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  • @llli*agnesd's Avatar
    Today, 03:04 PM
    Hi. I am a Japanese FTM living in Japan. My daughter, 20months, has not nursed for 4 days now. It started this thursday, a slightly funny, distracted day where dd did not really concentrate during any session during the day. Given that (plus the fact that on wednesday night she had a sudden fever and whenever she does she nurses like crazy if in the daytime and have looooong-co sleep -sessions all night at night) by evening my boobs were pretty hard( I am a very sloppy hand pumper and never have plugs due to wide ducts thus I rarely try to pump out of that) and I really wanted/needed her to suck it out, and she finally did! I was releived, happy, wonderfully tender-breasted, and at that point not realising at ALL that was going to be the last real session. That night, she did not latch on(I usually nurse her to sleep). She was upset and screamed throught the night. She kept shouting " Hold me!" "Nurse me!" and "Lie me to down!" ( in her own words) repeatedly, I attempted those three things over and over but she never latched on. Or go to sleep except like for a couple of minutes due to pure fatigue... Friday morning I had to BUY a pump - for the first time in my BF life at 20 MONTHS! my breasts were so hard I could not possibly hand pump. Plus dd requested endless " hold me"s so it was bad combination agony with my breast condition.That and she continued to strike( or what ever it is) that whole day. Saturday and Sunday, and today basically the same. I am shocked, sad,...
    0 replies | 12 view(s)
  • @llli*maddieb's Avatar
    Today, 12:08 PM
    It is normal for a two month old to nurse at least 10 times a day. Your baby's nursing pattern as far as frequency sounds entirely normal to me. In fact the night nursing is a little on the lower end of normal. Many babies wake more often than that at this age to nurse. Some IBCLCs charge an hourly rate and others charge a per consultation rate, but in the long run this amounts to the same thing. Again these are trained professionals who had to pay to be trained and educated and continue to pay to get the continuing education they need and the testing to remain certified. They have to carry insurance and have all the other overhead costs any other professional would have, even if they do home visits (do not have an office) they have many such costs. I would suggest read the article I posted above, then call a few and get a feel for what their experience is, their process is, etc before booking a consult. The weights are very wonky. Am I reading that correct? they indicate fairly fast gain up to 2 weeks, then actual loss!!!??? for the next two weeks, and then from 4 weeks to 6 weeks baby gained 3 pounds!!!????! Normal gain for this whole period (2 weeks to about 3-4 months) is average about one pound (or a little less) every 2 weeks. If baby really gained 3 pounds in 2 weeks, part of that may have been catch up, but it would overall indicate overfeeding. Overfeeding is not some terrible thing, it routinely happens when a baby is bottle fed. For the breastfed baby...
    6 replies | 57 view(s)
  • @llli*maddieb's Avatar
    Today, 11:54 AM
    Ok real quick- 285-470 upped to 500-650 milliliters per bottle? a 500 milliliter bottle is 17 ounces! Or is this what baby was getting per day? Also, how much about do you pump when you pump if it is not after nursing? Pumping 50 mils after baby nurses sounds normal to me. Long as in how long? Generally it is normal for a baby to want to nurse long periods. Some nurse a long time and others nurse shorter. What I mean is long sessions are not necessarily indicative of a problem.
    6 replies | 57 view(s)
  • @llli*bunnyears's Avatar
    Today, 11:52 AM
    Thank you Maddie B. I will try to answer the questions: Birth: 7.19pounds 2 weeks: 7.9 pounds (although doctor's office could have this wrong) 4 weeks: slight weight loss 7.7 pounds 6 weeks: 10.58 pounds (during time of bottle feeding express milk or formula and upping amounts) Also, how many times a day (24 hours) does baby nurse currently? During the day, she nurses between 1.5 hours an 2.5 hours generally - and at night now she sleeps 4-5 hours and then 3 hours during the night. I would say she still nurses 10 times a day.
