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Pumping and milk supply

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Pumping and milk supply

Postby sherry fisher » Sun Apr 11, 2004 06:27 pm

I know that there has been threads on this, BUT...
My milk came in Friday and I am only able to pump about 1/2 oz to 1 oz per breast per pumping session. Is this a normal amount at this time. (5 days post partum) Right now, I am able to pump what she is eating...only about 1 1/2 oz every 3 hours. However, I am not pumping througout the night and I usually have a better supply in the AM. So....througout the night she is taking formula. [xx(] I did buy the fenugreek. However, I am taking only one a day as the bottle says. IS there more to take when BP'ing?? (I am new at all this!!) Bought the tea as well...although, I HATE it!! UGH!!

My nipples are sore and cracked, even from the pumping! Again, normal??

We had severe latch on problems with Anna. My nipples are large and she has such a small mouth! Plus, she keeps her tounge in the roof of her mouth alot. We even have issues with propper latch on with a bottle! She always seems to get that bottom lip in her mouth with her bottle. No matter how many times I pull down on it while she is sucking, she still manages to get it out. Anna is also jaundice...she was on the billi blanket all day yesterday and part of today. Had to take her for another billirubin test and it came back ok now. YEAH!!



Sherry Fisher (28)
DH: Bill (35)
Proud Mama to:
#1) Alex 1/1/94-PE
#2) Abbie 12/17/97-PIH
#3 Will 08/03/02-PP PE
#4) Anna 04/06/04 - PE
http://www.babiesonline.com/babies/b/babyfish3/
Baby Annna;
http://www.babiesonline.com/babies/b/babyfish4/
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Re : Pumping and milk supply

Postby steg » Sun Apr 11, 2004 09:20 pm

I am no expert, this is just my experience from nursing my three kids. But, if you religiously pump every three hours it will most definitely improve your supply, I realize it's exhausting though! Remember though, a pump will never express quite as much as a nursing baby! The tongue thing, my daughter did that a lot (33weeker), I was told it is a preemie thing, as they get a little bigger their reflexes get stronger, including the natural way to suck. The sore nipple thing, probably because she isn't latching on right, I was always told if it hurts they aren't latched on right, take them off and start over. The hospital thing is very exhausting(sounds like that is where you are, right?), hang in there, and take much advantage of any help from the nurses and ask for a lactation consultant if one is available. Again, this is just my experience, hope it helps.

Stacy
Glendy 4 years 33 weeks PE
Greyson 21 mos 36 weeks PIH
Cavin 2 weeks 36 weeks PE

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Re : Pumping and milk supply

Postby haunaniv » Sun Apr 11, 2004 09:53 pm

Hi Sherry,
Congratulations on little Anna! I worked as a lactation specialist for a long time. In one of our conferences they suggested pumping on one side while nursing on the other. This helps with your milk let down and allows you to pump more milk. This method has always worked well for me. With a couple of my babies I worked full-time and with the morning feeding before going to work I was usually able to pump a full bottle to leave with the sitter using this method. I would also do it during an evening feeding so that I could freeze the milk to use as needed, and have a supply for the sitter.

Also, it is important to remember that your milk supply is directly related to demand. So (in most cases), the more your baby nurses, the more milk you will have. In my experience I have found that it's tempting to supplement with formula those first days because you feel like you are nursing all the time and worry that perhaps the baby isn't getting enough. What happens many times, though, is that this interferes with milk production.

Do you have access to a Lactation Consultant through the hospital or your doctor's office? Many times the local health department or WIC program will also have lactations specialists. Another wonderful resource is La Leche League. I bet if you went online you could find a group close to you -- www.lalecheleague.org

As for cracked and sore nipples -- again, in my experience with each baby I have been sore at first. However, if you are having persistent problems with this it could be due to a number of other reasons, many times having to do with latch on.

Was Anna born premature? It can be hard to help a preemie, or even a baby born a little early, to learn how to latch on and nurse. My son was born at 36 weeks due to PE, and even though he wasn't considered premature, he had a hard time latching on. He would nurse and get tired or even fall asleep before he could properly latch on. It was so tiring and frustrating! I found with him that if I tried different nursing positions such as the "football hold" it was easier for him to latch on. In that position I was able to support his head better. As he got bigger the nursing became easier.

