@apk4 I would continue what you're doing. Your supply will probably regulate itself within the next couple weeks. Now, you might still be leaky. Some moms leak throughout the duration of breastfeeding, others for the first several weeks, and still others never leak. Just depends on the breast and on the letdown.
Don't worry about sticking to one breast per feeding unless you're experiencing other symptoms of oversupply. You can offer both breasts without worry. I'm sorry you guys have thrush!! Hope it clears soon.
Is it normal for them to start dropping some feeds at this point? LO is 6 weeks old now and for the past few days has only been nursing 8-9 times a day. Prior to that it was 10-12 times a day. He is sleeping a bit longer at night and still has good diaper output so it seems he's getting enough.
@ashie0610 There's a pretty wide range of normal. Doing what you're doing - watching diaper output - is exactly right. We always say to "watch the baby, not the clock." If baby's disposition is good, he has plentiful diapers, and he's gaining well at his pedi visits, he's getting enough milk. Babies are usually the best judge of what they need, and nursing on demand ensures that they get it. There's also no harm in offering to nurse whenever you feel like it. Baby may or may not nurse, and that's ok!
Keep in mind, too, that nursing frequency and amount is an ever-changing thing. Next thing you know, he'll spend a few days nursing non-stop, and then he'll go back to nursing less frequently.
Question about supplementing and changing to BF at night. After 2 weeks of pumping 1-2 times a day and approaching 6 weeks old I assuming I won't be able to pump enough for more than one bottle a day ( only get .5 ounces each time) for daycare. Is there a point (number of feedings) when you go to normal formula vs supplementing formula?
Are you getting .5oz when you pump to replace a feeding or after a feeding? You can try breast massage and compressions, covering the flanges/bottles so you can't see how much you're getting, etc., to increase your output.
@sweetadeline31 Have you tried pumping to draw out the flat nipple before nursing as an alternative to using a shield? Also, "laid-back breastfeeding" can help baby get a deeper latch. If you google, you'll find a tutorial video and some links to explanations of what to do.
One way to help get more breast tissue into baby's mouth is to aim your nipple up toward the roof of her mouth, so that more tissue under the nipple goes into her mouth. If you lift your breast with your four fingers and place your thumb above your nipple, if you press down with your thumb, you'll see that this points your nipple upward. You can then try to get her to latch onto the upward-pointed nipple.
As for the frequent nursing, it really is very normal at her age to feel like all she does is nurse. When she stops nursing on one breast, try switching sides (or change her diaper if she's fallen asleep and then switch) to see if she'll nurse a bit longer to fill up. This could be a growth spurt too. Hard to hear that it's normal newborn behavior, but it really is. The good news is that this really does not last, and even within the next week or two you may notice a difference.
Question about supplementing and changing to BF at night. After 2 weeks of pumping 1-2 times a day and approaching 6 weeks old I assuming I won't be able to pump enough for more than one bottle a day ( only get .5 ounces each time) for daycare. Is there a point (number of feedings) when you go to normal formula vs supplementing formula?
Are you getting .5oz when you pump to replace a feeding or after a feeding? You can try breast massage and compressions, covering the flanges/bottles so you can't see how much you're getting, etc., to increase your output.
Thanks for the info on supplementing formula. I had no clue.
I can get up to 1oz if I replace a feeding but usually I pump an hour after I feed in the AM. I have tried warm compresses, changed flange sizes, supplements and increased my water intake. Lately I pump while I dry my hair after a morning shower and only look at the bottles to adjust the suction.
Do you have the suction turned up very high on your pump? Many moms find that they get a better yield with the pump actually turned down to a lower suction.
I'm getting a deep stinging pain in my nipple about 5min after nursing. It's uncomfortable to the point I can't fall asleep for a while after MOTN feedings. Latch seems to be good, it doesn't hurt during nursing, but I think I'm going to go to the Bf support group tomorrow at the hospital to double check. Any ideas what this could be?
I get cold sores when sick or stressed. I have one now and I'm wondering if anyone has taken the prescription Zovirax (acyclovir) while breastfeeding. My Dr prescribed it to me while I was pregnant and got one. I looked it up on the internet to see if it was safe to take while BFing. Everything I read said it was safe but when I was released from the hospital after having DD my papers said to discontinue taking it. Thanks!
