Topic: Breastfeeding question

Hello! Well our baby is 2 weeks 2days old. I still haven't gotten on our computer to post a pic yet but will soon smile
I have a BF question. I had a c section and a week after it my incision opened up in one spot so I have been having a little rough time with that. Wound has to be packed twice a day and is painful. But good news is yesterday it went from 5.5cm deep last Tuesday to 4.5 cm deep so it is healing.  Well with all this going on it has been hard getting Ayla to latch. Also I have very large breast and that was an issue. I have been pumping and supplementing with formula. Last night I started getting her back on the boob with a nipple shield. She gets real frustrated at first but will get on it and I know she is getting milk bc when she fall asleep I see milk coming out the corner of her mouth. Today she got boob and pumped breast milk all day up until 8 pm when she was too upset to nurse and I had given her all the breast milk I had pumped. But now I worry is she getting enough ounces from just nursing?  I'm afraid I will starve her. I'm not giving up I will keep putting her on the boob I just worry

Re: Breastfeeding question

Still pregnant with my first, so I don't have nursing experience yet myself, but I will say that newborns require very little milk go fill them up! And if you were starving her she would quickly let you know it.  Babies aren't quiet about these things. :-). Have you seen a lactation specialist?  I have seen them do AMAZING things with my friends.  I've seen women who had all but given up on nursing and saw a specialist who gave them a simple tip that changed their lives completely.  Good luck with it! I'm sorry youve had a rough start with her! It will only get better from here :-)

Re: Breastfeeding question

Do you have somewhere you can weigh her? In our area (metro area though, so might be different in smaller communities) our LLL have scales you can weigh baby on, as well as our pediatrician, midwife, etc. And the hospital where we delivered has a free new mom's meeting every Monday & Wednesday and they advertise being able to weigh your baby and offer nursing help.

Another way to feel more secure about it is by her output, how many wet diapers and how many poop diapers does she have each day? We kept a tally list each day for the first couple of months and that really helped us ease our anxiety.

You're doing awesome work, Mama!

Donor 7070, births 2012 & 2013

Re: Breastfeeding question

If you feel she isn't getting enough the most effective way to boost your supply is to nurse, nurse, nurse! My local LLL doesn't recommend nipple shields. Have you tried different positions, pillows, boppy, etc? It is definitely possible to nurse with larger breast. Are you in contact with a lactation consultant and have you looked into your local LLL group meetings? They will help tremendously!

Re: Breastfeeding question

Definitely seek he and get her weighed. At our daughters one month appt. our doc sat my wife down and handed her a tissue and said that our daughter was failing to thrive....not getting enough to eat. My wife was beyond distraught...we both were. We had to begin immediately supplementing. If we had gotten help sooner we could have avoided that. Weighing can be a quick way to check and see how much she is getting.;10750;443/st/20110610/n/Emerson+Jane/dt/-1/k/84fa/age.png;10600;103/st/20080201/n/Jackson/k/7672/age.png

Re: Breastfeeding question

Here is a great chart for you to refer to:

Source: … kref09.pdf

Re: Breastfeeding question

Skin to skin as much as possible, and nurse as soon  as she started rooting, round the clock.  Don't feel bad for supplementing with formula a few ounces at a time if you need to, you are on the right track.  A nipple sheild can be a wonderful device for getting them on the breast, but can hinder production too, so if you can get that out for even one feeding a day and work that out, excellent, if not DON'T STRESS!  Stress is horrible for productions.  Turst your body, you're doing what is right for you and your Baby!

OK, so how do you know you are not starving her?  Whatch her!  Is she screaming like she is starving?  Acting uncomfortable?  Is her belly making growly noises?  And most importantly... she can't have output without getting it in first, watch her diapers!  As long as she is peeing, she's doing great!  If you are still doing some formula, but switching to all breast, don't worry about the poops too much, they will change, could get more frequent, or less, change colour, smell, consistancy, and even how difficult it seems for her to pass them.  This is her diggestive tract doing its thing.  Just watch for enough peepee diapers in a day, and you're doing everything just right!

Need to update a ticker, Silas Anthony Jordon born Oct 11, 2013.  6th baby, so much love!

