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Thread: Breastfeeding/Pumping support

  1. #411
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    It went well. I am sore, but doing well.

    ~Bonita~

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    Quote Originally Posted by AlyssaEimers View Post
    It went well. I am sore, but doing well.
    Glad to hear it went well! Hope you heal quickly!
    Tammy & Tom 6/19/2004
    TTC beginning 3/2005
    Angel Baby 11/13/2008
    Ethan Bradley 10/7/2009

  3. #413
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    Today Ethan ate 4 oz. mixed with 3/4 tsp. formula as recommended by the pedi at 7:00 am, 12:30 pm, 6:00 pm , and 10:00 pm. He nursed at 2:00 pm and 7:30 pm. He was hungry at 9:15 pm but I had to pump so I could mix with the formula and he cried while I did that and fell asleep, which broke my heart listening to. I only pumped 1 oz. All that was not worth 1 oz.! I was so frustrated and ended up crying myself. He has also had blow out diapers for the last couple of days. I thawed some milk out from the freezer to feed him at 10:00 pm since the 1 oz. wasn't going to cut it. He ate about 3/4 of it and then pooped. I changed him and went back to feeding him afterwards. He really slowed down eating at this point. He finished the bottle and then wet so I changed him again. When I went to throw the diaper away I was holding him and he projectile vomited alot all over the floor. He has very rarely even spit up before. Could this be because he is not used to the formula? He did have the rotavirus vaccine yesterday so I don't know if that has anything to do with the blow outs. I just wish I could figure this all out!
    Tammy & Tom 6/19/2004
    TTC beginning 3/2005
    Angel Baby 11/13/2008
    Ethan Bradley 10/7/2009

  4. #414
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    ~Bonita~

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    Quote Originally Posted by tntd View Post
    Hi! I am Tammy from the Oct. BB and was hoping that I could find some opinions or ideas.
    DS had his 2 month pedi appt. yesterday. He was 9 lbs. 9 oz. (5th percentile) and 23.5 in. long (50th percentile). The pedi was concerned that his growth rate has slowed so much because he had only gained 7 oz. in 5 weeks. I have to add 3/4 tsp. of formula to 4 oz. of EBM as much as possible each day and then take him back for a recheck in 3 weeks. This will give him 22 more calories per feeding.

    I return to work in 3 weeks and will be pumping while I am at work. Starting now how do you think I should go about pumping now that I need to feed EBM with formula in it "as often as possible"? I asked if I could just nurse him and then top off with formula and the pedi said no. I am worried that if I only pump that my supply will decrease. Right now when he wakes up in the morning I nurse on one side and pump on the other and that's the only time I pump during the day. I was thinking of maybe continuing this. Then maybe I could pump once around noon and once in the late afternoon (since that will be my pumping schedule when I return to work) and feeding the EBM with the formula during the day. Then maybe I could nurse him at night. I don't know if this would be enough formula though.

    I contacted an LC today and she told me to make sure I get 8-10 breast stimulations a day. I don't know if I will be able to acheive this once I return to work. I get a 45 min. break, which I can split up, but I need to leave my office to pump since I share so I can't pump while I work. She suggested that I pump out my foremilk, have DS breastfeed to eat the hindmilk and then follow with a bottle of EBM mixed with formula and do this 2-3 times per day. I will do this if it will help but it does seem like alot of work and I don't think it will be possible when I return to work. Then I would nurse or feed the bottle of EBM mixed with formula for the rest of the feedings. Today I have been mostly pumping and I get about 3-4 oz. from both breasts combined. Part of me wonders if I should quit BFing altogether but I hate the thought of that! Does anyone have experience with this or any suggestions?
    I think your doctor doesn't get how time consuming it already is being a mom! Why does the formula have to be mixed with the EBM? My concern is that if he doesn't eat that whole bottle you have to throw the entire thing out. Formula can't be stored once mixed, but BM can. So, if he only eats 1oz, you'd have to toss out the other 3....KWIM? Personally, here's what I'd do. I'd continue to breastfeed and pump like you have been. I would give one full formula bottle a day. Pump both breasts while he's eating that formula bottle. What does it matter if it's mixed in throughout the day? As long as he's getting the amount of formula he's requested.....you can always tell the doctor when you go back and DS has gained that you followed his plan exactly

