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  • @llli*danikap's Avatar
    Today, 12:43 PM
    Hi all! I'm wondering if anyone has experience with nursing a toddler and a newborn and handling oversupply or overactive letdown. My 8 week old really struggles at the breast and chokes a lot. My toddler is dealing with transition to a new sibling so I am trying to allow her to nurse and feel included in feedings as well. I know about block feeding to decrease supply but not sure how that works with tandem. Do you just assign one side per child? I've tried to give my baby the emptier side but as much as she hates a super fast flow she also hates a slow one. She's gassy and mucousy greenish stools. She's pretty fussy. Any ideas? TIA!
    0 replies | 0 view(s)
  • @llli*tclynx's Avatar
    Today, 11:55 AM
    With the new/less spit up development things might change a lot here for you so you may just want to roll with it and do what seems right to you at the time. However, what time do you go to bed? Maybe you want to try a dream feed before you go to bed if you are not going to bed at the same time as baby.
    9 replies | 148 view(s)
  • @llli*colomom27's Avatar
    Today, 11:54 AM
    I don't really feel sick, just tired. I don't know what a plug would feel like but I'm hoping that's the case. It does seem to make it better when I pump and nurse off that side. Thanks for the responses!:ita
    3 replies | 71 view(s)
  • @llli*boogabbalucky's Avatar
    Today, 11:50 AM
    I have three children... and the first two breastfed "normally." At 3 months they were still nursing around 8 times a day, and everyone was happy. My third came along and threw me for a loop. I was very focused on number of times that my kids ate, and number 3 WOULD NOT eat anywhere close to 8 times a day. I tried and tried, convinced that she needed it, and it was a fairly miserable breastfeeding relationship because she fought so much. I finally just focused on demand feeding, which is how I fed my first two. Things got much easier when I just let her space her feedings out a bit more. I made sure that she was gaining weight and that she had plenty of wet diapers. For this baby, demand feeding meant eating around 5 times a day, which I know is unusual! Now that she is almost six months, she is down to 4 times a day, although I do try to sneak an extra one in when she's sleepy. Sometimes she goes for it, sometimes she doesn't. I work outside of the home a few days a week and when I pump at her usual feeding times I get around 6 or 7 ounces, so I guess she is just eating a lot at one time. I weighed her yesterday and she is almost 20 pounds, so looks like she's eating enough! My point is that sticking to demand feeding, and making sure that all her other vital signs are good is most important. We always want to focus on "number of times" but baby will usually tell you how many! Since baby doesn't seem very interested in nursing while awake, maybe try to wait a...
    4 replies | 232 view(s)
  • @llli*littlebabyh's Avatar
    Today, 11:39 AM
    My DD just turned 4 months (18 1/2 weeks) this past Saturday. Both Saturday and Sunday night when I fed her she would spit up a large amount to the point where I don't think she kept anything down. I feed her on a 3 hour schedule starting from around 7:15AM. On the weekdays she is with a nanny and she is bottled fed (with my milk) 3 times a day. I nurse her around 7:15 and she gets a bottle at her 10 , 1, and 4 o'clock feedings. Depending on her afternoon nap, I nurse her for her night time feeding at around 7:30 – 8 PM. We typically never go past 8PM. After I feed her, I put her down and she goes to sleep around 8:30 – 8:45 and sleep until 6 or 7 AM the next morning. Both Saturday and Sunday night, she has spit up SO much after her last feeding to the point where I don’t think she even ate anything. She doesn’t seem uncomfortable or fussy. She’s still smiling and laughing afterwards if I talk to her so I am so confused. On Saturday we were running behind so I didn’t feed until around 8:30ish, but the feeding before that she barely ate and threw up too so I thought she would be so hungry! She was fine all night and didn’t wake up the next morning until 7AM and we resumed our schedule Sunday. Sunday afternoon came around and we were off schedule a bit again and I didn’t feed her until 8:15, again she threw up so much. I stopped feeding her and just held her for about 20 minutes and every 5 minutes of so, she would burp and spit up. I didn’t feed her anymore and...
