PM
    I have felt letdown pain before its time to feed my baby, but it only lasts a few seconds. I believe I'm engorged because I'm not fully emptying when exclusively pumping at work. I try to hand express when feeding and pumping. I only seem to be pumping 3 oz each session when my baby eats at least 4oz each bottle feeding. The pain seems to go away when I feed him again after the pain starts. I do not feel ill. The pain is starting to be during the day when I am home all day and only feeding him (no pumping) too.
    5 replies | 269 view(s)
  • @llli*sfmamamia's Avatar
    Yesterday, 06:57 PM
    1) no 2) no 3) yes, baby has had a diaper area yeast rash that has come and gone the last couple of weeks. 4) yes, white sometimes white. They can't urn red but not purplish blue
    5 replies | 269 view(s)
  • @llli*zachary.smommy's Avatar
    Yesterday, 06:45 PM
    Thank you guys so much for tge encouragement. I am left with more questions after my first day at work today... i don't know where to put this so I am just asking here. So the past week I have continued to supplement at the breast with about 4-6oz but some of this is formula. Part of the problem is not having time to pump a lot (or being exhausted at night if I am honest) and part is I have been pumping less milk recently at each session. I am optimistically atteibuting this to baby getting more milk from breastfeeding and there being less available to pump, but who knows. We did not have a weight check this week and I tried on my scale but he won't stop moving.... I think he was 8lbs8oz pounds, up from 8lbs 1oz last week. But hard to tell like I said, plus it's a dofferent scale. So today I left the baby with my mom and went to work. I had no bm since I supplemented with it so I left 4 oz of formula broken up in different bottles. I pumped 4 times at work and got more than I do when breastfeeding full time but not enough for what he would need to eat. I got around 5.5oz (can't remember the exact but in the 5oz range) over those 4 pump sessions. We leave the house at 7am and get home at 5pm. BUT here is the other issue...the not wanting to take a bottle. My mom got him to take around 2oz today with it over 3 feedings. Tomorrow she is going to also try the cup and syringe and dropper to see if he will get more. So here is my confusion: Since he already required...
    26 replies | 1253 view(s)
  • @llli*jessie90's Avatar
    Yesterday, 05:49 PM
    Hi Guys, I am new here and I posted my story in another thread. You can read it here. http://forums.llli.org/showthread.php?125050-Short-tongue-but-no-tongue-tie In a gist- my son has been checked for tongue tie which he doesnt have but the doctor established that he has very short tongue and overall inability to empty the breast properly (leaves my nipples completely squashed) which resulted in my low milk supply. He is now 8 weeks and we are waiting for the 12 weeks mark for it to get better. So far no change. Now, I pump after every feed to try increase my supply. Usually around 10-15 mins, using double hospital grade pump. The problem is- with age or with the top ups (EBM if I have some or Formula if I dont) he is now going around 3-4 hours without feed plus even longer 5-6 hour stretch overnight. I counted my pumps yesterday and turned out I only pumped 6 times in 24 hour period. I know recommended amount is 8-12 but I just dont know where to fit those extra pumps. If i pump lets say 2 hours after feed, my breasts just dont fill up enough for the next feed and my LO wont work hard to get the extra drops of milk out.
    2 replies | 42 view(s)
  • @llli*ccquinn's Avatar
    Yesterday, 03:28 PM
    All good points! Thank you mamas! She's a healthy kid, so I guess she's getting what she needs from my milk.
    7 replies | 380 view(s)
  • @llli*mommal's Avatar
    Yesterday, 03:25 PM
    So glad you got a satisfactory explanation! That's a very interesting tidbit of breastfeeding info. I'm glad you posted the update!
    10 replies | 321 view(s)
  • @llli*mommal's Avatar
    Yesterday, 03:24 PM
    What would you say to taking the pacifier away for a while? Most babies are very assertive, and they let mom know when they want to eat. But there are some babies out there who are so mellow, so laid back, that they don't ask to nurse often enough. They will contentedly suck on a thumb or a pacifier, and forget to nurse. In cases like that, you want to be proactive, and offer the breast pretty frequently even if the baby isn't requesting to eat.
