giving SOME breastmilk

iVillage Member
Registered: 03-26-2003
giving SOME breastmilk
38
Tue, 05-13-2003 - 10:08pm
I am just wondering if there is a way to give some breastmilk that might not have occurred to some people. It is something that comes up from time to time with the support calls (volunteer work) I do. Sometimes we get calls from moms who have no desire to bf whatsoever and want to know the best way to dry up their milk.

We tell them all the best tricks, but usually it's a matter of time, and most moms get engorged a bit to begin with at least. When this happens, we tell them the best treatment to feel "ok" but not condition the body into producing much more milk is to just take out a tiny bit (ie by hand) to relieve the most pressure. Usually no more than 1/2-1.5 oz tops. But some moms then figure they have to throw this milk away...and some do!

This would be a way for some babies, who are supposedly never going to get any breastmilk, to get some. The mom who expresses just enough to keep comfortable, might end up giving in total, over a couple of weeks, 10-20 oz to her kid. Maybe a tad more. It's not much, but it's some.

Now my question is...is there anyone here who, if they were doing things *this* way in order to relieve engorgement after a birth, would NOT feed this milk to their child, and if so, why not? Just to clarify, I mean moms who don't need to take meds which are not bfing compatible. And if this is not how you go about getting the lactation to stop, fine, you're liable to not have any milk at all to give (though not sure how you manage...I'd be bursting milk out my eyes if I didn't extract any, LOL!), but if you did use this method ever, did you, or would you, feed it to your baby (via bottle) or not? Why or why not?

Just a thought...

Fio.

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iVillage Member
Registered: 05-08-2003
Tue, 05-13-2003 - 10:14pm
Well, going by my first birth, which I "plan" (being the operative word there) to do the same this time. I took pain medication regularly after delivery (had to!) that was not compatible with bf/bm and unless I'm wrong the birth control pills I started within 2 days of delivery were also not bf/bm compatible so therefore this option, had it presented itself, would be void for me and my circumstances.

The other thing is with my first experience I had no problems really. I was binded upon delivery and it just all went away very easily. I had a good experience I would say. So I didn't have to go to the lengths of your description.

But, aside from the two factors above, sure, if I was going to express any milk, I wouldn't throw it out, I'd give it to my baby.


iVillage Member
Registered: 03-25-2003
Tue, 05-13-2003 - 10:35pm
I know you have said you don't want to BF anyway - and I'm not arguing you on that one. I just wanted to point out that there are effective pain meds compatible with BFing. There is also a birth control pill called the "mini pill" for BFing moms.

-Deb

 

iVillage Member
Registered: 03-25-2003
Tue, 05-13-2003 - 10:38pm
I would give it to my baby - assuming there's no meds, etc. not compatible with BFing in my system. I don't see why one wouldn't, really - they probably just didn't think of it! I didn't have that problem anyway - I leaked a lot for a week or so, but was not in any pain. Also, they told me not to purposely express any. And I plan to BF any future babies anyway, so it's probably not an issue. :)

-Deb

 

iVillage Member
Registered: 05-08-2003
Tue, 05-13-2003 - 10:41pm
Yes, I've read about the mini pill and discussed it w/other bfing moms. But I really want THE birth control pill (I'm too scared to have the tubal but that is my dream right now).

Pain meds. You know, I wasn't for sure on those as I hven't really thought about it. I think I was on loratab the last time as I HAD to have something strong and effective. Tylenol or ibuprofen works as well as a glass of water on my body, pointless to take.

iVillage Member
Registered: 03-26-2003
Tue, 05-13-2003 - 10:52pm
Thanks for the post.

"I took pain medication regularly after delivery (had to!) that was not compatible with bf/bm"

Really? There aren't that many out there I don't think, that aren't considered compatible.

" and unless I'm wrong the birth control pills I started within 2 days of delivery were also not bf/bm compatible"

BCP's are only incompatible in that they almost always diminish lactation. Therefore, it is silly for a mom to take them if she wants to bf, b/c she will likely end up with "not enough milk" (the body thinks it's pg so doesn't produce milk).

