New with questions

iVillage Member
Registered: 04-22-2006
New with questions
9
Thu, 11-11-2010 - 11:33am

Hi everyone!

My name is Alyssa and my DS (Evan) is just over 3 weeks old. He was born at 34.5 weeks, and spent his first week in the hospital due to glucose, jaundice, and feeding issues. I have been pumping since he was born, and have also been attempting to BF. The BF is not going so well. We had multiple LCs and nurses at the hospital try to help us out. He can latch very well, but his suck/swallow technique is not well developed. He will nurse for 30-40 minutes, but then be hungry and take a full bottle feeding (right now, just over 2 oz) right after.

I find BF'ing is getting more and more frustrating. Most times we try I (or both of us) end up in tears. Other times he'll do what I explained above, and nurse forever but still be hungry. I keep getting advice from all sorts of people, but it's actually making things worse (and making me feel worse too).

The pumping is going well. My supply is higher than his demand, so I have a few bottles of milk in the fridge ready to go. This may sound strange, but I feel more connected to Evan when I feed him by bottle than by breast. Probably because there is no pressure to have a "successful" feed and I can just enjoy being with him. So, I am considering EP'ing, since it seems to work the best for our situation. I do have some questions about it though, so would love your input/suggestions!

1. How/when did you decide to EP? I know I'm just at 3 weeks PP, so there is still a good chance BF'ing could work -- I'm just wracked with guilt about how long I should keep trying.

2. I am pumping about every 3 hours. It would be great to reduce the number of pumping sessions in a day, but I don't want my supply to go down. When would it be okay to start decreasing the number of sessions?

3. How much EBM does he need in a given feeding/day? I saw on Kellymom that the typical range is 20-30 oz/day for babies that are 1-6 months old. Does that sound right? Is it different for premature babies?

Any other thoughts/advice would be much appreciated! Thanks in advance!





Powered by CGISpy.com

<
iVillage Member
Registered: 10-14-2010
Thu, 11-11-2010 - 11:49am

Welcome!

Photobucket</

iVillage Member
Registered: 04-12-2010
Thu, 11-11-2010 - 2:17pm

congrats and welcome to the board!

iVillage Member
Registered: 05-04-2009
Thu, 11-11-2010 - 2:46pm

Hi, and welcome to the board! Congratulations on your new baby.

I think it's great that you have such a good supply. EPing versus nursing is such a personal decision. In my opinion, if you feel like you're bonding better and more relaxed by EPing and bottle feeding your son, there's absolutely wrong with EPing. I have read of a lot of premies who couldn't BF very well latching and nursing like pros when they're a little older, so maybe you could EP for now and talk to LCs about how to keep practicing so you have the option to BF later? If you think you might regret the decision to EP later, it might be helpful to keep the option open. On the other hand, there are definite advantages to EPing, and in the end both EPing and nursing are both wonderful for your baby. I think EPing and nursing moms both deserve to be commended equally for making a tremendous commitment to their babies. :)

1. I decided to EP around 8 weeks in, I think. I started out trying to nurse, but my daughter hated it most of the time. Occasionally, she would latch and nurse just fine, but most of the time, it took my DH to help her latch and stay on long enough to get the milk flowing. She usually screamed and acted like we were torturing, which made me cry. I got thrush around 6 or 7 weeks post partum, and EPed for 2 weeks without even thinking about trying to get her to BF. It was just so nice not to have to fight with her, and all I really wanted was for her to have BM.

2. Ideally, you would keep going 8+ times per day until 12 weeks post partum. Keeping as many pumps as possible in these early days will help your supply in the long run. However, many ladies who already have a good supply during the first 12 weeks are able to drop pumps earlier and still produce more than their babies eat long term. Pumping doesn't have to be all or nothing - if dropping pumps keeps you sane and makes you more willing to pump long term, then dropping pumps is probably the right decision, even if it means you might have to supplement with some formula eventually.

