September 2016 Moms

Ask a BTDT: Newborn 101

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Re: Ask a BTDT: Newborn 101

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  • Jabreen said:
    @Ah825 Nipple confusion comes into play because your nipple and the bottle's don't actually perform the same way.  Some babies end up having trouble latching back to the breast if bottles are introduced too early.  Nutritionally, it wouldn't matter.
    Exactly. Improper latch could hinder your supply even before it is properly established. As mentioned above, the latch for different nipples is different. Aside from that, using a bottle has a much faster flow than the breast, where babies "have to work" for the milk a little bit, so using a bottle before breastfeeding is established could discourage baby from trying as hard when put on the breast. BTDT moms will have more and better info, this is what I've heard and read.
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  • Jabreen said:
    @Ah825 Nipple confusion comes into play because your nipple and the bottle's don't actually perform the same way.  Some babies end up having trouble latching back to the breast if bottles are introduced too early.  Nutritionally, it wouldn't matter.
    On top of this, milk production directly correlated to the amount of suckling baby does and how often they are emptying the breast. A pump just isn't as effective at establishing a good supply.






  • Ah825 said:
    I don't really understand why you can't start bottle feeding right away especially if it's breast milk. Why does coming from a nipple help? (Sincere question) Isn't that what our grandmothers did? With formula? (My grandmother told me her generation didn't breastfeed) 
    As has been stated before, it's all about establishing supply. Baby's suck is completely different than your pump's (baby is much more efficient) The more you nurse, the better your supply. And even if you skip a feeding to pump, it's not the same. 
    Married 6/4/11
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    Due 9/14/16

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  • Ah825 said:
    I don't really understand why you can't start bottle feeding right away especially if it's breast milk. Why does coming from a nipple help? (Sincere question) Isn't that what our grandmothers did? With formula? (My grandmother told me her generation didn't breastfeed) 
    Also of note is that bottle feeding is going to take 2X as long because you have to take the time to pump and then take the time to feed separately, where as the other way is obviously streamlined. 

    As as others have said, pumping is also a less efficient way to establish a supply. Bottle feeding is fine if you're planning on formula out of the gate, it's not going to hurt the baby. But it may condition the baby to believe that she only has to work as hard as she would on a bottle and then she may not be willing/able to suck as much as necessary on the breast. Which doesn't matter if you're planning on exclusively pumping. But if you want the baby to be able to take both breast and bottle then you have to give her the breast. 
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  • This thread is reminding me I need to buy some new granny panties.
    You go out and buy them specifically? I just let B(or C or D)-game underwear evolve to that state over time. 
    I am, I have a gross dog and if he finds panties, he chews the crotch out. I have thrown away most of the grannies I bought last time because of this, and my every day panties are cheeky, and I am definitely not interested in having anything creeping into my butt. Panties or otherwise...hahaha but yeah, it's time for some replacements!
  • Jabreen said:
    @Ah825 Nipple confusion comes into play because your nipple and the bottle's don't actually perform the same way.  Some babies end up having trouble latching back to the breast if bottles are introduced too early.  Nutritionally, it wouldn't matter.
    Exactly. Improper latch could hinder your supply even before it is properly established. As mentioned above, the latch for different nipples is different. Aside from that, using a bottle has a much faster flow than the breast, where babies "have to work" for the milk a little bit, so using a bottle before breastfeeding is established could discourage baby from trying as hard when put on the breast. BTDT moms will have more and better info, this is what I've heard and read.
    Agree with this comment entirely. Bottles don't require the baby to work for the milk as much as the breast does. The first few weeks are very much about establishing your supply and teaching the baby how to properly feed from the breast. Introducing a bottle too early will oftentimes hinder this.

    We waited until 9-10 weeks to introduce a bottle and it went smoothly. My son would even take a bottle from me (which seems to be fairly rare). I know other people who struggled introducing bottles - babies can to form a strong preference to the breast.

    Also very important: when you introduce a bottle to a breastfed baby, practice paced bottle feeding and use the lowest flow nipple for as long as possible.



