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  • @llli*maddieb's Avatar
    Today, 12:52 AM
    Maybe you do not feel ok because it is not ok with you to return to work yet. If so you certainly would not be the first mom who considered or explored other options. Was it always the plan to return to work at this point? Is any other possibility acceptable? Options might include but are not limited to- Part time work, work from home, job where you can bring baby to work, lifestyle change/downsizing, extreme frugality/budgeting, shift work that allows you to work a different set of hours from dad or whoever your parenting partner is, a delay in returning to working full time...What options (if any) are desirable or realistic of course depends on your personal and financial situation including what is acceptable to you as far as career choices. I am not telling you to stop feeling guilty. You feel what you feel. I am just suggesting either there is another acceptable option for you other than returning to work at this point, or there is not. If there is not, eventually you will come to a place of peace about it. There are 24 hours in each day, or another way to think about it, 168 hours in each week. Assuming your work hours are close to typical, for most of those hours you and baby will be together.
    5 replies | 53 view(s)
  • @llli*kmrs's Avatar
    Yesterday, 11:46 PM
    @llli*kmrs replied to a thread Daycare in Breastfeeding Your Baby
    Thanks for the suggestions, I will do some more research. I definitely feel very strong guilt and I do feel as if I am doing something wrong. I have confidence he will be properly cared for, but not in the same way that he has been at home with me. I don't know how to feel ok about it yet.
    5 replies | 53 view(s)
  • @llli*kmrs's Avatar
    Yesterday, 11:41 PM
    @llli*kmrs replied to a thread Daycare in Breastfeeding Your Baby
    Thank you for your response. That does make me feel a little better! Good luck with your new little one starting day care!
    5 replies | 53 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 11:20 PM
    If the plan works for your wife, it is a good plan. If it is not working, it may need tweaking. A plan can only work if it feels manageable to the mom. Follow up in a week is great! I love it when follow up is given proper attention! Are you able to contact LC before then if questions or concerns arise? I am curious if the LC thought the flange was too small? A too small flange causes rubbing. Edible, non-allergic oil as a lubricant is a good idea, and anecdotally, coconut oil in particular can be very healing for sore nipples. My concern with coconut oil as a lubricant is how solid it gets at even slightly lower temps. Not sure how familiar you are with this oil but it solidifies at the colder end of room temp. Of course it quickly liquifies when handled. But if that in any way is causing a problem, olive oil is a good flange lubricator as well. There was a recent discussion on a lactation consultant online forum about the benefits to breast massage before pumping (and during as well? Cannot quite remember. Breast compressions are helpful for some moms too. Below are some articles about using a lactation aid. They can be helpful for several reasons, the downside being they can be fiddly and at times frustrating to use and there is a learning curve. But if your wife is interested I think it makes sense to talk with the LC about that. Skin to skin contact is great. Also just snuggling with baby on mom's chest with easy access can be helpful too, so she can be...
    19 replies | 870 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 11:02 PM
    Your baby will not be able to nurse for comfort while you are at work. But there is no reason he has to adapt to a "more structured" eating schedule. The recommendation is that bottle fed babies are fed on cue, small amounts at a time, using paced bottle feeding technique to slow down feedings. Slowing down feedings accomplishes two important things- it prevents baby overfeeding and allows baby to "comfort suck" with the bottle at least to some extent, without overfeeding. I would suggest, discuss with your daycare provider these recommendations. They may or may not know anything about them. They probably will not know how to properly bottle feed, but you can learn and teach them. You can also discuss with them the other ways a baby can be comforted. Are they open to baby wearing? Does your baby like being carried around and sung too? How does baby like being held? You know your baby best. Tell them what your baby likes. Of course they will have their own ideas too. If you have (or can get) the book The Womanly Art of Breastfeeding (8th edition) they devote an entire chapter to handling separations. Not pumping- that is another chapter. Just on the impact of separations on baby and mom and how to minimize the problems. I suggest moms respect in themselves the very real and very strong feelings that come up when they have to be frequently separated from their babies. Our society tends to minimize the reality of how naturally and instinctually anxiety provoking...
