October 2016 Moms

All Things Breastfeeding

Hey BTDT moms! I want to hear everything about breastfeeding. From what I have read on other BMBs, some new moms really struggle with the pump/feeding. I am going to try my damnedest to BF both babies, so I want to go into it with a positive attitude. So here are some starter questions and hopefully this thread can help other FTMs, too. 

1) How often do you pump? 
2) How much should you be pumping per sitting?
3) Is it often that a baby won't take a bottle AND a boob? SO wants to help feed the baby(ies) via bottle and give me some relief if she can, and if I have milk pumped. But it seems I have heard some won't take bottles as well as breasts. 
4) Can you feel a change in milk supply in one boob signaling to use a different one? IE: draining one boob, etc. 
5) How in the hell am I supposed to BF two babies if they are hungry at the same time? The thought of a schedule freaks me out because they may not also be hungry, and it's not typically the same as feeding just one baby where you can switch back and forth every feeding. I guess I just don't know how to fit in pumping, feeding both babies, and making sure that they are both getting enough PLUS making sure I'm using the right boobs at the right times. 

Any help would be clearly appreciated. :) 
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Re: All Things Breastfeeding

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  • 1) At first, babies eat roughly every 2-3 hours, so I would pump either an hour after BFing, and during naps if they are both sleeping for a while. Be patient at first! The milk is NOT going to flow like a fountain or be easy to pump the first few days to a week until they start getting used to the demand of the babies/pump. 
    2) That depends on your body and your body alone, nothing else can dictate the amount unfortunately. But as for a goal, try to shoot for a whole feeding worth, you'll likely be given a guide to how much babies need per feeding as they grow in the hospital. Don't beat yourself up if you don't always get as much as you aim for!
    3) I never had an issue with nipple confusion with mine, or an LO rejecting one over the other, but since it CAN happen my only advice is offer a few times, see how it goes, if it seems problematic just offer whatever baby prefers for a while then try again later.
    4) When pumping you'll know, you can see when you stop expressing from one and need to switch to the other. With LO feeding, just get used to their body language while feeding, and sometimes it does good to start out by timing one side and the other until you learn your rhythm. Mine looked smaller once drained as well.
    5) One on each side maybe? Bottles when both are hungry, and breast when individuals are hungry? This I can't help much with unfortunately, but you'll figure it out and do great! Just whatever you do, be consistent because your boobs really do "learn" what you need, so keep telling them what you want and what the babies want consistently, and they'll most likely deliver!
  • YES TO THIS THREAD! Thanks for starting it!

    Question: if my supply (and baby) will let me, I would really love to stock up on milk so that I can then freeze a bunch of it and, eventually, move to exclusively bottle feeding so I'm not BF and pumping for a year+. I want to be able to get back to a semi-normal life sooner rather than later and not have to worry about... okay, when can I pump during all of this activity. Anyway, my question is, for BTDT moms... is that possible/normal?... assuming that I produce really well and all that good stuff.
  • bnsmith85 said:
    YES TO THIS THREAD! Thanks for starting it!

    Question: if my supply (and baby) will let me, I would really love to stock up on milk so that I can then freeze a bunch of it and, eventually, move to exclusively bottle feeding so I'm not BF and pumping for a year+. I want to be able to get back to a semi-normal life sooner rather than later and not have to worry about... okay, when can I pump during all of this activity. Anyway, my question is, for BTDT moms... is that possible/normal?... assuming that I produce really well and all that good stuff.
    It's a ton of working pumping, but yes it's possible. I quit nursing at 9 months with both kids and used my stocked up milk and used a bit of formula and breast milk and we made it to a year! I got lazy after a few months though and didn't pump as often as I should. Especially at nighttime when it's really important to pump.
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  • bnsmith85 said:
    YES TO THIS THREAD! Thanks for starting it!

