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Block Feeding and Oversupply  

post #1 of 5
Thread Starter 
Hello,

I have a few questions about block feeding. I have major oversupply issues, and am really hoping to try and get it under control. I go through boxes of 60 Lansinoh overnight pads in about 3 days and end every breastfeeding session wet and cold and sticky (and poor Meredith is wet and sticky as well!) with soaked towels and/or burp cloths. I've been reading about overactive let down, but I'm not sure that is the problem so much as oversupply. I've tried pulling her off at the beginning or hand expressing a little before feeding her, but she still coughs and splutters and not always near the beginning. Even when she's been feeding for 10 or 15 minutes my milk will still be leaking everywhere when she pulls off. I noticed recently that her poops overnight have had green in them (though they're still mostly yellow).

I've decided to try block feeding, which I read about on a LLL oversupply faq someone posted in another thread here. I'm a little confused about how to go about it though. I was going to start in two hour blocks as one of the sites I read said to start short and work the way up. My question is, say from 8am to 10am I feed her on my left breast. So at 10 I should switch to the right breast. So if she falls asleep at 10am and only wakes once (or not at all) to feed in that time, then is awake again at noon, should I switch back to the left breast at noon or keep her on the right for a couple of hours? I hope what I'm asking is making sense. Her pattern during the day seems to be awake for a couple of hours, feeding quite frequently in that time, then to sleep for 2-3 hours, so certain blocks she will be sleeping through. Should I start with the blocks longer? Next Wednesday I have a midwife appointment and my doula (who is also a lactation consultant) works in the same office, so I'm going to talk to her about it, but I'd really like to try something before then as she's getting pretty frustrated which is really hard for me.

I've tried another suggestion from the LLL faq, which was to feed with her almost on top of me. I've been getting her to latch on then sitting way back in my Lazy Boy with her on top, and in the few feeds I have done with her like that it really seems to have helped the coughing/spluttering and spitting up that has been almost constant up until now. I think she has gotten a bit lazy though, for a while she was sometimes just holding the nipple in her mouth without latching on and swallowing as the milk came, so when I feed from one breast for a block of time near the end when the milk is coming much slower she often cries and doesn't seem to latch on properly. I've just been doing my best to calm her down and then get her to latch again, and usually she will eventually latch on.

ETA: I just want to add that I really do enjoy breastfeeding despite all this. It is a bit frustrating but watching her face and hearing her satisfied sighs when she's done really makes it worth it to me.
post #2 of 5
Lindsay, just wanted to bump you up. I've had oversupply/overactive letdown with both my kids. Sometimes I feel like its taboo to talk about it since it seems that so many more folks have supply issues. When I did block feeding, I'd lengthen the block if my kids slept through the initial period. There was just no way that I could take not doing that. I don't know if that's the way that you're 'supposed' to do it.

My issues cleared up a bit after the first month or so. I feel safer feeding in public. Although, it is a royal pain in the heiny to have so soak a receiving blanket (lest I soak my shirt) while nursing DS at work. Reducing your supply/letdown should help with the lazy latch issue (both DD and DS went through the just hanging out and swallowing thing).

I hope that things settle down for you. Hang in there...you're doing great!
post #3 of 5
I definitely suggest starting slowly. I had very similar problems and started by first, make sure to not switch sides during a feeding. Then, 2 feedings in a row on one side. Didn't take too long to work up to longer periods.

In the example you gave, where babe nurses on the right side for 2 hours then falls asleep for 2 hours YES use the left side that missed it's turn while baby was resting when she wakes up. Don't want to go too long and set yourself up for infections and all that mess. Engorgement is no fun, as I'm sure you know all too well.

It didn't take very long at all before I was switching sides just based on instinct, how I felt, rather than certain times. If one side was finally starting to feel empty, or the other side was getting TOO uncomfortable, I'd switch.


Best of luck to you! If it helps, I remember it getting a lot easier after about 6 weeks, and then *worlds* easier after the big 3 month growth spurt.
post #4 of 5
I had over supply issues too including soaking everything and a forminl-vomiting baby. We dedn't get out and about for ages because I just couldn't take enough clothes and a changing room with us.

I started of in 2 hour blocks and didn't change sides at one sitting at all. It took less than a week to get past the 'my unused boob is about to explode' stage but in the beginning I used to let one side drip while I fed on the other side and that eased it a bit too.

You know how you 'weigh' your boobs to see which one to use? (Surely I'm not the only one who does this) When you are block feeding you use the lighter one until you are ready to change over.

I ended up feeding in blocks or morning, afternoon, early evening, late eveing and bedtime. middle of thenight, early morning and all over again. I didn't do it by the clock but I could feel when I needed to change and I'm still doing it to some exted at almost 12 months.
post #5 of 5
I had a major oversupply as well. I did block feeding to the point where I would feed on one breast from 5am to 5pm and then switch. I had to do this cause it got to the point where she was not emptying either breast with the shorter blocks and kept falling asleep at the breast each nursing session. I also would pump the opposite breast if I felt to engorged after each session-my sensation of the breast being to full never went away unfortunately cause I had a huge over supply.
The nursing with babe on top of you is great. We did that one too and it worked wonders. Starting out slowly is a great way to introdce your body to the block feeding. You will do wonderfully.
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