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Thread: have to now exclusively pump - questions

  1. #1
    Join Date
    Jan 2011
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    Default have to now exclusively pump - questions

    Hi,
    My LO is 15 days old and hasn't gained any weight in a week. I am in a HUGE amount of pain when I breastfeed and absolutely dread doing it. I think its become a stressful event for both of us. We've come to the conclusion that its probably his latch and may look into consulting with a lactation specialist. Right now my main concern is getting him to gain weight and in the meantime I need to supplement with some formula and pump (pumping doesn't hurt). Yesterday I started pumping every 3 hours and don't get a huge amount, not enough to keep up with what LO eats. I know he's more effective at emptying the breast than the pump but right now that's not an option.

    My question is how often should I pump, every time LO eats? And for how long?

    Also, does anyone know how many ounces he should be getting a day? Is there a chart or something that shows guidelines for eating amounts and age?

    Thanks!!

  2. #2
    Join Date
    May 2006
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    Default Re: have to now exclusively pump - questions

    Sorry you're having such a tough time!

    I did some near-exclusive pumping when my first daughter was a newborn and her bad latch had torn up my nipples. It gave me a much-needed break, and that gave me the strength to continue on. One thing I highly recommend doing, if you can stand to do it, is to keep the baby on the breast for at least a few feedings per day. That way you keep your options open. As long as the baby will still latch onto the breast and nurse, you can always go back to exclusive nursing.

    It's great that you're planning to see a lactation consultant. When you have a young baby and a latch issue, there's absolutely no substitute for hands-on help!

    My question is how often should I pump, every time LO eats? And for how long?
    Yes, pump every time he eats or even more frequently. When I was EPing, I pumped every 2 hours during the day and every 3 at night, for 10-15 minutes per breast (about 5 minutes past the point where I saw the last droplets of milk), using a hospital-grade pump.

    You want to be pumping as much as your baby is eating in a 24-hour period. If you're pumping less than that, add in some sessions.

    Also, does anyone know how many ounces he should be getting a day? Is there a chart or something that shows guidelines for eating amounts and age?
    This link should help: http://www.kellymom.com/bf/pumping/milkcalc.html
    At 15 days old, my understanding is that a baby should be eating about 2-3 oz every 1.5-3 hours.

    Tips on bottlefeeding the breastfed baby:
    - Keep amounts in bottles small. You don't want the baby to get used to eating a huge amount at every feeding.
    - Pause the feeding frequently, after every oz or so, to make sure the baby stays accustomed to the ebb-and-flow rhythm of breastfeeding
    - Use the slowest-flow nipples available
    - When it's time to bottlefeed, make the experience as much like breastfeeding as possible. Open your shirt, snuggle the baby close to the bare breast, and tickle his lips with the bottle nipple until he opens up nice and wide. You don't want him developing a sloppy latch from having a bottle slipped into a half-open mouth.
    Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
    Coolest thing my little girl sang recently: "I love dat one-two pupples!"

  3. #3
    Join Date
    Mar 2006
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    10,440

    Default Re: have to now exclusively pump - questions

    It's always slow to start pumping the same amount baby eats. I'm not surprised that you can't pump enough to totally make up baby's needs. I was able to....but that's far, far from typical, and I started immediately, knowing my baby would not be able to nurse due to a birth defect.

    As usual, awesome advice from PP

    I would try pumping a little more often, as that will bring up your supply. Every three hours may not be often enough to get a good supply started while baby isn't nursing well.

    See the LC. I would not recommend EPing as a lifestyle choice. It's much, much harder than BFing is in the long run. You can fix the latch
    Susan
    Mama to my all-natural boys: Ian, 9-4-04, 11.5 lbs; Colton, 11-7-06, 9 lbs, in the water; Logan, 12-8-08, 9 lbs; Gavin, 1-18-11, 9 lbs; and an angel 1-15-06
    18+ months and for Gavin, born with an incomplete cleft lip and incomplete posterior cleft palate
    Sealed for time and eternity, 7-7-93
    Always babywearing, cosleeping and cloth diapering. Living with oppositional defiant disorder and ADHD. Ask me about cloth diapering and sewing your own diapers!

