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  • @llli*tclynx's Avatar
    Today, 07:46 AM
    if you are supplementing, you also need to be expressing/pumping to stimulate increased milk supply. How are supplements being given? How much supplement is being given? How does nursing feel? What is the weight gain history like?
    1 replies | 20 view(s)
  • @llli*tclynx's Avatar
    Today, 07:41 AM
    You don't have to nurse both sides, it is just that most mom's don't like to be too overly lopsided. Pumping is probably up to you, however, with the pregnancy, maintaining supply may be out of your control. There is a forum section about breastfeeding during pregnancy that might be helpful to you.
    1 replies | 24 view(s)
  • @llli*tclynx's Avatar
    Today, 07:34 AM
    Will he dream feed before you go to bed? That might be better than pumping.
    1 replies | 44 view(s)
  • @llli*tclynx's Avatar
    Today, 07:33 AM
    When supplementing it is generally important to pump to make sure your body understands there is still more demand or your supply goes down to meet what demand at the breast there has been. Are you still using the same pump? How does nursing feel? Might be worth seeing a IBCLC to help evaluate latch and oral motor function to see where the problem with milk transfer is. http://www.ilca.org/i4a/pages/index.cfm?pageid=3901 It's possible it's just from being Preme but it is also possible that there is a problem and it is always best to get those types of problems corrected as early as possible so it is easier to re-learn how to suck properly and so it impacts your milk supply as little as possible. Have you looked into using a lactation aid to give the supplements instead of bottles?
    1 replies | 46 view(s)
  • @llli*kimb14's Avatar
    Today, 06:46 AM
    My LO is 6 weeks old, and we have struggled to develop a good breastfeeding relationship. We have been supplementing with formula because of weight gain/supply issues. My breasts started to feel more full and she seemed to get into a good rhythm of lots of good swallowing (at least on one breast). But I have found that it's not consistent, and there will be feeds when she takes one swallow and then sucks a little and there are long pauses. I try to do breast compressions, but that doesn't seem to get her going. I worry that if she isn't draining the breast well, that will hurt my supply and I worry that she isn't getting enough milk. I'm not sure what to do.
    1 replies | 20 view(s)
  • @llli*tclynx's Avatar
    Today, 06:45 AM
    I agree that often swallowing can be deceptive. Poor milk transfer is when there is plenty of milk at the breast but baby doesn't seem to be able to get enough of it. Often if baby is willing to latch and suck, doing compressions can help them get more milk faster but beware if there are tongue/mouth muscle problems you are more likely to see coughing/choking when you do this and that will be an indicator that correction and/or therapy would help. A shallow latch can also cause poor milk transfer (like sucking through a straw you are biting on.) Just to make sure, you are not Limiting baby to only 15 minutes per side? If baby still wants to nurse after 15 minutes on each side, offer the first breast again or let him nurse on the first side till he is done then switch. 15 minute per side is just a guide to get started with. I finally started weighting my LO before and after feedings just to figure out how much he was getting and to help me learn to identify effective nursing compared to his comfort sucking. He still gets some when comfort nursing but not nearly so much. both types of nursing are important so one shouldn't limit time at breast if baby wants to be latched on. Now I had been supplementing at the breast early on so baby was having a fairly easy time getting enough and it wasn't till I started trying to wean off the supplements that I wound up in Pain and discovered my son's tongue and lip ties. Definitely make sure your son is carefully checked...
    17 replies | 434 view(s)
  • @llli*verona.mum's Avatar
    Today, 05:43 AM
    My DD is 14 months old, and we've enjoyed a remarkably smooth nursing relationship for her entire life. I EBF her for 6 months, then introduced solids slowly and even today at 14 months, she's still nursing 4-5x per day. Here and there, I've known that my right boob isn't the best "performer" compared to my left boob. I was/am always careful to switch sides I start with often, but lately it's been impossible to start her on the right side - it seems like the letdown takes FOREVER. When I switch her to my left side, it seems to happen instantly. What gives? Should I be pumping the right side to even things out, or at 14 months is this unnecessary? Also, I should mention that I just found out I'm expecting baby #2, but very early stages at this point (4 weeks). I had dreams of tandem nursing, but I'm really worried about losing my supply during pregnancy.
    1 replies | 24 view(s)
  • @llli*bsua65's Avatar
    Today, 03:25 AM
    http://www.llli.org/docs/0000000000000001WAB/WAB_Tear_sheet_Toolkit/22_bfabreastfedbaby.pdf http://kellymom.com/bf/concerns/child/back-to-breast/
    2 replies | 106 view(s)
  • @llli*bsua65's Avatar
    Today, 03:20 AM
    How much and how often is milk being given in a bottle, is the teat slow flowing and are bottles being given in a paced breastfeeding friendly manner? Smaller bottles given in a paced manner can help reduce bottle preference. Kellymom also has some great tips for bringing a baby back to the breast.
