Pumping and milk supply

So, the baby's born, what comes next? Discuss your postpartum and parenting concerns here.
sherry fisher
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Re : Pumping and milk supply

Postby sherry fisher » Tue Apr 20, 2004 01:06 pm

Well....we stuck it out as long as possible! Anna is now on formula and I am so sore! She is still on a funny eating schedule. Every 3 hours round the clock. Sometimes we manage a 3 hr interval. I was not keeping up with her. Plus, the pumping was exhausting....especially when DH went back to work last week! We tried unsuccesfully 3-4 times a day for her to latch on. She is still keeping her tounge in the roof of her mouth. Its even hard to get her to 'latch' on right with a bottle. She makes some weird sound and formula squirts out of her mouth like a fountain, even with the bottle in her mouth. So, we usually have to try and try again just with a bottle. Did anyone have this problem???? The Ped says she was a 36 weeker. Her jaundice is gone....thank goodness! That seemed like an endless battle for awhile. Now she has a clogged tear duct. One eye is really bad the other is not so bad. All in all Anna is the best baby! She is so content and laid back! We are truely blessed!

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/

lauras
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Re : Pumping and milk supply

Postby lauras » Mon Apr 19, 2004 05:11 am

Wow! That's great that you can manage what you're doing with the other little ones to take care of! I wasn't producing enough with Isabella at first and had to give in and pump once a night for a few nights in a row to kind of build things up. I can't remember how early you little one was but Isabella started nursing right around her due date. Then I was really glad I stuck with it. I never had to sterilize another bottle or buy formula.

Hang in there! I'm sure you'll find out what works for you and your family.

Laura 32
DH 32
Isabella 11/25/01 - 30 wks -severe pe
Another girl! 8/24/04

paljane8
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Re : Pumping and milk supply

Postby paljane8 » Sun Apr 18, 2004 08:38 pm

Oh, Sherry, the exhaustion that comes with pumping round the clock. I swear it was worse exhaustion than nursing the others! I am sorry. Hang in there. She is such a beauty!

Nancy Eastwood
Moderator/WA State Co-Coordinator

Calvin-8yrs
Saren-7yrs
Scott-4yrs (PE)
Janie-5/03 (PIH, oligo and low blood flow)
http://www.babiesonline.com/babies/4/4lbs/

tahoe4
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Re : Pumping and milk supply

Postby tahoe4 » Tue Apr 13, 2004 07:49 am

Sherry - I know what you mean about pumping along with having other children. I have a 15 month old now and I'm due in less than 2 months. With all of the trouble it was to pump with the first tone, we have decided that it's in the best interest of our family that the new baby either breastfeeds or formula feeds, but no pumping. It was so much work and I can't imagine having the energy to pump along with caring for my other daughter.

sandy
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Re : Pumping and milk supply

Postby sandy » Mon Apr 12, 2004 07:56 pm

Hi Sherry,
Hang in there! I don't know how you're doing this with other little ones to "mommy"! You're doing great!!

I found that putting some Lansinoh on the wide part of the pump before putting it on to pump helped soothe my sore and cracked breasts. And then put a little more on after pumping had finished, and let them air dry. That really helped; that Lansinoh in the purple tube.

Yes, it was a crazy cycle: pump, clean, write down time and date on label, stick it on the bottle, fridge or freeze it, feed the baby the bottle...and then start it all over again, every 3 hours (I did it around the clock...had no other babies to care for!).

I attempting b'feeding for maybe 2 1/2 months and finally gave up because of multiple challenges. I sooo want to b'feed my next. Then I continued to pump (also w/a Medela "Pump In Style") and DD was getting breastmilk exclusively for 4 1/2 months. Then we brought in the formula as I could not take it anymore; I was producing so very little milk and I even got my period while still (barely) lactating! I took that as "the" "sign" and stopped. The we started on Nutramigen. So expensive, but it has really helped DD eat and gain weight.

Enough about me. Hang in there!!!

~Sandy/DD born via emergency C at 35 wks/1 day June '03 due to Severe PE/class III HELLP/chronic HBP/asthma

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catherine
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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

sherry fisher
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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/

amyk
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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

tahoe4
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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.

haunaniv
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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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