Re: Gas, colic, inbalance??
Do you have any other indications of oversupply other than fussiness and greenish poops? Both fussiness and greenish poops can be totally normal. It is fairly rare for oversupply to be severe enough to cause a foremilk/hindmilk imbalance (which is somewhat of a misnomer as all breastmilk has fat and fat soluble elements as well as lactose and water soluble elements, there is simply a gradual change in the relative proportions of these different molecules throughout the feed. This is also why oversupply babies tend to pack on weight very quickly even if they get mostly "foremilk" - they tend to get lots of it).
When oversupply is severe enough to cause this imbalance, symptoms usually include: painful engorgement, excessive leaking and/or spraying, a tendency for plugs, and producing copious amounts of milk when you pump (I could get 8-10 ounces easy after nursing). Are you experiencing any of these things? If so, you might want to maintain the block feeding, keeping the 2 hour blocks. You can extend the blocks if needed, but block feeding does reduce supply (very effectively at times) so you want to give the smaller blocks some time to work before you get too aggressive. If you are not experiencing these symptoms, then I would not go beyond offering one breast per feeding and switching breasts for the next feeding.
It's generally bad to pump before feeding. This signals the body to produce more milk (which will negate the block feeding) and can lead to or exacerbate overactive letdown. If you have a fast letdown (baby chokes, coughs, sputters, clicks, and/or even screams/arches at the breast during letdown), then there are some things you can do to help your baby cope with the flow that do not endanger your supply. Nursing in a reclined position is what helped me the most. I would lay back on a few pillows, put my baby on my stomach or chest, and let him latch. It can take a lot of tweaking to find something that works for you, so you may need to change up the positioning as you go. You can also try nursing in a side lying position or even in a more upright position, which can help with reflux. Some mamas have a lot of luck unlatching the baby at letdown, letting the milk spray into a towel, then relatching. My baby had no patience for that, but it works great for babies who do.
If you can avoid pumping entirely, it will help oversupply and overactive letdown issues resolve much more quickly.
Finally, very frequent feedings help a lot with both oversupply and overactive letdown. I had pretty significant oversupply and a letdown that literally sprayed across the room, but my son only occasionally had foamy green poops. I'm pretty sure that was because he nursed every 1-2 hours.
I needed to work on my baby's gas periodically throughout the day. I would give a tummy massage and bicycle his legs between every single feeding. Then he got a warm bath followed by more bicycling every evening (sometimes 2-3x a day when gas was really bad). That helped prevent gas from building up too much.
Wearing my baby in a sling or in our Ergo helped a lot with the fussiness too.
I seriously doubt that tandem nursing has anything to do with it, but even if it does your supply will eventually match the needs of both your children if you simply nurse on demand, avoid the pump, and give it time.
Last edited by @llli*phi; July 22nd, 2012 at 04:16 PM.
K. Sophia - Mama to my little lactivore, the amazing Mr. X (11/10).