Re: Advice and suggestions please for in
Welcome and congratulations on the new baby! I'm so sorry things have been so difficult for you. I know it's got to be rough to plan a homebirth and end up with a totally different experience. Are you healing okay from the c-section?
It sounds like you are doing a lot right. Pumping after nursing is great. Getting the scale is a very smart move- the data you are collecting is truly valuable in helping you assess how nursing is going. The domperidone and the herbs should help you produce more.
Here are some additional suggestions which may help you produce more:
- Use the best possible pump, with correctly sized shields. If you do not currently have a hospital-grade rental pump, you want one!
- Combine pumping and hand expression.
- Nurse more, and pump more. The more often you remove milk from the breast, the more milk you will make. Most newborns nurse at least 8-10 times a day, with many nursing more in the 10-12 range, and all that nursing is what encourages a good supply. 5 nursing sessions per day- well, I know it must take a huge amount out of you, but you really want to nurse more than that. If you can't, or baby won't, you need to mimic that frequent stimulation using the pump. When I had supply problems, I pumped every 2 hours during the day and every 3 at night, and if I had a spare moment I slipped in an additional session. Exhausting, yes, but effective!
- Consider alternate ways of supplementing the baby. You might want to consider getting a Lact-Aid or SNS supplemental feeder- basically, it's a bag of milk or formula that hangs around your neck, with a tube coming out of it. You position the tube next to your nipple and latch the baby on, allowing baby to eat simultaneously from the breast and the supplemental bag. It's fiddly and definitely harder than using a bottle, but it cuts down on the risk of baby coming to prefer the bottle.
At 4 weeks postpartum, I doubt that your cycle has returned. Lochia often lasts 6 weeks, sometimes more, and can stop and then restart several times during the immediate postpartum period. It often comes back when a mom overexerts herself.
How is nursing going aside from the difficulties you seem to be having getting baby to transfer milk? It would help to know the following:
- Are you in pain at any point when you nurse, or afterwards?
- When baby unlatches, is the nipple misshapen in any way? It might look creased or wedged, or like a brand new lipstick.
- Is baby sleepy at the breast, perhaps nodding off soon after the feeding begins?
- Is baby jaundiced at all?
- Is baby non-demanding? Do you have to wake her to feed, or coax her to nurse?
Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
Coolest thing my little girl sang recently: "I love dat one-two pupples!"