  • marajay6 said:
    Jabreen said:
    @Ah825 Nipple confusion comes into play because your nipple and the bottle's don't actually perform the same way.  Some babies end up having trouble latching back to the breast if bottles are introduced too early.  Nutritionally, it wouldn't matter.
    Exactly. Improper latch could hinder your supply even before it is properly established. As mentioned above, the latch for different nipples is different. Aside from that, using a bottle has a much faster flow than the breast, where babies "have to work" for the milk a little bit, so using a bottle before breastfeeding is established could discourage baby from trying as hard when put on the breast. BTDT moms will have more and better info, this is what I've heard and read.
    Agree with this comment entirely. Bottles don't require the baby to work for the milk as much as the breast does. The first few weeks are very much about establishing your supply and teaching the baby how to properly feed from the breast. Introducing a bottle too early will oftentimes hinder this.

    We waited until 9-10 weeks to introduce a bottle and it went smoothly. My son would even take a bottle from me (which seems to be fairly rare). I know other people who struggled introducing bottles - babies can to form a strong preference to the breast.

    Also very important: when you introduce a bottle to a breastfed baby, practice paced bottle feeding and use the lowest flow nipple for as long as possible.
    I was going to say that! We never switched to a faster nipple. You keep it on a slow flow so that baby doesn't prefer the bottle because they get the milk faster than the breast. You almost want them frustrated but not so frustrated that they refuse the bottle. 
  • Ah825Ah825 member
    Thanks ladies. So let me ask you this-
    what if you want to exclusively pump and feed baby from bottles only? (Like if baby isn't latching etc)
    What are the benefits from feeding exclusively from the breast? What if baby isn't getting enough from my breast? 

    i have medical issues and might need to start formula asap (I take a medication I cannot take while pregnant, but may need to start it again right after birth) what happens then? My baby will still be fine right?

    thanks for answering all my questions- I really feel like I have no idea what I'm doing and time is ticking. Just want to be prepared for all scenarios...

  • Did we have a breast feeding thread on here previously? I have so many questions. I can dig it out and revive if anyone remembers it...

    I am planning to take 12 weeks off from work, but there is a scenario where I may only take 6. I've also heard in class and from friends to wait 4 weeks to introduce a bottle, but is 2 weeks enough time to build up a stash of breast milk for work? Or are you truly pumping one day, and feeding it to baby the next? I am really hoping for the 12 weeks scenario, but I want to be prepared if the 6 weeks happens just in case.

  • camichael84camichael84 member
    edited July 2016
    @Ah825 The benefits of feeding exclusively (or almost exclusively) from the breast is that you'll likely have a better supply and it's more convenient. Pumping is no picnic. I had to pump for 30 minutes to get enough for a bottle. Feedings take half the amount of time. And you don't have to carry a pump and bottles with you everywhere. 

    If baby isn't getting enough from the breast, supplementing with formula is always an option. It took me a bit to establish a decent supply, so we supplemented from 3 weeks until 2 months.

    All this said, if you formula feed from the get go, either by choice or by medical necessity, your baby will be perfectly fine. The goal is a fed baby, no matter how that is happening (formula, breastmilk from the boob, breastmilk from a bottle, or a combo).

    ETA: Women certainly make exclusively pumping work for them, so it is an option as well.






  • @Ah825 if you can't breast feed that is 100% ok. While breast feeding is considered best it is not for everyone. Most of us on here were more than likely formula feed (I know I was) since it wasn't cool to breast feed in the 80's. I am smart, well adjusted and healthy. No worries 
    Me: 32 DH: 31
    TTC #2 since January 2018
    Baby #1 DD  Born 8/25/2016
    BFP: 8/11/18 Due: 4/26/18

     

  • @nativetexan512 - Everyone reacts to the pump differently.  You could build a decent stash in 2 weeks or you could barely have enough to supply LO for the first day. Same thing when you are back to work and pumping daily - you may find that you easily pump more than needed and have a surplus to freeze or you could struggle and stress if you have enough.  It really is different for everyone.



  • @ah825 - exclusively pumping and feeding from bottles only is a pain in the ass if you ask me. Pumping sucks and then you are constantly washing bottles.  Some women do it because of latch issues or some other necessity.  And others do it out of preference. If I had to do it out of necessity, I would definitely be pricing out a hospital grade pump. I wouldn't trust a regular pump to be able to maintain my supply.



  • @nativetexan512 I had started one a month or so ago. I think it was called "All Things Breastfeeding"
  • [] 1-3 nursing bras (Breasts swell following birth, so start with one size larger than your maternity bra. Wait until size settles down — about two weeks after birth — to purchase additional bras.)