Good luck and hang in there! I would definitely recommend seeing if you can find a Lacatation Specialist or get in touch with a La Leche League group. They would be able to answer any questions, identify any problems, and help you with positioning, latch on, etc.

Take care [:)] - Nancy

Nancy: 36 yrs.
dd: 1994 - 40+ weeks, PE
dd: 1997 - 38 weeks, No Complications!
ds: 1999 - induced at 36 weeks, PE
Another boy! - EDD 6/23/04
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Re : Pumping and milk supply

Postby sherry fisher » Mon Apr 12, 2004 04:25 am

I am not nursing Anna. Just pumping. We were trying for 20 min. before a feeding to latch on. It was exhausting to both of us! The lactation consultant that I was seeing in the hospital said this is due to her being a bit premature and her being so little. So.....I am pumping, round the clock, every 3 hours. I am not doing so at night.:)

Sherry Fisher (28)
DH: Bill (35)
Proud Mama to:
#1) Alex 1/1/94-PE
#2) Abbie 12/17/97-PIH
#3 Will 08/03/02-PP PE
#4) Anna 04/06/04 - PE
http://www.babiesonline.com/babies/b/babyfish3/
Baby Annna;
http://www.babiesonline.com/babies/b/babyfish4/
sherry fisher
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Posts: 384
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Re : Pumping and milk supply

Postby angelkat » Mon Apr 12, 2004 05:59 am

Sherry...

I took Fenugreek three times a day which seem to help. Also since I was so stressed while pumping (Katlyne in the NICU) I tried all the tricks to the trade... I drank Root Beer all day long and ended up pumping more milk (yes, it really does work) Then I had to all in the back ups and call the doctor for Reglean (It's an anti acid med but also increase milk supply - just think no heartburn at the same time)... The more you pump the more you will make I also slept thru the nights making my first morning pump worth the good nights sleep.. Good luck to you....

Hugs
~T

Mommy to
Drew(13)
Ky (11)
~i~ Katlyne(12/9/02-04/02/03) and little bud (Due 09/11/04)http://www.forevernetwork.com/Archive/lifestory.cfm?Archive_ID=10971&Directory=%2FArchives%2FMountHope&CFID=1089289&CFTOKEN=79068509
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Re : Pumping and milk supply

Postby haunaniv » Mon Apr 12, 2004 10:41 am

Hi Sherry -
How are you doing today? Keep up the great work! It's wonderful that you are able to pump the amount that Anna is currently taking. At six days postpartum you are doing great. I know it is exhausting and stressful to be pumping every three hours, but this will certainly help with your supply. Make sure you are drinking lots of liquids too.

I don't know if this might help, but oftentimes short, frequent milk-expression sessions (10-15 min. each side) tend to stimulate more milk production than longer sessions spaced at wider intervals. Another thing that might be helpful if you are using an automatic electric/battery breast pump is to start pumping at a minimum pressure setting and once the first drops of milk begin to flow then adjusting the pressure lever to a comfortable higher setting. Sometimes, too, a warm washcloth placed on breasts or massaging the breasts before pumping can help with milk let down.

As for soreness from pumping -- some ideas: a small amount of breastmilk expressed onto the nipple and allowed to air-dry can aid with healing; moisten the flange of the breast pump before beginning; try a larger size pump flange; make sure the flange is centered over the nipple so that there is no rubbing; pump on the least sore side first.

The tongue thrusting thing happens a lot with babies born early. Did the Lactation Consultant show you different nursing positions and/or exercises you can do with Anna to help with this?

