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  • @llli*maddieb's Avatar
    Today, 09:17 PM
    Hi pthgrl. I have three kids, all of whom nursed well into their preschool years. I have weaned 2 kids and am currently nursing a child who will turn 4 this summer. I attempted nightweaning my oldest child at 17-18 months of age but gave it up after a few months of worse sleep for everyone. He was a very, very frequent waker. I have experience nightweaning that same child at an older age and also transitioning two kids from the family bed to their own beds and rooms. I also used to run a nursing toddler support group where nightweaning and sleep issues was a common topic. So that is my experience in this area. Obviously every child is very different and it is not really possible to predict reactions to night weaning. In my experience, nightweaning can be done at any age, but it is not likely to be easier to night wean at 18 months than it is now. Kids usually start putting together much longer stretches of sleep and also may become more comfortable sleeping alone at an older age- think between age 3 and 4. If there is a time that night weaning becomes generally noticeably easier, my guess is that would be a more realistic age. This does not mean your child might not be easier to night wean before that, I am speaking very generally. I also have seen nightweaning or other partial weaning attempts turn into complete weaning or nursing strikes. While I would not say this is common, it does happen sometimes. Developmentally, the second year of life is one with many,...
    1 replies | 43 view(s)
  • @llli*stina.hi's Avatar
    Today, 08:32 PM
    Yes, it makes sense. I think I will at least reduce pumping for now, then stop altogether for a while and start again later. Thank you for your suggestions and help!! I appreciate it! :gvibes
    12 replies | 185 view(s)
  • @llli*maddieb's Avatar
    Today, 07:43 PM
    Yes over time the lactating breasts soften more, feel less full or even empty, and by then if not before you will probably feel much more "even." But you may always produce more on one side than the other. Everyone is a little asymmetrical.
    12 replies | 185 view(s)
  • @llli*layne.cough's Avatar
    Today, 06:15 PM
    Thank you Maddieb for the info, this is very helpful! Will my breasts eventually "even" out once my milk supply collaborates with my babie's demand?
    12 replies | 185 view(s)
  • @llli*maddieb's Avatar
    Today, 04:54 PM
    Yes obviously this is all patently ridiculous. You are right and pediatrician is incorrect - the problem is what to do about it? You could challenge the doctor and say can you please give me sources for the information you're giving me, you could bring your own sources to attempt to educate her, or you can find another doctor, or you can live with it knowing you're going to get poor advice in this area. It is frustrating that even young doctors still get little to no education in this area.
    1 replies | 59 view(s)
  • @llli*maddieb's Avatar
    Today, 04:45 PM
    Layne.cough yes it sounds like one breast makes more. This is typical. You can hand express as needed or encourage baby to nurse a bit more on that side as needed for your comfort. Going several sessions on one side regularly would act to increase production on that side while decreasing it on the other, so that might lead to more "lopsidedness". This is not an exact science and it probably makes the most sense to just approach the feelings of overfulness as feels right in the moment.
    12 replies | 185 view(s)
  • @llli*maddieb's Avatar
    Today, 04:39 PM
    Ok so you have enough milk saved already for at least the first couple weeks back even if you did not pump at all at work. But of course you will have to pump, (or hand express) not only to continue to produce milk but to protect your self from getting engorged, getting plugs, mastitis, etc. How often you will need to pump is not knowable at this point, lots changes in the first several months of life. But generally speaking, The higher your milk production, the more often you will need to pump at work to prevent these issues. So while in theory it sounds great to make more than enough milk, in actuality it is the root of many possible issues. My wonder if at this point you can stop pumping altogether, or reduce it to at most one or two ounces once a day or less, as long as you can do that comfortably? Or stop now and start again in a month? Or whatever feels best to you. You may find that you need to reduce pumping slowly to avoid getting engorged. I think it is smart to keep avoiding bottles as much as possible as well. "Practice" bottles can be both infrequent and very small. Does that make sense?
