35 answers

Breast Feeding Advice

Hello, I am currently breast feeding my daughter. We had a difficult time at first because I had a c-section and she would not latch. I had to use a nipple shield to finally get her to latch. I chose to use the nipple shield given to me by the lactation consultants over formula feeding longer. We have been feeding regularly w/o shield for over a month now.

I have been having difficulty lately as my daughter arches at the end of feedings pulling my nipple with her. It is without warning and it hurts a lot. It makes my nipples very sore. I am using lanolin which helps but doesn't cure. We are also not on a good schedule so I am awake most of the night feeding her. leaving me with an hour or two of sleep and feeling very exhausted.

I am going back to work full time next week and will need to pump during the day. Last night I broke down from exhaustion...3am still no sleep, she wanted to eat again, emotional about going back to work next week, sore from the day etc. (and of course HORMONES) My husband says that he does not see a problem with supplementing with formula now, especially if it is going to make me upset like this. I told my mom about it and she encouraged me to think about stopping breast feeding with going back to work and that it's okay to not do it all.

I am not sure what to do. I want to do what is best for my daughter so I want to keep breast feeding her but some days it is so hard. I guess I am just looking for some advice and encouragement. Thanks in advance.

What can I do next?

So What Happened?™

Thank you everyone for your kind words and support for whatever decision I make. It is so wonderful to see everyone write responses to my request. So today was my first day back and I made it through, with a few tears of course. I have decided for now to continue to breast-feed, but have also accepted that if the occasional situation arises where we need to supplement it is okay because it is what is best overall. As for the pulling, I think it is due to gas, as she usually farts around the time she is pulling. Not sure how to remedy that as I burp her throughly. I must say coming home to her after my first day of work and being able to breast feed her was quite rewarding so I am happy with my decision so far. Thank you again to everyone who put their hearts out there for me!

More Answers

Dea J.,

My heart aches for you. I can't imagine going to work and leaving my baby. It has got to be difficult.

Don't suppliment for two reasons. One, it will decrease your milk supply, and Two, it is not healthy for your baby.

If your baby is not letting go, you can try various holds that don't allow her to pull far and also, put your finger in her mouth to relieve the suction, just as she starts to pull back. You probably know this, but it's difficult to give advice on breastfeeding without being right there. I would contact a the le leche league. There are support groups available and many of the women are so wonderful would love to help.

I was a career woman, but am now working at home with my children. I have 4 children, ages 16, 14, 5, and 4. You can ask me about how were are doing it.

Blessings to you dear,

T. E.
www.LovinLifeWithHomeBiz.com

1 mom found this helpful

J.,

You can make it work if you want to. I've nursed all three of my boys and had c-sections with all three (weaned at 13 months, 22 months, and this little guy is still going at 21 months). The tugging thing is normal though agree painful. It could be gas, perhaps she needs to burp, or she heard something that caught her attention. My little guy does it now still when he wants to see what's going on so when that happens, I just remove him for the moment.

You can successfully breast feed and work if that is what you choose to do. Have you tried pumping at night so your husband can give her a bottle while you sleep?

I also just followed my children's cues when they were babies. They eventually fall into a schedule. Keep in mind she is only 7 weeks old. It WILL get better but if you want to give her what is best, don't give up on the breast feeding.

Here is your advice and encouragement! :)

1. Sleep whenever you can, even if it's to take a nap when you get home from work before you make dinner or a nap right after. Whatever works for you!

2. Pump and let someone else feed her one of her night bottles.

3. Your frustration and exhaustion are normal!! You aren't doing anything wrong and neither is she. You both are still new to this and learning. Give both of you time and know that yeah, it may not be all blissful in the beginning but it WILL get better. :)

Best of luck to you.

L.

Hi J.,

I'm sorry that you are having so much trouble nursing. I also had problems breastfeeding my son (cracked, bleeding nipples and a clogged milk duct), and also went back to work when he was two months old, so I feel your pain. I spend many nights crying and exhausted. I felt a lot of pressure to quit breastfeeding and offer my son formula. I'm sure my husband, some friends and even some nurses at the hospital all meant well but their advice for me to give my son formula just didn't feel right to me. That being said, there were many, many days that I felt like giving up. Ultimately, I nursed my son until he was 23 months old. Nursing did get easier with time, but it was really hard at first. We were BOTH new at it, after all.