    0 replies | 10 view(s)
  • @llli*joshuas.mommy14's Avatar
    Today, 11:33 AM
    When I first returned to work I would get anywhere from 4-6oz at each pump. I pump every 2 hours, since my son is nursing every 2 hours. In the past few weeks my supply has dropped. This morning in my first pump I barely got 2 ounces. I have some personal things going on and work is busy so I am definitely stressed. I am trying my hardest to manage my stress. I have also recently started several vitamins; fenugreek 3x/day, mothers love more milk supply 3x/day and blessed thistle 3x/day, but my supply seems to be going down instead of up. While at home my son has no problems nursing, and seems to be getting enough milk. My son is 3 months old, and sleeps through the night (down at 9:45-10 and wakes up at 5am) I use a medela electric double pump
    0 replies | 10 view(s)
  • @llli*ciantarah's Avatar
    Today, 11:32 AM
    Wow! Thank you Mommal and Maddieb for all the responses and excellent info. I am being pretty cautious with the block feeding especially until I talk to the doc. Regarding feeding more often when I am at home... During the week, I leave for work at 8:30 AM and am home by 7:45 PM or so. She usually is sleeping for longer stretches after I feed her when I get home (4 to 5 1/2 hours). When we were in the feed/spit up/feed cycle, it took at least an hour and a half for one feeding and sometimes 3+ hours of on and off feeding, so it really wasn't three times. This morning, she fed for about an hour at midnight, then woke up to eat at 5:30 for about 30 minutes, then slept for maybe a half hour before BFing for another 30 minutes, then she slept again but woke up a bit before 8 and wanted more so I gave her another 15 before I had to go and then turned her over to Dad. Still much less spit up. Do you think I should be waking her more at night to eat?
    9 replies | 148 view(s)
  • @llli*tclynx's Avatar
    Today, 11:03 AM
    Yes this does sound supply/OALD related. Have you tried simply unlatching her when let down happens and letting the spray go into a towel and then re-latching her? That way she doesn't have to try to deal with the extreme spray choking her. If you can pump 3 oz per breast in 3 minutes, then yes she could be getting full in three minutes. Many babies that age a feeding is often only 2-4 oz and for some even less. How often do you feed? Trying to feed more frequently can help with OALD. There are articles about block feeding, hopefully some one will post a link to them. You want to be careful with block feeding since it can reduce supply too much if you are not careful. AND block feeding will often mean when you do nurse on the blocked side next, the OALD will probably be even worse so be prepared to deal with that appropriately. When you pump, be careful not to over pump. Try to only pump what is needed for the bottle instead of pumping till empty or for some length of time. In fact you might be able to manage that with hand expression instead of pumping. Then again, you may actually be better off simply nursing instead of giving bottles.
    1 replies | 36 view(s)
  • @llli*mazeejay's Avatar
    Today, 10:37 AM
    Tomorrow is my DS's weight check. I weighed myself and then w/DS; shows he's almost 11bs!!!!Will keep you posted.
    6 replies | 291 view(s)
  • @llli*bsua65's Avatar
    Today, 10:04 AM
    I had something similar a few weeks ago, thought it was a plugged duct so used warm flannels and nursed lots and tried to pump it out, which helped. Hot shower or bath and try to nurse or hand express during these :) Then I noticed a milk blister on my nipple which I had to deal with. So check just in case! Blister I soaked in warm saline but ibm the end I took a sterile needle and gently lifted the white part out. I hope it is the first and not the second!
    3 replies | 71 view(s)
  • @llli*angeldaae's Avatar
    Today, 10:00 AM
    I have the opposite problem. My daughter is 3 months old and weighs just 10 lbs 9 oz. (We took her to our LC two days ago for a weight check.) She is in the 5th percentile for weight, but she is a very alert, happy and healthy little girl. She is gaining weight (albeit slowly) and has plenty of wet and poopy diapers. We feed on demand. She cluster feeds for hours in the evening and then sleeps 7-8 hours at night. Our LC says she's just petite and that there's nothing to worry about. However, I'm very worried that the pediatrician will say she's not gaining enough when we take her for her 4-month appointment. Our ped is BF-friendly, though, so I really hope she won't make a big deal about her tiny size.
