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Thread: Is it possible bottle to breast???

  1. #1

    Default Is it possible bottle to breast???

    I really want to breastfeed again. I had to give up from the awful pain of mastitis over and over, cracked bleeding nipples that became a scab and chunks falling off. So painful I thought I would pass out. Horrible anxiety attacks and panic when I had to feed. So I ended up exclusively pumping and feeding baby the bottle. I pump about 40-50oz of milk a day. I tried latching baby on tonight (6 weeks tomorrow) and she screamed and pushed me away. I exclusively breastfed her till she was 3 weeks. I saw lac consultants and had her check for ties etc. Went to lll meeting, breastfeeding support to try to get less painful latch. Now I am healed and I would like to try breastfeeding again. Is it possible? She roots for nipple but once she latches she sucks it like a bottle then screams and spits it out while clawing at me. Milk is going everywhere so that's not the problem.


    Help!?? Or should I give up on the boob.

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

    Default Re: Is it possible bottle to breast???

    Hi pinkmomof2.

    Yes it is certainly usually possible to get a baby back to the breast after bottle feeding. Of course you will need to get baby to latch better so you are not in pain or injured, that can take practice for both you and baby, and there are many positioning and latch techniques that help.

    It sounds like you have lots of breastfeeding support where you are so take advantage! Keep going to the LLL meetings and talking to Leaders on the phone. If you can see lactation consultants again, do that as well. Sometimes it takes time to get things back on track. Keep getting help and support!

    Milk is going everywhere so that's not the problem.
    Actually, this very well could be at least part of the problem. If you are pumping 40-50 ounces of milk a day, that is almost enough for twins. This is called overproduction or OP for short. OP often leads to a secondary problem called fast or forceful letdown (FFLD for short)

    Many times OP causes no problems but other times it certainly can. For mom it makes her more likely to get plugs and/or mastitis. For baby, the problem is from the FFLD. All that milk coming all at once can basically panic baby, causing them to refuse to nurse. Also if baby DOES latch, the FFLD potentially causes baby to slip "down" the nipple (causing a shallow latch) and also causes baby to clamp down to try to stem the flow. The result could be latch pain and injured nipples.

    At this point I would not suggest trying to actively reduce production with block pumping or block nursing. That may be needed later but is risky, so do not do that yet. Right now you are at the point production normally "peaks." After this, when baby is nursing, baby tells the body how much baby needs by how much milk baby takes when they nurse. So when a mom makes too much, her body is given the message from baby to reduce the production.

    As long as you are pumping, YOU will have to tell your body to gradually reduce production. You still should pump just as frequently, (and at least 8 times a day) but maybe try to pump a little less milk out each time you pump. Just a little, slowly, gradually reducing how much you pump each pump session will give your body the message to reduce production to something more like 35 ounces per day, which is the high end of what babies typically need per day from this age on.

    If this is the problem, it may help to offer baby the breast right after you have pumped some, at least at first. When baby is nursing, to reduce the impact of FFLD, it helps to increase the frequency of nursing and it helps to recline when nursing, so baby is on top of you. This allows gravity to help slow the flow and gives baby more control. Sidelying nursing may help as well. Some moms hand express a little before offering the breast if they are feeling "full."

    Keep baby snuggled to you as much as you can, close to the breast. Keep offering if she roots or even uses more subtle signs, and also whenever you feel like it. Find positions that feel comfortable for you.

    Be careful about over feeding! it is very easy to overfeed with a bottle and if baby is full from the bottles they are less likely to want to try to nurse.

    I hope this helps at all. I am going to add some links to more info:

    Here are a couple good articles that may help. latch and positioning: http://feedthebabyllc.com/latch-and-positioning/ and http://www.llli.org/docs/00000000000...astfeeding.pdf

    Baby who is refusing to nurse: http://kellymom.com/ages/newborn/nb-...ack-to-breast/

    Nursing cues: http://www.llli.org/docs/00000000000...eding_cues.pdf

    Feeding the non-latching baby http://www.llli.org/docs/00000000000...ching_baby.pdf

    and good video on paced bottle feeding. (to prevent overfeeding and breast refusal) The LC gives a great explanation to have it loud enough to hear...baby in video cries at first but calms down quickly. https://www.youtube.com/watch?v=ykdFuEOIdeE

    other alternative feeding methods: https://www.youtube.com/watch?v=vrrrC5NyNnQ

    Cup feeding: https://www.youtube.com/watch?v=fCyWvcsdYOE

    Here is some info on hand expression: http://www.llli.org/docs/00000000000...expression.pdf and video http://med.stanford.edu/newborns/pro...sing-milk.html

    Engorgement: http://kellymom.com/bf/concerns/mother/engorgement/

    If baby cannot latch well or at all due to the engorgement, a nipple shield may help as a temporary measure. More: http://kellymom.com/ages/newborn/nb-...s/wean-shield/

    info on reverse pressure softening, which is often helpful when trying to get baby latched onto an engorged breast. Here is more info: http://kellymom.com/bf/concerns/moth...oft_cotterman
    Last edited by @llli*maddieb; July 25th, 2017 at 12:02 AM.

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