    12 replies | 185 view(s)
  • @llli*stina.hi's Avatar
    Today, 02:17 PM
    Yes, baby is feeding around the clock...generally 1.5-2 hours, but has been even every 1 hour this week (possible growth spurt?). I am feeding on demand and she is exclusively breastfed. I have not given her any formula in 2 weeks and she will take expressed breastmilk if I am away from her (which is usually only one feeding...I try to make sure she is fed and full before I leave). I don't pump after every single nursing session, but with the 3,6,9,12 schedule so I can stay on top of it. And it's been way less this past week due to exhaustion. I haven't pumped in the last 12 hours. I am hoping to pump at least every 3-4 hours at work. I am a nurse with busy shifts, so I'm not sure how that will impact my pumping sessions. My work schedule will vary, sometimes three shifts in a row, sometimes broken up (2 shifts in a row, off a day or few, then work 3rd shift). Some weeks I could work 4 shifts and some 2 shifts, but generally should be 3 shifts a week. Baby is gaining lots of weight! She was born 6 lb 6 oz and today is 8 lb 13 oz. Last week Saturday (8/23), she was 8 lb 3 oz. I guess I am underestimating how much breastmilk I should have saved up before work and worried that baby will not have enough when I am away from her. I just counted all of my frozen breastmilk and I have 91 oz! I didn't even realize I had that many oz saved up already! So,
    12 replies | 185 view(s)
  • @llli*layne.cough's Avatar
    Today, 01:09 PM
    Hi all, I have a 2 week old and am breastfeeding. So far everything has gone pretty well but my right breast always feels so engorged and full. My left one will get full and then I will nurse and it will be soft again and feel normal. Does this mean that the right breast is making more milk than the left one? I usually nurse on one side during one feeding and then the other side during the next feeding and continue to alternate. But even doing that my right breast still is always bigger and fuller. I do not want to increase my milk production, as I feel I have a pretty good supply. But I would like to relieve some of the fullness in the right breast. I have expressed a little by hand to try to make it more comfortable. Is it ok to nurse from the right side (the side that always seems full and engorged) at 2 feedings or 3 feedings in a row to get it emptied or will that just increase the milk production more?
    12 replies | 185 view(s)
  • @llli*maddieb's Avatar
    Today, 01:05 PM
    The general recommendation is to avoid pacifiers entirely until breast feeding/milk production is 'established.' Generally this means that if nursing is going well, no major problems, you can introduce pacifiers at about 4-6 weeks. But I disagree somewhat with this recommendation. It is shorthand and does not apply to all situations. I see nothing inherently wrong with occasional paci use earlier as long as it never interferes with nursing frequency. If a new mom needs a shower or an hour or two for a nap or some alone time, I would rather her baby was held by someone else and given a pacifier, than that baby was given a bottle. Conversely, it is not "safe" to introduce a paci at 6 weeks if the paci is used too much and decreases normal nursing frequency. Pacifier overuse can lead to poor gain or other breastfeeding problems at any age. Milk production and normal nursing rhythms could still be harmed no matter when baby is first given a pacifier. In other words, if and when a pacifier is introduced (and it need never be, of course- it is a convenience item and not a necessity) it is best done with awareness and care. Used only occasionally and only when needed to get a break for mom, but not to replace nursing sessions. Of course this is all assuming baby will even accept a pacifier, never a sure thing. If you would like to learn more about safely sharing a sleep surface with your infant, which might help baby be more settled at night, I suggest the book...
    10 replies | 273 view(s)
  • @llli*layne.cough's Avatar
    Today, 12:03 PM
    We have a bassinet on my side of the bed that we have been putting her in. I'll nurse her and put her in the bassinet...she will drift off for a moment but them just seems to fuss again and be wide awake. So I will pick her up and try to soothe her back to sleep. Should I use a pacifier at night if she gets fussy? I haven't used one yet.
    10 replies | 273 view(s)
  • @llli*shanghai's Avatar
    Today, 11:29 AM
    I wanted to give an update and it's therapeutic for me to write my thoughts out. A couple of days ago I was trying to nurse my LO at 1 am and I watched her struggle for 40 mins and I decided that with her insufficient weight gain, my vasoapasm pain, and our struggle to nurse that it wasn't fair to her to keep on doing this. My husband made a bottle of formula and she took it without any issues and was completely calm afterwards. I cried the rest of the morning and couldn't leave my bed because I decided to give up breastfeeding. My husband continued to give her a bottle the rest of the day and I have never seen her so calm before. I have not been able to bring myself to give her a bottle or watch her take a bottle yet so my husband and family are feeding her. I am usually in a different room when she's being fed. For most of the morning I couldn't even bring myself to hold her - I feel like I somehow failed her (I still feel this way and cry about it every day). I emailed my LC who luckily was on board but suggested that I try to exclusively pump (I have the medela pump in style advanced) so at least she can get some breastmilk. The LC recommended that I pump 8 times a day for 15 mins which I have been doing and am only getting about 1-1 1/2 ounces from both breasts each session and I can't seem to get a second let down. This is twice as much as I was getting when I was breastfeeding then pumping but still not enough to keep up with her intake. She currently gets about...
