STMs+ please share any insights, recommendations of supplies, etc you may have. FTMs and STMs+ ask any questions you may have!
My experience:
I BF DD1 for 11ish months. The first 6 months was EBF, then we introduced solids, then I introduced formula to supplement when she went to daycare twice a week, then eventually I slowly started to wean and drop feeds until being done completely around 11.5 months. I had a love hate relationship with BFing, mostly centered around my inability to pump a large amount and blisters. Thankfully, I'm a SAHM, but pumping was so burdensome that it made BFing grueling. I never let DH give DD1 a bottle overnight because I'd just have to get up and pump anyway, and I could never empty. I was always on night duty for feeding.
I also had a rough go with dealing with milk blisters. I visited numerous LCs, but I was never able to get advice I needed to fix my issue. One thought I had thrush (I didn't), they all told me her latch was great, etc. One of the most frustrating things about BFing is a lack of care and answers. Even with LCs, you feel like you're feeling your way through the dark. I got the mother of all milk blisters 6 months in, and that's what lead me to eventually slowly wean. The blister turned into a giant crack, and 9 months after ending breastfeeding, it still hasn't healed. I'm really afraid what this means for breastfeeding DD2.
My recommendations:
1. Medela Hand Pump - You'll probably already get an electric pump through your insurance, but my hand pump was way more effective at milk removal. And it was especially useful in the MOTN, early mornings, when you're over engorged, etc. Instead of strapping into the electric pump, you can remove a little milk for comfort with the hand pump and be good to go. Your milk supply is a balance - the more you use, the more you're telling your body to make. So if you're pumping for relief and not to actually feed your baby, you don't want to over-do it. Hand expressing or using a manual pump can help walk this fine line.
https://www.target.com/p/medela-harmony-manual-breast-pump/-/A-5286902. APNO cream - Go ahead and ask your OB for a prescription before you give birth just to have it in your drawer. You can only get it from a compounding pharmacy, but a lot of people praise it as a true miracle solution. It never healed my crack, but it did allow me to make sure it didn't get infected and continue to BF DD1 for another 5 months. This is a Canadian site that tells you what it is, but you can get it in the US. Your first resort will probably want to be lanolin or any of the nipple creams you get OTC, but this is great to have on hand if the others aren't effective.
https://www.breastfeedinginc.ca/informations/all-purpose-nipple-ointment-apno/3. Milk bags for storage - I think this is a personal preference. People recommend their favorite, but I recommend you buy 3 different kinds, freeze milk in them, then revisit them in a month and see which one you like/keeps your milk the best. For me, I hated the Medela bags. I went with Avent, but then I'd get the metallic smell when I defrosted. I tried Nuk, and they kept my milk much better, no metallic smell. They don't feel as sturdy as the Avent to me, but I'll be going with Nuk from the start this time.
https://www.toysrus.com/product?productId=64633456&source=CAPLA_DF:64633456:BRUS&cagpspn=plab_9FF29569&camp=PLAPPCG-_-PID9FF29569:BRUS&gclid=EAIaIQobChMI25us2Zu32AIVj9lkCh0r1wEFEAQYASABEgK2SfD_BwE4. Lansinoh 3-1 Breast Therapy - These are great! You can heat them up if you need help with milk removal, or you can freeze them if you need help with engorgement pain. I used them for both, including heating them up and wrapping around my breast pump shields to help encourage let downs.
https://www.target.com/p/lansinoh-therapearl-3-in-1-breast-therapy/-/A-14386190?ref=tgt_adv_XS000000&AFID=google_pla_df&CPNG=PLA_Baby+Shopping&adgroup=SC_Baby&LID=700000001170770pgs&network=g&device=c&location=9029827&gclid=EAIaIQobChMI0-6ZnZy32AIVgmZ-Ch3lQADbEAQYAiABEgINg_D_BwE&gclsrc=aw.ds5. Bamboobies - The disposable nursing pads were just itchy and uncomfortable. These are so soft and nice to wear. The only downside is you can see an outline in a thinner shirt.
https://www.target.com/p/bamboobies-milk-proof-regular-overnight-washable-multi-colored-nursing-bra-pads-4pk/-/A-15833418?ref=tgt_adv_XS000000&AFID=google_pla_df&CPNG=PLA_Baby+Shopping&adgroup=SC_Baby&LID=700000001170770pgs&network=g&device=c&location=9029827&gclid=EAIaIQobChMIkd3rz5y32AIVgfhkCh1MTQbQEAQYASABEgIvQfD_BwE&gclsrc=aw.dsAdvice:
The vision that's presented of every feeding experience being this wonderful calm situation with sunlight streaming in through the window as you cuddle your baby with an excellent latch. Your supply will be exactly what you need, and every time you pump, you'll fill each bottle to 4-5 ounces with no problems in record time. Some moms will strike gold, and it will be smooth sailing. But then there is reality, and for most of us, there will be some struggle. Be it mastitis, latching, pumping, milk blisters, thrush, bottle rejection, over supply, under supply, whatever. I don't say this to scare you but to let you know that you are not alone. This shit can be hard in the beginning, and if it weren't for my BMB last go around and knowing I wasn't alone, I don't know if I could have kept going. It was so nice to know that I wasn't the only one dealing with just wanting to take a damn shower without the baby crying for more food, it's how I found out about cluster feeding being completely normal, it's how I got through the late night feeds and lack of sleep. Hoping this will be a good start to build that support network again!