    [] Nursing pads

    [] Nipple cream

    [] Nursing pillow

    [] Pump (even if you plan only to nurse, a pump will allow you to leave milk for baby if you want or need to separate)

    [] Milk storage bags



    - Does this list seem pretty accurate for supplies needed for breast feeding ? Plus maybe 4 bottles for when you return to work? 

    I think I am going to try to pump directly into the Twist Kiinde bags then supply those for milk when I go back to work at 6 weeks along with whatever bottle we can get him to take (we have avent, the kiinde attachment for use directly with the bag, medela & munchkin latch.) Hoping he takes to the Kiinde since they bags pop right on even though the holder is such a weird shape.. 

  • @ansley0319 I also highly recommend a hands-free pump bra. It holds the flanges so you can do other things while pumping. Lifesaver!
  • Ah825 said:
    Thanks ladies. So let me ask you this-
    what if you want to exclusively pump and feed baby from bottles only? (Like if baby isn't latching etc)
    What are the benefits from feeding exclusively from the breast? What if baby isn't getting enough from my breast? 

    i have medical issues and might need to start formula asap (I take a medication I cannot take while pregnant, but may need to start it again right after birth) what happens then? My baby will still be fine right?

    thanks for answering all my questions- I really feel like I have no idea what I'm doing and time is ticking. Just want to be prepared for all scenarios

    stuck in quote box

    The medications that are safe or unsafe for pregnancy are not the same as the ones that are safe or unsafe for breastfeeding women. Ask your pediatrician about your specific medication. 


    If the baby won't latch and you are committed to breastfeeding, exclusively pumping is an option. But it is a tough road, it doesn't have to be an all or nothing experience. You can pump and supplement with formula. (Which takes a lot of pressure off.)

    And there is nothing wrong with formula feeding your child for ANY reason. You don't need to justify how you choose to feed your baby. You do what works for you to keep your child healthy. If it's breastfeeding, great. Bottle fed     milk, great. Donated milk, great. Formula, great.



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  • Did we have a breast feeding thread on here previously? I have so many questions. I can dig it out and revive if anyone remembers it...

    I am planning to take 12 weeks off from work, but there is a scenario where I may only take 6. I've also heard in class and from friends to wait 4 weeks to introduce a bottle, but is 2 weeks enough time to build up a stash of breast milk for work? Or are you truly pumping one day, and feeding it to baby the next? I am really hoping for the 12 weeks scenario, but I want to be prepared if the 6 weeks happens just in case.

    You do not have to wait until you introduce the bottle to start pumping. If you start pumping at a regular time once your supply is established, your body will hear up for it and you can start building a stash. I was taught that breastmilk lasts 6 months in the freezer, 6 days in the fridge, and 6 hours on the counter. 

    I would pump and feed the same day because I didn't have the supply to build anything up, but my breastfeeding journey was basically a total failure.
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  • @ansley0319 I would add hydragel pads, milk storage bottles, a spare set of pump parts, pump part wipes, and a nursing cover...also, I really like nursing tanks
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  • KimmySchmidt ahh good point, I forgot that pumping and introducing the bottle don't have to coincide...
  • Just going to say that my lactation consultant was ok with us introducing a bottle as soon as baby was back to his birthweight (for us this was less than a week old). We decided to give a bottle for his evening feeding.. my husband would give the bottle and I would pump at this time.  My son (luckily) had no issues going between the boob, the bottle and a pacifier.. all differently shaped nipples of course.  He also never had an issue with me giving him the bottle, while many will say that baby will prefer breast from mama.

    You just have to see what works for your kiddo. I think being cognizant to the fact that nipple confusion MAY exist, it's not something to be terrified of. If you need to/want to introduce a bottle earlier, give it a try but know that it could complicate breastfeeding if that's your overall goal.

    I only breastfed for 3 months but had no supply issues or other troubles though I started pumping very early on. Again, this is only my experience, but I don't think that the timeline is reasonably or necessary for everyone.
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  • AnnaS930 said:
    Just going to say that my lactation consultant was ok with us introducing a bottle as soon as baby was back to his birthweight (for us this was less than a week old). We decided to give a bottle for his evening feeding.. my husband would give the bottle and I would pump at this time.  My son (luckily) had no issues going between the boob, the bottle and a pacifier.. all differently shaped nipples of course.  He also never had an issue with me giving him the bottle, while many will say that baby will prefer breast from mama.