    2 replies | 106 view(s)
  • @llli*mummymarie's Avatar
    Today, 02:44 AM
    We've had the same thing a couple of weeks ago! Also not a good napper here, so there were some challenging days, but it can turn around so quickly. My son woke up screaming almost every hour during the night for close to a week, would settle down and go back to sleep once feeding, but kept waking afterwards. Nothing helped or made much difference. Then he got two teeth and now he sleeps 8 hour stretches most nights before waking to feed. It's possible giving your little girl formula would keep her quiet longer, but that doesn't mean you should do it. There is such a thing as feeding her in to a stupor (think adults at thanksgiving). I'm a single mum, so can't count on any practical help or relief during the day, but during challenging times like what you're having right now, I've found it really helps to just accept it and adjust your schedule/activities accordingly. Instead of trying to change the situation, go with the flow, sometimes babies just don't sleep well and then reduce the amount of housework, socialising, etc you do. Cook super simple but still healthy meals. Put everything that isn't completely necessary on hold to help you and your baby through this phase and know that it will get better. Hang in there, and don't listen to people who suggest you wean. You're doing what' best for you and your baby, and persevering even when it gets tough!
    10 replies | 274 view(s)
  • @llli*mummymarie's Avatar
    Today, 01:17 AM
    Hi everyone, recently my 5 ½ month old son has started sleeping for 8 hour stretches most nights before waking to feed around 4 or 5 in the morning. This is obviously great, I have so much more energy now that I'm getting consecutive, unbroken sleep. BUT... when my son was about 3 months we had problems with weight gain and low milk supply and had to supplement for a while. We phased out the supplements when he was 4 months. Whilst he is still very slender (71 cm and 6,89 kg) he is gaining weight as he should just on breastmilk. Now that he is sleeping for so long at night, I worry that my milk supply will drop again. Should I pump before I go to bed around 22/23? Or trust that my body and my son will work things out between them? I should say he is already getting some solids, just for tasters, but no substantial amounts yet. Thanks for any advice!
    1 replies | 44 view(s)
  • @llli*nerd.mum's Avatar
    Today, 01:07 AM
    I hope I'm posting this in the right spot, so here we go. Forgive me for this being long, but I'm trying to spot where the problem is in the details. My little one was born five weeks early and is now six weeks old. This is our second baby, and I didn't think I'd need so much advice the second time around as my first one had a completely normal delivery and nursed just fine. My little one spent 19 days in the NICU. I had to pump a lot to get my supply in so they could feed him while his lungs caught up to the rest of him. Nursing him wasn't really an option for medical reasons. My milk came in well, to the point where I was getting five ounces or more on each breast. Needless to say, I was happy about that at least while waiting for our baby to be cleared to come home. Once he's home, I was nursing him with the occasional bottle so I can get some sleep at night. As per doctor's instructions, we're adding a bit of premie formula and vitamins to the bottle of breast milk to help with some extra calories and nutrition. He gained some weight by the time he got his first doctor's visit a week later. A week after that he'd gained another five ounces. I'd noticed during this week that his nursing time was steadily increasing, and he'd be super fussy afterwards. We'd end up giving him a two ounce bottle, which he would take in less than ten minutes even after being on me for over twenty and some times as much as forty minutes. On his third trip to the doctor, he...
    1 replies | 46 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 11:41 PM
    Hi, I don't think you are approaching this all wrong. This can be a confusing issue and basically you need to figure out what works for you. First I just want to make sure baby is gaining well, exclusively breastfed? Or is baby also getting your expressed milk in a bottle? Pumping after every feeding is quite possibly going to cause overproduction. on the other hand, if you are prone to plugs, getting the breast closer to "empty" makes sense. What may be the problem is the concept of "jiggly." Every moms breasts are so different. I doubt my breasts were EVER "jiggly" in the early days. I had overproduction, and while my breasts would soften and feel ok (when all was going right) they always felt somewhat heavy with milk and "jiggling" them would have felt uncomfortable. For another mom, this might have been the perfect level of milk extraction. It's just too subjective because we are all so different. Here is what I would suggest. This is assuming breastfeeding is comfortable for you and baby is gaining normally now?? Call your breastfeeding helper and let her know what is going on. She is the one who helped you and knows the situation better than anyone (except you.) So she may have some better ideas for you. Also you might want to clarify what her credentials are. Is she a board certified lactation consultant? (IBCLC,) a LLL Leader,? etc.
