Re: Back to Breast question
I'm sorry you had such a rough start! I'm so impressed that you soldiered on with the pumping. Here are some thing you can do to encourage your baby back to the breast:
- Lots of skin-to-skin contact may encourage baby to latch when she's feeling relaxed. So do lots of topless snuggling, take baths together, etc.
- Make bottle-feeding as much like breastfeeding as possible. When you're getting ready to give a bottle, open up your shirt, snuggle your baby close, tickle her lips with the bottle nipple, and wait until she opens wide before putting the bottle in her mouth. That way she won't learn sloppy latching habits.
- Co-sleep. Many babies will nurse well when relaxed and half-asleep, and closeness to mom and mom's milky smell encourages night feeding.
- Rent a professional baby scale. By weighing your baby before and after nursing, you can figure out exactly how much she is eating at the breast, and possibly put your mind at ease regarding her milk intake.
It's quite possible! Babies tend to be more efficient at emptying the breast than pumps are. Since you describe your milk coming out in "sprays," I wonder if you may have a rapid, forceful milk ejection reflex, which would enable your baby to get more milk in less time. A forceful letdown, BTW, could also explain why your baby pulls off the breast and arches her back.
She typically has been taking 3 oz every 2 hours in a bottle and the bottle takes her 15 minutes to get down... so do you think she got full on just 10 minutes at the one breast- is this possible?
This is where a scale might come in really handy. If you weigh your baby and discover that she took in 2-3 oz already, there's no need to pump out more. You can probably just let your baby regulate your supply by nursing on demand. And again, since pumping is generally not as efficient as a baby at emptying the breast, it may well be that your baby drained you really thoroughly in the 10 minutes she spent at the breast. Watch her diapers: if she's having yellow, curdy poops, then she's getting plenty of hindmilk. If you're seeing greenish, watery poops, then she's probably not getting enough.
Typically I pump for 20 to 30 minutes and get 4 oz per breast. Being that she only nursed for 10 minutes to I need to go and pump for the additional 10 to get the rest of the milk out of that breast- And If I typically pump for 20-30 but she only nursed for 10 did she just get just foremilk, did she get any hindmilk?
Since you're making 38 oz of milk per day, which sounds like a LOT for a baby less than a month old, I'd probably just do the conventional thing at feeding sessions: offer side A, allow the baby to nurse until she seems done, and then offer side B as dessert. If you allow your baby unrestricted time on side A, she will get the hindmilk out. At the next feeding, start on side B and then offer side A as dessert.
Also should since it was only 10 minutes should I use that same side again next breast feed and go ahead and not pump that side and just pump out the other left side so I don't get clogs and she gets hindmilk?
This is up to you. If you feel better with a fridge full of back-up, then go for it. If not, then you can probably relax, because it sounds to me like breastfeeding IS going to work for you, and soon.
Do I continue to pump after her feeds so I can keep my supply up and ensure that I have back up in the fridge if BF does not work?
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