help! my baby is 4 days old. my milk came in yesterday, and i was able to pump enough to feed her without supplementing. but i'm having problems now!
first, she was born via emergency c/s due to preeclampsia. i have severe edema which includes breasts that are gigantic (a 40L bra is way too small), dimpled like grapefruit skin, extremely heavy, and sore. add to that the fact that my nipples, under normal circumstances, are flat. and they invert if they are stimulated. as it is right now, with the edema, you can't tell where my nipple is unless you really look for it. latching is impossible.
the only way i can get any milk at all is if i use reverse pressure softening to make the areola soft enough to compress. hand expressing has limited success. yesterday i had success with a hospital grade pump. because my nipples are so inverted, i decided to try medela breast shells to draw them out. bad idea! they pushed the areola back, but in doing so, i believe they compressed the ducts too much.
i now have extremely painful, lumpy breasts. there are red hot spots in a few areas. last night i was able to pump just over 3oz from the left breast in 15 mins, and just over 2oz in the right one in the same time frame. not bad for barely 3 days post caesarean birth. since wearing the shells i can get about a teaspoon of milk from the left breast in 20 minutes of pumping, and about one ounce from the right one in 20 minutes. hand expression does almost nothing for both breasts.
normally for blocked ducts i'd recommend nursing with the baby's chin toward the block.. but she can't latch at all. pump only. massaging the breast hurts, and seems to help very little (but i do it anyway, because a little help is still positive). i do NOT want this to turn into mastitis, especially so early in the breastfeeding relationship. please, anyone, if you have suggestions for any of the following please share!
-helping relieve edema in breasts and other areas where fluids pool
-releasing a blockage from a duct where there is no visible bleb, blister, etc.
-how to use a hospital grade pump to effectively drain a breast with a blocked duct
-what supplements or medications help relieve the pain and/or address the cause
-anything else you think is helpful!