    1 replies | 117 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 11:24 PM
    So baby will not need a bottle until 6 months, and then only part time? I would suggest, do not make you and your baby miserable about bottles in that case. Because: a baby over about 4 months can often be successfully fed with a sippy cup rather than a bottle. With some practice, an open cup might work. If you plan to introduce solids at 6 months, and baby takes to them, your caregiver could feed baby any of her daily solids, lessening the amount of breastmilk baby needs while in her care, possibly. Depending on when and how long you work each day and your baby's nursing routine at that point, not much milk may be needed by baby while you are at work. A 6 month old can go longer without milk than a 3 month old, usually. BTW a study found that most babies either take a bottle easily or take one after some struggle, and how baby responds to bottles is not dependent on when the bottle is introduced. A small minority refuse bottles entirely, and again it matters little when the bottle was introduced. If you want to keep trying, I would suggest start with an empty bottle, and just play with it around baby. Maybe have one for you, one for baby, and suck on yours, etc. No pressure. No expectations, just, playing. Once baby is comfortable with the idea of a bottle and nipple around her face, move to seeing if baby will take the bottle nipple in her mouth when it is offered. If baby puts or allows the nipple to go into her mouth, be approving. If baby refuses, be...
    1 replies | 103 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 11:02 PM
    Good news! I would not worry too much about looking for signs of swallowing. They are very hard to see or hear in many cases. It sounds like you see them sometimes which is good, it is normal for baby to be "louder' during part of the nursing session and quieter at other times, and even a quiet nurse may be still getting enough milk. And what are you supposed to do if you DON'T see swallowing? You know there is milk. So if baby is not getting milk, that (probably) means there are issues with latch, and I assume the IBCLC gave you ideas for getting a good latch? Breastfeeding takes practice for mom and baby. It really takes several weeks to get the hang of it in many cases. If it becomes clear baby cannot transfer milk effectively, (due to poor output or weight gain) it is probably a good idea to see LC again. Another idea if you think baby is not getting milk is to try breast compressions. But baby has to be latching and nursing for these to work. http://www.breastfeedinginc.ca/content.php?pagename=doc-BC Here are some tips: Try to avoid baby ever getting frantic to eat. A frantic hungry baby is a disorganized baby and they have a much harder time getting that latch. Baby is coming up on two weeks, right? Babies tend to 'wake up' and get SUPER hungry around two weeks. They want milk and they want it now! Try to encourage baby to nurse at the very earliest cues or well before any cues even-it is fine to 'offer." Nursing before obvious cues may help. Sometimes...
    17 replies | 434 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 10:45 PM
    Has the pediatrician expressed concern about your baby's gain? Unless I am not understanding something, it looks to me that baby is on track to double birth weight or close by 3 months. In the first 3 months of life, the average gain (over that entire period) is about 2 pounds a month, or 6 pounds total. Your baby appears on track with gain based on that? But I am thinking of full terms babies, so I am not sure if there is some issue with slightly premature baby that I am not aware of. Anyway, generally, looking at weekly gain is looking at too short a time period, if that makes sense. Because babies do not gain precisely steadily but rather more in bursts. However: Because you are using a nipple shield, and these are linked to a decrease in milk extraction, then you do have to be more careful about watching weight gain and also about your milk production. So that is why I wonder if anyone else is concerned about the gain. Also, are you pumping after nursing sessions now? This is a general recommendation for when shields are being used in order to protect normal milk production if milk extraction is being hampered. But I am not sure if you would need to do this or not. Could you nurse more frequently when you are with your baby, and/or could baby be fed more frequently while you are at work, and/or could you pump more frequently at work, if there was any concern that baby was not gaining well or your milk production needed a boost?
    1 replies | 124 view(s)
  • @llli*minute's Avatar
    Yesterday, 10:40 PM
    The pediatrician appointment went well this morning. He has gained 2 ounces in the past 3 days and we are feeling much better about things for the first time. tclynx's mention of milk transfer did make me wonder. Are there any good ways to tell if the baby is getting milk from the breast easily? We've been told to look for him swallowing but it's pretty hard to tell if he is most of the time. We will occasionally (depending on position and wakefulness) be able to hear a distinct swallowing sound but most of the time he is sucking we don't notice this sound. When this is the case, we know that there is milk available because my wife is still able to hand express but we honestly have no clue how well he is actually getting the milk. I ask because we just had an hour of inconsolable wailing from him in which he would latch, suck for a little while, come off the breast, and immediately start wailing again. After attempting to feed for 15 minutes on both sides, we noticed that both breasts could still be hand expressed but he remained inconsolable. When I supplemented with finger feeding was the only way we could get him to calm down.
