Re: Multiple issues
Welcome to the forum and congratulations on the new baby!
First, how's the healing going from the c-section? Are you taking care of yourself, not doing anything beyond nursing the baby and the very lightest baby care? Incision closing up okay?
Second, how old is your baby? I assume he's quite young because you're still uncomfortable from surgery.
It sounds like you probably have some degree of overproduction going on, since you seem to feel full and "stuff" pretty often, you're leaking a lot, and your baby is gulping and feeding very quickly for a newborn. Overproduction could explain the pain you're having, since babies- especially very new babies- often have difficulty latching onto full breasts, and that can lead to a shallow, "pinching" latch. They also sometimes learn to control milk flow by compressing the nipple- it's like crimping a hose to control the flow. Often babies will be described as "slipping up" or "clamping down" on the nipple. The compression is the probable cause of the blanching, which is likely a vasospasm: http://kellymom.com/bf/concerns/moth...ple-blanching/
Reclined positions are good for slowing milk flow, which may reduce baby's need to compress the nipple. It sounds like you have so much milk that single-sided feedings are also a good idea, but do keep a careful eye on diaper output while you're doing them, since it is possible to reduce supply too much with that approach. This link tells you what you should be looking for in the first 6 weeks: http://kellymom.com/bf/got-milk/supp...s/enough-milk/
This link has tips on dealing with engorgement: http://kellymom.com/bf/concerns/mother/engorgement/ Make sure you check out the link to the reverse pressure softening technique mentioned on that page.
Finally, 2 things to be aware of- first, when a mom is really engorged, that's a time when mastitis (an infection of the breast) is more likely to occur. So stay alert for any of the following symptoms: fever, aches and pains, chills, red patches or streaks on the exterior of the breast, and localized pain/tenderness which may of may not accompany a lump. If you see any of those, call your doctor for some abntibiotics- and don't stop nursing! Second, since you had a c-section I am assuming that you're taking some pretty powerful antibiotics right now. One thing a lot of people don't tell you about antibiotics is that they can result in yeast overgrowth that can affect breastfeeding- there's a condition called thrush which can affect the baby's mouth and also the mom's nipples/breasts. It's nasty and can be extremely painful. To ward it off, try to practice good breast hygeine- have your shirts, bras, towels, and burp cloths washed frequently, using hot water, and take a probiotic to help keep your flora balanced.
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!"