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Meeting the needs of two nurslings.  

post #1 of 7
Thread Starter 
First, a little background: I have a 2 year old son and a 7 month old daughter, both of whom are nursing. My daughter is on preventative antibiotics for recurrent UTI's, so we all have thrush all the time. I really don't like it, but I can't risk taking her off of the antibiotics; a single UTI would cause enormous problems for her.

Okay. My kids both need me a lot. Most of the time, I feel like the baby should get priority, but I wonder: should my son be the priority some of the time? If I pick my son up and nurse him, my daughter will cry for my attention, even if she doesn't want to nurse. If I hold or nurse the baby, my son will throw a fit at the top of his lungs and climb on me and try to pull the nipple out of his sister's mouth. This is exceptionally painful for me because of the aforementioned thrush. My son has loads of teeth, and it's often painful for me to nurse him, so I find myself more than eager to make him wait. Still, he's just a little guy, despite the fact that he walks and talks and acts like a little four year old in many ways; he needs his mamma just as much as his sister does, so I feel guilty for making him wait, especially when I'm doing it because I'm in so much pain.

If I had a clone, and could nurse both kids at once, my son would comfortably spend 25-45 minutes of every waking hour nursing, plus 1-3 night nursings. My daughter doesn't nurse nearly as much, but given the choice will spend all day in the sling, nursing, sleeping, talking, playing, etc.

It's very difficult for me to nurse both of them at once now, because we don't have a couch, the kids are too big to nurse in our one and only comfortable chair together, and our bed can't be placed anywhere that I could comfortably lean against a wall (I'd be leaning against the windowsill, which is right at the level of my head). I have managed to nurse them side-lying with BooBah on top of BeanBean, but that's very difficult and my son always pushes and kicks at his sister. The perch position doesn't work, because my daughter can't nurse that way and my son's teeth make it *very* painful for him to do so.

So I'm torn. Both kids need me, and while I feel like my son could wait, he apparently feels differently. What can I do?
post #2 of 7
I can count on one hand the number of times I've nursed both of my kids at the same time. But my older DD is older than your son. She knew before the baby was born that the baby would need to nurse, a lot, and that baby gets to nurse first, then it's her turn. I made it very clear to her that she would still be able to nurse, that I would not refuse her the breast, but that baby gets it first. It hasn't been an issue with us, and my older DD is about the highest-needs, spirited kind of kid I've ever met.

I just have to comment on the "preventive antibiotics" though... I'd want to find out *why* she is getting UTI, and treat the real problem instead. Have you sought a second (or third or fourth) opinion about this?
post #3 of 7
i wish i had the right answer. i can only offer a
do you use the football hold at all when nursing the two? that's my favorite position. it's great for turf wars, you can always hold the slapping hand. there were times when i put a small throw pillow between the boys heads so they would leave each other alone. they don't fight like that anymore.. thanks goodness. maybe you could sit on a pillow on the floor and lean up against the chair or wall.

the pp is right ...should probably relook at the UTI's.
post #4 of 7
Thread Starter 
Quote:
Originally Posted by stafl
I just have to comment on the "preventive antibiotics" though... I'd want to find out *why* she is getting UTI, and treat the real problem instead. Have you sought a second (or third or fourth) opinion about this?
She's getting the UTI's because she has vesicoureteral reflux which is only correctable by surgery. We'd all (her specialist team and I) like to avoid surgery for the reflux if it's at all possible, because she has dysplastic kidneys and it's very likely she'll have to undergo some fairly invasive procedures in the future. She is currently under care of two family practice physicians, a pediatric nephrologist, a pediatric urologist, and a pediatric gastroenterologist. A single UTI will necessitate surgery, because any infection will travel to her kidneys and further compromise their already abnormal function.

In other words, I already know why she's getting them and I've already sought several opinions and done plenty of research on the subject. Believe me, I'm not a big fan of antibiotics; my son hasn't had any since he was an infant, and the last time I took them was for my c-section; before that, I can't remember when I last took them. It's not something I do capriciously.
post #5 of 7
poor baby! poor mama!
post #6 of 7
to you, baby and mama!!!

I agree with using the football hold while nursing. As far as where to sit...have you tried tailor sitting on the floor and nursing both using the football hold? It works well for me when I'm nursing my 2.5 and 4.5 year old at the same time...and especially comes in handy when I'm tandem nursing and pregnant and don't have a lap!

You mentioned that it hurts when you older nursling nurses, which has me concerned that he may not be latching properly. (Or is it just because of the thrush?) Upon occasion my older nursling gets lazy with his latch and I have to ask him to readjust. It sometimes takes several tries. If he uses sippy cups or drinks from straws, you may have to remind him that nursing is different from drinking from a sippy cup (nursing is more mechanical, less suction!).

Have you tried having special nursing time with your ds when your dd is napping? Many tandem nursing moms find that taking time to nurse their older nursling when their younger nursling is napping not only fills the needs of the older nursling and helps them take a break, get some rest, and reconnect with their older nursling, but it also helps the older nursling to feel more connected and my cut down on the older nursling's nursing needs at other times. One mom I've spoken with told me that she used to try to get housework done when her younger nursling was napping, further putting off her older nursling's needs. When she took the time to nurse her older nursling during her younger nurslings two brief naps ... and when she decided to wait to put her older nursling to bed until after the baby fell asleep so they could have more one-on-one nursing time, her older nursling stopped asking to nurse as frequently and was happier to share nursing with his little brother.

Another thing that helps some tandem nursing moms is assigning one breast to each nursling, so there is no fighting over who gets to nurse from which side.
post #7 of 7
2 I had reflux as a child, and my DD has a UPJ obstruction, so I understand your concerns and the need for continual antibiotics (just as a note of encouragement, I outgrew my reflux problem and need for abx by age 9 without surgery!)

Constant thrush would have me climbing the walls, especially while tandem nursing! Have you tried taking (and giving your kids) acidophilus, as a daily supplement, to counteract the abx? If not, that might really make a difference for you.

Sorry about your struggles tandeming - I've been fortunate that my kids are great about sharing nuh-nuh, and though I don't nurse them together all the time, we do well with me lying on the bed (on my back) and both kids sitting up next to me nursing. Maybe if you get the thrush cleared up that might be more bearable for you

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