So, my LO is almost six weeks old and nursing great. But, on my left side, my nipple is shaped differently than my right (it's also at least a cup size smaller). On the left, the latch is great, her lips are flared, she has a deep latch, and there's no pain. But every time she nurses there's a crease bc the nipple is long and pointy ( sorry tmi), it looks like that lipstick shape. I had been ignoring it bc it wasn't causing any problems, but lately I've gotten a milk blister a couple times, always in the same spot along the crease...a clear raised bubble on my nipple with a little white dot inside where you can tell the clogged pore is.
It is SOOO painful while I wait for the blister to break, the clog to clear and then to heal. Any tips on either fixing the crease or dealing with milk blisters?
28 years old. Married 5 years. DD born Oct 2014 via C-Section (footling breech) Baby #2 (AND #3...SURPRISE!) Due Nov 17, 2016. Found out it was twins at 18+5!
@elsie2014 The lipstick shape and compression line (that's what that crease is called) are indicative of a shallow latch. I would meet with a LLL Leader or IBCLC to see if a change in positioning might help.
As for the milk blister, applying moist heat and then gently rubbing the blister with a warm wet washcloth (or even gently scratching it with your finger) can help remove the thin layer of skin over the top. Then nurse and afterward express a bit of milk onto your nipple and allow it to dry in the open air. That speeds healing and prevents infection.
I get cold sores when sick or stressed. I have one now and I'm wondering if anyone has taken the prescription Zovirax (acyclovir) while breastfeeding. My Dr prescribed it to me while I was pregnant and got one. I looked it up on the internet to see if it was safe to take while BFing. Everything I read said it was safe but when I was released from the hospital after having DD my papers said to discontinue taking it. Thanks!
NIH:
"Even with the highest maternal dosages, the dosage of acyclovir in milk is only about 1% of a typical infant dosage and would not be expected to cause any adverse effects in breastfed infants. Topical acyclovir applied to small areas of the mother's body away from the breast should pose no risk to the infant."
Whenever you have a question about a medication and breastfeeding, call the infant risk center for the most up-to-date and relevant info. Their direct line: (806) 352-2519
@MrsCunningham22 My LO is the same way. He's nursing or sleeping, or if it's evening he's fussing.
Do you lay baby by herself for naps, or do you hold or wear her? Maybe try wearing her for a nap or two to see if that makes them longer. My kids always sleep longer stretches when they're touching me. How is NIP going? Once you master that, you can take LO pretty much anywhere, and if it's farther than her tummy wants to wait, pull over once and nurse along the way.
Every baby is different, but I promise that it won't be like this forever!!
I think the standard size pump flange/breastshield thing is too big for me. Pumping sucks in most of my areola tissue and is painful. I'm looking into getting one in the 21mm "small" size, but I'm having trouble finding them. I want to make sure it will fit both my Medela Harmony manual pump and PISA electric pump. Any suggestions where I can get the smaller flange? I looked on Amazon first but something seems off about the ones offered, like maybe they're Medela knockoffs rather than the real thing (mixed reviews, too).
Do any stores carry them, like BRU? Or do I have to order online or directly through Medela?
I have mastitis again... Wondering do the warm compresses have to be wet? I don't see a clogged milk blister so I'm just mainly putting heat in form of those microwaveable pads on the area of the breast that's red, but not nipple since nipple looks normal... Should I instead be using hot wet compresses?
Also I massage with fingers, vibrating clarsonic brush, and in shower with shower head . I've been taking my lectithin too. And Nursing as much as I can. And pumping .
@MrsCunningham22 I also like to wear scarves this time of year, and I've discovered that with a scarf loosely around my neck, I can pull down shirts to nurse and LO and the scarf cover enough that you have to REALLY look to know what I'm doing. I always feel too like people are more likely to notice a screaming kid than a quietly nursing one. Hehe
I think I already know the answer to this, but want confirmation that I'm not stupid or crazy. Lo has shortened his feedings to averaging 8 minutes, and we only do one side. His diaper output is still good and his poops are still yellow and seedy. I alternate sides at each feeding, instead of putting him on one side for multiple feedings in a row. Should I be assuming that since his diapers and disposition are still good that he's just becoming a more efficient nurser?
Yep! And you're definitely not stupid or crazy, nor the first mom to worry about this. It can be alarming when they get more efficient, but if they're happy and gaining weight/pooping enough, they're getting enough milk!
I have a cold so I'm assuming my supply will drop a little. Is there anything I can do other to encourage it, so to speak?
It may or may not dip a bit. Snuggle skin to skin and nurse frequently. Lots and lots of fluids - many moms report an increase in supply after drinking Gatorade, but the thought is that this is due to moms frequently struggling with dehydration while nursing. Maybe oatmeal for breakfast.