    You just have to see what works for your kiddo. I think being cognizant to the fact that nipple confusion MAY exist, it's not something to be terrified of. If you need to/want to introduce a bottle earlier, give it a try but know that it could complicate breastfeeding if that's your overall goal.

    I only breastfed for 3 months but had no supply issues or other troubles though I started pumping very early on. Again, this is only my experience, but I don't think that the timeline is reasonably or necessary for everyone.
    I agree...I think the topic of nipple confusion is blown out of proportion. If you try a bottle or a paci and it's causing issues, just stop. It seems like so many newborn rules are lack and white...I remember feeling so stressed that I was making a bad decision that would ruin everything! When my son was a few weeks old and DH was out of town, my mom stayed the night and got up for two feelings so I could sleep, and I made her feed him pumped milk with a dropper because I was so afraid he would have nipple confusion. Now we laugh about his crazy that was!

    He did get a paci the first week, too, because he was (still is) a big sucker and I didn't want to be the pacifier. He never had any confusion. 



     
      
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  • Which nipple cream is best??

    Also DH works a non-traditional schedule (from approximately 3p-1a), so we'll only be needing daycare for a few hours on a few weekdays when I go back to work next year. For partial daycare of a baby (5 months old), how much should I expect to pay per hour?? What kinds of questions should I ask of the day care??
  • @frogdog06 FTM, but I bought the Lansinoh lanolin, and the Earth Mama Angel Baby nipple butter. Figured I would see what worked better. So far just trying them on the back of my hand, I like the EMAB stuff better, it just sinks into the skin and leaves it soo soft. 
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  • STM+, what monitor do/will you use? We currently have the Summer infant wifi and have really liked it, but I think we want to get something else. We want to be able to have 2 cameras and ideally sound from both cameras at the same time for night time, but I don't even know if something like this exists? 
  • STMs  What temperature do you keep your house? I have read 68-72 degrees is best but that is pretty low (to us) we generally keep our house at 75-76 at night. Is this too warm?
    Me: 32 DH: 31
    TTC #2 since January 2018
    Baby #1 DD  Born 8/25/2016
    BFP: 8/11/18 Due: 4/26/18

     

  • @drmh22 We are getting the Motorola MBP38S-2. I believe it was @seitzy3 that recommended it a couple months back. I don't think it does dual sound (also not sure if such a thing exists), but the dual screen is what I was most interested in.






  • @frogdog06 I used Lanolin with DD and thought it worked just fine.  A little bit of expressed breastmilk works wonders as well.  (Just rub a few drops on each nipple after a feeding and allow it to air dry before putting your breast pad or bra back on.)

    @kosmo86 I'm not sure exactly what temperature we left our house when DD was a baby...but 68-72 is much lower than we usually keep things.  (We're at about 77-78 at night.)  Maybe ask your pediatrician to be sure but I don't think mid-70s is too high.
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  • @kosmo86 FTM, but this question was asked at my prenatal class over the weekend. The nurse said as long as you are comfortable, it's fine for baby. Just dress them how you would if they were outside in that temp. No point being freezing cold since baby's used to being warm and bundled in your uterus anyway!
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  • Not a BTDT mom, but....

    @frogdog06 - my experience with touring/talking to day care centers... If you have a non-traditional schedule, that will greatly depend on the day care. A lot in my area will require you to follow their part time schedules if your child will only be there part time, which can be every other day for three/four full days per week, for example, or every morning 8-12, or every afternoon 12-5 p.m. depending on the center. This is usually because they want to have their classrooms full to the max, and also want more consistency for your child. Most centers I spoke to don't have an "hourly" care rate, so you might be expected to pay for more than what you're actually getting. I'd ask specifically about the schedule you hope to have your child on and whether or not they can accommodate that. You might also want to consider home day cares, which I imagine to be a bit more flexible with their part time schedules!

