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Thread: 7 days and milk still not in!

  1. #1
    Join Date
    Apr 2008
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    Default 7 days and milk still not in!

    I gave birth 7 days ago and my milk is still not in. I'm going to set up an appointment with our hospital lactation specialists, but I was hoping someone here could tell me if this is normal. Is there still hope that my milk will come in?

  2. #2
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    Jan 2006
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    Default Re: 7 days and milk still not in!

    could you tell us more about whats going on...
    Are you putting the baby to the breast?

  3. #3
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    Default Re: 7 days and milk still not in!

    Oh, yes, it seems like she's on my breasts 24/7! I'm also worried that we don't have a good latch, but I'll go over that with the LC. My breasts aren't sore at all, so I assumed she was latched properly, but I can't keep her awake and I don't think I've ever seen a good swallow. When she's not feeding, I pump to try and get my milk supply going. I'm just concerned, because everything I've read said that milk usually comes in by the 5th day and I'm on the 7th day with no signs of it coming in.

  4. #4
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    Default Re: 7 days and milk still not in!

    what about wet diapars?
    how many wets are you having in 24 hours?

  5. #5
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    Default Re: 7 days and milk still not in!

    This must be such a frustrating situation! But please be reassured: lots and lots of moms struggle with breastfeeding and ultimately succeed. It's great that you are planning to see the LC- there is no substitute for hands-on help. Meanwhile, I have a few questions for you:

    1. Are you sure your milk isn't in? (Some moms do get their milk in without experiencing engorgement.) If you try, can you squeeze/pump anything out? And what does it look like if you can?

    2. How is your baby's latch? Are your nipples sore or cracked at all? What shape are they when your baby unlatches- are they elongated and tubular (like pencil erasers) or elongated and asymmetrical (like a new lipstick)?

    3. How is your baby's diaper output? Lots of wets and dirties, or just a few? What color are her poops?

    4. Is your baby jaundiced at all? Some jaundiced babies are very sleepy. (Try undressing her and rubbing a cool damp rag on her head or feet to keep her awake at the breast.)

    5. Did you notice any breast changes during pregnancy? Tenderness, breast growth, leakage of colostrum- anything like that?

    6. How was your birth? Did you have a c-section or excessive bleeding? (Both can delay milk production.) Is there any chance that you may have a retained placental fragment?

    7. Some hormonal conditions can hurt your milk supply. Do you have a history of PCOS (polycystic ovarian syndrome)? Any thyroid problems?

    8. What sort of pump do you have? Not all pumps are created equal- some are better at removing milk and stimulating your supply than others.

  6. #6
    Join Date
    Mar 2007
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    Default Re: 7 days and milk still not in!

    Yeah, what Momma1 said!

    I'll be interested to hear how things go, marie123.

    Good luck!

  7. #7
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    Apr 2008
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    Talking Re: 7 days and milk still not in!

    Thank you so much for responding! To answer your questions...

    1. That's great to know that you don't always experience egorgement-- that gives me some hope! If I squeeze, I only see a couple drops. If I pump for 20 minutes, I'm only getting a thin layer of milk that covers the very bottom of the bottle.

    2. I think I have a good latch-- my breasts aren't sore at all and they're not cracked. I'll confirm with the LC to make sure, though. And when she unlatches, the nipple does look elongated and tubular like pencil erasers.

    3. The Pedi is happy with her diaper outputs-- she's having about 3 dirty diapers a day and 4 wet. Her poops today have been green, but she did have some yellow seedy diapers yesterday. I can't use that as a measure of success though, because I did breakdown and give her 4 oz of formula two days ago and 2 oz last night.

    4. No, thankfully, she's not jaundiced.

    5. No, my breasts hardly changed throughout the pregnancy. I started out an A and I'd say I was a full A by the end of the pregnancy. When I squeezed them towards the end of the pregnancy, I would sometimes get a tiny drop of colostrum. Not all the time, though.

    6. I had a vaginal birth, but now that you mentioned, I think it's possible I might have retained a placental fragment. My labor was long and I was pretty out of it at the end, but I think I remember my midwife and Dr mentioned something about my placenta. I'll have to put a call into them-- thanks!

    7. No hormonal conditions that I know of.

    8. We have the Lansinoh electric double pump. I'm not planning on returning to work, so we didn't buy a top-of-the-line pump.

    Again, thanks so much for taking the time to respond! I'm hoping I'm just being paranoid about my milk supply. I guess I was just expecting to be engorged and leaking all over the place. I have a whole box of breast pads
    that I haven't had to open up yet! LOL!