    10 replies | 386 view(s)
  • @llli*vanessaberg's Avatar
    Today, 09:56 AM
    My 4 week old daughter is very healthy, but nursing seems to cause her some pain... -she has steady weight gain (3/4 a nl each week) & is on the higher side of things to begin with over 11lbs already -I have a fast let down - spraying & she often 'gags' shortly after latching on, sometimes to the point where she stops breathing for a second or her lips are blue-ish when she unlatches & the trouble keeping up with the flow is audible -I'm pretty constantly leaking, much worse at night when I soak through everything but during the day as well -I've only felt 'empty' once after pumping -I pump 2x/day when my husband feeds her ebm (we swap so I'm hopefully not triggering more production) & have tried to pump or express by hand just enough at times so it's easier for her to latch on but never more than 1oz (again - for fearing of triggering more production) -when she takes the ebm bottle, it takes about 30 minutes for her to finish it -she nurses for under 10 min, consistently; more often than not she nurses for 3 minutes & passes out completely -she has over 12 bowel movements a day and is very noticeably gassy -she burps a lot & gets the hiccups with every feed as well
    1 replies | 36 view(s)
  • @llli*tclynx's Avatar
    Today, 09:26 AM
    Do you feel sick? Sounds like it could be a plug which can lead to mastitis but mastitis usually includes feeling sick (fever.)
    3 replies | 71 view(s)
  • @llli*tclynx's Avatar
    Today, 09:10 AM
    Yep, sounds like you have become expert with the pumping. You might want to have the Dr check your prolactin levels too then since Reglain and Domperidone won't do you much good if your prolactin is normal to high. The drugs work by reducing dopamine which inhibits prolactin so they are likely to only be effective if your prolactin levels are really low. Since you have had issues with depression you don't want to just try those drugs unless there is indication they would actually be effective. In the US Domperidone is difficult to aquire but compounding pharmacies can do it with a prescription or you may be able to get it online with a script. But again, probably not worth it unless you can get the levels checked with your history of depression. If IGT is the case, then figuring out how to use the Lactaid or SNS is probably worth continued efforts since it will save you the separate bottle feeding step. I know they can be a royal pain (I used one for over 5 months) but bottles caused me even more pain because they encouraged a shallow/lazy latch and suck. By the Way, YOU are doing an awesome job giving the best you can to your baby! I don't know if anyone mentioned that. If you reach the point where the continuing stress of the feed/supplement/pump treadmill is too much and you have to take a little break or pump vacation to reduce the stress and avoid a total breakdown then just nurse at all feedings in addition to needed supplements for a day then do it. I...
    6 replies | 98 view(s)
  • @llli*tomzgirl's Avatar
    Today, 08:51 AM
    Soooo helpful, mommal! I really appreciate the feedback. Sounds like purchasing a used pump might end up in frustration--- stronger suction = higher production?
    4 replies | 63 view(s)
  • @llli*tclynx's Avatar
    Today, 08:43 AM
    My LO is 7 months and I sometimes have trouble keeping him latched for more than a few minutes. Luckily he seems willing to nurse for a short spell almost hourly and his weight gain is actually great. This after such a difficult time in the early months with poor milk transfer and poor weight gain. So, Perhaps you could try weighting before a after nursing a few times to see if he is maybe getting a lot more than you realize. If weight gain isn't good, perhaps getting Vitamin D and Iron levels checked might be in order since deficiencies in those can mean poor growth and lack of apatite. Does he get bottles at all (water/juice/milk?) Have you tried different positions? My lo will sometimes be crawling around/climbing on me on the bed and momentarily latch on (I mean only a few sucks, that I think he couldn't possibly get anything) and pop off with milk spilling down his chin. Sometimes little sips add up and some babies want to be in control of the situation.
    2 replies | 91 view(s)
  • @llli*liz.g.autry's Avatar
    Today, 08:32 AM
    I'm using a Medela Symphony. I get anywhere from 20mL (1 hour from last pump) to 90mL (5 hours from last pump). That is after pumping about 30 minutes with massage, compression and heat; I also do hand expression after I pump, but never seem to get more than a few drops. I actually find that if I pay too much attention to my breasts during a pump I produce less, I think I start stressing about how much milk I'm producing and that inhibits let down. I seem to get the best result with massage before, and then constant heat with occasional compression during pumping. I feel like I'm an expert in what to do to try and increase supply. Oatmeal everyday, plus fenugreek and blessed thistle 3 capsules each 3x a day, goat's rue tincture 2mL 3x a day, 12 glasses of water and 6 smaller meals. I just ordered Motherlove's More Milk Special Blend tincture and am going to try that in place of everything. I do have tubular breasts, so there is the possibility of insufficient glandular tissue. I've had hypothyroidism since puberty, but had my levels checked about two months after she was born and they were good. I want to get them checked again since fenugreek can lower T3 and I started fenugreek after I had my levels checked the first time. I tried to get a prescription for domperidone, but my doctor was only willing to write one for Reglan. I have a history of depression and anxiety and with what I read about Reglan's side effects I don't think its wise to risk it. I've struggled with...