    18 replies | 931 view(s)
  • @llli*sprocket's Avatar
    Today, 11:14 AM
    I had a 30 weeker who was diacharged from the NICU at 39w3d. We have been home two days. We have been working on breastfeeding for the last several weeks while continuing NG tube feedings and he finally "got it" about a week ago. I stayed in the hospital for the final days of his hospitalization to breastfeed on demand. He has never gotten a bottle and has been nursing on demand with no supplements for the last 5 days. Throughout his NICU stay I pumped milk for his NH tube feedings. By the end of his NG tube feedings he was getting 75cc every 3 hours (less when he nursed well). On average I was roughly matching or slightly exceeding this volume with my pumping efforts. My IBCLC has advised me to keep up the pumping at a frequency of 5x per day during the day with just breastfeeding at night. This amounts to pumping after most daytime feedings. I have found this difficult to keep up. On more than one occasion, I have nursed, gotten baby down and begun pumping only for him to let me know he wasn't quite done and wants to nurse a little more. Other times, I have pumped after a feeding only to find that he wakes up after 1 1/2 or 2 hours and has a difficult time satisfying himself. Sometimes he nurses very well and sleeps for 3 hours, so I do have time to make more milk for his next feeding, but in the mean time he has so thoroughly emptied my breasts, I don't get much and it feels kind of unnecessary. The rationale behind the pumping is that he hasn't yet...
    0 replies | 41 view(s)
  • @llli*pthgrl's Avatar
    Today, 11:10 AM
    Hi; I'm mom to two wonderful little girls; a 14 mo old strong-willed younger one and a 2.5 year old easy going sister. The 14 mo old is breastfed and she and I cosleep in her room. However, since I work outside the home, she mostly just nurses at night. She wakes 4-7 times a night to nurse. If she could, she would probably sleep all night with the boob in her mouth, but since I can't sleep like that, she will settle for being nursed back to sleep. She is a fairly poor napper and sleeper, and the slightest thing (colds, teething, which seems constant) disturb her sleep. (meaning I don't get much sleep at all...) I'm exhausted, especially if she has a cold/sick or is teething, because then she wakes more like 7 times a night, and often takes a long time to fall back to sleep. As a result, I don't function well at work and have less patience than I would like for the 2.5 year old (or for DH). When she is well and "only" gets up 4 times I night, I can manage (i.e. have gotten used to that type of interrupted sleep). Whenever she does not sleep well I get so exhausted that I think about night weaning. My first concern is that she might wean completely - which I don't want. Plus, when I'm not on the brink of exhaustion, I just love the cuddling at night :love ... We started night weaning once or twice but sleeping in my own bed (dad was with her) I missed her so much I gave up after 1-2 nights. Third, given that she is quite tenacious, she will cry for at least...
    1 replies | 43 view(s)
  • @llli*mamamac81's Avatar
    Today, 11:07 AM
    Glad to see this thread! Same thing here, except my cycle just returned a month ago. We aren't aggressively TTC though def are not preventing it. My period is late (for me) and Ive had several negative tests....I was hoping I could be pregnant but perhaps this is just my body being weird. I looked back at my charted cycles when we were TTC my son and if my body was anywhere close to before we would have TTC at the right time this month. I don't know.....Still BFing want to TTC, just got period back. ugh.
