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Your Opinions on the support LCs or BF support group offer to new mothers about EPing  

post #1 of 8
Thread Starter 
A month ago, I had posted this topic on a couple of other forums and had some really interesting responses from mothers who bf and mothers who EP. Like Bec, I EP. I'd like so briefly share my story so you understand why I am asking this question in order to provide a more well rounded response.

It never occurred to me that it would be this difficult. While still in the hospitals, I had 3 different LCs and 9 nurses try to help dd get latched. I continued to visit w/ the 3 LC for about 2-3 mos after delivery to get dd to latch. The LCs determined early on that dd had a severe tongue thrusting reflex that they tried to correct. We tried shields and various feeding mechanisms. Nothing worked. This was the MOST difficult thing I had ever had to do in my life and I suffered through tremendous depression and my dd and I cried each time I put her to the breast. I threw in the towel and decided I would just EP since I had already been doing it since birth.

I EPed for dd until she was 13 mos and when I was 4-5 mos into my 'surprise' second pregnancy. I was determined to do things differently since I had gained so much knowledge from my last experience. When I had #2, ds, I encountered a totally different set of problems. W/o making my 'brief' post any longer, I chose NOT to continue to try to get ds to nurse because I was caring for an 18 mo old w/ a newborn (ALONE) while recovering from birth and a serious illness and I had to make the best decision for my family (healthy me or unhealthy me while repeating the emotional painful process of getting ds to nurse). I chose to EP w/ the hope that I could try to get him to nurse when I became healthy again. And I was able to provide dd MM again.

As you can see, w/ #1 I had a lot of people help me try to get her to nurse. No one ever suggested EPing. I just ended up doing it because I was already doing it. After I delivered ds, I talked to an LC about this. She informed me that I was rare and that a majority of women will not be able to EP for very long because the pump is not as effective as a baby to get the body to produce milk.

While I agree w/ her that the baby is more effective at making the body produce milk, I disagree that I am rare. I have met numerous women over the past year who have successfully EPed and many of them just fell into w/o support or information because they wanted to provide they baby MM. I have noticed recently that many mothers were informed about EPing by their LCs. Some LCs had knowledge about it, but most didn't (however they provided the mother w/ EP info and links to the online support groups).

Do you believe that LCs (or support groups) should offer info or suggestion to EP?

If yes, when do you feel is the best time to introduce the new mother to EPing? [Timing is so important. You may not want to introduce it too early because the new mother may not put forth all of her efforts into nursing because she knows that EPing is there. However, she may discover that EPing is too difficult and just switch to formula.]

Do you believe the LC (or support group) should be informed about EPing or should they just pass the mother to an EPing online group (unless there is one locally)?
post #2 of 8
I remember seeing this discussion on the pumpmoms and EP'ing list, but wasn't able to keep up with it then.

Neither LC I saw with either my first (I was able to get her to nurse, but with some difficulty in the beginning) or second suggested EP'ing. With the first it would have been inappropriate. We just needed an adjustment to her latch, and some persistance.

With the second, however (and I still can't see straight through my rage when I think about this LC), she has a cleft palate, and nursing simply is not possible. She knew she had a cleft palate, and she didn't even look at how we were nursing. She said we should keep at it, and pump if I had to. She didn't even have a pump to offer us. I had to scramble to find a pump, and just started pumping and feeding her with a syringe (I wasn't informed enough to know nursing wasn't a possibility and didn't want her to get nipple confusion ).

So, in answer to your question, I think it depends. If there is a physical problem that makes nursing impossible (like a cleft palate), then I would suggest pumping immediately, while possible allowing the baby to comfort nurse in between. This will make the possibility of nursing after surgery more likely.

I also think that pumping should be a last resort. As you well know, it is very, very hard. It takes a lot of commitment and organization. I think that a LC who recommends this should have the responsibility to fully inform the new mother of the realities of pumping, so she can make the decision herself whether this was something she could commit to.

It is this lack of information that is motivating me to become a lactation consultant (when Emily is a bit older ). I want to specialize in special needs kids that will require extra help in latching, or whose mother's will need to pump for them. I think there is a lack of support (other than online) in this area, and one that is really important that there be support.