    3 replies | 84 view(s)
  • @llli*mommal's Avatar
    Yesterday, 03:22 PM
    Thanks for answering those questions! The new lipstick shape suggests that your baby is latching on too shallow. Instead of the nipple sitting in the ideal position on the back of his tongue, underneath the soft palate, it's sitting on the front of the tongue, under the hard palate. When he sucks, the nipple is getting compressed between the front of the tongue, where there is a lot of motion, and the hard palate. Result: pain and vasospasms (potentially). I would definitely want the LC to check baby's tongue and lip again, because a 3 month-old who is still having issues latching on deeply enough that he doesn't hurt mom suggests the possibility of something preventing him from getting a good latch. It sounds like your baby is eating a lot. On average, you would expect a baby to eat about 20-30 oz per day, total. Is he exceeding that, or nearing it, when he eats from the bottle?
    5 replies | 310 view(s)
  • @llli*mom2ber's Avatar
    Yesterday, 01:53 PM
    Thank you SO much for such a detailed, helpful response. I've really been questioning my whole feeding approach the past couple of weeks, so the reassurance was sorely needed :) It's particularly helpful to be reminded that breast milk has more nutritional value / calories than most solids and that they should not be my main focus. I will try switching to a faster flow nipple and see how it goes. My son tends to be happy to go a long time between feedings during the day and then wakes up every 3 hours to nurse at night - so my rule of thumb is to feed him if he's hungry during the day but not let him go > 4-4.5 hours without milk. He sort of naturally fell into a 4 hour schedule around 4 months. He's a pretty patient baby and does take a pacifier so I wonder sometimes if I'm misreading his cues but I generally don't have that impression.
    3 replies | 84 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 12:48 PM
    YOU have NOT been starving your child. I assure you! I suggest get the book My Child Won't Eat and read the section on charting first. I think it will make you feel better. You will want to read the whole book, it was written for situations like yours. Your baby is gaining weight, not stagnating or losing weight. So the idea your baby is getting so little nutrition it is stunting baby's growth in length is highly questionable. Also, length are very hard to measure. Also, babies, like older children grow in fits and starts, not steadily. I see no reason to not move up to a faster flow nipple while you are at work at this age and seeing if baby might take a little more at work. A baby this age knows how much they need, So, make sure caregivers are letting baby set the pace of the flow and not insisting baby take more but letting baby take what he wants. Also talk to them about feeding frequency, is that set by baby or caregiver? Of course if you are upping milk intake at work, first, or as well, I would suggest consider how you might encourage baby to nurse more while you are with baby. I am not sure what "more" solids than baby is actually interested in are meant to achieve at this point. Breastmilk has more fat and calories than most solids. If you are going to give baby more solids in the hope that will help baby gain weight faster, make sure they are high in healthy fats and calories and do NOT replace your milk. more:...
    3 replies | 84 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 12:31 PM
    It certainly sounds like faster than average gain. But many babies gain faster than average, just as many gain slower than average. To get a better idea of what is going on currently, What was the time elapse between todays weight of 12 lbs 12 ounces, and the last weight check of 9 lbs 5 ounces? No matter what your baby is clearly gaining well. Is there something in particular you are concerned about as far as gain goes?
    9 replies | 371 view(s)
  • @llli*kbolton's Avatar
    Yesterday, 11:59 AM
    Hi there, Sorry for such a late response. I have been traveling lately, and that has caused some changes in my breastfeeding. For a few weeks I was exclusively pumping, but when traveling, I could not always pump so I had to try to breastfeed again. It is still painful, but less so. The initial latch still hurts quite a bit, but once he gets going it's a little better. He is almost 3 months now, and has started to move around and thrash his head around while breastfeeding. This is very painful and I'm not sure why he is doing it. I'm wondering if he is getting frustrated and I worry he's not getting enough milk or emptying my breasts. To answer your questions: -My nipples usually come out in new lipstick shape :( -My lactation consultant didn't see any tongue or lip ties, but I haven't had it checked again. -My milk supply has been varying a lot. Overall, I would say low. I haven't been able to stay ahead and often have had to supplement while I'm at work if I wasn't able to pump enough the day before. I usually have a large pump in the morning (usually around 8 oz), and they get smaller and smaller throughout the day. My last pump of the day is usually 2 or 3 oz. My son is eating about 7oz every 3 or 4 hours at this point, so I am definitely struggling to keep up. I take fenugreek every day. -My nipples aren't rubbing on the tube when pumping. I actually thought I might need a smaller size because it takes in a bit of areola too, but when I tried that they would rub a...