    17 replies | 434 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 07:51 PM
    There are many good suggestions above. However, I am afraid I cannot agree with everything. If a mother is having breast pain, there is a reason. It may be related to nursing, of course. But the cause is not "nursing." Nursing is not a pathology, and nursing when there are no issues is usually painless and often pleasurable. Breastfeeding mothers can and do safely take most prescription medications. While herbal remedies are probably usually ok as well, they also may have side affects and can 'go into' milk. However, as with prescription meds, in such tiny amounts it is not typically an issue. For more, see the books The Nursing Mothers Herbal and Medications and Mothers Milk. Questions about medications and nursing can be directed to the people at www.infantrisk.com A newborn typically needs to nurse as often and long as baby wishes. So it is not practical and is potentially harmful to take a young baby off the breast and give the baby something else to put in its mouth when there is nipple pain. If a newborn is clamping or has a poor latch, and causing a mother pain, gently unlatching baby may be a good idea so that baby can then be re-latched correctly. Also, sometimes adjustments can be made once baby is nursing, without having to unlatch. If clamping is due to a fast milk flow, adjusting moms position and nursing more frequently will probably help. Breast pain has many causes, and adjusting latch and positioning as needed can certainly be important. But...
    7 replies | 244 view(s)
  • @llli*mommal's Avatar
    Yesterday, 06:48 PM
    When my kids were that age, they probably nursed 6-8 times per day and once overnight. But there's a really big range of normal- there are 16 month-olds who are completely weaned and also those who nurse like newborns. What would you like to have happen in your nursing relationship, mama? Are you eager to wean, or are you happy nursing and just concerned as to whether or not your child's behavior is normal?
    1 replies | 95 view(s)
  • @llli*mommal's Avatar
    Yesterday, 06:44 PM
    Oversupply and fast letdown can be associated with pain. If they are causing what you're experiencing, things should get better as the oversupply calms down.
    7 replies | 244 view(s)
  • @llli*mommal's Avatar
    2 replies | 83 view(s)
  • @llli*tclynx's Avatar
    Yesterday, 06:32 PM
    The most important part is how nursing feels and how well baby is getting milk. If nursing feels fine and you are not having any nipple injury and baby is gaining well then don't worry about dimples. However, if you nipples are raw or sore more than just as he latches on then it could be a problem. for help finding an IBCLC in your area you can use this web site http://www.ilca.org/i4a/pages/index.cfm?pageid=3901 If in doubt, seek more help.
    2 replies | 83 view(s)
  • @llli*isabelofmtl's Avatar
    Yesterday, 05:39 PM
    Mi hija tiene 26 meses y, cuando me toca acostarla, siempre lo hago dándole pecho. Creo que es lo más natural del mundo, y me molesta que mucha gente le diga a las madres que no deben hacerlo. Por qué mi hija necesita quedarse dormida sola si esto funciona para ambas? Cuando otra persona acuesta a mi hija, como en la guardería o cuando lo hace su papá, no tienen problema (aunque creo que ella preferiría dormirse conmigo!). Algún día nuestras hijas van a dejar de amamantar. Dudo que en ese momento la deje sola y espere que se duerma. Le voy a leer, a cantar, hacer cariño, etc. Son etapas y me preocupa cuando la gente quiere que los niños crezcan demasiado rápido.
    1 replies | 59 view(s)
  • @llli*violet210925's Avatar
    Yesterday, 04:52 PM
    My daughter just turned 3 months old, and she is recently starting to really fuss at the breast. I started back to work about 4 weeks ago and was so happy that she took to a bottle well. Now I'm afraid she prefers it. I'm able to see her at lunch and it takes a lot of calming her down before I can get her to nurse. As of yesterday, the only time she will nurse is her MOTN feedings and first thing in the morning. When I get home from work she hasn't nursed at all, I've offered and she will suck for a few seconds then fuss. I have a feeling she might be impatient for my letdown because when I can get her to calm down long enough to stimulate a letdown she nurses fine. I know my supply is fine because I pump every time she ends up taking a bottle. I don't want her to associate me with her sadness and frustration, but I just don't want to give up. It is so hard for both of us though.I just want to be able to feed my baby! The other night I even tried to pump to stimulate my letdown but at that point I was too stressed that my milk wouldn't come in. I'm wondering if I should just start exclusively pumping to end this frustration I feel is taking a toll on our relationship. I just so badly wanted this to work. Any advice??
    2 replies | 106 view(s)
  • @llli*tclynx's Avatar
    Yesterday, 02:54 PM
    Well perhaps back to normal since no poop yesterday. Been eating almost hourly but often not much at any one time.
    168 replies | 8090 view(s)
  • @llli*oconee's Avatar
    Yesterday, 02:52 PM
    Thank you all for your answers Yes, at the very begginning I had cracked nipples due to a bad latch, but it improved quickly and I nursed for about 15 days without any pain or further problems. The pain is very strong when he latches and also after nursing. Sometimes just the touch of a t-shirt can hurt. He's gaining weight really fast, so no problems with that. I will appreciate any help. I'm thinking of trying nipple shields. what do you think?
    14 replies | 24538 view(s)
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