Re: Breastfeeding Megathread
There is a period of frustration and anxiety when your milk comes in and you are engorged but it won't let down for your baby to eat. I can still remember one night where I was crying, our baby was crying and my poor husband was like I don't know what to do. Just keep trying and trust that it can work out. Thankfully, it was pretty smooth after that. I loved BF.
@slr1229 It really is the worst. I thought it would be so easy and straight forward, but I had to work for every drop. I have so much admiration for full time working moms that made it one year BFing and pumping at work. That truly is an accomplishment!
I never used any creams or lotions. What worked best for me was just a small bit of expressed milk left on my nipples to air dry.
Drink. Drink. Drink. They give you those huge hospital insulated cups. Take them home and constantly drink water. You'll be thirsty and it'll help your supply. Both times my kill came in on day 5. It's normal for a baby to lose some weight. Find a ped who 100% supports nursing and will do weight checks. Trust your gut. Wet diapers are the biggest sign baby is getting enough.
Offer the boob. 99% of the time the boob solves everything. Surround yourself with people who have nursed and support you nursing. It is a FULL TIME JOB learning to breastfeed. It gets easier as you go but each new babe is a learning curve.
If you want baby to take a bottle.....my first refused and I was freaking miserable. I couldn't leave her at all and I needed a break so bad. My second I started pumping around 2 weeks PP after nursing to empty my breasts and I built a nice 1000 oz freezer supply. My mom gave her a bottle when she was 3 weeks old and we gave her one every single day for a feeding. This helped her learn to take a bottle from anyone. This also helps when you drop night feedings or you're weaning because the before bed I dropped first and she'd get a bottle instead of nursed before bed.
If you want to nurse, you most likely can. Have a support team, a good ped, and know that it's hard but rewarding. And there's nothing wrong with no matter how you feed your baby as long as they are fed.
One pointer I would love to add is to look up the “flipple technique” on YouTube. I was reassured in the hospital and at 2 different appts with the LC That our latch was right. It wasn’t until I used this technique that it didn’t feel like needles the entire time she was latched.
Also, it IS entirely possible for you to have thrush on your nipples without baby showing symptoms (I was told it couldn’t happen, so my thrush was dismissed for a month and a half, hence the gaping holes in my nipples).
Happy to say our journey ended up being successful, but it wasn’t easy and it certainly wasn’t glamorous! Nursed for a grand total of 2 years and 10 months, the first 6 being EBF.
P.S. Fed is best. If you try to nurse and it doesn’t work out, it doesn’t. Don’t beat yourself up. Our first was only breastfed for a month before we had to switch to formula. Do what’s best for Mama and baby both!
Pumping was the worst part of the experience for me. However I know others who had/have no issue with it. I was so happy and relieved when my daughter turned one and we were able to start introducing other milk, which meant my pumping days could end. I ended up breast feeding her for 24 months (but for that second year every couple/few months would cut out a feeding so in the end it was just the morning and before bed feeding, then last just the before bed feeding).
Some things I didn't realize before hand...
- Engorged breasts get HARD. It took me five days before my milk came in and that morning when I woke up they were rock hard and quite bigger than I've ever experienced (stretch marks overnight). I had no idea it was normal and would get back to soft again after letting the baby feed. Maybe I was just nieve.
- Pediatricians really are not fully/properly educated/trained about breastfeeding. Lactation consultants are. If you're struggling with breastfeeding, see a lactation consultant (and if you're in the US with insurance, at least at the moment thanks to the ACA, insurance is supposed to cover lactation consultants but you need to ensure you find one in-network). Personally, I'd suggest you find out ahead of time your options for a lactation consultant if you plan on breastfeeding so you don't have to deal with that hassle in the midst of later stress.
- I don't HAVE to do everything the pediatrician says. My first took a long time to get back to her birth weight and I was getting a lot of pressure from the pediatrician to put her on formula so they could know for sure how much she was taking in. And made me feel as if I had a supply issue because I really couldn't get anything out of pumping. Thanks to the lactation consultant I saw shortly later, she explained we could do 'weighted feedings' to measure how much breast milk my baby was taking in while breast feeding (we rented a baby scale to weight her before feeding, then after feeding). The consultant also assured me that the amount of milk you pump (or don't pump) isn't representative of your supply as not every body responds the same to a pump as to a baby. Also, thanks to the help of the consultant, I realized the nurses at the hospital gave me the wrong size breast shield, which was why no milk was coming out.