    Some other recommendations to help you keep breastfeeding. I always feed on just one breast. This way I know she's getting the fatty hindmilk that helps them gain the weight. Are you eating all your calories everyday? It's possible that your BM doesn't have enough fat in it if you're not eating enough. I'm sure the other girls will have some great advice too. KUP and hope things work out for you guys. You should post on the Breastfeeding support board too. They are a very knowledgeable bunch of ladies GL

  6. #416
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    Well, I'm a pumper, not a BFer actually, but here is my 2 cents....

    You CAN pump only and keep your supply if you are very disciplined about doing it. It's hard, but possible. As for 8-10 stimulations, I know that's about what a lot of people recommend. For pumping moms, our local NICU says every 2-3 hrs with no more than 6 hrs at night. However, I know for me, I didn't need to keep that up for more than a few weeks. I only pump about 5x per day, sometimes 6. BUT, I seem to be an oddball in that I am a great pumper and poor BFer....and have lots of milk.
    As for pumping 1 oz only....it looks like you did that later at night, which seems like lowest production time for everyone I've talked to. I know for me it is. I get the most in the AM, then it plateaus in the afternoon but my late evening session is minimal unless I pump for a good 30 minutes or so. I'm glad to read you are pumping the off side in the morning. I like your proposed schedule, but if you can fit in a little more, that would be even better. Even 10mins is better than none. I've had to do that many times when life has gotten crazy.

    Just a crazy thought here, but could you put formula into one of those supplemental feeding systems with the little tube and have him get his formula that way while he's BFing? That way you get the BF stimulation and the joy of BFing, and he still gets some formula? It would be a bit of a pain, but probably no moreso than pumping can be.

    As for the projectile vomit, it could be related to formula, but if it's only happened one time, I wouldn't jump to any conclusions quite yet. It may just be that he had a really full tummy (yes, with something he's not quite used to in it too) and went from laying flat for the diaper change to upright...this causes my DD to hurl or spit up a bit almost every time when she has a full belly. For now, I'd keep an eye on it. If it continues, then I'd start figuring out what's up. It could be nothing, or sure, it could be the formula and you may need to change to a different one. But with just the 1 incident, you can't really know.

    Anyway, I hope that helps!

  7. #417
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    Caitlyn is now able to have my breast milk. I am still not making enough for her, but every little bit helps.

    ~Bonita~

  8. #418
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    Quote Originally Posted by tntd View Post
    He finished the bottle and then wet so I changed him again. When I went to throw the diaper away I was holding him and he projectile vomited alot all over the floor. He has very rarely even spit up before. Could this be because he is not used to the formula? He did have the rotavirus vaccine yesterday so I don't know if that has anything to do with the blow outs. I just wish I could figure this all out!

    HI!
    Just my 2 cents about the "projectile vomiting"... You said he cried for a while when you were pumping. It could have been that. Xander has done that a couple times after a good crying session. Also, he has started having "blow out" diapers too. Maybe it is the age? He does it after a day or two without a poopy, but i heard that is normal for bf babies.

    Good luck to you and your LO!
    Suz

    Me (34) DH (33) Married 12 years
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  9. #419
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    Quote Originally Posted by tntd View Post
    . He finished the bottle and then wet so I changed him again. When I went to throw the diaper away I was holding him and he projectile vomited alot all over the floor. He has very rarely even spit up before. Could this be because he is not used to the formula? He did have the rotavirus vaccine yesterday so I don't know if that has anything to do with the blow outs. I just wish I could figure this all out!
    It could just be a fluke. My DD1 did projectile puke the first few times we gave her formula. We figured out that she was just eating too much too quickly and was fine after the first few days. I agree with PP, if he keeps puking you might have to look at trying a different formula.

  10. #420
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    Quote Originally Posted by AlyssaEimers View Post
    Caitlyn is now able to have my breast milk. I am still not making enough for her, but every little bit helps.
    YEAH!!!! Congrats to you for sticking with it and doing the pump and dump. I don't know that I could have done that. GL getting back into the BF routine


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