    Question: if my supply (and baby) will let me, I would really love to stock up on milk so that I can then freeze a bunch of it and, eventually, move to exclusively bottle feeding so I'm not BF and pumping for a year+. I want to be able to get back to a semi-normal life sooner rather than later and not have to worry about... okay, when can I pump during all of this activity. Anyway, my question is, for BTDT moms... is that possible/normal?... assuming that I produce really well and all that good stuff.
    Me too! I don't know how long I will be able to pump once I start working, so I'm interested in the answers to this question. 
  • @bnsmith85 yes, it is possible! I had a great freezer stock, and I even have a close friend who donated (no joke) 75+ gallons of milk to hospitals within the first year! For myself, I added a pumping session right after nursing, which may not result in a lot at first but tells your body to produce more over time. I also spent a few weeks at a time being diligent about pumping every 2 hrs once baby wasn't feeding as often. You can do it!
  • @bnsmith85 Yes i also want to get back to "normal" life before too long assuming all is going well, and I'm well aware that it doesn't for many moms. I would love to be able to stock up!

    My question is about time. I have a friend who would take literally an hour and a half to BF her son. Now, her supply wasn't great. I was surprised she stuck with it as long as she did. If it's taking that much time when baby needs to be fed again in 1-2 hours, and you know your supply is ehhhh, is that when you just switch over to formula? Or is this something that you discuss with a lactation consultant and/or pediatrician?? 

    BFing remains such a mystery to me even though I've been around plenty of people doing it. 
    Me:33
    DH: 34
    Married: May 2011
    TTC #1: May 2015
    DS: 10/20/2016
    TTC #2: June 2019
    #2 EDD: 2/20/2020
  • Thanks for starting this thread! I'm more nervous about BFing than actually giving birth. I feel like there's so much to learn!  :o
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  • Great thread! I wasn't super successful my first go-around with BF, but I did EP for 3 months so I can talk a bit about that.

    As others have said, a lactation consultant is KEY to the process. The one at my hospital kind of sucked, so I think I definitely lacked support in that area. I did take a BF class beforehand which helped a lot. I would've been totally lost without it all. It's funny how much goes into it that you don't think about.

    I was lucky in that my DD took to both the breast and bottle. So while I EP'd and we fed her through a bottle, I got recurrent clogged ducts (2-3 a week..which is ultimately why I quit pumping), she was very good at feeding on the boob when I needed her to clear the duct-thank goodness!

    As others have said, continuing to pump every 2-3 hours is crucial to keeping your supply up. However, I've heard that you don't want to bf and pump unless you are trying to build up a freezer stash. Your body will adjust accordingly and make more milk (again, my mistake and why I ended up with so many clogged ducts).

    Not sure if my post was helpful at all, but anything I can add from the pumping end, let me know.

  • Like @JamieK1882 was pointing out, pumping is not as efficient as actually nursing. Some people exclusively pump and bottle feed, usually because they are going back to work or have latch issues, so it is an option but do be watchful for clogged ducts and any other signs of infection.

    @ibabyloveb87 the flow of your milk and the efficiency of your baby does change over time, as you both learn and adapt. It may be really slow and feel like you are just bfing all the time, but if you keep it up it does get easier and faster! Definitely check in with an lc if it seems like baby is taking too long, your supply isn't keeping up, or baby seems sleepy/lazy at the boob.
  • @ibabyloveb87 The time crunch is ultimately what led me to start using formula with DD. Plus I just didn't have the experience or support I needed to be very successful with her. I learned so much with LO, I would just like to echo everyone about definitely keeping up with a lactation consultant!
  • So... This may just sound silly.... But... 

