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Thread: Very stressed about breastfeeding issues with 4 week old

  1. #11
    Join Date
    Jun 2009
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    Default Re: Very stressed about breastfeeding issues with 4 week old

    Ok sorry I am having a hard time I have to use phone and it's hard to do for me. So sorry for disjointed replies.
    Ok here are a few more suggestions. 1-the pump has 2 issues. One, it is not the right kind for what you are doing. It is meant for working mom with well-established production to use a couple times a day. 2, it is old. These kind of pumps are designed to be used by one mom for one kid. After that they often start to not work properly.
    If you cannot rent a hospital rental grade pump, at least troubleshoot the one you have.

    I also strongly suggest the excellent book making more milk.

    I also think using the Sns again for at least some supplement is a good idea
    And/or give baby small amount in bottle before and/ or after nursing instead of totally replacing nursing session with bottle. Again the idea is to encourage lots of nursing. If baby is full from bottle baby less likely to want to nurse with normal frequency.

  2. #12

    Default Re: Very stressed about breastfeeding issues with 4 week old

    Quote Originally Posted by @llli*lllmeg View Post
    When u say baby is eating 8 times a day, is that bottle and breast combined?
    Here is the thing. Your pump output sounds pretty normal or only slightly low. You are not going to pump everything baby needs because baby is nursing as well. Presumably baby is getting milk when nursing.
    I strongly suggest that you encourage baby to nurse as much as you possibly can. Avoiding nursing because you are afraid there will not be enough when you pump is possibly counterproductive. If baby nurses reasonably well, there is no need to ,pump or supplement at that time. I mean, you are creating an extra step. Also while I would not suggest too any weight checks, since you are supple ting it is very important to keep a close eye on gain. How else will you no how to stop supplementing?please excuse typos rushed and on phone
    Well, when I say 8 times a day, I am first having him breast feed as long as he wants, until he falls asleep or gets fidgety or stops sucking well, then when he cries for more food I give him a bottle of either expressed breast milk or formula, then pump. I do this process on average 8 times a day. Sometimes I will then pump again between feedings, as he has been eating every 3 to 4 hours. Today I have only managed to pump 2.5 oz. in 3 pump sessions. I feel like my production is actually going down, though he could be getting more from the breast, which doesn't seem likely because I see that he is not always sucking very powerfully and he is always hungry for almost 3 ounces after I breast feed. I know I should just be breastfeeding him, a lot more often (10 to 15 times a day like you said), but I am worried about doing that for two reasons: One, that if he is not sucking well, he is not getting as much out of me as he could, therefor not stimulating production, and I am scared that I will dry up. Two, I don't want him to get dehydrated and starve again if I really am producing very little. What should I do? When I wake him up to feed him instead of letting him go until he wakes up on his own (which leads to 3 to 4 hours between feeds), he is lazy and sleepy at sucking, and I cannot keep him awake or interested no matter what I do. I am not avoiding nursing so that I am able to pump more, I only skip it when I have just finished pumping and he wakes up to eat, because I know he is not going to get any milk, and I don't want him to become totally disinterested in breast feeding. So that is my dilemma. Thank you so much for your replies and input, I really appreciate it! I feel like I might be over-thinking this, but I really don't want a repeat of the initial starvation/dehydration the LO experienced in the first few days!

  3. #13

    Default Re: Very stressed about breastfeeding issues with 4 week old

    Quote Originally Posted by @llli*lllmeg View Post
    Ok sorry I am having a hard time I have to use phone and it's hard to do for me. So sorry for disjointed replies.
    Ok here are a few more suggestions. 1-the pump has 2 issues. One, it is not the right kind for what you are doing. It is meant for working mom with well-established production to use a couple times a day. 2, it is old. These kind of pumps are designed to be used by one mom for one kid. After that they often start to not work properly.
    If you cannot rent a hospital rental grade pump, at least troubleshoot the one you have.

    I also strongly suggest the excellent book making more mlk.

    I also think using the Sns again for at least some supplement is a good idea
    And/or give baby small amount in bottle before and/ or after nursing instead of totally replacing nursing session with bottle. Again the idea is to encourage lots of nursing. If baby is full from bottle baby less likely to want to nurse with normal frequency.
    Oh, so my pump might not be ideal. Shoot. I also have a Medela Pump in Style, but it was used by the same person for 2 of her kids, so would this be better to use than the Freestyle, or is it also too old? How much are hospital pumps to rent? If I buy another pump, what kind would be ideal?