    5 replies | 53 view(s)
  • @llli*hug.see's Avatar
    Yesterday, 08:47 PM
    Update: We went to two different LCs, and a doctor gave her a prescription for Reglan. We also rented a Symphony (hospital grade) pump and purchased the necessary parts. My wife used the Symphony pump on level 3 during the appointment with the lactation consultant, and her nipples started cracking, so we stopped. We later found out we could lower the setting, but did not realize it at the time. The lactation consultant also recommended that we use coconut oil on the flanges at home to reduce the rubbing that occurs. Based on our conversations with the LC and doctor, our plan is as follows (with Reglan): 1. Use Symphony pump to pump at a MINIMUM, eight times a day. Try to do 10 times if possible. 10-15 minutes each session. 2. Use pump on a comfortable setting. Even if no milk comes out at first, at least there is stimulation occurring. Pump both breasts simultaneously. 3. Hand express after using the pump. 4. Increase skin-skin contact with baby, and try to breastfeed baby. If baby does not feed, it is not a huge issue right now, at least there is stimulation occurring.
    19 replies | 870 view(s)
  • @llli*sprocket's Avatar
    Yesterday, 08:16 PM
    My baby is starting daycare next month and I am having some of the same anxieties. However I also have a 4 year old who has been in daycare since she was 5 months old and she did totally fine. Don't forget there are many ways to comfort a baby! As nursing moms, our go-to is nursing, but caregivers, grandparents, non-nursing moms, dads and partners all over the world find ways to bring babies comfort as well. And then when you are together at the end of the day, you will fill up his cup, so to speak, with plenty of nursing time, cuddles, kisses and hugs. If he really enjoys comfort nursing, he may want to do a lot of it during the evening hours. When I went back to work with my oldest, we started co-sleeping to give us more time to be close and nurse at night (and with my new baby we've jumped to the chase and co-slept from the beginning). That isn't to say he won't miss you, but in my experience with my first, she didn't seem to miss nursing that much when I wasn't there. She missed ME from time to time, and for her, mom and nursing were essentially one and the same, but when I wasn't around, she didn't go crazy wanting to nurse all the time. She was way too busy. :) I really think she enjoyed her bottle and moved on with her day. And then when we were together she nursed to her hearts content. It will be ok!!!!
    5 replies | 53 view(s)
  • @llli*kmrs's Avatar
    Yesterday, 07:48 PM
    Im a first time mom and my son will be going to daycare at 3 months old which is in about 2 weeks. I'm not so much worried about bottles and pumping. Hes always been a very frequent eater. So much so, that I think its a comfort thing. This is fine by me and I always nurse him when he wants. My concern is how he will adapt to not having me there and to go to a more structured eating schedule. He wont be able to nurse for comfort and I am having a lot of guilt/anxiety about it. Did anyone else have this feeling and how did your child do?
    5 replies | 53 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 07:36 PM
    Hi nasrin, I cannot tell if you are currently formula feeding as well as breastfeeding? If you are, it would be helpful to know how much formula each day baby is getting, and if you are pumping as well. It would also help to know how many times in 24 hours baby nurses. Anyway, what I am getting is that nursing hurts and baby is not gaining well? Poop frequency is not all that important IF baby is gaining fine. But when a baby is not gaining well, infrequent poop shows that not enough milk intake is probably at least part of the problem. So, once a week poop is probably not ok if poor gain is also going on. At this age the norm is for a normally gaining breastfed baby to poop several times a day and for at least some of those to be large poops. It is definitely not fine for a baby to sleep so much they do not nurse with normal frequency, and it is in particular a problem if baby is is not gaining properly. Many people will say that nursing 8-12 times in 24 hours is the norm, but in fact at this age the norm would be more like 10-15 times a day. Nursing is NOT likely to be on an every 1, 2 or 3 hour pattern. Instead, the norm is that baby will nurse very frequently part of the day and less frequently others. This is why it is so important to look at the overall amount of nursing sessions. When was this? If you are continuing to have nursing pain and/or slow weight gain, breastfeeding must be assessed, or re-assessed. Unfortunately, how latch 'looks' means...
