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Thread: Going from EP back to BF

  1. #1

    Default Going from EP back to BF

    I posted this in the what to expect boards and they reffered me to here! I'm a FTM and my LO is 7 weeks, I started EP'ing when she was 3 weeks old bc I have an extreme over supply and an OALD and it was causing her to choke/gag/pull away and she had a tongue tie causing latching problems and it was too stressful. So I began EP'ing, well I'm trying to regulate (I pump about 75-85 opd) and today I offered the boob to LO and she latched right on, so I wanted to maybe start only pumping when I'm away from her or if DH has her.

    So (sorry for the long post) my question is how did you handle the engorgment without pumping and trying to sync up to when she's hungry? (I still have to pump off a couple oz to relief some so she can latch otherwise it's too full and she screams)
    How long should I give it before I give her a bottle for when I try to get her to latch and she's screaming/fighting at the boob?

    Any tips and advice with transition back to breast would be greatly appreciated. Thank you so much!!

  2. #2
    Join Date
    Jun 2009
    Posts
    10,754

    Default Re: Going from EP back to BF

    Was the tongue tie treated?

    Have you tried nursing in a "laid back" position, and encouraging baby to nurse frequently?

    Instead of pumping before feeding, can you take baby off when the milk starts to flow, let it go into a towel, or hand express prior to nursing, instead of pumping?

    How long should I give it before I give her a bottle for when I try to get her to latch and she's screaming/fighting at the boob?
    Well, the answer is that you solve the issues that are making baby fight the breast. While you are doing that, IF baby truly will not nurse and you feel it has been too long, give baby milk in an OPEN CUP or use paced bottle feeding, and give baby a small amount of milk, try to nurse again, and repeat as needed.

    If you pump that much a day, you may be a candidate for block feeding. However, the problem is that you do not want to reduce production too much when baby is not very good at milk transfer...

    more info- block feeding: http://www.nancymohrbacher.com/blog/tag/block-feeding

    Laid back to help baby handle flow: http://www.nancymohrbacher.com/blog/...-breastfeeding

    Have you seen an IBCLC?

  3. #3

    Default Re: Going from EP back to BF

    Thanks for your reply!

    I haven't seen a LLL LC, but I've seen several LC (at hospital, pediatrician a office and health department) I've tried all the different nursing positions to calm down my leg down and tried expressing into towel when it's so strong or when she chokes off but it's such a consistent stream :-/

    I tried all yesterday and through the night to get her back on and she would scream at the breast, or shed latch for a second then come off screaming, the same thing she did when she was 2 weeks old and decided that EP'ing was best for us. I guess I'll just have to keep trying and maybe as she gets older she'll be able to handle more milk. I just wish I could regulate my supply.

  4. #4
    Join Date
    Jun 2009
    Posts
    10,754

    Default Re: Going from EP back to BF

    Hi, first I want to clarify the acronyms. It can get very confusing!

    There is no such thing as an LLL LC. LLL Leaders are mothers who have breastfed and have been accredited by LLL to provide mother to mother support and breastfeeding information- in other words, they are volunteer peer counselors. Some of course do work professionally as lactation consultants, but not most.

    There is an international organization what gives board certification to lactation consultants who have met a fairly rigorous threshold for education and clinical training, and requires that their certified LC's receive continuing education. These LC's and only they have the title "International Board Certified Lactation Consultant" or IBCLC.

    Anyone can legally refer to themselves as a "lactation consultant" no matter what their actual education or training or experience. And yes even hospitals and doctors and health departments can and do hire people - usually nurses- as lactation consultants who have little to no specialized training in lactation issues! Additionally, even when a mom sees an IBCLC who works for such an entity, the time allowed by his or her employer for a consult is all to often far too short to be effective.

    Are there IBCLCs who are not very well trained and LC's who are not IBCLCs who have lots of experience and are very effective? Yes. But when a mom sees an IBCLC she at least can have the expectation of a higher level of expertise.

    I think it is clear you have a very over abundant milk production, and you also report that baby has tongue tie (I am still not clear if this has been treated and what after care was done if it was.) I am suggesting you see an IBCLC so you can get help from someone who has the knowledge required to handle such a unique and potentially very serious situation without causing more harm. Have any of the people you have seen suggested that it might be helpful to address the over production issue or told you how to do that?

    I just wish I could regulate my supply.
    Did you read the Morhbacher article on block feeding I linked above? Mothers with OP CAN regulate their milk production, very effectively, with block feeding (or block pumping.) but again, this WILL reduce your milk production and I am still not sure the issue is entirely the fast flow...I am concerned about you reducing your production when your baby cannot nurse effectively possibly due to the physical barrier of tongue tie.

    Of course you can keep trying on your own, but the longer your baby is bottle fed the harder it will be to bring baby back to the breast. I really do think it is important to get some effective help, as the help you have had so far has not been. It is not uncommon for a mom to need multiple visits with multiple specialists to address severe breastfeeding issues, and any time a baby cannot or will not nurse, that is a severe issue.

    Here is a description of a complete lactation consult. Has this been your experience with all the lc's you have seen? http://cwgenna.com/lconsult.html

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