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Thread: Concerns about new baby

  1. #1
    Join Date
    Apr 2007
    Posts
    6

    Default Concerns about new baby

    Hello,

    I have a few concerns about the baby I am pregnant with currently. I tried to BF my middle child(currently my youngest) and first dealt with thrush, than my breast engorged and I ran a fever for three days. So I gave up.

    Both my children have developed milk allergies, but the middle child has never had a problem with my breastmilk. So I have decided to try to stick it out the whole way this time. IS there some advice for the following:

    1) How to avoid engorgement?
    2) Do you have to wipe off the cream that protects your nipples before BF?
    3) I have to be back at work at 8 weeks, should i BF it until 6 and than adjust it to a bottle?
    4) If she/he gets a bottle all day will it still want my breast at night?
    5) What are some ways to avoid thrush?
    6) Is there a site that I can find a local lactation specialist?

    Thanks for all your help

    Hana in Tx

  2. #2
    Join Date
    Jan 2007
    Posts
    515

    Default Re: Concerns about new baby

    First of all, congratulations on your pregnancy. I'm so glad to hear you want to BF as long as you can this time. These boards are extremely helpful, so please stick around and ask as many questions as you need. I'm still a newbie, but I'll try to post some links that can answer your questions.

    1) How to avoid engorgement?
    Some amount is normal at the beginning. Frequent feedings will drain the breasts, but sometimes you just have to hand express some milk to get more comfortable.
    Here's a link on engorgement.
    2) Do you have to wipe off the cream that protects your nipples before BF?
    Lanolin ointments, such as PureLan or Lansinoh do not need to be wiped off.
    3) I have to be back at work at 8 weeks, should i BF it until 6 and than adjust it to a bottle?
    BF whenever you are with baby and pump when you are apart. Send the pumped milk with baby for daytime bottles. Do you have a pump? There is a pumping section on these message boards with lots of info on everything to do with pumping.

    4) If she/he gets a bottle all day will it still want my breast at night?
    Definitely! Night will be the time you re-bond after being apart all day. Baby will also do alot of making up for calories when you night nurse.
    5) What are some ways to avoid thrush?
    Ask your health care provider about an Acidophilus supplement and garlic supplements as well. They can be helpful in preventing thrush. Also, give your nipples lots of air-drying time.
    Here's a link on thrush.

    6) Is there a site that I can find a local lactation specialist?
    You can try IBCLC and you can always look for a local LLL group in your area. They are always available for free consultation with a volunteer over the phone and sometimes in person.

    Best of luck! You can definitely BF this time. Keep with it!

  3. #3
    Join Date
    Mar 2007
    Posts
    35

    Default Re: Concerns about new baby

    Welcome

    You indeed have found a wonderful place with wonderful people to help you out. I wish I had found this with my first child.

    It sounds like you might have had masitis (sp?), a very bad breast infection.

    I will try to answer as many of your questions as I can (in purple). Here goes.
    Quote Originally Posted by revc2006 View Post
    1) How to avoid engorgement? The best way I know of is to nurse. That was the best help for me the first time around. I pumped also when needed, but actual nursing helped the most. I know I have read that cabbage leaves help if you become engorged. Here's a link about engorgment that might help. http://www.kellymom.com/bf/concerns/...gorgement.html
    Also, there are other threads on the forums about engorgment you should check out. You will find them helpful as well.

    2) Do you have to wipe off the cream that protects your nipples before BF?There are some lanolin creams where you do, but Lansinoh you do not. I prefer it to any others I have tried.
    3) I have to be back at work at 8 weeks, should i BF it until 6 and than adjust it to a bottle? I will leave this one to someone else. My children had been exposed to bottles earlier than 6weeks with no probs, but I was very blessed with this.
    4) If she/he gets a bottle all day will it still want my breast at night?My daughter indeed wanted the breast as soon as I got home that night. She had no problems nursing at night when I went back to work. She even started getting up earlier on days I had bus duty so she could nurse.
    5) What are some ways to avoid thrush?Again, I'll let someone else answer. I've been blessed to never have it.
    6) Is there a site that I can find a local lactation specialist?I would contact your local LLL (you can do this on this site). They should be able to help you.
    I hope this helps you. Good luck with the pregnancy and breastfeeding.

  4. #4

    Default Re: Concerns about new baby

    Hi there! I'm sorry you had such a difficult time last time. It's great that you are preparing now!

    1) How to avoid engorgement? Nurse early and often. Follow baby's feeding cues. Some mothers will have engorgement in the early weeks when your body goes into milk-making "hyper-drive" If this occurs, offer your breast to the baby. If the baby isn't hungry, then express (with a pump or by hand) a little just until the discomfort is gone--don't empty the breast.

    2) Do you have to wipe off the cream that protects your nipples before BF? It depends on what kind of cream. If you're using a 100% lanolin ointment like Lansinoh, then there's no need to wipe it off.

    3) I have to be back at work at 8 weeks, should i BF it until 6 and than adjust it to a bottle?LLL suggest waiting until baby is at least 4 weeks before introducing a bottle. Because you're going back to work and your baby will need to take a bottle of expressed milk, it's important that you work on getting baby to take a bottle well before you go back to work. Once you start work, you can express your milk for your baby and baby can be bottle-fed while away from you and breastfed while with you!

