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Thread: Need Help with Breastfeeding!!!!

  1. #1
    Join Date
    Apr 2007
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    9

    Default Need Help with Breastfeeding!!!!

    I have read many of the other threads and they have been very helpful so I thought I'd ask for some assistance with my breastfeeding questions.

    I had my daughter at 36 weeks and she became jaundiced so she was supplemented with formula from Day 2 while in the hospital and then NICU.

    I have a low milk supply and am currently taking Fenugreek (4 pills 3X perday) and have just been put on Metoclopramide for 12 days. So far, nothing has helped increase my supply. My lactation specialist suggested that I pump 6-8 times per day and try feeding my daughter once a day with a nipple shield. My daughter latches on to the nipple shield for a few seconds then realizes nothing is going to come out - and cries and will not latch again. (I am not sure of the benefit of the nipple shield - can someone explain?)

    My lactation specialist also suspected a breast infection due to the large amounts of antibiotics that I was given during labor so I am applying Bactroban to my nipples 3X per day.

    Between the nightime feedings (bottle with expressed breastmilk or formula if I don't have enough breast milk), the constant pumping and low supply I am a bit discouraged. I would like to breastfeed my daughter as soon as possible - even if it is just during the morning feeding when I seem to have a little more milk.

    Any suggestions? Thanks in advance for your help!

  2. #2
    Join Date
    Mar 2006
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    8,591

    Default Re: Need Help with Breastfeeding!!!!

    Quote Originally Posted by NewMom2007 View Post
    I have read many of the other threads and they have been very helpful so I thought I'd ask for some assistance with my breastfeeding questions.
    Great that you found us!!!

    I had my daughter at 36 weeks and she became jaundiced so she was supplemented with formula from Day 2 while in the hospital and then NICU.
    So sorry...that's rough! And that automatically puts you at a disadvantage for breastfeeding because your baby has become accustomed to bottle nipples and immediate gratification.

    I have a low milk supply and am currently taking Fenugreek (4 pills 3X perday) and have just been put on Metoclopramide for 12 days. So far, nothing has helped increase my supply. My lactation specialist suggested that I pump 6-8 times per day and try feeding my daughter once a day with a nipple shield. My daughter latches on to the nipple shield for a few seconds then realizes nothing is going to come out - and cries and will not latch again. (I am not sure of the benefit of the nipple shield - can someone explain?)
    What makes you and your LC think you have a low milk supply? Are you exclusively pumping? Baby back on breast and not having enough wet/poopy diapers? Can you give me a little more detail about your supply problem?

    As for the nipple shield, it is imperative that you are using a silicon shield, one that gives your nipple the most stimulation possible. A shield is often used for babies with small mouths (preemies) or babies that are confused by nipples because they have had a bottle. They are used for other purposes too. There are a lot of women who have had success nursing with a shield for months and evenyears, and some who have had success with using it for a while and then weaning the little one off the shield and then getting them directly back to the breast.

    Have you tried filling the shield with expressed breastmilk so that when the lo starts sucking she is getting some satisfaction, which should encourage her to continue sucking? We had to do this, and it actually worked. It also helped that we were so stubborn and had decided we were absolutely going to breastfeed. It was hard because she was really stubborn too, and really wanted a bottle, but we just didn't give in for about 8 hours, and finally she was back on the breast (with the shield of course).

    My lactation specialist also suspected a breast infection due to the large amounts of antibiotics that I was given during labor so I am applying Bactroban to my nipples 3X per day.
    What are your symptoms? Do you have sore nipples? Or something else? Just wondering if the infection was correctly diagnosed.

    Between the nightime feedings (bottle with expressed breastmilk or formula if I don't have enough breast milk), the constant pumping and low supply I am a bit discouraged. I would like to breastfeed my daughter as soon as possible - even if it is just during the morning feeding when I seem to have a little more milk.
    I'm sorry this has been so rough on you!

    Erin
    Wife to a grizzly
    Mama to my little deer (12/05) my loving bear cub (9/07--), and our little tiger (3/22/10)
    Born by one c-section and 2 amazing VBACs


    Miles in 2012: 350.5/900 (Actual Miles Ran: 189)
    Miles in 2011: 708.5 (Actual Miles Ran: 509)
    Miles in 2010: 800.5 (Actual Miles Ran: 620)

    January Miles: 37.5/75
    February Miles: 59/75
    March Miles: 42.5/60
    April Miles: 64
    May Miles: 41/70
    June Miles: 59
    July Miles: 39.5

    227.5 miles on my new shoes
    338 miles on my old shoes

  3. #3
    Join Date
    Apr 2007
    Posts
    9

    Default Re: Need Help with Breastfeeding!!!!

    First of all, thank you for taking the time to reply to me. I really appreciate your help.

    The lactation consultant thinks that I have low supply due to the amount of milk I am pumping over a 24 hour period. (It is less than half of the 19-30 ounces that I have seen is considered "normal.") I have to supplement with formula to feed her, she sometimes needs more ounces than I can pump.

    I had clogged ducts (corrected through physiucal therapy) and painful nipples - so the infection was diagnosed.