I have mastitis again... Wondering do the warm compresses have to be wet? I don't see a clogged milk blister so I'm just mainly putting heat in form of those microwaveable pads on the area of the breast that's red, but not nipple since nipple looks normal... Should I instead be using hot wet compresses?
Also I massage with fingers, vibrating clarsonic brush, and in shower with shower head . I've been taking my lectithin too. And Nursing as much as I can. And pumping .
Not advice, but I feel your pain. I have a clog that's going on a week old at this point... I'm really hoping it's not turned into an abscess.
@erawka Did you just start the block feeding today? My inclination would be to stick with that instead of skipping a feeding altogether. It takes a few days for your supply to reduce, but you may even start to see some improvement by morning if you've been block feeding all day today.
You can hand express a bit before she nurses in the morning to help soften your breast for LO and take some of the pressure off and reduce the firehose effect.
Of course, it's entirely up to you and wouldn't hurt anything to offer a bottle in place of a feeding once or twice, but if you decide to go that route, I would not make that a regular thing, AND I would watch closely for plugged ducts.
I'm breastfeeding and all I'm pumping every two hours is 1-2oz. I only drink water, I eat healthy, and I am still taking prenatal vitamins. I even drink the Mothers Milk teas and have veggie and fruit smoothies daily. How can I get my milk supply to increase? My LO is growing and is starting to get fussy while she's latched on because nothing is coming out after a little while. I do switch her but she will do the same on the other breast. I'm worried I'm not producing enough for her and will have to switch to formula.
So, my kid is almost exclusively on the breast now with 1-2 feeds in the early morning that DH gives her with the bottle.
She started fussing more during the bottle feeds and now she's starting to reject them. Last night an apologetic DH brought her in for some side lying because she was so worked up.
I like getting to sleep in a 5 hour stretch and she'll need to be bottle fed when I go back to work. I need to figure out something so she doesn't fully reject it. I was thinking of replacing one of her daytime feeds with a bottle and pumping it. I haven't consulted Dr Google yet, but I thought I'd get your ideas.
My LO is 5 weeks old. He has had green frothy poop for a week so Im afraid he is getting too much foremilk. He has also been increasingly gassy and will pause in between feeding for 30 mins to work out some gas. I have an oversupply/forceful letdown issue that we've been managing since my milk came in with one sided feedings, frequent burping, and removing baby during let downs. Its been working and he has had mustard colored seedy poop until this green business started. Also oddly, the new poop pattern began when i switched breast feeding positions to laid back. I thought this would help the forceful letdown even more and has also been a lot easier and more comfortable for both of us. Im confused. Any thoughts?
I'm breastfeeding and all I'm pumping every two hours is 1-2oz. I only drink water, I eat healthy, and I am still taking prenatal vitamins. I even drink the Mothers Milk teas and have veggie and fruit smoothies daily. How can I get my milk supply to increase? My LO is growing and is starting to get fussy while she's latched on because nothing is coming out after a little while. I do switch her but she will do the same on the other breast. I'm worried I'm not producing enough for her and will have to switch to formula.
You are breast feeding AND pumping? If so, that is a ton of pumped milk...I think your supply is likely fine, but I could be misunderstanding you.
Any tips for getting baby to take them? Every time I try he gags and screams and I'm pretty sure he doesn't swallow any. He'll take gripe water just fine though.
I haven't seen much talk about vitamin drops for BF babies..
Are we doing those?
We don't. I supplement myself with vitamin D, and baby gets all he needs from my milk.
I didn't know that was an option. Our Pedi didn't tell us.
The AAP recommends that all babies be supplemented with 400IU vitD per day. The amount of vitamin D in breastmilk depends upon mom’s vitamin D status, though, so I take 5000IU per day.
From Kellymom:
"Adding a vitamin D supplement to mom’s diet and/or exposure to ultraviolet light will increase the amount of vitamin D in her breastmilk. As long as mom is not vitamin D deficient, her breastmilk will have the right amount of vitamin D. However, babies were “designed” to get only part of their vitamin D from breastmilk and the remainder from sun exposure – what if baby does not get a minimum amount of sun? A 2004 study [Hollis & Wagner 2004] determined that supplementing the mother with 2000-4000 IU vitamin D per day safely increased mother’s and baby’s vitamin D status: the 2000 IU/d dose resulted in a limited improvement, and “A maternal intake of 4000 IU/d could achieve substantial progress toward improving both maternal and neonatal nutritional vitamin D status.” A Finnish study [Ala-Houhala 1986] showed that supplementing the mother with 50 µg (2000 IU) vitamin D per day was as effective for maintaining baby’s vitamin D levels as supplementing the baby with 10 µg (400 IU) per day."
