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I need info for my sister  

post #1 of 7
Thread Starter 
My sister is 34 weeks pregnant. Her breast have doubled in size from AA to to about a large A to small B cup. She is wanting to nurse for at least 6 months. No longer then a year.

A little of our family history

Grandma has 3 bio kids. All were preemies and were not able to nurse. Grandma did not become engorgged after the birth of any of the babies.

My mom nursed me for 3 month according to baby book. 7 or 8 months accroding or oral history. Nursed my sister for 13 months. Nursed brother for 6 months. She felt I was starving bc I was a low to gain baby and was always fussy( I think that is still me temperment and I am not hungry) With sister she was a small baby, and brother had to be weaned due to her working and no pump/resources.

I am currently nursing a 25 month old. My daughter had to be supplemented for the longest. I was giving her no more than 2 oz a feeding. I think the problem has resolved it self although I can still only pump a mere ounce or two at a time combined. I used an SNS and took fenugreek until I smelled like maple syrup. Took the motherlove tincture. Took alphala with good results. Blessed thistle. Teas. You name it. I tried it. Only nursing for hours at a time seemed to make sure my daughter gained weight. She spent all day at the breast with possible 20 or 30 minute breaks in 4 hour blocks.

So. Sister will have to go back to work about 2 weeks after the baby is born. Hardly enough time to get a good milk supply and work on any issue that might come up. What can she do now to increase her odds of having a good breastfeeding realtionship. Are there herb she can take to help make pumping more effective and maintain her milk when she is away. She works from 3 in the afternoon to 9:30 at night. It would not be possible to bring the baby in to feed during her work day as she works at a group home for behavorily chanlenged teenagers. Also her boss is less then receptive about breastfeeding, to the point she would not even give her grand baby bottle of EBM with out throwing up. She is not hostile about it but has made several comments about the baby not dying as the result of getting formula or else formula would be illegal.

Also what bottle/feeding system is most similar to nursing. I have offered to nurse the baby myself but my sister is not up for that yet. Perhaps at some point. I have bought an SNS system for her as well as being able to have the magic finger (thats what we called it for my daughter) I have bought a couple of the second nature 4 oz bottles and a avent.


Oh and to complicate things a little further the baby has Dandy Walker Syndrome. This may or may not affect the babies ability to be able to get the suck swallow breathe pattern down.

Any advice is welcome. TIA

Christina, Rachel and baby Issabella

xposted breastfeeding
post #2 of 7
Wow there are so many issues in your post I do not know where to start.

Firstly, the amount you pump is not the same as the amount your baby gets when nursing--the baby is far more efficient than the pump!

Second, if your sister is determined to pump for her baby, she will be able to do so! However, she may need to address some issues with her boss right way (and back to work 2 weeks after birth? sheesh that seems awfully harsh). Please look up the laws in your state regarding discrimination in the work place, what accommodations employers have to provide, et cetera. Also your sister should start documenting these comments from her boss so if there is a problem she will have plenty of ammunition for legal recourse.

Thirdly, please please please check out www.kellymom.com for questions about supply, pumping, establishing supply via pumping, et cetera. Call your local LLL and ask for help. It would be good if your sister could attend an LLL meeting and establish a support system of knowledgeable folks now, before she needs their help.

I know that your sister can do this!
post #3 of 7
I dont have all the answers, but I would DEFINATELY say-spend the money on a rental from the hospital for pumps. There are now two different hospital grade pumps as well (by Medela anyway), so if one isnt working well, she can switch to the other to try. I have never gotten near as much milk from my PIS (and I've had two of them, niether had the insane amount of suction I needed) as I did from the hospital grade pump. Even the hand pump from the Lactina thingie (the disposible parts) did a much better job. I'm renting one this time around since I'm planning on pumping at least part time, but I almost wish I would've bought one 3 kids ago!

She needs to make sure she pumps several times at work each day (not sure about the laws in her state but hopefully they'll be helpful there) and nurse baby as much as he/she wants when she's home. Especially at night, as this is when the most hormones are secreted to encourage milk production.

Even if she cant get more than 2 ounces a sitting, its still worth it for the benefits! Hopefully she'll do fine
post #4 of 7
she can start taking goats rue now to increase her breast tissue ammount. it helps many moms and its safe to take while pg.
i will be sending milky thoughts your sisters way.
post #5 of 7
She can start any of the milk helping things at birth and I would start pumping ASAP. Have her look at her insurance and see if they'll cover a rental. I know Medicaid here will cover a pump rental under the baby. She'll want the Symphony or the Lactina. She can nurse, and then pump and save that for when it's needed. She should be trying to pump every 3hrs I would think at work, though if you can get baby to go longer between feedings while she's at work, she can sort of reverse cycle and feed baby more when she's home.
post #6 of 7
Thread Starter 
My daughters pedi said she would take my sisters baby. The doc is very very pro breastfeeding and said she would write a script for medically nessecary breast pump so that Medicaid would pay for it.

Can you reverse cycle if baby does not sleep with you? She does not want to do the family bed.

How much goat rue? Is it based on weight?

We have bought a SNS .

Sister has to go back to work after 2 weeks based on her job. It will be part time to start out with but yeah it is really early.
post #7 of 7
it will be harder, because instead of just opening her eyes to latch the baby on when it roots around, then snoozing, she is going to have to get out of bed, walk to the crib (in her room or another room???) get the baby, sit in a chair, nurse til the baby is full and asleep, staying awake the whole time, put the baby back in its crib, hoping it stays asleep, go back to bed. rinse, repeat.
maybe she could sidecar the crib, or do an arms reach co-sleeper, so that all she has to do is pull the baby into bed, and nurse it, then put it back.
sleep sharing not only promotes bonding and closeness between mother and baby, but it helps with nursing, and sleep too!
maybe you could point her this way, and she could tell her story and get more responses geared directly to her and her exact situation.
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