October 2014 Moms

Milk supply question

I have a problem...this gets confusing, so my main point is in color. I was off for a year with DD and I pumped a little at the beginning to store and because of latch issues. I cut down to nursing her 1-2x a day by the end. This time, I have to go back to work after 4 weeks off. That is, when he's 4 weeks old, I have to travel the country interviewing for a big-deal job and I can't pump during the day for that - the interview days will be about 10-12 hours. The whole situation sucks but I just can't figure out a way around it. Is it conceivable that I'd be able to pump and breastfeed him for the first 3 weeks to establish my supply, allow my supply to go down for a week, and then only pump once every morning and once late at night? The thought of not actually breastfeeding him makes me want to cry, as does even planning to supplement with formula. But my entire career is at stake, and in the long run it will be better for my kids if I get this job. I'm just wondering if pumping 1-2x a day and supplementing the rest is a legitimate possibility, or whether I'd have to worry about my supply completely shutting down if I only pumped 1-2x per day at 4 weeks postpartum. I know it's early to be thinking about this, but I'm very worried. After about 6 weeks of traveling for interviews I'll be able to pump whenever I want during the day, and I need to keep my supply so that he gets at least a little breast milk and for postpartum weight loss to get rid of my GD. Any help is greatly appreciated!
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Re: Milk supply question

  • I think you would really have to be concerned about your supply completely tanking if you only pump twice a day and are not BFing at all for long periods of time.

    This is not ideal but, have you considered pumping and dumping during the time you are away? That way you can pump multiple times during the day to keep up your supply.

    Or you could pump, save on dry ice, and ship home.

    I would try to talk to a lactation consultant. They might have other suggestions for you.
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  • I agree with the concern that your supply would really tank especially that soon.  Even if you are interviewing for 10-12 hours, you should still get breaks/ lunch etc right?  You could go ahead and pump, even if it's just for 15 minutes during those times to keep up your supply.  I"m pretty sure there are also federal regulations regarding the need to provide breaks for breastfeeding women to allow time to pump.
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  • I know that women have been able to re-lactate after completely stopping and having the entire supply diminish.  If you pump 2x a day, yes it will affect your supply at first, but I believe that you will be able to coax it into upping the supply.  It will likely take a bit of time, but I'm sure it's not entirely out of the question.

    I would contact a lactation consultant.
  • There are laws stating they have to give you reasonable time to pump every day.
  • Yeah, I know it would be illegal for them not to let me pump, but it's an issue of ranking me on their list of applicants. I'm interviewing for a very competitive job and leaving the interview multiple times during the day will affect my position on their candidate list, regardless of whether that's ethical or legal...which it's not. But there's nothing I can do. I will definitely contact an LC. Thanks!
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  • I agree with emerald. Tough situation and I agree it will probably hurt your supply, but you may also end up with a serious case of mastitis if you try to stop/slow down that quickly. I had to wean very slowly, over a month, to avoid getting plugged ducts which led to mastitis for me. You may be okay if you overnight pump for those weeks. It's a lot of trial and error. Kudos to you for your dedication. And for the future, Remember to never quit on a bad day. Quit on a day that you feel like you can make a rational choice.
    DD Caitlin 8/2012, m/c 8/2013, m/c 12/2013, Rainbow baby due 10/17/2014!!!
  • I agree with pumping overnight. It's exhausting but to mimic your usual supply, you need at least 8 sessions. Your supply is still being established for the first 8 weeks so this is a crucial time for you to be pumping as much as you can.

    I'm curious--what field are you in?

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  • Definitely what emerald said. If you pump am, lunch, in your car after, and before bed you have at least 4 sessions and then if you added in night pumpings that would really help keep your supply. Id probably consider stocking up on some supply "boosters" too like fenugreek etc
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  • One other thought that kind of follows Theresa's suggestion. I was thinking about your situation while going to sleep last night, and wonder if it wouldn't just make sense to tell the potential employer that you're a brand new mom and that you will need to take reasonable breaks to pump. You could also reassure them of your dedication to the process.

    It might not be something you're comfortable with, but if you are, I would expect that they would more than accommodate you, since you're this far in the interviewing process and since it is such a reasonable request. And like Theresa said, they shouldn't select another candidate based solely on your need to pump for baby.

    If you're not comfortable discussing it with them, then I would stick to my original rec of creating a pumping plan that switches night and day while you're away, pumping as often as you can (even very briefly) during the day, and setting alarms to pump very frequently during the night.
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  • Thank you so so much, ladies! And special thanks to pinkshades05, I'm a nurse-turned-surgeon. I'll be interviewing for a job as a surgical resident physician, and I'm very limited by location and I'm already not as strong a candidate because of the time I took off when I had my daughter. It can be kind of a cut-throat field. Whether their preferring that I don't leave to pump is reasonable or kind or ethical is not their concern - it's just one more thing that makes them see me as a less suitable candidate. But I'm determined to be a great mom and an excellent surgeon. It's been a challenging path and it sure won't be getting easier, but I think I can do it.
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  • @MagentaMouse‌ You can totally do it! You're already a great mom, and I'm sure you will be a fantastic surgeon. I hope you get the job and that it's the job of your dreams!

    Surround yourself with a good support system for getting you through the process (good LCs, La Leche League, etc.) and you'll be set up for a very successful and rewarding breastfeeding experience. :)
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  • Emerald27 said:
    @MagentaMouse‌ You can totally do it! You're already a great mom, and I'm sure you will be a fantastic surgeon. I hope you get the job and that it's the job of your dreams! Surround yourself with a good support system for getting you through the process (good LCs, La Leche League, etc.) and you'll be set up for a very successful and rewarding breastfeeding experience. :)
    ^Aww, thanks! :)

    @crawford411, you're right, the schedule will be very weird! I hadn't even considered consulting an LC for that, but that's a good point. I'll definitely need to ask about that, too. Sadly, I might just have to stop breastfeeding once I start my residency :( since I won't be able to leave the OR when I'm first-assist. Maybe I can stock up before that so I can give him breast milk until at least a year old like his big sis.
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  • Justabean3Justabean3 member
    edited June 2014


    Emerald27 said:

    @MagentaMouse‌ You can totally do it! You're already a great mom, and I'm sure you will be a fantastic surgeon. I hope you get the job and that it's the job of your dreams!

    Surround yourself with a good support system for getting you through the process (good LCs, La Leche League, etc.) and you'll be set up for a very successful and rewarding breastfeeding experience. :)

    ^Aww, thanks! :)

    @crawford411, you're right, the schedule will be very weird! I hadn't even considered consulting an LC for that, but that's a good point. I'll definitely need to ask about that, too. Sadly, I might just have to stop breastfeeding once I start my residency :( since I won't be able to leave the OR when I'm first-assist. Maybe I can stock up before that so I can give him breast milk until at least a year old like his big sis.

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    Other options are freeze what you can or what is left over. I started this from day one and had a huge amount by 3 months.

    #2 is look at a group like eats for Feets in your area that other mothers donate breast milk. It sounds weird but lots do it.

    I actually donated like 600oz to someone when E had to go on Nutramigen for reflux that couldn't be controlled. They just came and got it. I was going to donate to a bank but I wasn't allowed bc I had a blood transfusion for anemia. (Yes the mom that came and got it knew)
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