It's been over three years, and I'm working off pregnancy brain, but I'll be as detailed as I can!! [:D]
1. How long have you been EPeing (or how long did you)?
I pumped for the entire time my son was in NICU - exactly 2 months - and and additional couple of weeks.
2. What is/was your long term goal?
To transition to breastfeeding.
3. If you are no longer pumping, did you reach your goal? If no, why not?
No. When Nicky came home from the hospital, he was still so tiny - 4 lbs 4 oz. I am very large-chested, and I believe the reason he never latched is that my areolas are quite large, about 5 inches across. I don't think he could ever reach what he needed. Several other factors contributed to having to quit - he was not gaining fast enough, so we had to supplement with NeoSure (preemie formula), and my once over-flowing supply (the LC said I had enough for twins plus some) began to lessen very quickly, since it was never fully stimulated.
4. How did you establish your supply- pumping or breastfeeding?
Pumping exclusively.
5. If pumping, how often and for how long did you pump?
At first, I pumped every three hours, day and night...unfortunately, I only pumped long enough to fill a sterile water bottle from each breast.
6. When first pumping, how long did you pump for each session and how many sessions per day?
See last question.
7. How long did it take for your supply to become established (i.e. when it reached its peak or when it was consistent in volume)?
I don't recall...I don't think it ever reached its peak. I know I never felt letdown.
8. When established, what was you average volume per day?
I can't remember...the NICU supplied sterile water bottles, and I filled two at each session. I wish I had been reminded to pump as much as I could each session instead.
9. What type of pump do you, or did you, use?
Ameda Purely Yours!!! I highly recommend this pump - I still have it and LOVE it!
10. At what point in time did you start cutting pump your pumping sessions?
After about three weeks, I moved to 4 to 5 hours between sessions, and soon after cut out the nighttime pumpings.
11. How many times have you dropped sessions? And when dropping sessions did you see a decline in volume?
I don't remember how often, but I know I dropped some. Yes, my supply was dropping.
12. When you cut back pumping sessions did you increase the length of time you pumped? If so, by how much?
No, but I wish I had.
13. If you are no longer pumping, how did you start to eliminate pumps (eg. sleeping through the night, starting solids, etc.)?
Switching to formula. We alternated formula and frozen breast milk until the breast milk ran out. (About a month?) I quit pumping cold turkey when I realized he wasn't taking to the breast.
14. What was the biggest determining factor that led you to start reducing pumping sessions?
Fatigue.
15. At what point did you start to see your volume decline (length of time, # of pumps/day, etc.)?
I don't recall.
16. Is/was your supply sufficient for the needs of your baby?
Yes, for a while. Like I mentioned above, it began to decrease because of lack of stimulation, and the ped was concerned about his weight gain. However, that was from the amount he was eating, not the amount I was pumping.
17. If not, at what point did you need to supplement?
2.5 months, I think?
18. Do you use, or have you used, any herbal supplements or prescription medication in order to increase your supply? If so, which ones? And at what point in time did you need to use them?
No
19. If you built up a freezer stash, approximately how much did you have in the freezer at its fullest?
Oh my gosh...I can't tell in ounces, but my mother-in-law's deep freezer was half-filled, and our refrigerator's freezer was 1/3 full.
20. If you are no longer EPing, did you use all your stash?
Yes
21. Have you had to dump any of your stash?
[i]No
22. Anything else that you would like to add?
[i]I wish there were LC's who specialized in preemie situations. I was so distracted after the birth, that a lot of what I knew flew right out the window. When given the sterile water bottles, I was told to 'just fill one up' each time I pumped. I knew, but had forgotten (I wonder why - seizures, the surprise of a baby being born suddenly at 28 weeks, and my own and my son's recoveries...) , that I needed to pump as much as I could each session in order to build and maintain supply. I think a reminder of this would have helped me a lot. Even if I was pumping and dumping a lot of extra milk, it would have been preferable having my supply dwindle towards the end of my son's NICU stay.
When I was pregnant, I was so excited about breastfeeding. I was going to bf exclusively for a year, bf in public and make a stand for my baby. (The best-laid plans, eh?) It may sound strange, or even callous, but since everything else worked out so beautifully, and Nicky was so healthy, I was actually MUCH MORE devastated by never being able to breastfeed than I was by Nicky's prematurity. I do realize how much I accomplished by pumping, but I still felt that we were robbed of something very special.
Aimee - 28
Dh - 29
Ds Nicky - 3/24/00 (28 wks - eclampsia)
EDD #2 - 8/3/03 (It's a BOY!)