    5 replies | 310 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 10:59 AM
    Hi, is baby still hospitalized or are you home now? Can you post a complete weight history? How many ounces a day is baby getting in the bottle per day, and how much do you pump per day? Are baby's doctors saying you need to supplement with formula instead of breastmilk, or could you be doing all breastmilk if you could pump enough? It is a little unclear, sorry. If baby is not nursing much at all, it is important that your pump be a good one that fits you properly and pumping at least 8-10- times a day is typically suggested. This is a very important time for your milk production and frequent milk removal is vital. Have you had help from a board certified lactation consultant? A five day old baby who is refusing to nurse possibly cannot get a good latch for some reason. The sooner you can get to work on this the better, and getting experienced hands on help is definitely worth pursuing. I do not at all understand why you have to limit time at the breast. Has this been explained to you to your satisfaction? Personally I would be seeking a different medical opinion. Unless we are talking an extremely fragile, very premature baby, typically a baby can be supplemented as needed and encouraged to nurse with normal frequency and duration at the same time. In other words, getting baby to nurse more would not require weaning off supplements. Also, there is typically no reason for a baby to be supplemented with formula assuming there is enough breastmilk. Has any one...
    1 replies | 97 view(s)
  • @llli*mom2ber's Avatar
    Yesterday, 10:40 AM
    Sorry this is so long! I'd really appreciate any help / advice. My son went from 75% height & 50% weight at birth to 25% height & 17% weight at his 6.5 month checkup (based on WHO growth charts, I double checked them online myself). I'm breastfeeding (pumped milk on weekdays, 4 oz every 4 hours + I nurse in the morning, evening, and usually 2 times at night) and just started solids at 6 months. Doctor said to start feeding him more solids, which we are slowly introducing, but baby is really not a fan so far and barely eats an ounce of solids per feeding. I measured his length at home now at 7 months and he’s barely grown at all so I'm starting to get very concerned. Any advice or similar experiences? 3 main questions: 1. Milk: I've always given him milk in a bottle with preemie nipple while I'm at work and he's taken only 4 oz every 4 hours, so now I'm feeling guilty that maybe I've been under feeding him?? I will probably move up to stage 1 nipple. I usually pump every 3 hours to stay ahead of demand so I produce about 1-3 oz more than he takes. 2. Solids: doc said to give more solids. I have been giving them 30-60 min after milk so that it doesn't start replacing milk yet, but I'm wondering if it's ok to give solids before milk so he gets a bit more into it? Or is that going to affect my milk supply on days when I am home with him? 3. Someone please reassure me that I have not been starving my child :( :( He is generally happy, active, hitting milestones...
    3 replies | 84 view(s)
  • @llli*d.tombs's Avatar
    Yesterday, 09:46 AM
    An update to everyone (who has been reading, may read this sometime in the future--hope it is helpful!), I had a pretty satisfactory explanation from the OB last week. I was finally cleared of my ductal yeast infection (after 2 months!), but he said that it "scarred" my ducts in a way that it is always uncomfortable now. It explains why I have these "lumpy" feelings under the areola although an ultrasound didn't show any plugged ducts or cysts. Anyway, the good news is that it will heal if I am to breastfeed another child. Thank you for your support through this!
    10 replies | 321 view(s)
  • @llli*mackeroo2013's Avatar
    3 replies | 200 view(s)
  • @llli*mackeroo2013's Avatar
    Yesterday, 08:18 AM
    Yes, the weights were in the above e-mail. She is 6 weeks on Friday (born on 12/29). She was 7 lbs 13 oz at birth and is 12 lbs. 12 oz. as of today. Is that a fair weight gain?