- As mentioned in #3, but really wanted to point out as knowing this earlier could have saved me sooooo many tears and heart ache: Even if when you pump, you don't get much milk out, it doesn't necessarily mean you have a low supply. One thing, make sure the size breast shield you have is correct. Second, you can try weighted feeding for a few days or so to get an idea of how much milk your baby is taking in. It can offer some assurance you have a supply (or confirmation maybe that you don't have as much of a supply). For me, although my supply was fine, overall pumping was a huge (the biggest) struggle for me as I barely pumped enough for the next day, which was so stressful. But I was lucky enough to be able to sometimes go to daycare to nurse depending on my work day.
Some tips I found helpful:As for pumping for a bottle -
The idea is that you get enough for one bottle, then from that point on you pump to replace when they are taking the bottle (ie you pump to replace a feed). That’s the basic idea at least, but then you have women that are planning to go back to work that try to build a stash because your baby is far more effective at milk removal than the pump, so it’s not always a 1-1 trade, and it helps to have extra in the freezer to top off bottles. When my husband would offer a bottle, I’d have to pump which wasn’t that freeing. But it was good for him to have that bonding time with her, so I did it more for him and to get her used to a bottle occasionally. Once my supply was better established, I could leave her with him, go do some errands, and just pump when I got home to replace that feed.
For pumping, especially working mamas, have videos of your baby on your phone to watch to help with let down and/or bring a lovey or something that smells like them. If pumping at work don't worry about washing in between pumps, put everything in a bag in the fridge and wash once a day.
Speaking of lovey, carry a lovey around in your bra and when you introduce your baby to the bottle have the person offering it (never be you, they ain't no dummies) wrap the lovey around the bottle.
Your supply is always at it's peak in the morning, so try your hardest to add a pump in then. I would double pump multiple times a day at work but would get the same amount as the one morning pump that was only one side.
Most women have a stud and dud, so don't worry if you seem to pump twice as much from one breast as the other, it's just your stud it's ok.
My hugest question is if there is a way to draw my nipples back out and toughen them up before this baby comes so I can deal with pain and injury now instead of when a baby needs to be clamping down on them every 2-3 hours too. I know they’ll probably say no since stimulation may cause contractions.
So - know your nipples so you have strategies ahead of time!
I go back and forth about whether to try to breastfeed this time around but I think I probably will. I think support is definitely a big deal and I need to find more support this time. But my previous BMB was so reassuring and helpful and I hope to find that here too.
I have what might be a dumb question for people who did a fair amount of pumping: other than risking running out of bottles, is there a problem or disadvantage with storing filled bottles in the freezer or refrigerator as opposed to using the bags? Is it just because the bags are bigger and bottles are expensive, or...?
I like the Earth Mama Nipple Butter best and the Target brand bags for milk storage. I used a Spectra pump and liked it fine, but never used a Medela so can't really compare. I had a car power adapter and didn't notice a huge change in power when using it. Medela Steam Bags are great for sterilizing. I also had an adapter so I could use a Medela pump kit/bottles with the Spectra.
Get extra parts to keep in your pump bag! Valves, tubing, backflow protector (for Spectra) - things happen.
My Pumping Info:
I was able to keep up with what DD was drinking at daycare because of that one 4am pump. I bought extra bottles so I could store my milk in them during the day while pumping, and then just use those the next day for daycare. I didn't have a fridge, so used a lunch bag with ice packs to keep the milk cold. I also did not wash my pump parts between pumps at work - just stored them in a different bag with more ice packs. BUT apparently this is no longer recommended. TBH unless new baby has health issues and is immunocompromised I don't see washing them every time.
Also, I put DH on bottle washing duty and it made my life soooo much easier.
@vflux33 Bottles definitely take up more room and are more expensive, but if you're not freezing a ton there is no reason you couldn't freeze in bottles. Milk can actually be kept in the fridge for a while (I want to say up to 6 days... I always tried to freeze if I didn't use by 3 days though) too (and fresh is "better" than frozen/thawed for certain properties). Is it the freezing in plastic that you're thinking of avoiding - I've heard of people freezing milk in the small size mason jars. (which are like $1 for a 4oz jar vs $7 for a 4 oz bottle)
Dx: PCOS
Married: June 2013
TTC#1: January 2015
BFP #1 8/24/15 | MC 9/3/15 at 6w2d
BFP #2: 12/12/15 | DD born 8/29/16
TTC#2: June 2017
BFP #3: 7/15/17 | DS born 3/20/18
https://www.google.com/url?sa=t&source=web&rct=j&url=https://www.amazon.com/Breastmilk-Storage-Bags-BPS-Free-Nontoxic/dp/B01JNHKPJG&ved=0ahUKEwjZ-eLJ6b_YAhXFSSYKHazuBrYQFghEMAA&usg=AOvVaw3HIL5OgH6jBM8GP85Mwxtz
https://www.walmart.com/ip/Lansinoh-Breastmilk-Storage-Bags-100-Count-BPA-Free-and-BPS-Free-Packaging-May-Vary/959666954
Have you read up on any of these? Are they legit?
ETA with twins and your wish to freeze in glass, this is how I would start. I wouldn’t stress yourself right now in the beginning about building a big freezer stash especially with two hungry bellies.
OK I officially need to bookmark this thread for after the birth because there is so much useful info here I will not remember when I'm stressed and tired.