Re: Output while at work
Overactive letdown (OALD) is when your milk flows very forcefully when it first starts flowing. Signs include frequent unlatching, loss of suction, choking, sputtering, clicking, and/or gulping at the breast. Fussiness at the breast can be due to OALD, but can also be due to many other reasons as well. Excessive gassiness and spit up often accompany OALD as well. Reflux is often confused with OALD.
If you suspect you are having problems associated with OALD, then you can nurse in a reclined position. I woud lean back on a few pillows, put my baby on my stomach or chest, and let him latch. It takes tweaking positioning a bit to find something that works for you, but it is really great for OALD. Gravity helps slow the flow of the milk making it more manageable for the baby.
Babies also naturally handle the OALD better as they grow bigger. I sprayed milk halfway across the room for 15 months, but my son was only bothered by it for the first 3 months. After that, I really didn't need to worry about nursing reclined so much.
He was always gassy though and I just needed to help him work that out periodically throughout the day. Tummy massage then bicycling his legs between feedings helped a lot, then warm baths in the evenings.
K. Sophia - Mama to my little lactivore, the amazing Mr. X (11/10).