  4. #4
    Join Date
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    intersection of Mommy Guilt and True Bliss
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    Default Re: have to now exclusively pump - questions

    The PP give wonderful advice. If tou wind up EP'ing in tthe long run, I'm happy to help. I've been doing it for 13 months now!
    Lori
    Mom to daughter (8/17/07) and mom to fraternal twin sons (1/5/10)


    *Mom with chronic health issues, NICU babies, reflux sufferers, multiple food allergies (mom and kids)
    *DD birthweight 5lb, 14oz, now 26lb, 4oz
    *DS1 birthweight 4lb, 6oz, now 19lb
    *DS2 birthweight 4lb, 2oz, now 18lb, 12oz

    **An EXCELLENT speller, unless I have either a child on my lap or I'm using my cell phone!**


    EP MOM FOR 14.5 MONTHS - NOW USING UP MY FROZEN BM SUPPLY!

  5. #5
    Join Date
    Jun 2010
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    Sunny England
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    Default Re: have to now exclusively pump - questions

    LLeonard5, I've sent you a PM..

    OP, I really hope you manage to figure something out. I'm sort of in the same boat here.. EPing for my 9mth old and been doing it for the past 2 months now as she is on a strike! I'm sneaking my bm into her bottles as she is even refusing it by itself..

    Keep on keeping on though. You are giving your baby the best thing they can have, even if it isn't as much as you thought. Just one drop is better than nothing at all!


    Jarred - 12/June/2007 - BF for 3 months - stopped due to medical reasons
    Lilly - 4/May/2010 BF for 8 months - On strike between 1/1/2011 - 29/3/2011 - That's 12 Weeks and 3 days!! It is FINALLY over!
    Together we battle with Cows milk, nuts and soya allergies, but we're making it!
    We , , and too, but we're having problems..
    EPING for 3 months and counting!!

  6. #6
    Join Date
    Jan 2011
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    11

    Default Re: have to now exclusively pump - questions

    Hi,
    Well I've been exclusively EPing since I wrote this post. And I have been supplementing a formula bottle once a day. I tried to nurse again after a few days and was back in tears, it is just so excruciatingly painful for me. I have not contacted a lactation consultant yet though. Pumping has been going pretty well though, I see how it is more work but it is what is working for us right now.

    lleonard5 - I would love any advice you can give me! I'm just confused at this point when and how much to feed as he gets older. LO is 3 weeks old and right now we're doing about 2.5-3oz every 2-3 hours. I'm pumping this amount but I'm concerned I won't be able to keep up as his intake increases.

    Thanks again everyone!

  7. #7
    Join Date
    Mar 2006
    Posts
    10,440

    Default Re: have to now exclusively pump - questions

    Quote Originally Posted by @llli*wsk02 View Post
    Hi,
    Well I've been exclusively EPing since I wrote this post. And I have been supplementing a formula bottle once a day. I tried to nurse again after a few days and was back in tears, it is just so excruciatingly painful for me. I have not contacted a lactation consultant yet though. Pumping has been going pretty well though, I see how it is more work but it is what is working for us right now.

    lleonard5 - I would love any advice you can give me! I'm just confused at this point when and how much to feed as he gets older. LO is 3 weeks old and right now we're doing about 2.5-3oz every 2-3 hours. I'm pumping this amount but I'm concerned I won't be able to keep up as his intake increases.

    Thanks again everyone!
    Get that LC visit soon or you will have trouble getting LO back to the breast; and seriously, feeding at the breast is so much easier in the long run.

    Pain makes me think of a poor latch or thrush straight off...and no, you don't always have symptoms of thrush except for pain. When I had my third baby, it HURT to nurse far longer than it really should. Like would make me want to cry. But I had no symptoms of thrush other than the pain. At my 2 week PP checkup, I told the MW to give me something for yeast because that was the only thing I could come up with, but I knew what a good latch should look like and knew that wasn't the issue. Treating for yeast was like magic; the pain went away.

    At 3 weeks, my baby is taking about 2.5-3 oz per feeding as well, but your supply, if you push it hard, will increase.