    1 replies | 56 view(s)
  • @llli*nasrin's Avatar
    Yesterday, 05:44 PM
    -5 week old. -birthweight-6.4pound Delivery- Csection EBF Till now. My supply was very less in the beginning. Taking fenugreek in powdered form. Also lactonic granules to be taken along with milk. (Contains fennel , asparagus ) Baby lost 10% birthweight(5.7pound).Regained birthweight(6.5 pound) only by approx 2 weeks. At 3 weeks gained only 4 ounce. Had sore nipples and cracks within 2 days of giving birth which almost healed now . Consulted LC after birth who said the latch looks perfect. Used nipple shield for a week and lanolin ointment. This is my second child. Elder one was formula fed.
    1 replies | 56 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 05:35 PM
    That sounds very promising - thank you so much for the update.
    24 replies | 658 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 05:27 PM
    How old is your baby? Very young babies in particular really don't know the difference between day and night because they don't need to. Typical expected nursing frequency during at least the first several months of life is between 8 to 12 times or more per 24 hours. If you want your baby to nurse less during that period of night one thing you can try is encouraging your baby to nurse more often during other parts of the day.
    1 replies | 79 view(s)
  • @llli*jen.r24's Avatar
    Yesterday, 03:57 PM
    I hate pumping too! I don't seem to respond that well to it but I can hand express pretty well - but that is easier done at home I don't know how I'll be able to do it at work or where I could ... Yeah I was thinking of only really sending that smaller amount. Plus maybe if I start pumping/expressing in August I could stock it up. Even two 2oz-2.5oz cups a day. I was hoping they'd be used for comfort and maybe nutrition only if she won't eat solids for them. As I said in the other thread, I'm sort of hoping she'll get the bulk of her breast milk at home with me during morning/evening/night and be happy enough with more solids at daycare. Since we still feed regularly through the night with open access it should be ok I figure - she'll still be getting at least 5 nursings plus anything I manage to pump. Or nothing will work as I plan :lol But each baby is different, your lo may need more during the day. I think it is hard to know, I wonder if any other mummies on here are still pumping for older babies to give you a steer on amounts? I just know I'd never produce the 1oz plus per hour at this stage and I'm just relying on my lo's interest in food and curiousity of other kids in the hope that she'll be ok during the day.
    3 replies | 83 view(s)
  • @llli*jen.r24's Avatar
    Yesterday, 02:05 PM
    That's a brilliant resource scoob626! I guess I was hoping that my lo will get all her milk during the morning/evening/night (with bedsharing I'm assuming she'll just continue to eat during the night!). So there is part of me that doesn't want her to be given cow's milk in nursery (as in, if she is getting her dairy from me during other parts of the day then I'd rather them offer the solids and water plus whatever I can express). I'm lucky in that my daycare cook their food on site, however I imagine it'll be softer than what she is used to at home. I don't *want* cow's milk to replace my milk in terms of dairy but we do drink it in our family (well, I use it in cereal/porridge but I personally don't enjoy it as a drink). My lo does enjoy yoghurt and cheese so if she really needs dairy I'd probably be using those as extra on top of breastmilk. I give my lo vitamin D drops so I know she is getting it from those so she doesn't need any kind of fortified milk! Yeah I'm the weird one at my daycare too...I just really hope that my lo just falls into her own routine for naps. Lord I have no idea how that will go :shrug
    10 replies | 729 view(s)
  • @llli*dsymons07's Avatar
    Yesterday, 01:19 PM
    My baby will eat every 3-4 hours and sleep well during the day. At night between 12am-4am she wants to eat more often and doesn't sleep as well any reasons why or suggestions? Is this day/night confusion?
    1 replies | 79 view(s)
  • @llli*nbaldonado's Avatar
    Yesterday, 12:33 PM
    Thanks so much for your suggestions! This information is very helpful!