    6 replies | 57 view(s)
  • @llli*maddieb's Avatar
    Today, 11:10 AM
    Ok, I know I asked lots of questions but I do need those answers to help more. I am still not hearing exactly how baby is gaining. It would help to know. I do not need whole weight gain history, just the highlights. I am particularly curious what the gain was when you were told baby was gaining poorly and to increase supplements. If you can use pounds and ounces for everything that would help but if not I will convert. Also, how many times a day (24 hours) does baby nurse currently? Is baby currently getting any supplements at all? It is unclear. Have you ever sat with an IBCLC or anyone else who knows how to do it, and had breastfeeding fully assessed? I think it is important this happen if at all possible. Here is info on what this would consist of: http://www.cwgenna.com/lconsult.html I would suggest perhaps not getting the lip tie treated without having an IBCLC assess things first and to help you with follow up after. If baby is latching better on a fuller breast, that could indicate a few issues but guiding you there is above my knowledge. However, it may be that in this case, the pumping is causing poor transfer due to the breast being less full from the pumping when baby nurses. Of course a baby should be able to nurse just fine on a soft breast, so again this need for a full breast to get a good latch indicates a problem that will need to be addressed. But in the meantime, perhaps try pumping only when you are fairly sure baby is down for a while, or...
    6 replies | 57 view(s)
  • @llli*bunnyears's Avatar
    Today, 10:10 AM
    First of all, thank you, MaddieB, I must admit I felt quite disheartened and reluctant to contact the LLL after that experience, so thank you for that. I will PM you separately and now respond to your post: Baby is 8 weeks Baby is gaining well according to the last 3 weigh ins (only once she dropped in weight) - BUT in the last times she was weighed, she was being fed formula by bottle as well as some BF Since 10 days or so ago, she has suddenly refused the bottle, and my only option now is to BF her. She even refuses expressed milk in a bottle. I have not weighed her since this time. Baby was getting bottles since Day 2 to 10 days ago. We didn't measure at the beginning but my records show me that in Week 3 she was receiving between 285-470mL by bottle with some intermitten BF. In Week 4, after the doctor told us we were underfeeding her, due to weight loss, we upped bottles to about 500-650. Since August 11 she has refused the bottle (she looks disgusted or spits the milk back out, or plays with it with her tongue - unless she is very hungry) - she has received 50-210 mL of expressed milk by bottle 1. How are you determining that your milk production is low?
    6 replies | 57 view(s)
  • @llli*anuha's Avatar
    Today, 09:27 AM
    I have no personal experience of succesful night weaning (my first one didn't agree it was a good idea), but if I were to try it with my second baby (1yr 5 mths), I'd re-read some of Elizabeth Pantley's books. She has very gentle approaches. Here's a good review if you'd like more info before getting any.
    1 replies | 69 view(s)
  • @llli*maddieb's Avatar
    Today, 08:46 AM
    Hi bunnyears, I am sorry you are having this difficulty. First, an LLL leader, whether she is an IBCLC or not, should never be charging a breastfeeding mother who called her for help as an LLL Leader for talking to her. Ever. Many LLL Leaders are also IBCLC's and it can be hard sometimes to keep the two "hats" separate, but that is not your problem, it is hers. Please report this LLL Leader and whatever she said to you up the chain at LLL. If you cannot figure out how to do that (it is confusing and is different depending on where the person is) you can PM me and I can try to help you figure out where to go with complaints. Also please do not let this unfortunate encounter sour you on LLL Leaders OR IBCLCs. LLL Leaders are almost always going to be your best source for breastfeeding support and information. For the most part they are wonderful, dedicated people who sacrifice a lot to be Leaders and they do it because they have a passion for helping mothers and babies. A properly trained and educated IBCLC is usually going to be the best bet for a mom who is facing real, clinical breastfeeding barriers like ongoing latch pain or low milk production that is so severe the mom has considered/tried pumping and bottles instead of nursing. They are professionals and yes they will ask to be paid for their services like any other professional. But there are often ways to make it more affordable. Costs can vary quite a bit, many insurances cover services, and sometimes...