    4 replies | 311 view(s)
  • @llli*opalita's Avatar
    Today, 10:01 AM
    We just moved and have a new, young female pediatrician. My son is 16 months old and still wakes and nurses at night. He has always had nightmares and wakes up crying. Nursing calms him. He also nurses for thirst and hunger. He eats solid food and is in the 45th percentile for weight. He was 5 weeks premature and never took iron. I just had venipuncture to test his iron and he is anemic. 10.1 hemoglobin. I suspected it might be low due to his prematurity. I had tried to give him all the iron rich foods, plus vitamin C foods to help him absorb it. Anyway he is taking ferrous sulfate now, but the pediatrician told me not to nurse at night so he eats more during the day, and can get iron. I'm not going to night wean! But what she said makes me so mad! I am going to let him self-wean. Is she even correct? Incidentally she also said to feed him raisin bran, which has 18 g of sugar per serving! And told me not to bedshare, because it's not safe. At 16 months! I observe very very safe bedsharing rules! Input is appreciated. I want to change pediatricians but she may be the best there is here.
    1 replies | 59 view(s)
  • @llli*maddieb's Avatar
    Today, 09:55 AM
    searsmami I tandem nursed a three year old and a baby. (This was with first two kids.) I did not wean three year old completely but I did begin restricting nursing times at that age. (Actually he was about 3 and a half at the point I started working on restricting down to a "Morning, Naptime, Bedtime and Emergencies only" nursing timing.) Are you looking to wean completely or partially? Any part of the day or particular session you are looking to eliminate? Etc. Also how old is your baby? I found that it took some getting used to the different "feel" of nursing a toddler after baby came, I was very sensitive. I learned from an IBCLC some techniques for helping my child nurse more gently and to wait his turn so I was not nursing both at once every time, as that increased the discomfort. Let me know if any of that personal experience sounds like it might be helpful to you and I can elaborate.
    19 replies | 7793 view(s)
  • @llli*maddieb's Avatar
    Today, 09:46 AM
    I just want to confirm baby is exclusively nursed and not currently being fed any of the milk you are expressing or formula, and is gaining normally (6-8 ounces per week on average- or more) just from nursing. The above response is based on that assumption. Thanks!
    12 replies | 185 view(s)
  • @llli*maddieb's Avatar
    Today, 09:41 AM
    I do not have the knowledge to help you with something like that. It almost sounds like there may be some anatomical issue. Can you see a board certified lactation consultant? (IBCLC) ?
    3 replies | 116 view(s)
  • @llli*paulavzq's Avatar
    Today, 07:12 AM
    No. Its something that comes out and is like a bag full of milk. I can send you a picture if you have an email
    3 replies | 116 view(s)
  • @llli*jen.r24's Avatar
    Today, 07:05 AM
    I guess my worry is that nursings are becoming more spaced out during the day and as such she is not having as many nursings as she had before. I know it's part and parcel of her getting bigger I suppose! When she nurses well she is gulping down milk and my breast can go from full feeling to flat quite quickly. I'm not having any of the painful fullness I would've had in the early days between feedings but sometimes one breast will be quite noticeably the heavy, big one if she hasn't nursed for a good while. No pacifier or bottle use. I offer her open cup with maybe 0.5-1oz of expressed milk once a day for practice. I think reassurance that it is within the realm of normal is good; and also reassurance that if I'm offering her and she is actively saying no, that it is ok to just go with what she is communicating and just offer again later. I think me worrying about it is causing me to become frustrated when I've offered a couple of times and she hasn't nursed for 2-3 hours but still isn't taking any. Perhaps she senses I'm stressed about it. I'll try to not worry and let her dictate the flow. Thank you for your advice!
    2 replies | 135 view(s)
  • @llli*shanghai's Avatar
    18 replies | 931 view(s)
  • @llli*maddieb's Avatar
    Today, 02:24 AM
    Is it a bleb? http://kellymom.com/bf/concerns/mother/nipplebleb/
    3 replies | 116 view(s)
  • @llli*maddieb's Avatar
    Today, 02:20 AM
    I think it is possible your baby could get more when baby nurses, yes. But I do not mean baby would drink 3 ounces every time baby nurses, because that is not how nursing works. Nursing is so different than pumping and bottles it is hard to compare. A baby might take 2 ounces from the breasts, then nurse again 10 minutes later and trigger another letdown and get another ounce, then sleep a bit, then nurse again 30 minutes later and get another 2 ounces, then sleep for 3 hours. Etc. No one tells moms to pump like that (or give bottles like that) because it would be so hard, but that is how babies nurse. It's ok because nursing is easier. So no, you would not have to supplement 20-30 ml after every nursing session. If that worked best for you, great. But if you find your baby cannot get enough milk from you overall to gain normally, you can figure out how much more baby needs overall with a little experimenting and give that amount per day when and however you wish. Baby can be supplemented before sessions, after, during (using an at the breast supplementer- this is often the most time efficient method.) Baby could also get a bottle here and there from someone else while you pump (or take a walk or a nap.) You can combine any of the above. Basically the only "rule" is that baby get enough to eat overall, and you protect your milk production as well as you can. This means pumping as you can, if baby requires any supplements. Also babies take in more in bottles at once...
