Any advice on how to deal with this? Baby is 3.5w old, I'm FTM.
Reclining never really helped me. The only things that helped were:
- express or pump a bit of milk before feeding. I of course made sure not to express to much in order not to increase milk production and only used this method if my LO did not want to eat for a longer time.
- once baby pulls away due to let down, I used burping cloth to take the worst and fastest flow.
- feed in horizontal position (on a bed) seems to slow the flow.
I still have over active letdown, but my LO seems to be more used to it. It still causes some problems, but is much better now.
Maybe ask your LC about Block Feeding? I believe it helps for over-supply and may help for overactive letdown too.
I had this too. I mostly kept a cloth handy for when she'd pull off. I didn't pump beforehand. Her poops weren't always green, but some days we'd get green ones, and she still seemed to be gaining well, so I wasn't too concerned about a foremilk/hindmilk imbalance.
As an LC and a Mama with Overactive Ejection, I found the best way to treat this is to simply let he baby start nursing then take the baby off the breast once the ejection starts. It will take between 20 seconds to a minute for the milk to stop spraying, then it is safe to put the baby back on the breast for more milk that will have less lactose, less force and more fat in it.
I found pumping only increased my supply and simply letting the baby do the work, then removing her and letting the milk spray until the first ejection as over worked for me and for nearly all my clients with OER.
Despite OER, I was never a great pumper either. I also prefer low tech solutions when we can use them, and for most Mamas using the baby to start the initial let down (I use "ejection" and "let down" interchangeably, as they are the same thing) is easy and works for most mama/baby dyads.
I personally, also, never found "nursing uphill" to be helpful for myself and my babies, I teach this, because it does work for some mama/baby dyads, however. I also like "block feeding" which is to use ONE breast, as much as the baby likes, for a 3-4 hour period, then switch to the other breast and use that one for the 3-4 hour period, of course taking the off the breast during the first ejection of each feeding, especially the first feeding of the morning and the first feeding of the block.