    4) If she/he gets a bottle all day will it still want my breast at night? Many mothers find that they're babies will go back and forth, especially if breastfeeding is well-established before you go back to work.

    5) What are some ways to avoid thrush? Here's a link that gives lots of good info about thrush: http://www.lalecheleague.com/FAQ/thrush.html

    6) Is there a site that I can find a local lactation specialist? You can click the link in my signature to find a LLL Leader in your area!

    Hope that helps! Since you plan to go back to work, see our working and pumping forums!

    Jen
    "Mothers are designed to be available to their babies--to help them make the transition into this big, wide world. To teach them to trust, and love, and feel good about being alive."
    --Elizabeth N. Baldwin, Esq., So I Nursed Him Every 45 Minutes

    Click here to find your local LLL Group
    How to tell if your breastfed baby is getting enough milk!

  5. #5
    Join Date
    Apr 2007
    Posts
    6

    Default Re: Concerns about new baby

    Thank you all for your help I will try these things and if I have problems let you know.

  6. #6
    Join Date
    Apr 2007
    Posts
    4

    Default Re: Concerns about new baby

    Coming from the perspective of a breastfeeding mother who worked for over fifteen years in the childcare industry (a degreed daycare teacher, nanny, and elementary school teacher)? Please, just nurse your baby till you go back to work, don't worry about "teaching" them to get used to the bottle! Your baby won't starve, they have a self preservation mechanism that won't allow them to. Make sure that you have found a daycare provider who is accustomed to dealing with breastfed babies. When you are getting ready to go back to work, talk to your daycare provider about the fact that your baby is breastfed and may need some help transitioning to another form of feeding. If your baby doesn't like the bottle, there are other ways, such as finger feeding, cup feeding, or dropper feeding, that your daycare provider can use to feed the baby. The baby may just take just enough to stay hydrated during the day, and then at night, do what's called reverse cycling. That means that they may nurse a LOT at night to make up for the skin to skin contact and the calories they missed during the day time. This is a completely normal way for a breastfed baby to adapt to a mother who works. A great way to deal with reverse cycling is to co-sleep. Here: http://www.mothering.com/articles/ne...ed-safety.html is an article about how to co-sleep safely. Here's another one, by Dr. Sears: http://www.askdrsears.com/html/10/t102200.asp

    Did you by any chance have antibiotics when you were in labor? That is a really big predictor of getting thrush. The best way to avoid that is to make sure that your STREP B test comes out negative. There are lots of ways to deal with that, and remember that Strep B is transient, so even if you test positive at 36 weeks, that is absolutely no gaurantee that you'll BE positive when you go into labor. The opposite is also very true...did you know that? That if you test negative at 36 weeks, youi could be positive at birth. So, what do you do? Read the research about it and make an informed choice...but there is evidence to show that lots of babies who get the antibiotics through the placenta actually get sick with antibiotic resistant bugs...much sicker than most babies would get with Strep B. Here's a great place to start: http://www.mothering.com/articles/pr...n/group-b.html and there are articles cited at the bottom of THAT article where you could go for further information.

    To avoid engorgement, many moms find it helpful to feed on one side per feeding. Switching sides can cause your breasts to make enough milk for lots of babies...milk is made by supply and demand, so the more demand your breasts experience, the more milk they'll make...and it's the number of stimulations not the amount of time stimulated that the breasts are "looking at" to see if you need to make more milk. So, nurse on one side till the BABY latches off, even if the baby falls to sleep...if they're still nursing, even a couple of sucks and swallows now and then they're not done. THen, when they latch off, burp, change (if that's what baby needs) and offer the same breast. Then, at the next feeding, offer the next breast. While you're waiting to feed off of the "other" breast, feel free to express a tiny bit to make yourself more comfortable, especially when your milk first comes in. But don't pump for any more than a couple of minutes or express more than REALLY a tiny bit. An ounce or more it too much...again, the more you stimulate your breat, the more milk it will make...and you'll get into a cycle, like a snake biting it's tail.

    Good luck, I"m sure you'll do great!

  7. #7
    Join Date
    Jan 2006
    Posts
    1,477

    Default Re: Concerns about new baby

    Quote Originally Posted by revc2006 View Post
    Hello,


    Both my children have developed milk allergies, but the middle child has never had a problem with my breastmilk. So I have decided to try to stick it out the whole way this time. IS there some advice for the following:



    Hana in Tx
    I am allergy mom. If your baby develops a milk allergy, you can avoid eating dairy and therefore your baby will not be exposed and therefore will not react. You can pop down to the allergy forum if you need to

    Quoting Jen -
    "LLL suggest waiting until baby is at least 4 weeks before introducing a bottle. Because you're going back to work and your baby will need to take a bottle of expressed milk, it's important that you work on getting baby to take a bottle well before you go back to work. Once you start work, you can express your milk for your baby and baby can be bottle-fed while away from you and breastfed while with you!"

    This is very important. You do not want your little baby to have to adjust to a new caretaker, schedule, being away from mom, AND a new feeding method. Those first days apart will be hard enough without adding more stress to the baby.


    Mom to - 6 yrs, 4 yrs, and twins 3 years

    Check out my Work at Home Job Here

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