    9 replies | 371 view(s)
  • @llli*mommal's Avatar
    Yesterday, 07:52 AM
    Welcome to the forum and congratulations on the baby to come! I'm so sorry that your first breastfeeding experience was not what you had hoped. It can be incredibly hard to let go of the beautiful dream and embrace the reality of a situation. It sounds like you worked really, really hard and you should feel so proud of that. There are a lot of moms who don't have half the challenges you experienced, yet they still throw in the towel! Unfortunately, it is impossible to say with any certainty what a realistic expectation for milk production would be in your situation. There are moms who have experiences just as rough and inexplicable as yours with a first baby, and go on to breastfeed just fine with a second or third. And of course there are moms who have no luck the first time, or the second, or the third. Here's what I think you KNOW about your situation: - You have some strikes against you. Breast augmentation surgery being one, and not having much breast tissue in the first place being number two. (What that lack of breast tissue means is another impossible-to-determine variable, because there are moms who are pancake-flat and yet make plenty of milk, and moms with big breasts who make little or none. Most of our breasts agreed up of fat. The glandular tissue is actually a very small proportion of the breast. So moms with small breasts may simply have lean breasts, IYKWIM.) - You have some health issues and mothering responsibilities that may make...
    1 replies | 62 view(s)
  • @llli*mommal's Avatar
    Yesterday, 07:23 AM
    Welcome to the forum! My first question is, how long is your baby at daycare? 17-20 oz is a lot of milk! Almost a full day's intake, for many babies. If you go by the standard that babies generally require 1.5 oz of breastmilk per hour of separation, an 8 hour workday should require about 12 oz of milk. So unless you have exceptionally long workdays, it sounds like your baby is probably being overfed to some degree. Some things you can do to decrease a baby's intake at daycare: - Talk to the daycare provider(s) about paced feeding- maybe show them some of the videos on YouTube? - Ask the daycare provider(s) to comfort the baby in ways that do not involve the bottle. This would be things like offering a pacifier, or wearing the baby in a sling. - Make sure the daycare is familiar with proper breastmilk handling procedures, and that your unfinished bottles aren't getting dumped. Unfinished breastmilk bottles can go back into the fridge and be used again at the next feeding. This is unlike formula, which must be discarded about 1 hour after the bottle is begun- a lot of daycare's don't realize that the two substances are different! - Package your milk in small portions. A lot of moms send a mix of 2-3 oz "feeding" bottles and 1-2 oz "top-off" bottles. Big bottles incentivize daycare providers to get the baby to finish the bottle as fast as possible, and then reach for another big bottle if the baby still seems unsettled. Small bottles are more in tune with...
    6 replies | 262 view(s)
  • @llli*mommal's Avatar
    Yesterday, 07:07 AM
    :ita Good suggestions above. There's a more exotic possibility, which is that some women feel nausea and headache as a response to oxytocin (the hormone that causes milk to be released from the breast). See http://kellymom.com/bf/concerns/mother/nausea-bf/ for more. I know it says that this is a problem only in the first weeks of breastfeeding, and is not a problem for moms of older babies. And usually I am 100% in agreement with kellymom, but in this case I don't see why this has to be a problem only for moms of new babies.
    2 replies | 120 view(s)
  • @llli*jj8614's Avatar
    Yesterday, 01:50 AM
    Hello, I'm new here. I am currently 38 weeks pregnant with my second child. While I have everything ready for her impending arrival (Valentine's Day), I cannot shake my anxiety when it comes to attempting to create a successful breastfeeding relationship this time around. My son was born in 2014, and I was 100% certain that he would be ebf. I took classes and educated myself through some books, but the thought that I would not be able to nurture my baby with an adequate supply never even crossed my mind. It made my failure all the more devastating. I truly tried every last thing that I could to try to up my milk production, and while I do realize I had a plethora of certain factors that made things more difficult; after doing some research, I do believe that I may have hypoplastic breasts. Let me back up a moment and say that over 10 years ago I had breast augmentation surgery. Preoperatively, I did not have tubular shaped breasts, rather I had absolutely no breasts. I am not a small person and I literally had nothing but nipples. I was so happy with the results, but I had no way of knowing that it would cause me problems down the road because my breasts look very normal and full and I think that may have worked against me as even though I did advise my lactation consultants, doctors, peds, etc that I had had breast augmentation, no one even brought up hypoplasia. I have only recently found some information on the subject during this pregnancy. Soooo,...
