Hi All! I had twin boys (29 weekers) and I am trying to maintain a supply until I can breast feed them and they can come home from the nicu, they are 13 days old today and likely wont be coming home for a while so I need to keep this up for a while.
I was doing good for the most part (i think?) and getting about 5 oz a session and the yesterday and today i have went down to getting barely 3 oz,. I am starting to worry that i am going to lose my supply or something. i am trying to pump every 3/4 hours during the day and i TRY to get up every 4 hours to pump at night for about 15 mins. I have been pumping almost for 30mins to get these 3 oz the last 24 hours,..
any ideas,, or is this normal to have a reduced supply all of a sudden, I REALLY want and need to be able to BF these boys when they come home in a while
Congrats on your twins!! I'd suggest significantly increasing the time you spend pumping. When DD was a newborn, she nursed about every 45 minutes for about 10-15 minutes. Its not about how much you get at this point. Its more about nipple stimulation and since the pump doesn't do as good a job you might want to increase how much you pump slightly. I'd say pump both every hour for 15 minutes during the day and every two at night. It sounds like a lot of work but that's at least how much they'd be nursing. Its important to establish demand early on. Good luck!
From what you said, I don't know that you can pump more. I know that I found pumping more than 9x a day very stressfull. The LC did tell us it was common to have supply drops in the NICU due to stress.
At this stage, are they eating any milk yet or are they still on the IV?
My only advice would be to make sure you are hydrated/well fed. If your supply continues to stay low, talk to the NICU LC.
Good luck :) We had 3 weeks in the NICU and now are successfully nursing and I'm only pumping 1x/day just to keep up with 1 bottle a day.
Congratulations on the birth of your boys!
My first DS was a 33 weeker and spent 17 days in the NICU. I started out, day 1, as an EPer and had only attempted nursing twice when we brought him home. I had a very close relationship with the pump for a while but we were ultimately successful in transitioning to the breast and he loved BFing. He became a huge comfort nurser.
I agree with PP about increasing the amount of times you are pumping. I pumped every 2 hours during the day and went to no more than every 3 hours overnight. Each pump session was about 30 minutes and the every 2 hour timeframe is from start of session to start of session. I know it's a lot of work and feeling like you are constantly attached to the pump is a total downer but it will be well worth it when you bring those babes home. I usually only got about 1.5 to 2 ounces per side at each pump session and sometimes a little less. I wouldn't worry about trying to match output with what they are using (I'll bet you will actually be pumping more than they need if you keep up that schedule) because it's more about establishing your supply and keeping your body producing until they are able to nurse.
Also, what kind of pump are you using? You really need to rent a hospital grade pump if at all possible. It will do the best at establishing your supply and keeping production up.
Good luck and lots of hugs! I know it's a roller coaster ride even if they are completely healthy and just needing to grow and develop. Please KUP on how things are going.
Thanks.for.your input ladies! I am going to try to increase my amount of times I pump, my boys are barely eating. They are on tube feedings so I am producing way.more than they need. Right now.just want to.make sure I keep it up for when they come.home
I am using a medela pump in style.
My first question is what pump are you using and have you been "fitted"??? When I work with EP mommas the first thing they need is a good hospital grade pump. next the horns need to fit them right, they need to be taught how to pump - for instance are you repositioning the horns? are you using breast compressions too? next we address when and duration. The general rule of thumb is 20-30minutes DOUBLE pumping every 2 hours with 1 3-4hour stretch in a 24hr period.
If you are doing all these things there are a few things to address:
1. It may be the pump. I have seen moms switch brands and completely have different success.
2. You may have a problem with Anemia or Thyroid function. BOTH of these can effect milk supply and are common post partum ailments.
3. time - sometimes it takes time to establish a routine and your output will not always be the same round the clock.
Have you seen this resource? http://www.breastfeedinginc.ca/conte...gename=doc-BPB
Dr. Newman is awesome I've had the privlidge to work with him in person and hear him speak.
Erika- your post.reminded me that I need to take my iron my doc told me too, I have not been fitted on my pump. Not sure how a correct fit is supposed to be, I am doing compressions and repositioning the horns as well. I am hoping with increasing my pump times it will do the trick...