    6 replies | 57 view(s)
  • @llli*bunnyears's Avatar
    Today, 04:25 AM
    Background: Mother to two children. With this one, we've had latching issues from the start. At the hospital they recommended we bottle feed her. She was bottle fed from Day 2. At the beginning the pain was too intense from me. They suspected she might have lip tie, but no-one could confirm it. I contacted a local LLL leader but she wanted me to pay her to talk more (she is a ICLBC also) and I didn't know where to turn so I read a lot online, and also asked my MD for prescriptions. My baby is now no longer willing to take the bottle (any bottle) so I am having to EBF her. It feels hard as my milk supply is low. The doctor gave me a prescription of APNO although she should have told me that it has cortisone and I would have used it less. But I can now put her back on my breast, especially stressful as she won't take a bottle. Strategy: Domperidone 3-4 x 2 tablets, Fenugreek, Blessed Thistle, Mothers Milk, pumping after BF RISK:
    6 replies | 57 view(s)
  • @llli*anuha's Avatar
    Today, 04:23 AM
    Thanks for the book recommendation! Looks interesting. Will start reading today.
    13 replies | 964 view(s)
  • @llli*momteddy's Avatar
    Yesterday, 04:08 PM
    I wanted to respond to this thread years later because I have the same issue with my 6 week old, this is the first post to respond in google search and I wanted others to have suggestions on how to improve the situation as it is super stressful: 1) APA recommends on demand feeding instead of scheduled feeding for the first 2 months. Which makes sense because you don't want to tamper with supply while your baby is going through those early growth spurts. 2) Frequent feedings can be a blessing in some respect. For one, most babies have some acid reflux. If LO has the full blown GERD, the treatment is to have shorter, frequent feedings. As far as supply is concerned, several methods like power pumping recommend mimicking growth spurt feeding as the best way to increase supply. And if your baby is gaining a lot, which mine was as well, he's getting the milk even if you feel like when you put him to breast there is nothing there to provide him. Try to relax about this, I've read that stress and not eating/drinking properly can affect supply but not sure to what extent. It's not helping if he's gaining. 3) To help with exhaustion, try side lying feeding. I only used it early mornings and late evenings because my LC said I should compress, and that position is not suitable for compression. Some people recommend co-sleeping. I didn't do that, tried to stay awake as long as possible and then put him in the bassinet. 4) Another tip for exhaustion is to have your...
    14 replies | 79211 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 03:44 PM
    Yes there are many misconceptions regarding healthy gain and growth and eating habits, and I have learned they crop up again and again even well past babyhood. I found the book My Child Won't Eat by Carlos Gonzalez very helpful in gaining a greater understanding of this subject.
    13 replies | 964 view(s)
  • @llli*djs.mom's Avatar
    Yesterday, 03:06 PM
    The thing about the percentiles chart is? They are all within normal range. Someone has to be on the top and on the bottom for it to exist. If a child is in the 3rd percentile but stays there that's still normal. Sometimes falling in the charts can be of concern. But not always. Most EBF babies DO in fact start to slide on the percentiles chart as soon as the start to move. So the addition of rolling over and then crawling and then cruising can make it so that breastfed kids slide quite a bit but it's still normal and no cause for alarm.
    13 replies | 964 view(s)
  • @llli*nivilovely's Avatar
    Yesterday, 01:17 PM
    Thanks for the response. I stopped pumping after every feeding. I just pump once in the morning after first feed and get 2 ounces. I just store that. Baby is nursing every 1.5 hours is this normal? I have more milk in the breast so he is not happy with the flow but he is ok to nurse. I think there is enough milk because he is good after a feed. Send turns his head away from breast after 10 mins of nursing. Initially I was feeding both breasts and then pump .5-1.5 ounce and use that for next feeding. Now I am ebf and hope it works out. My breasts are little uncomfortable in-between feedings but frequent feeding has helped a lot.