    IME, a baby who is breastfed only takes about 3-4 oz per feeding, even when he is older, because breastmilk changes as baby ages and becomes more concentrated. I never send more than 1-2 oz per hour that I'm away when I had someone watch my babies, no matter how old they are.

    But, to push my supply, I pumped every 2-4 hours (I have a bunch of kids. I would love to pump every 2 hours around the clock for the first 12 weeks, which is what is recommended for maximum supply, but I can't. I don't have enough hands or time) starting when baby was 27 hours old and I pump until I stop making milk plus 5-10 minutes. I do a "cluster pump" every night, and I always work to get that second letdown. I also do breast compressions to get out the last bits of milk and then let the pump run for a few minutes to stimulate my supply some more. It's a hassle, but it has worked well for me
    Susan
    Mama to my all-natural boys: Ian, 9-4-04, 11.5 lbs; Colton, 11-7-06, 9 lbs, in the water; Logan, 12-8-08, 9 lbs; Gavin, 1-18-11, 9 lbs; and an angel 1-15-06
    18+ months and for Gavin, born with an incomplete cleft lip and incomplete posterior cleft palate
    Sealed for time and eternity, 7-7-93
    Always babywearing, cosleeping and cloth diapering. Living with oppositional defiant disorder and ADHD. Ask me about cloth diapering and sewing your own diapers!

  8. #8
    Join Date
    Apr 2010
    Location
    intersection of Mommy Guilt and True Bliss
    Posts
    861

    Default Re: have to now exclusively pump - questions

    I PM'd you ladies. Let me know if you have any more questions.
    Lori
    Mom to daughter (8/17/07) and mom to fraternal twin sons (1/5/10)


    *Mom with chronic health issues, NICU babies, reflux sufferers, multiple food allergies (mom and kids)
    *DD birthweight 5lb, 14oz, now 26lb, 4oz
    *DS1 birthweight 4lb, 6oz, now 19lb
    *DS2 birthweight 4lb, 2oz, now 18lb, 12oz

    **An EXCELLENT speller, unless I have either a child on my lap or I'm using my cell phone!**


    EP MOM FOR 14.5 MONTHS - NOW USING UP MY FROZEN BM SUPPLY!

  9. #9
    Join Date
    Apr 2009
    Posts
    1,946

    Default Re: have to now exclusively pump - questions

    have you attended any LLL meetings with your LO? They can help with latch and issues and are FREE! I agree ith other moms here who have said that EPing is MUCH harder then BF. If you can at all get baby back to breast, do so! In the lng run it will be much easier! I do think its great tha you are pumping and giving your baby EBM in the mean time

    Hope that you get the help that you need!
    Mommy of 4,
    3 who I watch over, 1 who watches over all of us

    J- 8/20/05 pumped breastmilk for 11 months due to his cleft lip and palate!

    M- 10/17/07 my precious baby lives forever in her mommys heart

    M- 3/31/09 my special gift, she helps heal her mommy and daddys heart. Nursed for 4 years and 10 days, self weaned the day her baby brother was born!

    E-, new little miracle born 4/11/13, my BIG baby! Born 8.6 at 38 weeks. At 9 weeks nearly 17lbs, at 12 weeks nearly 20lbs, at 6 months nearly 23lbs, at 8 months nearly 25lbs and all from BREASTMILK


  10. #10
    Join Date
    Jun 2010
    Posts
    93

    Default Re: have to now exclusively pump - questions

    wsk02--I strongly recommend going to see a LC. The latch issue can be fixed! It just takes some work. KNOW that the easier times are coming...nursing won't always be this difficult or painful!!! Could your little on be tounge-tied?
    http://www.kellymom.com/babyconcerns...tonguetie.html
    http://www.kellymom.com/bf/concerns/...n-nursing.html


    bbmomma--Because your little one has been on a nursing strike for so long and does not appear to want breast milk even from a bottle makes me think you may have a lipase issue. Does your milk taste soapy or have a strong smell soon after storage? If so, you may want to look at the following site.
    http://www.kellymom.com/bf/pumping/l...essedmilk.html

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