If your supply drops, you can increase it, even later in the game, but it is easiest to boost your supply during the first 12 weeks.

3. The info on Kellymom is right. My daughter has averaged 26 ounces per day, but her intake can swing drastically depending on teething, solids intake, etc. I don't believe the feeding requirements are different for preemies. Most peds seem to recommend feeding as much as the baby wants to eat.

Here's the link to the Begginer's Thread, where you can find more info about how much BM babies drink (and a lot more info about EPing): http://messageboards.ivillage.com/n/mb/message.asp?webtag=iv-ppexcluspump&msg=31119.68&ctx=0

-Jenn

Mom to Ashley Elizabeth, born 11/3/09

iVillage Member
Registered: 08-05-2010
Thu, 11-11-2010 - 2:55pm

I think the best tip is to think of it one day at a time. Set daily pumping goals such as, I will pump 8 times today, instead of long term goals like, I'm keeping this up until the baby is X number of months. It can be so exhausting at the beginning that it can feel impossible to think of doing it for 6 months or a year. Once you get past the 12 week hump and have a strong supply, it will get easier as you drop pumps.

Check these out:

Beginners Guide

http://messageboards.ivillage.com/n/mb/message.asp​?webtag=iv-ppexcluspump&msg=31119.68&ctx=0

iVillage Member
Registered: 11-11-2010
Thu, 11-11-2010 - 7:23pm

Congrats on your new baby! First of all do not feel guilty, you are doing what is best for you and your baby. I felt the same way I had my first baby 9 weeks ago and I was going to try and bf all of my bf friends say oh it's so easy. Well let me tell you at 3 weeks into it it was not easy for me or my little girl. First of all she had jaundice, secondly she would not latch, thirdly it took 6 days for my supply to come in, and lastly I had to use a shield to get her to latch. Try getting a screaming baby to latch and then finally get her to latch then she stops and crys and knocks it off. So to make the story short I decided to to Eping at 3 weeks, I started pumping every 3 hours for 15 minutes. She would eat every 2-3hours at 3 weeks about 2 ounces, then at 6

iVillage Member
Registered: 04-22-2006
Fri, 11-12-2010 - 12:27pm
Thank you everyone for the warm welcome and all the awesome advice. The Beginner's guide is wonderful! What a great idea to put all of that in one place :)

I do have a couple more questions for you ladies:

1. When did you start freezing milk? Right now I probably have about a couple days worth of milk in the fridge. Should I wait until I have over a week of supply in there before I freeze any, or should I start freezing now?

2. How do you handle pumping when baby needs you? This may sound like a weird question, but right now DH is at home too so he can tend to the baby if they need to be fed/changed/held while I'm pumping. But, I'm totally worried how I can handle doing it all myself - especially in the middle of the night!




Powered by CGISpy.com

<
iVillage Member
Registered: 10-27-2007
Fri, 11-12-2010 - 3:24pm

Hi Alyssa,

Congrats on the new baby!

~Em~

Mommy to Nate and expecting a little girl Nov. 2012

iVillage Member
Registered: 10-14-2010
Fri, 11-12-2010 - 9:03pm

1.

Photobucket</

iVillage Member
Registered: 04-22-2006
Sat, 11-13-2010 - 10:06am
Thanks ladies!

Emeless - I was on the NQE board and then the newly engaged board in 2007/2008, so it probably is me you're thinking of! Thank you for sharing your experience, especially since it was so close to mine. It's nice to hear that EPing is working out for you! Right now doing this for months seems daunting, but I'm trying to just take it one day at a time. Thank you for the suggestion to try freezer milk with the baby before I freeze a ton of it just in case he doesn't like it.

emd2004 - I know what you mean about your fridge looking like a dairy! I'm looking for ways to streamline the process, and the Milk Mate rack sounds like a great idea. It also sounds like I need to start trying to pump hands free, so that I can feed baby or do other things while pumping. Right now it just feels like lost time!




Powered by CGISpy.com

<