Re: Breastfeeding question

I can't add much else to the excellent advice you've already gotten but I want to give you props for giving it your all to get her to nurse at the breast.  There is just nothing better smile.  I had an infection in my uterus after my c section so I kind of know what you are feeling!  We used a nipple shield for 5 MONTHS!  And went on to nurse for almost 3 years so they can't be all bad smile

For less than $50 you can buy a scale to weigh baby until your heart is content without leaving the house!  Check out amazon.

Re: Breastfeeding question

I second the scale recommendation if you are at all concerned. Baby is probably fine, but it's such a comfort to be able to see the weight change before and after a feeding.
Cluster feeding at night is such a common experience- I just went with it when DD was young, pretty much feeding her for a few hours, switching sides as necessary more for my comfort than for her belly. Cluster feeding is baby's way of increasing supply, so don't look at it is "hey, I didn't get enough!" but instead as, "hey, I might want more next week, so let me help you with that."

Re: Breastfeeding question

I highly recommend going to a breast feeding support group of some sort- LLL or hospital based. Your local hospital should have a lactation consultant. I went to meetings for months, for support and to weigh Alayna every week. It was piece of mind!! Doctors tend to be so quick to suggest formula supplementation, which is fine but if you really want to EBF you don't want to supplement and lactation consultants or LLL will be helpful there. It really depends on what your BFing goals are!

Alayna was born at 35 weeks (emergency C section after severe pre-ecclampsia) and spent 2 wks in NICU, she was mostly bottle/formula fed for those 2 weeks, I pumped and we gave her what I got and I nursed her maybe 1-2x a day while she was there but my milk did not fully come in until she got home, Within a month we had her off all supplementation and she was EBF until about 10 months when my pumping supply dropped so I had to give formula for daycare. We are still nursing in the evenings and early morning and more often on weekends.

I found the following to work best while doing a combo in the beginning. I would first nurse her at the breast and then offer her 1- 2 ounces of Formula from the bottle, that way she nursed strongly and stimulated milk production but would get the supplement after to top her off if she was unable to get enough milk. (I also had to use a nipple shield on and off for the first couple months, they do interfere some with stimulation for milk production but are better than nothing and you can wean her off later). When I felt that my milk was getting more plentiful (after the first 1-2 wks), I started decreasing the supplement bottle but like 1/2 ounce every couple days but still supplemented after every nursing session. When I was down to like 1/2 ounce I started skipping, like only supplemented after evening and overnight feeds but not during the day, and then stopped the supplementing completely. This whole time I was weighing her in weekly and monitoring diapers so I knew the whole time that she was still gaining as I decreased the formula and this also told me my milk supply was coming up to take over for the lost formula.

Oatmeal, Fenugreek (tincture is the best), nutritional yeast are all things I also ate/took to help. The Fenugreek was the most helpful and would boost supply within a couple days of taking it!

If BFing is your goal, just stay steady, nurse nurse nurse, it may feel like that is all you do for a while, but right now that is your primary job so just let everything else go to the wayside! If you are home with her, I would not pump too often (directly after a nursing session is best) and instead put her to the breast every 2 hours during the day to stimulate and just supplement with formula or whatever pumped milk you have. If you have any questions for me, feel free to private message me, I totally went through this!

-Rebecca (Blessed mom of two beautiful, healthy girls) … 6174_n.jpg

Re: Breastfeeding question

I second (or fifteenth!) wink the weighing and wet diapers!! In my experience, a screaming baby was NOT an indicator that he was still hungry. Neither was cluster feeding. I had a very contented baby, who cluster fed at night, but started having less and less wet diapers. The diapers he did have were slightly concentrated looking also, instead of clear like a NB's should be, AND his diapers were starting to fit looser. As soon as I realized what was happening, I took him in to be weighed and he had lost 5 ounces in 4 days.

Like em'smom, I tried to always feed him as soon as he started stirring/rooting (you should do this anyway - crying is a sign you've waited too long) and nursed him on both sides, then had his formula supplement ready in case he was still hungry. Just don't get caught up in how much formula she is taking - let her take the lead, just like at the breast so she doesn't learn to overeat, thus requiring more than she actually needs to fill her tummy. We threw away a lot of formula but it was worth it to me. Eventually, I was able to cut the supplements down, and some feedings I didn't supplement at all.