    @Kosmo86 - not an answer to what you asked but holy wow, how do you sleep at night?! DH and I keep ours at a toasty 62 degrees all winter and sometimes turn it down even lower at night. Getting it up to even 68 will be a tough adjustment for us! TBH, we might get a space heater for the nursery so that room is warmer than the rest of our house. 
  • @PoodleDoodleOoo lol  I live in Florida so we are used to higher temps. I even wear I jacket in the office all day and it is 75! Truthfully my new AC unit still has a hard time keeping the house at those temps! I think my AC would break if I put it below 70!
    Me: 32 DH: 31
    TTC #2 since January 2018
    Baby #1 DD  Born 8/25/2016
    BFP: 8/11/18 Due: 4/26/18

     

  • @frogdog06 I've always used Lansinoh or Medela brand lanolin in the past but I've heard a lot people recommend Motherlove nipple cream.  I'm going to pick some of that up to try.  
    Married 9/19/09
    Me (32) Dx PCOS, DH (32) SA = Normal/mild morph issues
    TTC#5 July 2017 - 3rd cycle TTC = BFP on 11/12/17 at 9dpo Beta #1 = 96 at 13dpo - Beta #2 = 207 at 15dpo
    TTC#1  starting Nov. 2009
    3 rounds of Clomid + TI and 3 rounds of 7.5 mg Femara + IUI before our BFP on 11/8/10 at 12dpiui
    TTC #2 3rd cycle of Femara 7.5mg+Ovidrel+TI = 4 follies = BFP on 10/12/12 
    TTC#3 July 2014 - Metformin +TI = BFP at 9dpo - Twins, one baby lost at 5.5 weeks 
    Macy Annabelle born at 37w4d on 4/29/15.  Diagnosed with Cri du Chat and passed away on 6/6/15.  Forever in our hearts.
    TTC#4 3rd cycle of Metformin + Femara 7.5mg+Ovidrel+TI = 3 follies = BFP on 12/24/16
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  • Oh goodness. I keep mine at 60. All day. All night. 
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  • @kosmo86 Ours is at 74 in the summer and 72 in the winter
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  • ashtasht member
    kosmo86 said:
    STMs  What temperature do you keep your house? I have read 68-72 degrees is best but that is pretty low (to us) we generally keep our house at 75-76 at night. Is this too warm?
    Well right now it varies from 68-70 so I don't die but in the winter it's 70-72 depending. We have an older house that needs new windows so the temp varies depending on the outside. I don't think being on the warm side is bad but on the cool side would be. Just remember babies get sick easy so if they are super warm and then go out in the cold they might get sick easier. Plus too warm means dry air making it harder to breath
  • I feel like this is a stupid question but here it goes...

    So BH have been describes as period cramps with tightening of belly. What if you belly is tight pretty much all of the time??
    Me: 26     DH: 25
    DS1 -- 9/30/2016


  • @AmMcc12 I wouldn't say BH feel like period cramps.  If your belly gets tight and you have cramps at the same time that sounds like real contractions to me.  But you really just need to be concerned if they feel like they have a definite beginning and end to them and you can time them.  If your belly is tight and uncomfortable (not coming and going in waves) for a long period of time put your feet up and drink lots of water.
    Married 9/19/09
    Me (32) Dx PCOS, DH (32) SA = Normal/mild morph issues
    TTC#5 July 2017 - 3rd cycle TTC = BFP on 11/12/17 at 9dpo Beta #1 = 96 at 13dpo - Beta #2 = 207 at 15dpo
    TTC#1  starting Nov. 2009
    3 rounds of Clomid + TI and 3 rounds of 7.5 mg Femara + IUI before our BFP on 11/8/10 at 12dpiui
    TTC #2 3rd cycle of Femara 7.5mg+Ovidrel+TI = 4 follies = BFP on 10/12/12 
    TTC#3 July 2014 - Metformin +TI = BFP at 9dpo - Twins, one baby lost at 5.5 weeks 
    Macy Annabelle born at 37w4d on 4/29/15.  Diagnosed with Cri du Chat and passed away on 6/6/15.  Forever in our hearts.
    TTC#4 3rd cycle of Metformin + Femara 7.5mg+Ovidrel+TI = 3 follies = BFP on 12/24/16
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  • @AmMcc12 When you say your belly is tight all the time, do you mean it feels tight from the inside or from the outside (like if you were to touch your hand to it) or both?  I only ask because my BH usually start with a tightening I can feel on the inside and then when I put my hand to my belly, it isn't just tight - it's rock hard!  If I pay close enough attention, I can feel the hardness building slowly and then ebbing away (with my hand) and it correlates to the tightness/cramping I feel on the inside.  Not sure if that helps at all...  but it's possible that your belly is just tight from growing a baby and not "BH" tight.  If/when you have a contraction (if you haven't already) you'll say, "Ooooh, that's what they meant."
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