    2 replies | 116 view(s)
  • @llli*merobader's Avatar
    Yesterday, 12:27 PM
    I suplment with formula and hand expration for last tow days he didnot like the bottle I suplment with 2 onces but never finish it then hand experation till get 2 onces but he was so sleepy and become more and more sleepy and begen to unlatch alot during feeding we took him to the hospital and the bilirubin level went up to 20 and we had to leave him there for phototherapy now I hand experation till he back home hoping tomorrow
    4 replies | 185 view(s)
  • @llli*scoob626's Avatar
    Yesterday, 08:17 AM
    Just found this, which is super helpful: http://kellymom.com/nutrition/starting-solids/toddler-foods/
    10 replies | 729 view(s)
  • @llli*scoob626's Avatar
    Yesterday, 08:02 AM
    Wow jen.r24 it is remarkable how similar our situation is! I visited our day care yesterday and I felt like a weirdo a bit, about a bunch of things :D For instance, I don't want my son in one of those standing bouncers, which they put him in immediately, and after they told me they give babies vitamin d milk at a year, I was confronted with a bunch of feelings, as I don't yet know what I am going to do re: cows milk with baby since my husband and I don't drink it because of environmental/political reasons...They will work with me and are cool, but I am left feeling like 'that lady'...I am probably going to have to bring in my own alternatives, which is the same as solids, as they use jarred foods and I make my own. What are you doing in terms of cows milk? Are you introducing it? Is the assumption that it should replace breast milk? Are babies fine until 2 years with mostly breast milk? The day care director stressed the importance of vitamin D cow's milk.
    10 replies | 729 view(s)
  • @llli*saw30's Avatar
    Yesterday, 07:51 AM
    Ok, another update. Saw the infant feeding specialist, she was great, watched a feed, asked loads of questions, she recognised the latch was shallow (unlike everyone else who was saying he looked like he was latched well) and she said he definitely has a tongue tie (also a bubble palate), and it's not a submucosal one, just further back than the really obvious ones. The feeding specialist is trying to get us moved ahead in the queue but at the latest his tie will be cut on the 9th of August. I am really happy that there is an identifiable problem and a clear path forward. She said whether or not cutting the tie helps she will work with us to improve things too.
    24 replies | 658 view(s)
  • @llli*scoob626's Avatar
    Yesterday, 07:47 AM
    Jen.r24, hi! So when I pump I probably get 3 oz total. Are you saying just send 3 oz for 9 hour day? Or am I expected to send 1.5 oz per hour, closer to 15 oz for 9 hour day? It is obviously less now that he is taking solids, but I am not sure how less...I detest pumping btw :D
    3 replies | 83 view(s)
  • @llli*jen.r24's Avatar
    Yesterday, 05:13 AM
    Hello!!! I have been talking about the very same issue on another thread here. I really don't have much to offer except what I'm *thinking* of doing which is basically pump once a day and just send in what I get for the next day :shrug I'm hoping that water, solids and what I pump will be enough. My little girl still loves to nurse but also if she is occupied and excited during the day she doesn't always look for it (and will just latch on then off despite me offering a lot). I'm sort of playing it that she will likely just stick to the morning/night time feeds and be alright with less during the day. Another friend of mine had a total boob monster who wasn't that interested in solids and she just sent in what she pumped and within about a month he wasn't really bothered with milk during daycare hours, upped his solids and still seeks out the boob 24/7 when at home all day with his mum. Like you I plan to go a 4 hour stretch or so as with work commitments I'll only be able to pump once at some point between 12-2pm and I'll be away from my girl from 8-6pm. Also I have no idea how much solids, I also do real food so I'm useless when it comes to amounts of food! Sorry I'm not much help :lol but it's good to have someone who is going through all the major transitions at the same time as me (and the all night nursing, not really sleeping thing)!
    3 replies | 83 view(s)
  • @llli*scoob626's Avatar
    July 28th, 2016, 09:42 PM
    Hi ladies, I feel a bit clueless here, bear with me :yikes:gvibes....my son will be a year in September, right when I go back to work part time. He will go to day care 2x a week for 9 hours each day...I have a lot of anxiety transitioning to all of this, and feel sad just thinking of being away from him, especially since he has never taken bottles... Anyway, he has really taken to solids recently and eats finger foods like crazy (peas, beans, blueberries, peaches, avocado, bananas, sweet potatoes, spinach, egg, pasta, toast) screaming for more. He took me by total surprise with this enthusiasm, since he had no interest the week prior, and I think his increased intake of solids in a couple days made my period come back! Since I am trying to keep his milk intake high up until he is a year, I nurse before and after and I only offer solids 1-2 times a day right now but I am wondering: generally what is a good milk to solid ratio once he is a year? Or in other words, what might this all look like once I don't have to worry about limiting his solids and maximizing his milk intake? I see the rule of 1.5 oz milk per hour we are apart...what might this look like at a year, if I start letting him take more solids, maybe 3 meals a day? How many oz of solids per meal (this is hard for me to measure because I always give him real food, no jars or puree)? If I let him eat all he wants, it seems he will never stop. Should I just let him eat all he wants once a year old? Do I need to...