Bec
post #3 of 8
I agree that it should be offered as a last resort only. One of my friends sisters delivered in Feb. with the intent of EBF but her DS was a month early and had latch probs. (I don't know much about what happened). She was sent home with the instructions to keep trying to get him to latch and if that failed, she could just EP. She had a LC visit at the hospital- but was not referred to outside help. His latch probs were chalked up to be because he was early. Anyway, she EP for 3 months- then FF- and at her DS's most recent peds visit they discovered he was tounge tied!!!! No one checked and she was visited by a LC at the hospital. So, the point of my long post is that suggesting that people EP can prevent further investigations to sort out other probs, KWIM?
post #4 of 8
See, but here is another problem. LC will say, "Well, you can just EP if there are problems."

This is all fine and well and good, and if nursing is not possible, it is the best route to take. But it still sucks! There is no "just" about it. It is hard, hard, hard. It takes time, dedication, and patience. I have a very established supply now that dd2 is 7 months. I still spend 4.5 hours a day hooked up to a pump. The kids are usually awake and active during this time.

I don't think most people really understand the realities of EP'ing. Unless you have been through it, you really can't know, and it isn't something to just walk into eyes closed. That is a quick way to failure. The closest I have come to describing it is it is like having twins. You have to take the time to feed the pump, then you have to feed the baby. Thankfully, the pump doesn't cry or need diapers, though! :


Bec
post #5 of 8
Thread Starter 
The main reason I posted this was I had a very upseting experience w/ my LC after my second baby. She was completely misinformed about EPing and basically made me feel that the entire year I spend EPing w/ #1 was not really bf because dd didn't nurse from the breast. So I wonder that when she counsels other new mothers who experience latching problems she doesn't offer additional info about EPing when the mother is most likely already doing it because she is trying to get the baby to latch. Instead she tells me that it won't last very long. A mother who has already EPed for at least 2 mos will probably try to continue for a little, if not a lot, longer..as long as her body continues to produce milk. The comments made by my LC would indicate to me that a mother who can't get her baby to latch is a "lost cause" because the mother will eventually turn to ff the baby because EP will not last long. The "lost cause" attitude bothers me for I believe that a LACTATION CONSULTANT should not only focus on helping a mother to bf, but helping a mother to continue to lactate and provide MM to the baby even if the mother is not nursing. The LC is an automatic advocate for bf and should have all the knowledge about EPing - its ups and downs so she can provide the mom w/ the info and the mother can make the best decision for herself and the baby.

EPing is extremely time consuming, but for a mother who had a terrible experience w/ bf, it may just be a happier experience for her and the baby. Plus, there are tips and products on the market that can make EPing easier.

Jenni
Eping for Helon 2 yrs and Phillip 6 mos
post #6 of 8
I totally agree with you. This is one of the reasons I want to become a LC. If a mother can nurse, she can also pump. It may very well be harder, but it is a possibility. It is also the only possibility for a lot of people. Again, another reason I want to specialize in special needs kids. These are the set of babies that really need that breastmilk, but are also at the highest risk of not getting it.
Their mothers need to be informed.

Bec
post #7 of 8
Thread Starter 
Quote:
Originally Posted by bec
I totally agree with you. This is one of the reasons I want to become a LC. If a mother can nurse, she can also pump. It may very well be harder, but it is a possibility. It is also the only possibility for a lot of people. Again, another reason I want to specialize in special needs kids. These are the set of babies that really need that breastmilk, but are also at the highest risk of not getting it.
Their mothers need to be informed.

Bec
Have you ever seen a book about Eping? Maybe after you become an LC, you can write one. Or write a book that deals w/ other difficult bf issues and pumping/ EPing.
post #8 of 8
Hmmm, no I haven't. I have joked about the book about breastfeeding that I was going to write, but hadn't seriously considered it. It's a resource that could be really useful, I guess. Everything now is in such a hodge-podge of places, but there isn't one place you can go to get it all in one place. That's a good thought. Maybe I might just do that.


Bec
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