And make sure the bottle you are using has the slowest flow possible - just because it says slow flow, doesn't mean it's that slow. Whenever I used a nipple that was too fast of a flow, his nursing suffered. We found which ones were slowest and stuck to them until he was older.

Also, YES! Find a good LC in your area!! Ours here is absolutely worth her weight in gold and is always available - for a quick weigh in, encouragement, support, answers. She was invaluable to our breastfeeding experience.

After 9 yrs & 1 devastating loss, we got our BFP at 9DPO ~ and welcomed our beautiful son on Halloween! Best treat ever!!

Re: Breastfeeding question

I know others have said it but weighing River in that first month really eased my anxieties. When he was around 10 days old I panicked and my husband went to bed, bath and beyond and bought a kitchen scale. I also went to the hospital to a breastfeeding support group with a LC and a scale (this was after I was comfortable enough to get out of the house - and I know you had a c/s so are likely not feeling up to it). That scale calmed my nerves so much in those early days. If you dont have a hospital resource like that, I would think any pedi. would let you come in and weigh her. Also, Goobie is a really good BF resource. I emailed her A  LOT during the first six weeks or so.
You're doing a great job. GREAT job. I know it is hard and we didn't have latching issues, etc. Keep up the good work!  smile


Re: Breastfeeding question

Wet pampers alone will assure you that she's taking in sufficient nourishment.  There's no output without input!  But like others said, the scale will make you feel MUCH better.  Hope your incision continues to heal so you can focus on your new little miracle smile

Re: Breastfeeding question

We don't have a baby just yet, but we've already started attending La Leche League meetings and they are very helpful!  They offer great support and the one we go to is very accepting of different moms and their approaches.  I highly suggest it.
TTC No. 2 since Aug. 2014; IVF #1 - Cxld; IVF #2 - BFN

Re: Breastfeeding question

I just wanted to offer encouragement too!  It took me three weeks to get Charlotte to nurse using the shield.  I began to try omitting the shield at about two months.  At four months she finally accepted the breast during the day.  Now, at 5 months we are shield free!  It can be done.  I wanted to give up so many times...especially when we went through colic from 5 weeks to 13 weeks.  My best advice is to surround yourself with people who will cheer you on when you want to give up.  I continue to worry about my supply...the not knowing is torture.  I have stopped by my peds office many times for a weight check!  Hang in there.

Re: Breastfeeding question

One thing that helped me was to put baby at the breast all the time. I have no idea why the books say that baby nurses every 2-3 hours because it is misinformation. My baby ate hourly for the first couple months give or take, don't remember exactly. Sometimes she might go longer, but that was more the exception. At night she would do 2-4 hours like an angel for mommy. I asked the people at my WIC office (they are super knowledgable!) and it was confirmed that the 2-3 hour nursing is for formula fed babies. Breastfed babies are totally different. Just recently baby S started doing a lot of hourly nursin again. And to clarify what hourly means; it means from the start of one nursing session to the start of the next. With a diaper change inbetween offering the second boob. Therefore, there's maybe 20minutes inbetween nursing sessions to get up and pee and grab some grub. When baby sucks it produces more milk! Nurse nurse nurse. Sometimes baby is fussy, just offer the boob because our bodies make more milk even while baby is sucking, how cool is that?! I read the breastfeeding moms rule is that I don't give her a bottle. I reserve those for when I *have* to be away from her. Otherwise she gets the breast! You can do a nurse-in and just lay around for 3 days straight and just nurse baby as much as humanly possible, this is great for the supply! You can do this, your body the grew this baby is perfectly designed to nurse the baby (and sometimes baby just wants a drink, a treat, a whole meal, or just to suckle. wink

Now, some babies do take nice long stretched between nursing. It's so much fun though and I'm glad my baby loves to do it! Just don't worry if you have a baby that nurses a lot. And yeah, get professional support. Better safe than sorry! You are doing great!!!

Oh one more thing. I put breast milk on the nipple let it dry and then applied Shea butter. Then let them hang out, I had barely any cracking.