  8. #8
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    Jan 2006
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    Default Re: 7 days and milk still not in!

    some moms just don't leak much.
    How does baby act?
    http://www.llli.org/FAQ/enough.html

  9. #9

    Default Re: 7 days and milk still not in!

    Hi there!

    congrats on your new baby! So, if I'm reading correctly, your baby has only had 2 oz of supplement in the last 24+ hours? And she's still having wet and dirty diapers? It sounds to me like you DO have milk. The yellow, seedy diapers are an excellent sign--the seeds are actually milk curds.

    Some women just don't let down well for anyone but baby. Based on what you describe your latch sounds good.

    Here is an article for you: http://www.llli.org/FAQ/enough.html

    Let me know if you need more info!
    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!

  10. #10
    Join Date
    May 2006
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    Default Re: 7 days and milk still not in!

    Thanks for answering my nosy questions!

    Quote Originally Posted by marie123 View Post
    1. That's great to know that you don't always experience egorgement-- that gives me some hope! If I squeeze, I only see a couple drops. If I pump for 20 minutes, I'm only getting a thin layer of milk that covers the very bottom of the bottle.
    Don't let poor output while pumping sink your confidence. Many moms do not respond well to the pump, especially at first! A baby with a good latch is far more efficient at getting milk from you than even the best pump ever could be. And since you are getting milk, you know for sure that you have the ability to make milk. That's one hurdle jumped!

    Quote Originally Posted by marie123 View Post
    2. I think I have a good latch-- my breasts aren't sore at all and they're not cracked. I'll confirm with the LC to make sure, though. And when she unlatches, the nipple does look elongated and tubular like pencil erasers.
    Terrific! If your latch was bad, you'd probably be seeing lipstick nipples when your baby lets go.

    Quote Originally Posted by marie123 View Post
    3. The Pedi is happy with her diaper outputs-- she's having about 3 dirty diapers a day and 4 wet. Her poops today have been green, but she did have some yellow seedy diapers yesterday. I can't use that as a measure of success though, because I did breakdown and give her 4 oz of formula two days ago and 2 oz last night.
    A sleepy baby who is not feeding as aggressively as she should be might miss out on the fatty hindmilk, which is what gives baby poop the yellow color and curd-y consistency. You may want to concentrate extra hard on keeping your baby awake during feedings, and try using switch nursing (switch sides every time her sucking slows) and breast compressions to keep her actively sucking when she's at the breast. And watch that diaper output carefully!

    Quote Originally Posted by marie123 View Post
    4. No, thankfully, she's not jaundiced.
    Great!

    Quote Originally Posted by marie123 View Post
    5. No, my breasts hardly changed throughout the pregnancy. I started out an A and I'd say I was a full A by the end of the pregnancy. When I squeezed them towards the end of the pregnancy, I would sometimes get a tiny drop of colostrum. Not all the time, though.
    Don't worry- some women don't experience many breast changes during pregnancy. If you were making colostrum before your baby was born, and are making milk now, you know for sure that you have the ability to make milk. That's good!

    Quote Originally Posted by marie123 View Post
    6. I had a vaginal birth, but now that you mentioned, I think it's possible I might have retained a placental fragment. My labor was long and I was pretty out of it at the end, but I think I remember my midwife and Dr mentioned something about my placenta. I'll have to put a call into them-- thanks!
    Yes, definitely follow up. A retained piece of placenta can delay full milk production.

    Quote Originally Posted by marie123 View Post
    7. No hormonal conditions that I know of.
    Great! But if you continue to feel like you're having problems, you may want to get your thyroid checked out. Postpartum thyroid problems are very common, can cause milk supply issues, and are often easily treatable.

    Quote Originally Posted by marie123 View Post
    8. We have the Lansinoh electric double pump. I'm not planning on returning to work, so we didn't buy a top-of-the-line pump.
    If you really do have supply problems, you're going to want a top-of-the-line pump. Those little off-the-shelf jobs are great for someone who wants to pump the occasional bottle, but are not meant for a mom who needs to increase her milk supply.

    If, after consulting with your LC, you determine that you need to increase your supply, you may want to look into renting a hospital-grade pump with correctly-sized breast shields to ensure maximum milk removal and stimulation. Also, you may want to rent a professional-grade scale. That way you can weigh your baby before and after feedings, and see exactly how much milk she took in. I rented both those items and they helped me overcome my supply issues. It was the best money I ever spent!

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