  4. #14
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    Jun 2009
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    5,602

    Default Re: Very stressed about breastfeeding issues with 4 week old

    First off, unless I am missing part of your story, your baby was never starving. Unless baby required IV fluids baby was also never dangerously dehydrated either. Your baby lost 11% of birthweight. That is only slightly more than typical initial weightloss. Many babies lose that much and more initially and do just fine even with no supplements.
    We can not know for sure how baby is doing now without accurate weight checks on the same scale. But nothing you have described in your babies behavior sounds concerning to me.
    The ideal pump in a situation where mom has low production and needs to increase it is a hospital grade rental. Some ms do ok with a personal use but others do not. I would never suggest a used personal use pump for any use. To likely there is mLfunction.
    Again I question if your supply is low or at least as bad as you think. Pump output does not accurately reflect production even if you are using the best pump.
    I understand that the triple feeding (nurse/pump/bottle) is overwhelming you. That is why I suggest nurse more often but not pump or supplement more often. Nursing alone is so much easier. Also the Sns can help cut down on the work by eliminating the bottle. Baby is supplemented while nursing. It is a device that can be difficult to use but as long as you have it you can try working with it again.
    Also I suggest again working with an IBCLC to help you figure out if low production truly is the primary issue and for help making smart choices for targeting that issue in your case. You have been working so hard and doing a great job I think your confidence was really thrown by those scary first couple of days. But you and baby are well past that now.

  5. #15
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    Jun 2009
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    Default Re: Very stressed about breastfeeding issues with 4 week old

    Pump rental costs vary but a month will be much less than buying a personal use pump. Also insurance may cover. contact your LC, hospital , local LLL for resources-where I live you can even rent one at babies r us.

  6. #16
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    Jun 2009
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    Default Re: Very stressed about breastfeeding issues with 4 week old

    Don't forget book making more milk. Also the womanly art of breast feeding. Catherine Watson Genna has nice Article about using Sns on her site it's called helping moms work smarter
    Another good online resource for milk production concerns is www.kellymom.com she has several good articles on the subject

  7. #17
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    Jun 2009
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    Default Re: Very stressed about breastfeeding issues with 4 week old

    I hope the above helps I will be offline now for at least a day probably longer. If anyone else has suggestions or words of support please chime in.

  8. #18

    Default Re: Very stressed about breastfeeding issues with 4 week old

    Quote Originally Posted by @llli*lllmeg View Post
    I hope the above helps I will be offline now for at least a day probably longer. If anyone else has suggestions or words of support please chime in.
    Yes, all very helpful. I think things are improving slightly. I have been breast feeding a lot more, more often, and pumping a lot less. I am still supplementing because I don't know how much supplement I should cut out, and how quickly, but I called a local LL leader and am waiting to hear back, and have a lactation appt. on Friday to get baby weighed. Then I guess I'll go to the local breastfeeding group every week for a weight check. Is once a week enough?

    Baby had been passing urate for several days after we got home from the hospital, past day 5, and was not having the correct amount of wet/poopy diapers, which is why I though he was dehydrated and not getting any food, thus the supplementing. I think we let the supplementing get out of hand, and I see now we should have been checking his weight! Woops!

    Thanks again for the help. Let me know if there are any other suggestions.

  9. #19
    Join Date
    Sep 2012
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    rockford,il
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    Default Re: Very stressed about breastfeeding issues with 4 week old

    http://kellymom.com/bf/got-milk/basi...rease-formula/

    This is one of the more recommended strategies for weaning off formula. If you can continue nursing often AND pump as often as you can to use your own milk to supplement while increasing supply, you could get there even faster. But I know how hard pumping is with a little one. Once a week weight checks are totally fine.

  10. #20

    Default Re: Very stressed about breastfeeding issues with 4 week old

    Yes, I've seen a lactation specialist. They all say everything is fine. I KNOW it's not fine because when he's nursing for hours on end, I barely hear him swallow maybe a few times. He is never satisfied. They think it's a milk transference issue or a low supply issue. I've tried everything in the book to up supply. But I guess it doesn't matter because he still can't effectively empty the breast and I don't respond well to pumps, apparently.

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