    One last question - are there any resources out there with directions on correctly using a nipple shield? It seems to slip off when I am trying to fill it and when she is trying to nurse...maybe I am not using it correctly? (I have used tape...) Also, I don't get "let down" so after she has sucked out the breast milk I fill it with, my daughter cannot suck anymore out of my breast. How should the shield fit? And I am not sure it is silicon, I'll have to ask my lactation consultant.

    Thanks again!

  4. #4
    Join Date
    Mar 2006
    Posts
    8,591

    Default Re: Need Help with Breastfeeding!!!!

    Here is a good site on shields in general, from LLL: Nipple Shields...Friend or Foe?

    The shield should creat a bit of suction and not really fall off...but it needs to be clean for that to happen, and filling it with breastmilk really makes that hard! It is very very messy at first, no doubt.

    You say you are not getting a letdown when you nurse, but do you get a good letdown with the pump? And what kind of pump are you using (a double electric hospital grade would be preferred at this point!)?

    Have you been getting lots of skin-skin contact--your shirt off and baby in nothing but a diaper? If you need you can cover the both of you with a blanket, but its a good way for baby to get used to your skin, and to enjoy it, without the pressure of nursing. It might help to relax you too. Also, have you tried soaking in a warm bath before a nursing session, or taking a hot shower? You can even try sitting in the bath with the baby, if you have a companion to help. Its a slippery trick, but it might work!

    If you can't do any of those, you might try warm washcloth and relaxation techniques to help you get a letdown. If you had plugged ducts and have since resolved those, then you definitely have milk...it just might be a case of getting it back to where it needs to be.

    I would recommend pumping at least every 2.5 hours, around the clock...or more, if you are really determined. You ultimately should be pumping more frequently than your baby is eating. Once you get that baby back on the breast fulltime, it will be a lot easier, but getting there is going to be tiring and take a lot of determination! Milk supply is determined by nipple stimulation and by milk removal...so you have to stimulate your breasts frequenlty, and remove as much milk as possible.

    I hope things work out for you!

    Erin
    Wife to a grizzly
    Mama to my little deer (12/05) my loving bear cub (9/07--), and our little tiger (3/22/10)
    Born by one c-section and 2 amazing VBACs


    Miles in 2012: 350.5/900 (Actual Miles Ran: 189)
    Miles in 2011: 708.5 (Actual Miles Ran: 509)
    Miles in 2010: 800.5 (Actual Miles Ran: 620)

    January Miles: 37.5/75
    February Miles: 59/75
    March Miles: 42.5/60
    April Miles: 64
    May Miles: 41/70
    June Miles: 59
    July Miles: 39.5

    227.5 miles on my new shoes
    338 miles on my old shoes

  5. #5
    Join Date
    Apr 2007
    Posts
    616

    Default Re: Need Help with Breastfeeding!!!!

    FIRST DONT GIVE UP......so ur on fenugreek, the reglan is it 10mg three times a day? u can add BLESSEDTHISSILE (not sure if thats spelled right) and that should help! keep letting baby latch and if u give a bottle pmp after that! pump every 3-4 hrs tho...i wanted to give up so many times but i hung in there it gets better TRUST me!! after the 2nd mo. u will see!!! and be glad u held in there just keep reminding ur self this is best for the baby! goodluck

  6. #6
    Join Date
    Apr 2007
    Posts
    9

    Default Re: Need Help with Breastfeeding!!!!

    Thank you both for your help! I really don't want to give up.

    I am using a hospital grade double pump by Medela. I am still using the Fenugreek (has anyone ever had side effects on this herb?) but I had to stop the Raglan due to the side effects. It increased supply but the side effects were really bad and not worth it.

    Thanks for the links too - I will read about the nipple shield - I was told to put lanolin on it, so maybe that is why it does not stick.

    One last question - how do you know if you have enough milk? I read the posts and note that the amount of milk from pumping is not a good indicator. Is it possible I have enough? If so, how can I tell?

    Thanks again!

  7. #7
    Join Date
    Apr 2007
    Posts
    14

    Default Re: Need Help with Breastfeeding!!!!

    Did you stop the Reglan cold turkey? When I was on it with my first LO, I was told to gradually stop taking it by cutting the doses down each day. The reason for this is apparently just as the Reglan can increase your supply, it can hurt it if you just stop taking it suddenly. I don't know if this happens for everyone, but if you noticed any decrease in supply after stopping the Reglan, that could be the cause.

    Definitely try to take Blessed Thistle along with the Fenugreek. The only side effect I had from Fenugreek was the maple syrup smell...and all that did was make me want pancakes all the time.

    Have you tried pumping one side while nursing from the other? With my first LO, I never felt let-down, so I pumped one day while he was nursing from the other side and found that I just didn't feel it, but there was definitely let-down. Just a suggestion.

  8. #8
    Join Date
    Apr 2007
    Posts
    616

    Default Re: Need Help with Breastfeeding!!!!

    about enough milk? ucan pump to kinda get an idea...are u getting engorged and i was told just let the baby latch and still hungry just substitute so u wont feel like ur starving the baby..alot of mothers wont substitute but to help reduce the stress of is the baby getting enough might help! and once u get enough milk just go back to breast!!!

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