    Does the baby just quit feeding and detach once it's full? Or do you control the amount given to it? Will it continue to feed or suck until it feels full? 
  • Thanks so much everyone, I'm looking forward to reading more advice and questions! 
  • kmtz89kmtz89 member
    Are underwire bras totally out of the question when breast feeding? Or is it just a matter of having the correct size bra? 
    *American in Tanzania, East Africa, since 2013
    DH - Tanzanian
  • @kmolleltz I'm not 100% sure, but I would blame myself...I think I underestimated how much fuller my breasts would be and so my bra was likely too tight. But I'm sure thousands of women have worn underwire nursing bras with no problem. I'm just scared now  :#
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  • kmtz89kmtz89 member
    @rozANDbenSINCE2001  I've had a few BTDT moms mention not to wear them and so I'm curious on others accounts. I've never not worn an underwire bra, so I guess it would take some getting use to.
    *American in Tanzania, East Africa, since 2013
    DH - Tanzanian
  • edited June 2016
    @kmolleltz I've heard the same, but I don't have bigger boobs anyway so it probably wouldn't be fair to me to assume that all moms could work with non-underwire bras. My cousin has a larger chest than I do, DD vs my B, and I'm almost positive she's worn underwire bras during her nursing experience. I think fit is totally key. But may I suggest wearing a sports bra-like nursing bra to sleep, if possible? Clogged ducts are so uncomfortable and working one out is super painful! I only had two throughout my 18 months of nursing but I'll never forget that pain! 

    Edited for typos

    edited again: I found this very helpful article on Dr. Sears' website about nursing bras, but I'm not sure how to post the link? I'm sure googling will pull it up, though! 

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  • I don't have any advice for feeding twins and I struggled with bf'ing both of
    my boys so I really don't have a ton of advice. Both times, my biggest problem was my supply. It literally wasn't enough no matter how much I fed or pumped. I had to switch to formula with my second because he wasn't gaining enough weight from breast alone. Hopefully, you won't have any problems but a few things I wished I had known sooner...
    1. Skin to skin contact is really important in the beginning and helps with your supply. 
    2. If it hurts, something is wrong. I never figured out what it was with my first and have the scars to prove it. Seriously. But with my second, the dr noticed he had a tongue tie and we had that clipped. Life was much better after that. 
    3. DRINK. ALL. THE. WATER. And don't forget to eat. You need it for a healthy supply.  :)

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  • new BF worry... overproducing!
  • @bnsmith85 I'm sorry! I didn't mean to give you a new concern! Honestly, your body figures a way to work itself out! 
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  • @rozANDbenSINCE2001 ... lol... no worries! You weren't the first one to mention it on here :) I just didn't know it was something to even think about until this thread.

    My OB said she didn't really think that the BFing class was necessary at the hospital b/c the LCs at the hospital are great. However, after reading through this thread, I feel like I should either pay for the class or read a book? Recommendations/thoughts BTDT moms?
  • @bnsmith85 Obviously not a BTDT mom, but I am taking the BF class offered through my hospital because it's only a couple of hours one evening and it's free. I feel like I can devote 2 hours and I may or may not learn anything. My OB advertises for all the hospital's classes, but none of my other friends have taken the class. They either forgot to sign up for it or the baby came before they were able to attend. If I had to pay a small fee, I probably would still go just to be sure I get all the info. 

    With that said, the LC at our hospital is ehhhh. But I think I've mentioned before that the PA at the pediatrician's office is also an LC so I'm going to depend on her for any additional help. 
    Me:33
    DH: 34
    Married: May 2011
    TTC #1: May 2015
    DS: 10/20/2016
    TTC #2: June 2019
    #2 EDD: 2/20/2020
  • @bnsmith85 I don't know that a breastfeeding class would have been super useful before baby was born, but I definitely could have used one shortly after he was born.  The lactation consultant at the hospital was great, but you may run into problems you don't think about until they happen.

    Weird thing that I didn't know about until it happened to me - women can have too much lipase in their milk which makes frozen milk unpalatable to some babies.  You can fix this problem by scalding the milk before freezing it.  However, I had no idea this was a thing, so I ended up throwing away a freezer-drawer full of frozen breast milk.  (I didn't find out because I'm a stay-at-home mom and too freaked out about nipple confusion to let my son take a bottle until he was almost six months old.  When I finally wanted to let someone else feed him, he wouldn't take it because it tasted off to him.)
  • bnsmith85 said:
    @rozANDbenSINCE2001 ... lol... no worries! You weren't the first one to mention it on here :) I just didn't know it was something to even think about until this thread.