    2 replies | 190 view(s)
  • @llli*dustyrose124's Avatar
    Yesterday, 11:45 AM
    My baby turned 7 weeks old today. His weight gain seems normal and I do not pump at all because I want the milk to stabilize and not produce more. I've followed what you said, however, I have another issue that has been a huge one and is affecting our household. My LO has much more than colic and no pediatrician is listening to me and really need help. Baby has been crying for more than 3 hours a day to a point where he started choking in his own cry. He didn't want me to feed him, rock him, nothing was working. He also throws up every feed (a lot and smells a bit). He hasn't pooped in 4 days so I haven't seen the green poop. Please help I'm worried that my baby is in so much pain and don't know what to do. He's ok probiotics and that's not helping either
    2 replies | 120 view(s)
  • @llli*butterfingers's Avatar
    Yesterday, 10:25 AM
    Hi all, I am ready to night wean my 25 month old. She sleeps in a cot in her own room and I would like to take the sides off soon, I don't know whether to night wean at the same time as moving her to a bed or night wean first or what, happy for suggestions here! I do not wish to co sleep although this does happen occasionally at present. There is not enough room for a toddler bed in our room. In any case she sleeps fine in her own room and I am happy with the current arrangements. She is feeding usually once or twice in the night but occasionally more. She generally returns to sleep after a feed. Now. I have read methods of night weaning but they seem to involve reducing and or stopping feeding to sleep. The removal of nipple prior to becoming drowsy / falling asleep and that is fine. Except my daughter does not feed to sleep or even to being drowsy any more. She is always fully awake when I lay her in her cot and happily puts herself to sleep with no complaints. Same during the night except she may possibly be more sleepy but definitely still awake. So, how do I night wean?! I have thought of a gro clock type thing?? She is very averse to my OH at night and only wants me plus he would not have the patience to deal with her so I may have to do this alone! I do not want her to become distressed and would not be happy to leave her to cry. Any thoughts most welcome and appreciated.
    1 replies | 69 view(s)
  • @llli*anuha's Avatar
    Yesterday, 10:25 AM
    This seems to be a really difficult concept for some health professionals. My son was in the lower percentiles but gaining steadily (straight line steadily). However, at a one year check up a health nurse told me that because he doesn't eat much solids (nursed a lot and was happy), he's in the lower percentiles. And of course I was then all stressed out about him not eating enough solids. At first round you just believe everything they say.
    13 replies | 964 view(s)
  • @llli*sylviamakela's Avatar
    Yesterday, 02:13 AM
    Thank you ladies. I've used Reglan and then when it didn't work I switched to Domperidone. It does not cross the blood brain barrier, so is safe and causes no side effects. Reglan, however, does cross the BBB, and that is why there are so many bad side effects (psychological type side effects). If you were lucky enough to get a script for Dom, you should count yourself fortunate and keep going with it!
    6 replies | 15682 view(s)
  • @llli*djs.mom's Avatar
    August 19th, 2017, 11:55 PM
    I don't know if it's lipsase. Excess lipsase- the kind that is problematic usually smells like puke. And the baby won't take it. If your baby will take the milk? I don't think there is a problem. I wouldn't scald. BUT I think you need to try to carve out time every day to pump if you don't want to lose your supply. It can happen very quickly if you aren't removing milk regularly during the day. And your supply is still really vulnerable at the 3 month point. A freezer stash is meant to make up any shortfalls you have pumping milk you need every day to feed your baby while you are gone. Which for 8hrs is usually 8-12 ozs. So say you the 1st day that you leave for work you leave your baby 12oz from your freezer supply. And during that 1st day you only pump 10 oz. Your baby drinks all 12 that you leave. You'd leave your fresh milk for the next day and then supplement out of your freezer supply 2oz. There is no reasonable amount of freezer stash that will cover you simply not pumping every day. You will go thru 40-60oz of milk a week. I encourage you to work with your HR dept to determine how you can take pumping breaks. Which by law they have to give you. You do need to pump to maintain supply and it can't be sporadically.
    1 replies | 76 view(s)
  • @llli*skyofclouds's Avatar
    August 19th, 2017, 08:42 PM
    I have been pumping and freezing excess milk for the last 2 weeks I thawed out my oldest expressed milk from the freezer which was 2 weeks old to test it- it had a metallic taste which was strong but not terrible, and my LO still took it I suspect I have an excess lipase problem Considering that my LO doesn't mind the metallic taste, I'm weighing up between continuing to pump and freeze or scalding the milk and compromise the nutritional value. As I'm going back to work at 3 months, my goal is to build up a supply as I won't have time to routinely pump at work- hardly have time to have lunch myself!
