March 2018 Moms

Breastfeeding Megathread

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-528690

2. 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_BwE

4. 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.ds

5. 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.ds

Advice:

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!


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Re: Breastfeeding Megathread

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  • Quick question...Did anybody put lanolin on their nipples before they were due? Like now. Had a friend say it helped save her from cracks.
    Pregnancy Ticker
  • @cford08 I've just been putting cocoa butter lotion on my boobs, nipples included. It's been doing pretty well at keeping the dryness away. 
  • @sarahhedger7 I'm going to start using some lanolin that was given to me. The cracked nipples part of BF has me shook.
    Pregnancy Ticker
  • Only thing about BFding that I hated was pumping.  Absolutely hated pumping!
  • Cracked nipples are no joke.  I breastfed all through my last pregnancy and I still got them.  If someone said it could help I would definitely try.
  • @cford08 I wouldn't worry about it too much. You will have just given birth, you'll be tired, you'll have sore nipples, but it's just all part of the dog pile for a couple of weeks. Then the hope is that you get a bit better, the baby gets a bit better, and things start getting better in general with discomfort. I remember engorgement and dealing with that way more annoying and burdensome than the nipple discomfort in the beginning.

    @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! 
  • Omg @missnc77 engorgement sounds like the horror of all horrors. I've already gone from 34ddd pre preggo to 38d now. I cannot get any bigger!
    Pregnancy Ticker
  • slr1229slr1229 member
    edited January 2018
    @missnc77  Ya I work full time and doing that 3-4x a day was just brutal and definitely dropped my supply.  At least I asked my DH to clean the bottles and make them for daycare so I didn’t have to do that after work!  
  • I want DH to be able to feed him with a bottle when i don't feel like nursing, but I definitely don't want nipple confusion. When would be a good time to offer him his first bottle? Around 3 weeks? Should i give him the first bottle or have DH do it when I'm not around?
  • Earth Mama Angel Baby Nipple Butter is a lifesaver! Find it on Amazon and it's not expensive, either!
  • My biggest learning curve came with understanding my own anatomy. I learned that I have small nipples (basically my areolas were it- there was no more nipple beyond that) AND I have one inverted nipple. You can BF with an inverted nipple but your level of commitment has to be insanely high and your infant needs to cooperate with you. My first baby never figured nursing out so I pumped. My second baby was a strong nurser so we figured it out but I needed so much help getting my nipples to stick out (nipple everter and a breast shell which isn’t the same as a nipple shield). It took a solid 6 weeks to work my nipples out to stay out and they cracked and bled quite a bit in that window too. 
    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!
  • So much great info here--thank you, STM posters!!

    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...?
  • ashleyf911ashleyf911 member
    edited January 2018
    @vflux33 At the peak of my stash when we were going through a ton of it because I was working a lot, I had over 600 oz frozen (on my 12+ hr work days, DH would need about 20 oz), so around 100 bags worth filled to 6oz each. You can buy 100 Lansinoh bags for about $9, and if you freeze them flat, they all fit in a few gallon Ziploc bags to keep them from being loose in the deep freeze. We used the Munchkin Latch bottles, which are around 3/$20... between the cost and the ridiculous amount of space they would take up, it was a no-brainer for us. If you're not planning on needing much pumped milk, I could see how freezing bottles would be more convenient. 
    BabyFruit Ticker

  • @Gingermom15 @ashleyf911 OK, that makes sense--thank you! 
  • missnc77missnc77 member
    edited January 2018
    At its largest, my stash was probably around 200 ounces worth in bags. It took up so much room that we actually had to buy a small deep freezer instead of using our regular freezer. I think for me, outside of space, the hold up to freezing actual bottles would have been that I had a hard time pumping a full bottle. On daycare days where she went for 6 hours, a “good” day for me would be a total of 4-5 ounces from two pumping sessions. So my bags varied from 0.5 ounce bags to 4 ounce bags. I had to usually combine bags from multiple pumping sessions/days to make a full bottle sometimes since I’d send 8-12 ounces to daycare. 
  • @becausescience Yes the plastic is mostly the reason. I did find 1-2 companies that use BPA and BPS free plastic for their bags, but I’d prefer glass. Also I’m not planning on going back to work for awhile at least, possibly a long while. My pumping needs will be more related to the twins issue than needing to be out of the house all day. So at least initially I won’t have the challenge of keeping a totally full freezer for others to feed them since I won’t be away at work. And it seems like the plastic bags are most useful for ppl who go back to work pretty soon and have that challenge. So now I am debating trying without at first. That’s a great point about the refrigerator versus freezer too. Maybe I can get away with freezing only sparingly... 
  • Also, these are saying BPS and BPA free...

    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?  
  • @DDRRT1982 I haven't heard of them before, but when a company advertises BPA/BPS free I trust it unless I hear otherwise in reviews or googling articles, etc. My friend who I told you before said that Honeysuckle was the only one on the market for that may have been right 4-5 years ago the last time she had a new baby, but her info could very well be outdated now because of growing awareness of BPS. So I'd assume they're both legit and go for it. And if I decide I need bags after all, I'll probably try those too. 
  • Great!  I have to start a big stash for work and donation and am glad there are options now.
  • vflux33 said:
    So much great info here--thank you, STM posters!!

    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...?
    If you just have an extra bottle or two then there is no problem just using the bottles. But bottles take up a ton of space and are more WAAAYYY more expensive if you plan to have a "stash". I filled up an entire deep freezer with breast milk and donated 1,000oz of BM so I had to use bags. I would pump into the bottles and every couple days transfer them to bags, label and stick in the freezer.
          
  • edited January 2018
    DDRRT1982 said:
    Also, these are saying BPS and BPA free...

    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?  
    Those are good bags. I don't think I've yet to come across any BM storage bags that aren't BPA free ETA: Not sure what BPS is. The milk bank that I use takes the above bags and Target Up&Up bags (my favorite) and those aren't marked as BPS free, just BPA free.
          
  • @livingthedream-3 Don't want to go too far off topic here, but BPS is very similar to BPA, but is less frequently labeled. If you've read about BPA's effects and are concerned by those, BPS is also a good thing to avoid (and it's often in the same types of plastic products). 
  • Gingermom15Gingermom15 member
    edited January 2018
    @vflux33 if you plan to use glass to freeze milk, you could freeze in 1 ounce increments in a basic ice cube tray, then transfer those to a freezer jar and date the top. You can buy Weck jars, which are almost completely glass and BPA free with reusable lids. The cool part about doing it this way is you can grab a single cube of Breast milk if you only need a single ounce. With bags, if your baby is still hungry you thaw the whole bag to top them off. Then that milk is either wasted because baby drank from the bottle or you have to use it in 24 hours. 

    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. 

  • @Gingermom15 I never would have thought of that--thank you!

    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. 
  • @vflux33 no problem! Hope it helps. It’s a bigger expense to freeze this way because of the cost of the jars, but since everything is reusable I’m sure it would save you in the long run. I don’t even want to think about the money I sank into bags!
  • I have high lipase too, but this baby is just going to have to take it.  It sucks 
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