    1 replies | 62 view(s)
  • @llli*preston.hubbs's Avatar
    Yesterday, 12:54 AM
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    18 replies | 27575 view(s)
  • @llli*motivatedmommy's Avatar
    Yesterday, 12:37 AM
    Right after birth, my lil man was latching well. Unfortunately it took time for my milk to come in. He was diagnosed with blood incompatible jaundice and lost a significant amount of weight by 3 days old. Docs recommended supplementation with formula and breast pumping. Baby is now 5days old and gaining weight, but even though my milk is in and formula is no longer needed, he is refusing the breast. Of course, he readily accepts the bottle. I am motivated to breast feed, but the docs do not wish to discuss weaning from the bottle until lil man is at birth weight, which should be soon. In the meantime, I continue to try breast feeding for a couple minutes with each bottle feeding. The only success I had was using a nipple shield and manual pumping for let down, but that lasted only a minute or so. Any other ideas to begin slowly weaning from the bottle? Is it worth weaning him from the bottle if I will pump and feed part time when I return to work in about 10weeks?
    1 replies | 97 view(s)
  • @llli*mishawhirley's Avatar
    February 9th, 2016, 10:23 PM
    Thanks a lot for messaging. You can also check out http://www.joint-pain-relief.net to get information about joint pain.
    17 replies | 28397 view(s)
  • @llli*maddieb's Avatar
    February 9th, 2016, 10:11 PM
    Hi and welcome. The first thing I would suggest is to take a deep breath! No matter what is going on, there is a solution. Even if supplementing is needed, that does not mean you will not be able to breastfeed your baby. babies often lose weight the first several days of life. That part is normal. But then they start to gain and usually are back to birthweight at 2 weeks if not before. So the most concerning weight check is the one at 3 weeks compared to the one at 1.5 weeks. Because that shows a gain of 4 ounces over 10 or 11 days, correct? that is indeed quite slow gain. On the other hand, baby is gaining, and that is good. Weight checks can be misleading if they are done incorrectly. All checks should be done on the same scale, with baby naked or in a dry diaper. Were those last two checks on the same scale? Yes, it really matters. The scale should be a digital infant scale, and the person doing the weight check needs to know how to do it and do it carefully. Watch out for human error as well as scale error. Please know that a baby spitting up lots and wanting to nurse most of the time and to be held the rest of the time is all pretty much normal. In other words these things occur in 100% healthy, very well gaining babies. They do not mean your baby is definitely getting enough milk or that nothing else might be wrong, but they do not indicate any problem either. Baby taking a pumped bottle also does not mean a baby is not getting enough. Also, baby taking a...
    1 replies | 126 view(s)
  • @llli*cherrydarling33's Avatar
    February 9th, 2016, 07:04 PM
    My lo is 3 1/2 weeks old. Has been nursing and latching okay for the most part. When she was born she was 8lbs 2oz and at first doctors visit had dropped down to 7 10. They were worried about her weight so our ped told us to supplement with formula- which I didn't want to do so continued to breast feed her whenever she acted hungry. Came back for weight check 1 1/2 weeks from her birthdate and she was up to 7 12. Just took her back yesterday, 3 weeks out and she was only up to 8 so ped was concerned again that she isn't gaining enough as quickly as she should be and suggested supplementing again and only pumping to feed her so that we can monitor how much she is actually getting. I comfort nurse her constantly- my SO even thinks I do this too much because it seems like she wants to be on my breast 24/7 unless she is sleeping. I worry because I don't think she eats very much throughout the day because she will sit on my breast for hours at a time- sleeping and awake- and I feel like I don't nurse her enough times and it is just a constant. I also worry because today she has been spitting up every time I feed her and then wanting back on the breast I have also noticed that my supply has dropped the last 2-3 days. I was going from comfort nursing her and pumpkin 2-3 times a day and getting around 4 oz a pumping session to now comfort nursing and pumping only 1-2oz. I'm not sure what I'm doing wrong and what to do to help her gain weight and be healthy and happy. The...
    1 replies | 126 view(s)
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