Tongue tie and ? about pumping

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VCoates's picture
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Tongue tie and ? about pumping

DS2 turned 3 weeks this past Saturday. They told me when he was born that he had a slight tongue tie but it wasn't bad enough to need to be clipped unless I noticied issues with him nursing. He is able to stick his tongue out of his mouth just not too far.

I have pain for the first 15 seconds or so ov nursing him then it generally goes away. I have pretty large nips too and he's never able to get all of it into his mouth. Ever. DS1 was never able to get all of it into his mouth either and he wasn't tongue tied.

He has PLENTY of wet/poopy diapers that are the typical mustard color and seedy. I never had pain really with DS1 so I don't know if it's normal for me to still have this kind of pain over 3 weeks in. Literally the pain makes me cringe then goes away. Occasionally it feels like he's biting me as he's nursing but not all the time.

I don't know if I should insit on getting him clipped. Will this help him be a better nurser? Also, will the slight tongue tie cause him speech problems? I don't want to have problems later on down the line and then have to do something about it then and it be worse.

My second issue....I will be returning to work at the end of October and will be pumping. I need to start building up my freezer stash for that as well as allowing DH and DS1 to give him a bottle.

Is it better for me to pump while nursing him? If I do that, how many times a day should I do this?

Or is it better to pump after nursing him? Again, how many times a day should I do this?

I'm also concerned about him being hungry after I pump. Will my body just regulate itself so that after I nurse/pump or nurse then pump that I'll have milk for him when he's ready to eat next?

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I don't know anything about tongue tie, hopefully someone else will have advice on that front, but as for pumping, I wouldn't rush it too much. With my DD I waited a full 6-8 weeks before starting pumping/offering a bottle and it was fine. I would think especially if you're worried about getting his latch right it would be better to wait.

http://www.kellymom.com/bf/pumping/

VCoates's picture
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"mommycarrie" wrote:

I don't know anything about tongue tie, hopefully someone else will have advice on that front, but as for pumping, I wouldn't rush it too much. With my DD I waited a full 6-8 weeks before starting pumping/offering a bottle and it was fine. I would think especially if you're worried about getting his latch right it would be better to wait.

http://www.kellymom.com/bf/pumping/

I was actually just looking at this! I remember Kellymom.com from DS1.

He's had a bottle before and did just fine going back and forth. He was in the NICU for 24 hours and did fine. He's had a bottle of EBM like once a week since birth so I'm not worried about him getting confused. He doesn't particularly like the bottle but he'll take it.

TiggersMommy's picture
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I don't know anything about tongue tie either. I know pumping pretty well though ;). I'd recommend waiting for a few more weeks. Give yourself a break! I started pumping at 6 weeks to get my stash going. I went back to work at 11 weeks. Long story short, my milk didn't store well, I had to chuck all 200 oz of my stash, and DD refused to take bottles for the most part. I still pump and she takes 3-4 oz per day. Any hoo, the next time I do this I plan to introduce a bottle earlier than I did this time (6 weeks). BFing was very well established by then and I really could have introduced one earlier but I waited out of fear of confusion. Read your kid and make the call for yourself. If he's going to have to take a few bottles daily, its best to get the routine going if you think it won't interfere with his latch. As for pumping, just pump enough to give him a bottle every so often for now. Just do one pump first thing in the morning as that's when you have lots of milk. I used to pump one breast when I had time and give her the other. By the time the breast I'd pumped came up for a nurse, it had replenished. For your stash, work your way up to pumping some extra amount each day. Your supply will quickly regulate. Just make your life easy and pump the same amount every day. You don't need a monster stash. Everyone talks about how having one is awesome but really its only there to make up for not pumping what you should be pumping every day and that's not the best practice. After having to chuck my monster stash at 13 weeks I've been running with about 1 bottle backup in the freezer at any given time. I've only used it for the rare bottle I give a caregiver for when DH and I go out at night because I'm certainly not going to pump at the restaurant. Blum 3

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New to checking out this board so I hope its okay that I respond.

Both of my girls had tongue ties. The ped told me that it was my choice to get them clipped or not. She recommended that if I was heartset on trying to breastfeed then she could clip them to improve chances of success. However, if I was planning on bottle-feeding then we could leave them alone and the ties would stretch themselves out. I chose to bottlefeed and the girls did not get clipped. The ties strctched themselves out just like she said they would and they have had absolutely no problems with speech or anything else.

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"dewittmba" wrote:

New to checking out this board so I hope its okay that I respond.

Both of my girls had tongue ties. The ped told me that it was my choice to get them clipped or not. She recommended that if I was heartset on trying to breastfeed then she could clip them to improve chances of success. However, if I was planning on bottle-feeding then we could leave them alone and the ties would stretch themselves out. I chose to bottlefeed and the girls did not get clipped. The ties strctched themselves out just like she said they would and they have had absolutely no problems with speech or anything else.

Thanks! He has his 4 week appointment coming up soon so I think I'll discuss it with her then. My main concern was just the speech issues. When DS2 was in the NICU one of the NP's said she has a tongue tie and I could tell by the way she talked. Limited tongue movement. But I'm assuming if she was an adult then her's was pretty bad to begin with?

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Congrats on your new baby!

Pain: could it potentially be thrush? When I had thrush it started out as a shooting pain that seemed to ease up as DS#2 would nurse but every time he latched on it was really bad.

Pumping: I worked on my stash from about 8 weeks on. Kellymom is a great resource for suggestions too. I always pumped after feedings but I know others have done it differently.

Tongue tie: Our neighbor's little girl had a tongue tie. It was not severe but they just had it clipped and she is almost 10 years old. I didn't really notice a difference in the way she spoke but I guess it was causing some other problems in her mouth. I think if you are worried about it you should get a 2nd opinion about what to do.

GL - I hope your LO goes a little easier on you and you are able to build up that stash!!

tink9702's picture
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No experience with tongue tie but wanted to add my two cents on pumping.

First question is do you respond well to the pump? I do not, so building up any sort of stash took me forever. Second question is do you want to avoid formula altogether or do you have a goal of when you would stop pumping and give formula? If you want to avoid formula and BF for a long time, building up a stash is a good idea now. Start pumping a couple times a day - I pumped right after a feeding on both sides. Your supply will regulate and make more the more you pump and nurse. Good luck!!

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:lurk:
I have experience with both pumping and tongue tie!
DD2 had a tongue tie, and hers was pretty severe. She couldn't get her tongue out past her gums at all, and was completely hopeless with nursing until we had it clipped. I have been using a nipple shield, while she learns how to latch properly. She still clamps pretty badly at the beginning of the feed, then once I have a let down she latches better. So I have been starting off with the nipple shield and removing it once she is latching deeper.
Since your DS is only 3 weeks, I would expect it will take a bit longer for either the tie to stretch a bit, or for him to learn to latch properly. My DD is almost 7 weeks, and I still have the pain at the beginning. If it only hurts for the first few seconds, he isn't doing too bad and will probably get better without being clipped!
As for pumping, I find I get the most if I pump while BFing on the other side. DD usually only eats from 1 side at a time anyways. I use an old sports bra that I cut a hole in to put the pump through so I can do it hands free. Takes some practice, but way quicker and easier then BFing THEN pumping.
Good luck!