    My OB said she didn't really think that the BFing class was necessary at the hospital b/c the LCs at the hospital are great. However, after reading through this thread, I feel like I should either pay for the class or read a book? Recommendations/thoughts BTDT moms?
    I would forgo the class but reading won't hurt. Don't let anecdotal responses about bad LC's keep you from giving one a shot once LO is here. And as I mentioned above, Kellymom.com is a great resource for nearly any question you could have.
  • Definitely read "The Womenly Art of Breastfeeding" if you get a chance. I can never recommend that book enough. It was my bible. Also, my best advice would be- Never quit on a bad day. Because you will have a lot of those. You will probably feel like a dairy cow, that can't get anything done, with a baby constantly attached to your boobs. You will have bad days. You might feel like you hate it. But never quit on a bad day. I have more, but I'll have to come back later :)
          Fell in love: Dec 2005 // Married: Feb 9, 2013
                                                                  
                                                                  Little Miss Rosalie Harper--Born Jan 9th, 2014
  • You can also start attending meetings locally with your local Le Leche League. It's a group for breastfeeding and these women know so much. Now is a great time to start! You can just do a google search in your area. 
          Fell in love: Dec 2005 // Married: Feb 9, 2013
                                                                  
                                                                  Little Miss Rosalie Harper--Born Jan 9th, 2014
  • Regarding underwire bras: most of them are a no-go because the fit is constricting and the wire usually digs in to the ducts on the side of your breast. Soma sells some really great nursing bras with underwire, though! They are the most comfortable (and actually affordable) ones I've found.
  • @bnsmith85 I still feel bad because I totally remember how much I stressed myself out over breastfeeding. I didnt take any classes or read any books beforehand, but we had a great LC come and help us while we were in the hospital. I was there for 4 days after my c section so that gave us a bit more time to figure things out. The first two days, DD wouldn't latch on correctly and it was painful and uncomfortable but a lot of practice and position switching helped. I agree that LCs can be of enormous help and comfort, especially when you're tired and emotional. 
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  • TurtleMommaTurtleMomma member
    edited June 2016
    I absolutely recommend attending either La Leche League meetings or Breastfeeding USA meetings while you're pregnant. It will be a huge help to talk to other mom's beforehand and just absorb the information. The biggest, most important thing I tell new moms is to ask questions and educate yourself as much as possible. And know your resources! And get a support group around you, such as spouses/SO's/Partners/etc.

    I'm A breastfeeding peer counselor and I'm more than happy to answer questions at any point, too.  

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  • @sjo_thetwins

    There are several twins specific breastfeeding support pages on facebook, if you have one. 

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  • Something that really helped me was joining a group for new parents once my baby was born.  We have a group called PEPS here in Seattle and the surrounding areas.  They put you in a group with other parents of newborns in your area and you meet every week at eachothers' houses.  Seeing other moms nurse made me MUCH more comfortable doing it myself (I was pretty shy about nursing in public) and it really helped to be able to talk to women with babies the same age about what they were going through and to share suggestions about how to solve problems that came up.
  • blaf322blaf322 member
    edited June 2016
    @mrskratt ... So much good info! Follow up questions:
    1- if you couldn't get the ties fixed until 6months, why have them check in the hospital? Or were you unable to get it fixed sooner bc you waited? (ETA- not saying that in a judgy way. Purely curious and want info so I know for when it matters for me in a few months)
    2- do you think the clogged duct was bc of overproduction? How do you prevent those, or can you?
  • @ignoscemihi

    I love PEPS! I joined a newborn group and I did baby peppers and am close with bith groups still (DS is almost 3). I'm thinking of doing the 2nd time around group, too. 

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  • @bnsmith85

    Clogs can and can't be prevented, it just depends on what's causing it. Frequent removal of milk from the breast can help prevent them, but if you have an oversupply and can't remove the milk fast enough, or if babe has a lip/tongue tie and can't efficiency remove milk from the breast then those issues need to be addressed in order to try and prevent future clogs. 

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