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Breast feeding and work - x-posted in nutrition

post #1 of 2
Thread Starter 
Some background:
My DD will be 9.5 mths old next week when my DW goes back to work.
She eats very well. She eats all kinds of fruits and veggies, yogurt, cottage cheese, chedder cheese, cream cheese, avocados, a little fish, and sometimes toast fingers. She is self feeding finger foods, so only about 1/2 to 2/3 gets inside of her.

She still breast feeds throughout the day and night. But less over the past few weeks as she ramps up her eating of solids. She usually feeds about 4-5 times a day for various durations. We have NO IDEA how much she gets because she only ever feeds from the breast. She is a pretty efficient eater so she is only on a few minutes at a time.

My wife is going back to work next week. She will be gone from before our DD wakes until after she goes to bed. She will work 2 days on and two days off and two days on again, etc, etc. So basically the only breast milk that the baby will have will be at night.

Our DD will not drink breast milk from a bottle or sippy cup. She has recently started to drink water out of a sippy, but only about 2-3 ounces a day. We are nervous for my DW to pump at work because a) she is a nurse and hospitals are nasty dirty and germy places. We do not want to contaminate the pump or bottles or milk. and b) pumping doesn't go well for my DW.
We are thinking of just giving her a bottle or two of organic formula on the days my wife works and have her continue to nurse throughout the night and waking her for a dream feed before my DW goes to work and maybe keep her up until DW gets home and have her nurse her to sleep.
It is a possibility that I take DD to DW's work on her lunch break and have a nursing session.But I don't know if this is practical for every shift she works.

Our DD is a large baby, in the 95% and doing very well in her growing and meeting her milestones etc. We did just have her 9 month well baby visit and plan to take her in for a weigh after a month to see if she is still gaining as she should.

OK. My question is if any of you wise mamas have any advice or suggestions about making sure we can maintain our DD's nutrition and make sure she gets what she needs to thrive?

Thanks in advance.
post #2 of 2
If your DD won't take BM from a bottle, do you think she'll take formula? BM is a lot better tasting! Has your wife tried pumping in the past? I'm wondering if your DD won't take the milk due to lipase issues (for some moms, high levels of lipase enzymes start breaking down the milk when it's stored. Safe to drink, but some babies don't like the flavor.). Has anyone tried the milk? Anyhow, if she won't take BM from a bottle, then I wouldn't think you'd have better success with formula! At her age, she doesn't ever need to take a bottle at all. She can learn to drink from a cup (regular, sippy, straw. . .whatever you prefer). It will take some practice and several introductions but she'll probably learn pretty quickly.

Pumping is a learned skill and many women aren't successful at first. She'll probably need to get into a routine of pumping to be successful. There's lots of support and information about creating a pumping routine available - probably posts on these boards. The mothers' forums at LLLI have specific forums for this sort of info.

As far as the germs/health risks re. the hospital. . . your wife will be exposed to these as well, which means she may be bringing more germs home and exposing your family. It also means her body will be making antibodies to whatever she's exposed to, which will pass to your DD through her milk. There's research on expressed milk that shows that bacterial levels actually drop several hours after pumping, because the active immune cells are destroying bacteria in the environment (sorry, no reference immediately at hand, but I can find if you want). Is there a lounge area where she can pump? I'd think that as long as she washes her hands and removes her scrubs before pumping, cleans and packs the equipment at home, the level of contamination would be minimal. And it seems like the more breastmilk your DD can get, the more immune protection she'll get, all the better to protect her from any possible infections.

Some babies reverse cycle. Does your DD nurse frequently at night? Encouraging more night nursing might be a possible solution. She'll probably still need something during the day, but it would increase the amount of BM she gets.

Good luck!
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