So my advice to you is to take it one day at a time. I used to wake up each day promising myself to breastfeed for that day only -- the next day was all new. It relieved the pressure tremendously. Trying to relax is easier said than done, but it will do a lot to put you and your daughter at ease.

Also, if you know that your daughter is going to jerk her head back at the end of her feelings, try to anticipate when she's nearly finished nursing and take her off the breast yourself. You might also try giving your daughter pumped breast milk or perhaps one bottle of formula per day, so that you can get some additional rest for a week or so. You sound like you're utterly exhausted. Try to pump while your husband gives your daughter a bottle and save the expressed milk for a nightly feeding. Ask your husband to get up for one nightly feeding so that you can sleep for a longer stretch of time. It's amazing how much perspective you can gain when you've gotten some sleep. Hang in there!

Your daughter is blessed to have a mother who wants to do what's best for her. Whatever decision you make, it'll be what's right for you and her. Don't let anyone make you feel guilty, and don't beat yourself up, okay? I hope this helps.

A little about me:

I am a mother to a 9-year-old son and an 18-month-old daughter; I work from home part-time. My husband and I have been married for almost 13 years.

Hi! First of all congrats on breastfeeding and following through when the going was tough in the beginning! Second, recognize that this is still the beginning! Although you may feel like you've had your little girl forever (my son is only 5 months & I can't remember life without him) it's still so new. I went back to work part time at his 8 week mark and I cried the week before because I was still having trouble getting out of bed before 11am. You are definitely still full of hormones and the exhaustion does not help at all. Plus, with breastfeeding a little one under 3 months, you do really need to still feed on demand and know that she will tell you when she's hungry.
Of course, breastmilk is the absolute best food for your child until at least the first 6 months, but this isn't feasible for every mom. My suggestion would be to try pumping exclusively for a couple of weeks and then see how you feel. I know that when a friend of mine went back to work, her baby wouldn't take the bottle much, and they found out that as long as mom allows nursing as much as desired by the baby when she gets home from work, there is nothing wrong with only having a few ounces during the day. Eventually, her baby got used to having the bottle and warmed up to it.
Your husband and mom are both trying to alleviate your worries & stresses as a new mom, but what it really comes down to is how you feel about giving formula vs. your own milk. If you feel ok with giving a little formula, then by all means, follow that feeling. If you don't, and would feel better overall about being a working mother if you knew your baby was getting your milk, then that determination will see you through. Allow yourself a little time to think that over, and make your decision based on your own gut.
Whatever you choose,know that it DOES get easier, & I wish you the best!!!

there is typically a growth spurt at around 6 weeks. she might very well be pulling to get more milk faster and to increase your supply to keep up with her growing demand, which will work, that is what it does naturally if you keep feeding on demand. your supply should increase quickly and she will likely stop pulling. help out by drinking plenty of water and eating well and please try to somehow get some rest, i know how impossible it can be. oatmeal can help increase your supply too, eat some with some maple syrup, the fake kind, it has fenugreek in it. if you do want to continue breastfeeding, this is an important time to keep nursing rather than introducing formula, at least for the first couple of months. as for the pulling, i recommend feeding her with one hand firmly at the base of her head so you can hold her firmly and keep her from pulling back.
J., i know how hard it can be, especially if you dont have support from those closest to you. throw in sleep deprivation and pain and it can really make you want to give up. you have to think about what you want to do. if you decide to stick with it, you can get lots of support here, email me anytime, i will be your personal cheerleader if you need one :) i have been there. the first couple of months is the hardest. if you go with it, it really does settle in soon, you are just about there. and if you really cant take it, if you are truly miserable and dont want to do it, know that you have already done a great job, and in my opinion it is more important that your time together be happy, especially when you are nourshing your baby, regardless of how you do it. do a little thinking when you arent at your worst time, and make the decision that works best for you. i will help you if you need it. best of luck to you.