    1 replies | 76 view(s)
  • @llli*maddieb's Avatar
    August 19th, 2017, 01:17 AM
    It sounds like you would like to stop pumping, but are afraid stopping pumping might somehow harm you or your unborn baby? Do I have that right? Honestly I have no idea if that is a concern. Of course many people assume nursing or pumping when pregnant is potentially unsafe, when in fact this is almost never unsafe. But I have never heard of it being potentially unsafe for the pregnancy to stop nursing or pumping. I see what you are saying...no longer taking milk out of the breasts will (after some time) cause your body to stop lactating, and that would change what is happening hormonally. However I think that change would already be occurring as the hormones of pregnancy naturally act to suppress milk production to some degree. Perhaps a midwife/lactation consultant or someone else with a strong understanding of hormonal issues having to do with pregnancy and lactation could help? I am just afraid this is an area too specialized for me to venture further. If you do decide to stop pumping, maybe consider weaning yourself gradually off the pump, so that any changes that occur are not abrupt?
    1 replies | 74 view(s)
  • @llli*mommymemommy's Avatar
    August 18th, 2017, 10:57 PM
    My daughter is almost 10 months old and had a very rough start; unlike my other children we ended up exclusively pumping for her from 4 months on (she had silent reflux) and we were adding formula to breastmilk to get enough calories in her. At this point she is growing awesome and fine with just fortified formula and solids, but I've still been pumping and fortifying that too and she drinks both. I am now 6 weeks pregnant and I am thinking of just stopping the pumping. Doc said it was okay to keep it up, but I guess, other than nutritionally (for her, which is an obvious one for me), what are the benefits? Any physical/hormonal benefits for me and the new baby/pregnancy? I am only pumping about 2 of her 5 bottles anyway, so I am more supplementing her at this point. It would be nice to stop the pump, honestly. I am also on progesterone shots for the pregnancy because my progesterone is low (always is); I have a history of preterm labor on my last two pregnancies even going back to implantation; this one, oddly enough, is going VERY smoothly and I don't want to mess with cutting off the pumping if that is going to change something hormonally. I feel like a pin is going to drop if I stop since it's all going so well this pregnancy so far. LOL :rolleyes:
    1 replies | 74 view(s)
  • @llli*maddieb's Avatar
    August 18th, 2017, 05:35 PM
    Hi and welcome. So it is unfortunately a very common myth that if a baby "switches just fine" from bottles to nursing and back again for some period of time, this means baby will always switch back and forth just fine. No, in fact what we know is that the earlier, the longer, and the higher frequency bottles are given, the more likely it is they will eventually cause a problem. Now I am not saying that the bottles are the problem, because that I do not know. But they certainly could be the problem. it sounds like at this point bottles are not absolutely needed due to separations, so my first suggestion is to shelve bottles for now, as they may hurt and cannot help in the situation you describe. Since baby is getting bottles I assume you are also pumping? Is it possible that you have overproduction, either natural or caused by pumping? This could cause a fast letdown and that could cause baby to partially pull off the breast into a shallow latch and/or clamp. If you stop bottles you can also stop pumping (unless you are pumping for another reason.) Encourage baby to nurse often, this helps for latch issues in many ways.
    1 replies | 113 view(s)
  • @llli*maddieb's Avatar
    August 18th, 2017, 05:15 PM
    You try paced bottle feeding, you offer baby the bottle more often overall, and you expect there to be times baby cluster feeds. what is called a "top off" when bottle feeding also happens when a baby is breastfeeding, but it is called "cluster feeding" or perhaps, "what you are hungry again? Ok, here you go" In other words when I say that meals are 2-4 ounces I do not mean they are 2-4 ounces and then baby sleeps for 3 hours like clockwork. That is not how it works. If you are going to try all the above, I suggest give baby and yourself time to adjust (at least a couple weeks) to this new pattern before making the judgment about it. Well, now I am confused. I do not understand how nursing can be entirely comfortable but you are so severely injured from your baby nursing, you are bleeding enough for your baby to vomit blood. Something is not adding up with this story. Of course pumping could cause nipple injury as well, or perhaps something is going on with how your breasts are being cared for between nursing sessions, but overall it just does not make sense. As far as finding someone who can help= unfortunately sometimes it does take seeing more than one person, or it may take seeing the same person multiple times, to make the adjustments that help with latch. It sounds like you saw an LLL Leader and a IBCLC. LLL leaders can be very knowledgeable, but they are not trained to deal with unusual situations that are outside the norm, and your situation (because baby was...
    9 replies | 180 view(s)
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