Re: engorgement again?
Welcome to the forum and congratulations on baby #3!
If I am understanding you correctly, it is only just today that you got your baby 100% on the breast. Right? If so, then I am thinking that you may not be quite ready to phase out the pumping. Here are 2 possibilities for what I think might be happening:
Possibility #1. Because your baby falls asleep so quickly he's not emptying the breast as well as one would like. Because he's not emptying the breast, you're feeling milk backing up in the breast.
Possibility #2. All that pumping you have been doing has created an oversupply situation. When your baby nurses, he's taking what he needs, and eaving all that extra milk behind, which is making you engorged.
Because the 2 possibilities are so diffent, here's what I would do: I would weigh the baby after every feeding, and see how much milk he is getting on average when he nurses. Diaper output is generally enough to give you a good idea of whether or not the baby is getting enough, but when a baby has latch issues and is a bit premature and has been getting a lot of bottles, I think it pays to play it very safe. You want to see your baby taking in around 1.5-3 oz of milk at a feeding. If he is consistatly taking in smaller amounts of milk- say 1 oz or less- then you probably want to continue to pump in addition to nursing, and may want to continue supplementing with expressed milk.
Now, if baby is feeding well, getting around 2 oz from the breast on average, then I think you can assume that your issue is possibility # 2, and you're dealing with an oversupply. If that is the case, you want to put up with the engorgement as much as possible, breaking out the pump only when the discomfort is too much to bear, at which point you want to remove the minimum amount of milk necessary to restore comfort. That will allow your supply to decrease to a level which matches your baby's needs more precisely.
Does all that make sense?
Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
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