What is best for your daughter is to have a healthy and rested mommy. Breastmilk is "The best" source of nutrition for her, but there are times when that is not an option--especially when it interferes with the mother's mental/emotional/physical health. Right now you are totally exhausted and you need to focus on getting more sleep before you have to start work.

Do you co-sleep? Not having to get out of bed to feed your daughter is a huge plus (even if your husband can bring her to the bed at night and take her back to her crib it'd help), because you can feed her laying down and half doze while she is nursing. If this still doesn't allow you to get enough sleep, see if your husband can take one of the night feedings with a bottle/cup (I prefer cup feeding over bottles, but many people find bottles more user friendly) of breastmilk. Taking naps during the daytime with your daughter while you are still off work is also important to recharge your batteries--have everyone else take care of the housework for now.

The arching and fussing during/near the end of feedings can be caused by several things most of which center around the belly :D : hunger (more mommy--this one's empty), gas (upper and lower); full bladder/need to poop.

With my daughter it was because she had a lot of allergy induced stomach problems--we removed soy (many people find dairy to be a problem) from my diet and she stopped pulling at my breast. It can also mean that she wants to feed more, try to catch her before she starts to pull and switch to the other breast a bit earlier. My daughter would nurse at each breast a minimum of 2 times once my supply regulated itself.

The last and most overlooked reason that comes to mind is the need for the baby to relieve herself/being wet or dirty. Near the end of the feeding take her off the breast before she starts to fuss and talk to her gently encouraging her to pee (if you are really daring remove her diaper and hold her over a potty/bowl or something) then when she settles down offer her your breast again. (Check out EC: elimination communication for more information on this.) More than half of all babies relieve themselves near the end of a feeding or soon after and a lot of fussing at the breast is because of this (imagine how you feel trying to eat and drink with a full bladder!) :D

Hmm, full-bladders can also be a reason for night waking in infants ;) They wake themselves up having to pee and fuss. Most caregivers assume they need to eat and feed them. Baby falls asleep with an even fuller bladder and the cycle starts again. Try changing your daughter at least once during/before/after you feed her at night and encourage her to relieve herself and see if she'll settle down for a deeper sleep after that.

When it comes down to it, remember that your health is the most important thing right now and if that means adding in a feeding or two of supplementation (whether it is formula or breastmilk from a friend) or switching to formula altogether it'll be what you need to do at the time to be there for your daughter.

J.- Going back to work is incredibly difficult- I'm going back in 2 weeks and I've been stressing out about it for weeks now. I think you need to do what works- bottom line. If you need to supplement formula- perfect. If you need to transition to formula all around- perfect. You've already breast fed for 7 weeks-you've done an amazing job. Pat yourself on the back and then do what will keep you sane. It will be nice to have your hubbies help once you're working if you decide to supplement. Good luck- you're doing awesome!

J.,

Congratulations on your new addition and for keeping up with breast feeding so far. That being said, doing what is best for your daughter is like doing what is best for you. Having had 2 children (boy 3 3/4 yo and daughter 11 mo) I found nursing to work the first time and not as much the second time. I fed my son breast milk (pumped and bottle fed) exclusively (who BTW did not sleep through the night until he was 6 months old) until he was almost 9 months old. He was in daycare from when he was 4 months old. He still got sick all the time and had 5 ear infections before his first b-day (even with all of the breast feeding). With my daughter I only breast fed her for about 10 weeks (then she was placed on prescription formula for an intolerance to milk protein) and I was happy she was on formula (she also slept through the night at about 16 weeks). It was alot easier to get around, esp. since I had an almost 3 yo to take care of as well. She is still home with my mom (I will be starting her in daycare in about 2 weeks, just shy of her first b-day) and has only has 2 ear infections and been sick alot less then my son.
Basically what I am trying to tell you is to do what works best for you. If you want to continue to breast feed then do so, but don't feel like a failure or like you give up if you find formula to be easier/more convenient/better for her (and you). As long as she is thriving, she will do fine either way. You are a wonderful parent and will always do what is best for your daughter.

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