I'm concerned: since getting my Medela hand pump on monday night I've been able to pump 4-5 times a day. On Monday night I managed to express a half ounce in total from both breasts but since then I'm barely getting a tablespoon
Is this normal?
How often should I take the fenugreek extract?
(I will be talking to the LC about this on Friday, just want another perspective)
I think it's normal to vary, especially if your DD is nursing more, there is less to pump out. I found that if I kept pumping through while no milk was coming out, I'd get a second let-down. The more you nurse/pump, the more milk your body will produce.
No, DD isn't nursing yet.
I'm still pump-and-dumping to get rid of as much of the medication-tainted milk as possible, and also to get my milk production going because I didn't start immediately after birth.
There's no need to dump your milk. The half life of Lamotrigine is only 29 hours, and you haven't had any for over a week. It's been out of your system for days.
For the fenugreek, start with three capsules three times a day, and then keep adding another capsule or two each day until your skin starts to smell like maple syrup, then stay at that level. Once your supply is well-established, you can slowly start dropping the dose down and see how your body adjusts. Some women only take it for a couple weeks, others stay on it for months, and dosage varies from woman to woman. Also try massaging your breasts as you are pumping. You will probably find a few "trigger points" that help squirt more milk out!
One thing that I forgot to mention earlier, don't take fenugreek if you are diabetic or if you have a peanut or chickpea allergy.
The number of U.S. states in which a person can marry the person they love regardless of gender: 30 and counting!
Huh, my psychiatrist said it would be at least 5 days for the amount in my system to be "negligible" and two weeks to be totally clean!
Thanks again for all your advice, ladies.
Thanks for the warning. Thankfully I'm neither allergic nor diabetic so I will be starting to take the fenugreek tomorrow.
My LC told me to keep track of when I pumped/nursed and how much I got. Part of it was so I could see progress but part of it was incase I had problems, she could see what volumes I was getting and what effect her suggestions had.
DD1 July 2008 (41w3d)
November 2010 (13 weeks)
DD2 August 2011 (33w5d)
I've got an app that I use to track DD's feeds and diaper changes, and it just so happens to have a function for tracking pumping
So I've been logging my production. It has been much better since I upped my water intake, I got 15 ml at one session! And my breasts feel bigger, and they get a tingly feeling every now and then that makes me want to express them, so I think things are working!
I had my appointment with the lactation consultant today and it went really well. DD immediately turned to my breast when I brought her near and kind of latched without our help!!
She said I have milk already and that she is confident that my supply will pick up quickly. She has 2 concerns tho: making sure I get enough rest to maintain a stable mental and emotional state while off the medication; and she suspects that DD has reflux. But she gave me a list of exercises to get DD to latch better and she has nursed 3 times this afternoon/evening so far. I dont know how much she is getting put of me but it feels good
Have a follow up appointment on Monday.
You are doing great! She will let you know if she is still hungry so don't worry over if she is getting enough.