I've posted a few times about some of these things, but I have more questions. I am breastfeeding 11-week-old twins. I've been back at work 2.5 weeks and having issues with pumping. I'm currently trying different pumps because my double electric was failing to do much. My single electric is much more efficient, and I'm considering trying a manual, too. I'm also trying to find a way to add in a third pumping session, because I'm pretty uncomfortable after just a couple of hours (working a full 9-hour day).
Because I've been so engorged, I've been practicing hand expressing and it has been helping. I can actually express a lot. I chose to hand express for an entire pumping session yesterday, but it's too labor intensive to do every day. Then today I expressed a bit of blood after pumping with my single electric. I've also had a lot of nipple pain and it looks like it's a yeast infection, so I'm treating that now. Also, my right breast has lost a lot of its production (same side as the blood). I'm getting one ounce per session instead of three ounces, but still getting four ounces in the left.
I've read that blood can be caused by a burst capillary, which can be caused by hand expressing too roughly. Is that true? My breasts feel a little tender, but no real pain. Can a yeast infection cause blood? I also read that a yeast infection can slow production. Does anyone know if that is accurate? I don't have any lumps or other signs of plugged ducts or infection. Any other insights?
Thanks for your help!