"The other thing is with my first experience I had no problems really."

I would place a bet that the BCP's helped a lot. :-)

I was about ready to burst after day 3. My daughter was not able to "milk" one side well enough, let alone even touch the other side. I seriously considered trying a few days of BCP's to slow it down. :-( I was THAT miserable for a few days. But it went down before I lost it and got the RX. LOL.

My SIL was really miserable too with DS2 (not bfed at all). She was miserable for about 10 days. But she tossed her milk nonetheless. He wasn't getting any.

"But, aside from the two factors above, sure, if I was going to express any milk, I wouldn't throw it out, I'd give it to my baby. "

I would have wondered why anyone wouldn't, but I was willing to be open to hearing any reasons why one might not. :-)

Thanks!

Fio.

iVillage Member
Registered: 05-08-2003
Tue, 05-13-2003 - 10:56pm
Is loratab or percocet compatible? I don't know (not that it matters I know being a FF, but I'm sitting here tonight in this discussion and curious). I was on pain medication from right after delivery to several days after. All I know is my sil said she didn't take them due to bfing.

As far as bcp's my bfing friends have said they couldn't take them since they were going to bf'd. That the mini pill was ok, but not bcp. It wasn't a supply issue. I do remember that.

I'd use a bottle, but yes, I'm not one to throw stuff away. I'm huge into recycling ya know.



iVillage Member
Registered: 03-26-2003
Tue, 05-13-2003 - 10:57pm
Yeah, if one really wants to dry up, and one is not too uncomfortable, the best way is not to express. But sometimes it gets to be too much. Then a bit of expression is better than risking mastitis/abcesses.

I also wouldn't see why anyone wouldn't do it, which is why I asked. I totally understand if there is no expression being done anyhow. But yeah, most of the time when I've come across it and I mention "oh, and if you express, you can always save yourself a bit of money and give the ounce or 2 to your baby" I get jaws dropping and people saying they'd never thought of that! ;-)

Fio.

iVillage Member
Registered: 03-26-2003
Tue, 05-13-2003 - 11:10pm
Are loratab and percoset the same thing?

I couldn't find either, but I did find Percodan (oxycodone) which is a narcotic analgesic.

It says "lactation risk category L3, moderately safe (pgcy risk category B= Either animal-reproduction studies have not demonstrated a fetal risk, but there are no controlled studies in pg women, or animal-reproduction studies ahve shown an adverse effect that was not confirmed in controlled studies in women in the first trimester )."

Just FWIW, Advil (ibuprofen) is pgcy risk category B in trimester 1/2 and D in trimester 3. D means positive evidence of human fetal risk, but the benefits from use in pg women may be acceptalbe despite the risk (eg if the drug is needed in a life-threatening situation...).

"Similar to hydrocodone and is a mild analgesic somewhat stronger than codeine. Small amts are secreted in breastmilk. At the highest concentration, an infant ingesting 1L per day would receive less than 2% of the maternal dose. No reports of untoward effects in infants have been found although sedation is a possibility in some infants."

I don't know if Percodan is the same or not though. This goes by active ingredient and only sometimes gives trade names in Hale's book. :-(

HTH

Fio.

iVillage Member
Registered: 03-25-2003
Tue, 05-13-2003 - 11:10pm
Definitely. I had to take Percocet (sp) after my c/s. The drs. actually said I had to take it in order to be able to care for Henry, not to be a hero. And it is safe for BF.

- Ingrid


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iVillage Member
Registered: 05-08-2003
Tue, 05-13-2003 - 11:28pm
No, they are two different meds. I later took loratab for back pain and it made me so sick they had to change me to percocet. My dad is disabled and has taken both at differing times.

Percodan is a form of percocet (percocet being the lesser) I have also taken it and it is also great for pain after delivery. May be one of my options this time.



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