I prefer that LO gets just breastmilk for now...and it's exponentially simpler for me to pop a pill with the others I take each day than to remember baby's vitamin drops. Lol
So, I've always had a little pain for the first minute or so but the last few days it has been excruciating on one side. After she's done my nipple is white and sometimes lipstick shaped, so I assumed it was just a latch problem. But her latch hasn't changed and it just keeps getting worse... Any ideas?
So, I've always had a little pain for the first minute or so but the last few days it has been excruciating on one side. After she's done my nipple is white and sometimes lipstick shaped, so I assumed it was just a latch problem. But her latch hasn't changed and it just keeps getting worse... Any ideas?
Still sounds like a shallow latch. Try changing positions and see if it's still painful/lipstick shaped.
Is it possible for supply to wane during certain parts of the day? I find that I'm really full in the morning/afternoon, and our feedings are fine. But when I get past 5 pm, I can't satisfy her. She wouldn't take either boob last night, but was definitely hungry still. We ended up supplementing with pumped milk and she was fine beyond that... But I'm wondering if she is just used to the firehose effect, and gets upset when it's not there.
Yes! Your supply is lower at night. Instead of supplementing, which could impact your supply, try soothing LO in other ways and offer to nurse when she is calm (or calm enough to latch). You have enough milk, it's just more work in the evening. Babies are also notoriously fussy and needy in the evenings because they've been stimulated all day and they're just done. Here are some ideas for soothing LO so that you can offer to nurse when she is calm:
@sabby2 and @LightBright515 I have been trying to do at least one feeding a day without a shield. I'm hoping to be just about shield free by next week since we will be spending the entire week out of town. I have discovered that I have to use the shield no matter what in the side lying position bc it is too hard to get a latch without it.
I think we are making progress. We have been only nursing twice per day and I've been pumping six times a day. I stopped the nipple shield that I was using for pain control because she hates it. She won't latch or stay latched to it and she has trouble transferring milk through it (it was never filled with milk when she pulled off). We've been doing just the breast since Saturday but still only twice a day. I saw a LC (my third visit) and an OT (saw her for like 5 min before for and unofficial visit) on Monday and have been doing exercises with DD2 before feeding. I had been also doing them on and off for several days before the appointment. The OT thinks I have so much pain because she gets tired and pulls her tongue back which causes her gums to come in more contact with my nipple. They also helped me again with getting a deeper latch. Well during our nursing session today she only ate for about six minutes and fell asleep. I woke her up and all she would do is pucker her lips, stick her tongue out and smile. I felt discouraged because I couldn't get her to eat anymore. I hooked myself up to the pump and pumped only 1.75 ozs on the side she ate from and 4.5 on the other side. It's really hard to believe she could fill up in 6 min. But, I pump a lot so I know I tend to get almost the same amount from each side so this makes me suspect she is getting better and actually pretty much got a full meal in a short amount of time. I am beyond excited at this sign things are getting better. I'm so proud of her for hanging in there all these weeks of getting mostly bottles and still being wiling to try with me. Now we just need to slowly add more nursing sessions and hopefully we will be able to do away with most of the pumping.
Re: Breastfeeding Links & Talk
Don't worry about sticking to one breast per feeding unless you're experiencing other symptoms of oversupply. You can offer both breasts without worry. I'm sorry you guys have thrush!! Hope it clears soon.
Keep in mind, too, that nursing frequency and amount is an ever-changing thing. Next thing you know, he'll spend a few days nursing non-stop, and then he'll go back to nursing less frequently.
One way to help get more breast tissue into baby's mouth is to aim your nipple up toward the roof of her mouth, so that more tissue under the nipple goes into her mouth. If you lift your breast with your four fingers and place your thumb above your nipple, if you press down with your thumb, you'll see that this points your nipple upward. You can then try to get her to latch onto the upward-pointed nipple.
As for the frequent nursing, it really is very normal at her age to feel like all she does is nurse. When she stops nursing on one breast, try switching sides (or change her diaper if she's fallen asleep and then switch) to see if she'll nurse a bit longer to fill up. This could be a growth spurt too. Hard to hear that it's normal newborn behavior, but it really is. The good news is that this really does not last, and even within the next week or two you may notice a difference.