    6 replies | 98 view(s)
  • @llli*tclynx's Avatar
    Today, 08:28 AM
    If you can co-sleep/nurse comfortably in bed without having to fully wake up to nurse yourself, it will probably be far easier for you to get back to sleep and not stress out as much about the broken sleep. Every 3 hours at night is really not "ab-normal". I know everyone seems to place such emphasis on "is baby sleeping through the night yet?" or the Ped asking if he is sleeping through the night. Rest assured that frequent night waking is NOT harming your baby at all! It is normal for babies to wake often to eat or just be comforted or to pee and the fact that your baby goes back to sleep well is great. (Sometimes mine wakes up at night and won't go back to sleep for a hour cause he wants to play or crawl around.) Only reasons to get baby to sleep longer at night are to help you get more sleep so if you can turn the clock to the wall and do things to make it easier for you to fall back to sleep it may not make that much difference to you if baby sleeps longer or not. Do you go to bed when baby does? If not, you could try to dream feed right before you go to bed so that may give you a longer first sleep stretch as well.
    5 replies | 95 view(s)
  • @llli*colomom27's Avatar
    Today, 08:18 AM
    Hello, I've been EBF my now almost 12 month old and co-sleeping at night. This morning I woke up and my left breast felt uncomfortable, like an engorged feeling. When I nurses her on that side the pain didn't go away, and now it really hurts. It feels painful to the touch even, allover the entire breast. Now when I nurse her on the other side, it REALLY hurts on the left side during my let down. There's no redness or heat that I can see and this all came on overnight. Does this sound like a little bit of mastitis to anyone? Or maybe something else?:confused:
    3 replies | 71 view(s)
  • @llli*mommal's Avatar
    Today, 07:07 AM
    Unless those pumps are pretty much new in box, I would invest in a new PISA. Better tools = better results, and used pumps are often pretty worn, particularly if they have been used for a year or so. In fact, if/when you're pretty sure you've been matched with a baby, I would recommend going out and getting a hospital-grade rental pump with correctly sized shields and using that as you work to bring in maximum supply. Since you have time until your baby arrives, a 3-4 hour frequency sounds like a good way to start. If that doesn't get results, increase your frequency and add in some sessions overnight. You might want to look into the drug protocol now, even though your baby is still a ways off. Take some time to evaluate the way it works, and if that's right for you, and find a doctor or midwife who is willing to work with you when/if the time comes and you want to take it. It would stink if you decided you wanted to try it and then couldn't find a doctor willing to prescribe it for you, right?
    4 replies | 63 view(s)
  • @llli*mommal's Avatar
    Today, 06:59 AM
    It might increase your supply, but high supply really isn't the worst problem you can have when you're back at work. And since you're back at work, having your baby nurse more is good practice for her and therefore worth doing. Wonderful! Even better!!!
    9 replies | 148 view(s)
  • @llli*tomzgirl's Avatar
    Today, 06:47 AM
    I was planning to get a Medela Pump in Style but am wondering if the PISA would be better for any reason? A friend is selling both for waaaay cheap... Thoughts? Frequency- every 3-4 hours while awake. I wasn't going to pursue drugs just yet because our LO is probably several months/year away.
    4 replies | 63 view(s)
  • @llli*mommal's Avatar
    Today, 06:42 AM
    How has his weight gain been through this period of infrequent and distracted nursing?
    2 replies | 91 view(s)
  • @llli*mommal's Avatar
    Today, 06:40 AM
    Well done, mama! Not that you're done, of course. But marking a big milestone nevertheless!
    1 replies | 60 view(s)
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