    8 replies | 200 view(s)
  • @llli*maddieb's Avatar
    Today, 01:58 AM
    Wow that is a lot of pumping! I bet you are tired! Is baby nursing at least 8-12 times per 24 hours and nursing pretty much around the clock? Ok, so since fast letdown is related to OP, and a fast letdown is upsetting baby, that sounds like you are probably producing more milk than you want to be. Fast letdown that baby reacts to like that can possibly even cause breast refusal or aversion, and overproduction can also cause some serious health issues for mom. Right now you are pumping in a manner that is likely to keep increasing your milk production. This may have been needed those early days when you were having issues, but if you are now making enough milk for baby to gain normally and also no longer using nipple shields, there is really no reason to pump at all to continue to have normal milk production. As long as your baby is exclusively nursed and gaining normally, you know you are making enough milk overall and will continue to do so as long as baby nurses often enough (and you pump often enough during separations.) I assume(?) you will be able to pump about every 3-4 hours during your workday(?) So there is typically no need to stockpile a huge amount of expressed milk- you need enough for the first day back, and then a "cushion" for emergencies - some moms take a few work days to get into a good pump "rhythm" and everyone has off days when they do not pump as much, so that is what the cushion is there for. Every mom has a different cushion they feel...
    12 replies | 185 view(s)
  • @llli*crocusb's Avatar
    Today, 01:35 AM
    Than you. It is just that if I give my baby bottle every two hours, he can drink 90-100 ml (slightly more than 3 ounces), whereas I can only pump 60 ml every two hours at the moment, which leads me to what I am producing is not enough. If baby nurses effectively he may get more than 60 ml perhaps. When I get him on breast eventually, if that ever happens, will I need to supplement 20-30 ml after each breasfeeding session? I have ordered the book you recommended, looking forward to reading it!
    8 replies | 200 view(s)
  • @llli*paulavzq's Avatar
    Today, 12:45 AM
    I have a recurrent problem with one of my breast since I started breastfeeding. It starts with very sharp needle pain whenever I am nursing. My baby is a premature and I still need to pump and give him in bottle most of the milk. A few weeks ago I noticed a blister of milk hanging off my nipple when o finished pumping, normally the size of a green pea. But last night i noticed a much bigger one when I was emptying the expressed milk into a bottle. This time it was the size of a broad bean a bit pink and full of milk, when I touched t it spread out into a long blister. Does anyone know what it is? And how to treat it? Thank you
    3 replies | 116 view(s)
  • @llli*stina.hi's Avatar
    Today, 12:03 AM
    maddieb...thank you for your reply! To answer your first question, I am not sure if I have OP or not. I believe I have a forceful letdown that causes my baby to sometimes refuse the breast after the first few minutes, which is frustrating for me because I know she is hungry. Then she starts screaming. Even after I try to calm her down and try to relatch, she still refuses. I've tried switching sides since my right side has the forceful let down and I believe my left side is OK. I definitely do not want to reduce production. I would like to continue making a stockpile for when I go back to work. However, I don't want it to interfere with BF. If my production stays where it is, I'd be OK with it. I will be returning to work the first week of July and I started pumping and freezing on 4/14. I will be away from baby for at least 14-15 hours while at work, but only work 3 days a week. So the other 4 days that I am off, I will be EBF. I would definitely appreciate a plan for pumping. Usually I've been pumping more on a 3,6,9,12 schedule and missing one or two times (so total of about 6-7 times in 24 hours). However, in the last week, I have gotten so exhausted from that plan that I have only been pumping 1-2 overnight and 2-3 times during the day. My husband has gone back to work this week, so it is also harder to pump during the day. When I pump, I usually get 2-3 oz from both breasts, but there have been times were I would pump only half an ounce.
    12 replies | 185 view(s)
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