Take care[:)] - Nancy

Nancy: 36 yrs.
dd: 1994 - 40+ weeks, PE
dd: 1997 - 38 weeks, No Complications!
ds: 1999 - induced at 36 weeks, PE
Another boy! - EDD 6/23/04
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Re : Pumping and milk supply

Postby tahoe4 » Mon Apr 12, 2004 10:56 am

I didn't begin pumping until 5 days post-partum. So I was getting maybe a tablespoon of milk at each pumping session, if that. The lactation consultant did recommend to me to pump more frequently and for less time, like the previous poster said. So I pumped every 2 hours for about 10 minutes each side. And I did lay a wet, warm, diaper (but clean!) over my chest before pumping to help with let-down. Eventually I began to pump more and more at each session, but it took a few days or weeks before I was able to pump enough for the baby to not need to supplement with formula.
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Re : Pumping and milk supply

Postby amyk » Mon Apr 12, 2004 02:05 pm

I may be sounding like a broken record, because I know I have posted this before, so bear with me...
I could not handle the fenugreek. I really tried, but I ended up with all sorts of intestinal problems. The LC did not recommend Reglan for me. She said that does not like to have mothers of preemies in the NICU on it because one of the possible side effects is depression. My OB prescribed Domperidone and it worked like a charm for me. It's a little bit pricey and you have to find a pharmacy that will compound it, but it was worth it to me.
I had the same problem as you with the sore and cracked nipples. I did have to get larger flanges, but other than time, the thing that worked best for me was changing pumps. I was renting a Medela (can't remember the model, the blue one) but switched to the Medela Symphony (it's yellow). It is much gentler but I immediately got an extra ounce the first time I pumped with it. It was the first time in weeks that I pumped without dreading it for the hour preceeding. I highly recommend it if you can find one.
Good Luck!!

Amy

Chloe (8/6/01) 35 weeks, p/e, hellp
Tristan (9/3/03), 32 weeks, p/e and hellp AGAIN
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Re : Pumping and milk supply

Postby sherry fisher » Mon Apr 12, 2004 07:26 pm

I am using the Medela Pump in Style. My nipples are not so bad anymore. Ok, for those of you that EP'ed.....I am exhausted! Its a vicious cycle. Pump, feed, wash bottles, change diapers,....then all over again! I feel like I have no time for my 20 mo old and I am not giving Anna the attention that I need to. Not alone the 2 older ones. A part of me says to give up on the pumping...but I cringe at the thought of giving her formula so soon. Other than an occational supplement. :) Plus Anna is jaundice and on the billi blanket.



Sherry Fisher (28)
DH: Bill (35)
Proud Mama to:
#1) Alex 1/1/94-PE
#2) Abbie 12/17/97-PIH
#3 Will 08/03/02-PP PE
#4) Anna 04/06/04 - PE
http://www.babiesonline.com/babies/b/babyfish3/
Baby Annna;
http://www.babiesonline.com/babies/b/babyfish4/
sherry fisher
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Posts: 384
Joined: Wed Oct 01, 2003 11:06 am

Re : Pumping and milk supply

Postby catherine » Mon Apr 12, 2004 07:53 pm

Sherry honey, don't kill yourself here! The other kids are going to do fine, they need to learn to make some space in their lives for their little sister anyway. I used to get Lucy to bring me some tissues or some water in a bottle when I was nursing, then she felt like she was contributing. One day I said, "do you think that we should give Chloe some milk?", I was a little nervous that she was jealous because she'd only stopped nursing about 4-5 months before. She looked up at me, real serious, nodded, then ran off into the kitchen... came back with her sippy cup!

The other little tip I can offer, pump after you nurse, Anna needs more practice with you, than you do with the pump. I used to leave the bottle with trumpets attached, all set up in the fridge. Then I'd pump what was left over, easy enough for me luckily, then I'd wipe the trumpet portion with a piece of kitchen towel, an alcohol wipe and then pop a sandwich bag over the top. Back into the fridge until next time. That saves a little of the endless washing... no bacteria are going to grow. I never sterilized either, hot water straight from the tap with washing up liquid is certainly sufficient for cleaning, air dry.

Lastly, a nursing mom is exempt from changing diapers... did we not tell you this? That is what DH is for, that and cheering you on and helping when you're trying to get the latch thing going. Mine used to complain about how useless he felt but he changed a bunch of diapers in the middle of the night and he was a great cheering section, helping me wake them up, tickling their feet so they wouldn't doze off mid-boob and just holding them when I just felt like they weren't ever going to get the hang of latching on. He was always looking to see if "everything" was stuffed in right.

Good luck sweetie,

Catherine
Mom to Finn, Lucy (preeclampsia and HELLP) and Chloe.
Moderator HELLP Syndrome Survivors
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