Feeding frustrations - help! suggestions anyone?!

iVillage Member
Registered: 02-11-2009
Feeding frustrations - help! suggestions anyone?!
20
Fri, 07-15-2011 - 6:49pm

The AFM Update on the feeding situation... if anyone has any thoughts, suggestions, encouragement etc. I'd love to hear!

Where we're at:

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iVillage Member
Registered: 08-04-2003
Fri, 07-15-2011 - 9:25pm
Hhmmm... well to start I don't see a problem in runny poop. Teddy's is almost always runny, very few "seeds". Sure gas is an issue as it bothers them, but is this something that could be fixed by more burping? Burping different ways? Gas drops? Remember BMs from formula and BM are different, so you can't compare the two.

Ideally you want to be pumping 6 to 8 times a day to maintain supply.

Also, your breasts are never emptied... think of it as trying to empty a river, you just can't. The more the take the more you make. I've (obviously) never BFed twins before but I would start each on one side and then switch sides after 20 or so minutes, but then at the next feeding start them on the breast they just left.

I've heard with premies that once they hit their due date (or there about) things start to change.

And don't worry about not having a schedule... most babies don't get on one until 4 to 6 months AFTER their due date.

You are doing great.... and any BM is a wonderful thing. You can do it!!! Keep up the good worlk.
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iVillage Member
Registered: 12-23-2003
Sat, 07-16-2011 - 4:35am
I totally agree with everything Kate said:)

I think people would like breastfeeding to be a sort of very clear science when it isn't. It is so hard because with a bottle you know exactly how much they got BUT if they are feeding from a breast for 20+ minutes they definitely are not just getting foremilk!!! A sign of only getting foremilk is bright green poos.

One suggestion my midwife gave me when Teddy was a lazy nurser right after coming out of the hospital for jaundice was to pump for 2 minutes before latching him on as then he was more likely to get hindmilk- but this was when he would nurse for about 2 minutes and stop- not 20 :)

You are doing a great job! Trust in your body- it sounds like they probably would do fine on just breastmilk but do what you feel comfortable with.

I think the gas and runny poos are SUPER normal! Teddy had runny poos for months until his digestive system started really working correctly. Everything just takes a while to start working just as it should and normally breast milk is the absolute easiest on their tummies and systems.

It will keep getting easier as they get older- try not to doubt yourself too much:)
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iVillage Member
Registered: 10-11-2005
Sat, 07-16-2011 - 11:24am
What everyone else said, breastfeeding poops are suppose to be runny, if they are more peanut butter in texture then it is almost more of a problem then runny, at least until they start solids.

Also if you are really worried about how much foremilk they are getting just give each of them a boob, it will be the ultimate in block feeding. Though it really shouldn't be an issue after 20 minutes or nursing they should be getting hind milk anyways. I am more worried about block feeding mine they only nurse for 4 or 5 minutes every 45 minutes or so, at which point I only switch breasts for them after 3 hours or so.

Also as for their being milk after they are done nursing, that is normal as well as has been said. Your body produces milk, it doesn't have a limit, like oh I only produce 2 ounces an hour and then cut off until it is empty. Your breasts continue to produce milk as long as they are nursing and will make even more when you pump, pumping really doesn't tell you your supply levels either, since a baby is much more efficient at removing milk then a pump ever will be.

Hopefully it will get better as they hit their due date, but you probably can relax some about the nursing, I know it is hard, and I would guess especially with preemies, but just take a deep breath and think that if they are nursing for 20 minutes, though you can't measure it they are probably getting all they need. Especially with them spitting up the bottle you give afterwards, it might not be lazy feeding at that point, it might just be their little tummies are full.

As for a schedule, good luck on that one, we are just starting to almost fall into one now at almost 4 months, and even that isn't constant. Babies set their own schedules till at least 4 to 6 months most of the time. By the time they hit 6 months they should have a pretty good schedule down all on their own, that will likely change every few months just because.



Thank you for the sig Mary

iVillage Member
Registered: 04-29-2008
Sat, 07-16-2011 - 2:18pm
HUGS! I had to pump with Evan until he finally started nursing (he refused for the 1st month or so).
Have you tried an SNS? It is a tube (attached to a bottle you wear around your neck) that you can tape to your breast - it supplements while you BF. I used one with Evan, and I think Erica is using one right now. It should eventually increase your supply (the more actual nursing as opposed to just pumping, the better), as well as eliminate the topping off step (though you may still have to pump). Here's the one I used: http://www.amazon.com/Medela-00901S-Supplemental-Nursing-System/dp/B000NEDGB8/ref=sr_1_2?ie=UTF8&qid=1310840128&sr=8-2
You can also try breast compressions to get them sucking again if they start nodding off, or to encourage them to keep sucking.

As for the gassiness-it is possible they have an intolerance, but as you said, it could be just the extra iron or immature digestive systems. I don't know if there are any hypoallergenic formulas (like simulac ailmentum for example) for preemies, but switching to something like that could help eliminate that possibility. I'm dealing with a corn intolerance with Anna-it causes gas discomfort and constipation (less pooing, but runny), and Evan couldn't tolerate dairy or wheat-(both gave him gas pains) as a baby-but food intolerances run in my family...
GL!
iVillage Member
Registered: 02-11-2009
Sat, 07-16-2011 - 3:53pm

Thanks ladies... what you've all said so far is helpful and is making me think that maybe a big part of all this is just my inexperience as a new mom. Neither of the girls had had runny poops and then both in one day, practically at the same time they had them. I hadn't seen it before so I probably just jumped the gun in worrying about it. Maybe it was something I ate or maybe things are starting to run more smoothly in their digestive tracks (after that, Juliette starting pooping more frequently as well, when she'd been a once every day/every other day pooper before that).

Sadly I think the thing that set me off on this whole "I'm not making enough milk"

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iVillage Member
Registered: 08-04-2003
Sat, 07-16-2011 - 7:52pm
It is true some breast types and shapes don't make as much milk as others... mine being one of those, but I (thankfully) don't have that issue.

Sounds like you've gained some confidence. Yay!!!!
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iVillage Member
Registered: 08-24-2005
Sat, 07-16-2011 - 8:39pm

Andi, I agree completely with what the other girls have said. Great advice there!!! The one boob for each sounds like a good plan, just remember to rotate them because it happens that one breast makes more milk than the other. Oh! Also, my aunt who BF twins told me that she kept a notepad close to her rocking char, so she could write down wich boob to wich baby and for how long,

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iVillage Member
Registered: 09-12-2008
Sat, 07-16-2011 - 9:46pm
You've gotten a lot of great advice here. I agree with the block feeding. I have a friend (who is also a LLL leader) and that's how she nursed her twins (and they initially had to supplement to get out of the hospital but are still nursing now at 17 mos!).

Have you reached out to your LLL? Many leaders make housecalls. Go to www.llli.org to find one near you.

And don't listen to the LC. Just go with your instinct. The most important rule of BFing is to keep nursing, via baby or pump (I pumped for a year so I totally feel your pain!!) so that your body will keep making milk.

GL mama - you're doing a great job and hopefully these struggles will all be a distant memory soon. :-)

iVillage Member
Registered: 09-08-2007
Tue, 07-19-2011 - 5:57pm

I agree with everyone, including you, LOL, it sounds like lack of confidence might be your biggest problem.

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iVillage Member
Registered: 06-20-2008
Tue, 07-19-2011 - 6:46pm

I think you've already gotten lots of great advice Andi so I'll just add that you are doing great and are such an awesome mom to your girls.

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