So maybe you saw in my post below ("Tired of opinions and pic of Alden") that I am under major stress and have extremely low supply... I am getting bombarded with advice and I am trying everything imaginable, skin to skin, tea, blessed thistle, borage oil, fenugreek, pumping, finger feeding, formula - anything under the sun to keep him hydrated and eating... during our 5 day stay at the hospital they told me that at 2 weeks of age (today) he is supposed to be intaking 25mL an hour, so 60-75mL every 2-3 hours. It seems really high to me, he won't really take that much and I am wondering if I should be trying harder to get him to wake up regularly and kind of force him to eat what the docs say he is supposed to be, or if you all think it's kind of a lot too and I should cater more to his routine? I have seen 5 different LCs now (including MIL who is IBCLC) and I swear everyone has recommended different things...
Gosh, this is tricky - I'm not pumping yet so I don't know anything about volume, but I can tell you that my son (3 weeks old) nurses about every 2.5-3 hours for about 20-30 min each time. I'm sorry you're going through such a stressful situation regarding feedings. Has he started to regain weight yet? My understanding is that's one of the surest signs that the baby is (or is not) getting enough milk...
Best of luck!
Ok, this is what is so hard with medical people. They like numbers. And how in the world are you supposed to measure that if breastfeeding? Seriously, I have NO IDEA how much my son is taking in quantity wise. My first question when I hear "hard" numbers is: "Are those numbers for formula fed or breastfed babies?". Because the numbers can definitely be different. Your milk is perfect for your baby's caloric needs.
THE BEST way to know if you baby is getting enough is by counting wet and poopy diapers. Period. What goes in must come out. Looking at the output will tell you something about the input.
I would look at this: http://www.llli.org/FAQ/enough.html
Honestly (and I don't mean to sound snarky), but since this is my second baby, I have not really looked at the clock, or counted diapers or anything like that. I am an engineer so with #1, I had spreadsheets of this stuff! But this time, I let him eat as much as he wants and as long as he wants, whenever he wants. It is so much easier to be zen about it when you have gone through it before and know it works out (my first had latch issues, I had to feed him formula for a month, and then get him back to the breast while recovering from a c-section/pneumonia/septasemia/early cardiac failure). Yep, I started losing my mind and I was so upset and freaking out. I did not want to fail at breastfeeding because I felt like I failed at birthing. And, it was seriously emotional and scary too. But, I stuck with it and DS1 still nurses at night before bed (he would nurse all day if I let him, but I can't handle nursing a toddler AND infant all day long :)
Stress WILL affect your milk supply. I would consider the Hypnobabies track on breastfeeding and play it while you are going to sleep (http://www.hypnobabies.com/store/shop.php?pid=47&sid=9&cid=9&start=0). I was much calmer about birth because of the pregnancy affirmations, and so I would consider that to reduce your stress. The reason I had to listen to it while going to sleep was because I really was not sure I believed what it was saying, but my sleeping brain took all those positive suggestions in and I started to be much more confident about birth.
Out of all the people you have talked too/seen, did any of them really resonate with you? Did you click with any of them? If so, I would say to work with just that person. You have too much advice coming in and I think you need to pick who is going to help you and work with them. Unfortunately, breastfeeding is an art (like medicine) and so everyone will approach things in different ways.
Hope that helps!
Our babies have the same birthday :)
How long does he sleep for after you give him x amount of supplement? I knew that Rachel was getting too much dsupplement when she slept for 5 hours after a feeding session.
But that doesn't sound like too much to me...honestly...I know this soooo sucks right now; I hope it gets better soon!
PM me about low supply; insufficient glandular tissue; posterior tongue tie; lip tie
Really like all Climbergirl said. My only input is on day 8 we went down to the lactation clinic for a free appt, my friend is the lactation RN there, she did a before and after feeding weigh in. In a 10 minute feeding Nadia transferred 35ml and that was after a 15 minute feed before we left the house. So those numbers sound resonable to me.
How are things going though?
Hi...Second time around with breastfeeding challenges. I thought my thyroid may have been the problem with DD1, but at the same time with DD1 I was diagnosed with hypoplasia or Insufficient glandular tissue (IGT). So with DD2, I was hoping it may have been my thyroid and not IGT, but I am having similar problems, which leads us to believe that it is IGT. So with all that being said, I have to know what my DD is taking in from the breast in order to supplement correctly, and was told by a few different LC's that my DD who weighed 9 pounds even at birth should be taking any where from 22 ounces the 30 ounces a day. There is a big difference, I know, but it gives me something to go by.
Breastfeeding is not a cut and dry thing, there are so many factors like the PP mentioned. Some have breast milk that is higher in fat content, where others don't and that can make a difference on what your child might take in.
HTH, Abigayle working to up my supply!
James eats about 5-15 minutes every 1 to 3 hours. If its been longer or going to be a long time before he wakes back up he'll eat more. Night-time he usually takes both sides. There are big indicators on whether or not he is getting enough.
1. Weight gain. You can't exactly measure that at home and you really shouldn't. How much poop they have stored up can really throw this one.
2. Satisfaction. If he goes from hungry to eating to not hungry several times a day then you know he's getting something.
3. Diapers. "Anything bigger than a quarter is a bowel movement" was what the lactation consultant I saw told me.
This Mommy and Military Daddy are loving their son.
DS born Dec 2010 Pregnant with #2, having another !
Climbergirl - awesome!
Sonrise - thinking of you...
We're doing a little better today, after I had a bit of a breakdown yesterday, told my DH to take DS away and went to cry under the blankets for a long time. A bit more supply when pumping today and he is taking a bit less by SNS after breastfeeding, a good sign. My dad insisted on buying a hospital grade scale and shipped it to me so we can weigh him before and after each nursing to see what he is getting. I resisted this madness for a while, but just gave in and now I am curious to see if it shows anything. My folks claim they weighed me before and after each nursing. Right now we are feeding every 2-3 hours (he doesn't want any more frequently) and sometimes it's pumped and by tube, sometimes it's nursing, supplementing with breast milk trying to wait out the low supply.
porttack- There is nothing crazy about doing pre and post weights, in fact being a mom that is challenged by low supply, I find it quite helpful, to know what she is getting from the breast, allows me to know how much to supplement. I dont wake in the middle of the night to put her on the scale, we just feed on the breast for the night time hours. I also agree with watching the baby. I can tell just by her actions that she gets about and ounce and I need to supplement after feeding. This time we have chosen to supplement with the bottle instead of the SNS, this allows for time with my four year old. We did the SNS for 6 months with her, and then I started on the domperidone, and had success with that, and the fact that she began solids at six months. I think it is awesome that your father is buying a scale for you. They are expensive to rent.
Also, not sure why you have low supply, but I found goats rue by mother love to be super helpful and more milk plus. My super milky thoughts are with you right now, and know that all you are doing is so wonderful for your little one. An LC told me the other day that it is ok to be angry or sad or whatever emotion your feeling about having a challenging time, because breast feeding is like a marriage with your child and you want everything to be just perfect.
And I think this is your first child, know two things...one I have a super healthy 4 year old 40 pound intelligent, sweet, funny, super strong girl who was supplemented at the breast with an SNS and who breastfeed for 17 months! and two whatever you choose to do now in your breastfeeding relationship with DS1 will only aid your breastfeeding relationships with your following children. My supply has almost doubled since the first child, and although it is still low it is much more than before!
Thinking of you too....