It is SOOO painful while I wait for the blister to break, the clog to clear and then to heal. Any tips on either fixing the crease or dealing with milk blisters?
DD born Oct 2014 via C-Section (footling breech)
Baby #2 (AND #3...SURPRISE!) Due Nov 17, 2016. Found out it was twins at 18+5!
As for the milk blister, applying moist heat and then gently rubbing the blister with a warm wet washcloth (or even gently scratching it with your finger) can help remove the thin layer of skin over the top. Then nurse and afterward express a bit of milk onto your nipple and allow it to dry in the open air. That speeds healing and prevents infection.
"Even with the highest maternal dosages, the dosage of acyclovir in milk is only about 1% of a typical infant dosage and would not be expected to cause any adverse effects in breastfed infants. Topical acyclovir applied to small areas of the mother's body away from the breast should pose no risk to the infant."
Whenever you have a question about a medication and breastfeeding, call the infant risk center for the most up-to-date and relevant info. Their direct line: (806) 352-2519
Do you lay baby by herself for naps, or do you hold or wear her? Maybe try wearing her for a nap or two to see if that makes them longer. My kids always sleep longer stretches when they're touching me. How is NIP going? Once you master that, you can take LO pretty much anywhere, and if it's farther than her tummy wants to wait, pull over once and nurse along the way.
Every baby is different, but I promise that it won't be like this forever!!
Do any stores carry them, like BRU? Or do I have to order online or directly through Medela?
Wondering do the warm compresses have to be wet? I don't see a clogged milk blister so I'm just mainly putting heat in form of those microwaveable pads on the area of the breast that's red, but not nipple since nipple looks normal... Should I instead be using hot wet compresses?
Also I massage with fingers, vibrating clarsonic brush, and in shower with shower head . I've been taking my lectithin too. And Nursing as much as I can. And pumping .
Have you (or anyone else) done ultrasound therapy for prolonged clogs?
I'm looking into it for this thing as it's not going away... And is really not like an abscess either.
You can hand express a bit before she nurses in the morning to help soften your breast for LO and take some of the pressure off and reduce the firehose effect.
Of course, it's entirely up to you and wouldn't hurt anything to offer a bottle in place of a feeding once or twice, but if you decide to go that route, I would not make that a regular thing, AND I would watch closely for plugged ducts.
She started fussing more during the bottle feeds and now she's starting to reject them. Last night an apologetic DH brought her in for some side lying because she was so worked up.
I like getting to sleep in a 5 hour stretch and she'll need to be bottle fed when I go back to work. I need to figure out something so she doesn't fully reject it. I was thinking of replacing one of her daytime feeds with a bottle and pumping it. I haven't consulted Dr Google yet, but I thought I'd get your ideas.
Thanks in advance.
Are we doing those?
We don't. I supplement myself with vitamin D, and baby gets all he needs from my milk.
The AAP recommends that all babies be supplemented with 400IU vitD per day. The amount of vitamin D in breastmilk depends upon mom’s vitamin D status, though, so I take 5000IU per day.
From Kellymom: "Adding a vitamin D supplement to mom’s diet and/or exposure to ultraviolet light will increase the amount of vitamin D in her breastmilk. As long as mom is not vitamin D deficient, her breastmilk will have the right amount of vitamin D. However, babies were “designed” to get only part of their vitamin D from breastmilk and the remainder from sun exposure – what if baby does not get a minimum amount of sun? A 2004 study [Hollis & Wagner 2004] determined that supplementing the mother with 2000-4000 IU vitamin D per day safely increased mother’s and baby’s vitamin D status: the 2000 IU/d dose resulted in a limited improvement, and “A maternal intake of 4000 IU/d could achieve substantial progress toward improving both maternal and neonatal nutritional vitamin D status.” A Finnish study [Ala-Houhala 1986] showed that supplementing the mother with 50 µg (2000 IU) vitamin D per day was as effective for maintaining baby’s vitamin D levels as supplementing the baby with 10 µg (400 IU) per day."
https://www.llli.org/docs/0000000000000001WAB/WAB_Tear_sheet_Toolkit/09_fussybabyideas.pdf
My nipples are headed back down the wrong path smh.
The only reason I still attempt latching without it is because it's a PITA to NIP with one!
I have been trying to do at least one feeding a day without a shield. I'm hoping to be just about shield free by next week since we will be spending the entire week out of town. I have discovered that I have to use the shield no matter what in the side lying position bc it is too hard to get a latch without it.