    3 replies | 83 view(s)
  • @llli*mommal's Avatar
    July 28th, 2016, 07:43 PM
    Breastfeeding is like giving birth. It is natural, but natural is not the same as easy! You are not alone in struggling with this. Can you return to the pediatrician and ask about the lip tie? I would also want to ask the doctor for a referral to someone who specializes in breastfeeding issues. You might get lucky and find someone who knows how to give you hands-on help. At this point, what are you doing? 1. Only breastfeeding? 2. Only formula? 3. Breastfeeding and giving baby formula supplements? 4. Pumping?
    4 replies | 185 view(s)
  • @llli*merobader's Avatar
    July 28th, 2016, 04:57 PM
    Thanks mommal I live in Egypt laction consultant isnot a real job in Egypt all wemen breastfeed their baby its just natural is someone have trouble she will try with advices from others but not professionals We took him to the bedatratin to see him and he was concerned about his bilirubin level he measured it subcutaneously it was 11 and ask for blood tests as he might have blood types incombitablty thanks good its not but bilirubin was 18 he told me to give him farmula & I did his latch was getting better I hope it doesnot affected by that we didnot ask about the lip tie :( cause his father think it's not important.
    4 replies | 185 view(s)
  • @llli*maddieb's Avatar
    July 28th, 2016, 04:54 PM
    Is it possible it is thrush but needs more aggressive treatment? Can you get a prescription to oral fluconazole? Jack Newman has a protocol that prescribes a loading dose plus continuing proper dosage. His info sheets on thrush might be worth a read. Thrush protocol http://www.breastfeedinginc.ca/content.php?pagename=doc-CP Fluconazole http://www.nbci.ca/index.php?option=com_content&id=18:fluconazole&Itemid=17 GV http://www.breastfeedinginc.ca/content.php?pagename=doc-UGV The best coverage I have seen about how to prevent reoccurrence of hard to get rid of thrush is in the book Breastfeeding Answers Made Simple. (Mohrbacher) She also explains the most likely symptoms of thrush to look for. Maybe one of your helpers can get a hold of this book and get you that information. Of course with thrush misdiagnoses is always a possibility. One cause of nipple damage and pain that is often overlooked is a bacterial infection on the nipple. I think diagnoses requires that a swab of the nipple is taken and tested. The treatment would be oral abs.
    2 replies | 116 view(s)
  • @llli*maddieb's Avatar
    July 28th, 2016, 04:42 PM
    If you think your expressed milk is going to waste, my first suggestion is to fix this problem. It is hard enough for a mom to pump what her child actually needs, let alone extra that is wasted! It is not so hard to prevent waste. For one thing, bottles of breastmilk that a child has drunk from do NOT need to be discarded. The bottle (or just the leftover milk) can be put in the refrigerator until the next feeding according to LLL bottle feeding guidelines. Unlike formula, breastmilk is resistant to bacteria making this practice very safe. Additionally, if your baby is not finishing her bottles, she can have smaller bottles sent for her, with even smaller "top off" bottles for use as needed. Otherwise, my best suggestion other than continuing what you are already doing is to troubleshoot your pump. Also, I recently read where breast massage before or during pumping has been shown to increase milk extraction. Of course massage, breast compressions and hand expression along with pumping have been suggested for a long time, but now I think there is actually a study backing up this suggestion. Comparing to formula feeding situations is confusing, because it is more than a matter of comparing one type of food to another. Everything about how formula fed babies are fed is different in many cases. Many formula fed babies are overfed, for one thing. Also, they typically do not have the opportunity to eat (nurse) overnight as your baby does. They might have a bottle...
    1 replies | 97 view(s)
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