Yes. This is great gain, as in it is normal gain, and not slow, nor, particularly FAST gain. So there is no reason to nurse baby more often in order to increase weight gain rate. I agree with that. BUT breastfeeding is a two way street. If a mom is feeling overly full between nursing sessions, if there is over production, if there is a plug, and if there is fast letdown, nursing more often almost always HELPS. And it won't change your baby's gain, certainly not dramatically, because baby will simply take less each session. More often does not mean wake baby every such and such hours. It means, nurse going not only by your baby's cues but ALSO by how YOU feel-your body's cues. It means, offer as needed, even if that means waking baby sometimes, or offering in baby's sleep. Baby may not need the more frequent sessions, but YOU might.My pediatrician has assured me that .5lbs a week is " great and ideal" and that I can at this point allow her to sleep longer than 3 hrs.
The reason I pointed out that the gain was not particularly FAST is because block nursing (which reduces milk production) is not suggested UNLESS baby is gaining particularly fast. So basically, while I think you probably have some overproduction going on, in this particular case block nursing may not be appropriate.
Relax, yes. Your baby is doing great and for the most part breastfeeding is going well. Icing of course is fine, if it helps. You can also take an otc anti inflammatory (motrin/advil) if you are so inclined. And I do agree it is important to work on the engorgement. But when she says work on the engorgement, what is she suggesting?she thinks I should relax, continue to work on the engorgement and use ice after nursing to sooth the pain.
Pain is your body trying to tell you something. And all I can think of is it is related to you getting regularly engorged, which is slightly unusual at one month. Mothers basically get engorged for one or some combination of three possible reasons: Mom has overproduction, or baby is not nursing effectively, or baby is not nursing often enough. And yes, if a mom has overproduction, a baby can get plenty of milk while still not nursing effectively.
So a private with your LC (or someone else) might be warranted just to be sure milk transfer is effective and to try to get to the bottom of what might be causing the pain.
More on engorgement: http://www.llli.org/faq/engorgement.html and http://kellymom.com/bf/concerns/mother/engorgement/
Oh here are the plug links: recurrent plug: http://kellymom.com/bf/concerns/moth...rent-mastitis/ plugs: http://kellymom.com/bf/concerns/mother/mastitis/ lecithin for plugs: http://kellymom.com/bf/concerns/mother/lecithin/
Plugs and blebs tipsheet- here is a quick tipsheet that has newer ideas for battling plugs. Vibration, ultrasound, nursing "upside down" etc. I cannot get it to open on my computer at the moment, but here is the link to the main page, just find the "dealing with plugs and Blebs" doc http://www.llli.org/toolkit