Breastfeeding and Working

I breast feed my twin girls too. I had so many obsticles but it was well worth it. My first obsticle was one of them had latching on problems and did not want to breast feed. I was supplimenting with formula for her. The second was going back to work the girls were 6 months old I was trying my hardest to pump but it was too hard I was a 911 operator. I decided to go to the natural food store and they gave me somethings to help, gosh cant think what it was i know one was fish oil pills, but there is something eles, cant remember. I then decided to stop pumping because it was stressing me out and cutting my supply even more because of the stress.
So once I cut it off, I would get off from work and breast feed strickly. Low and behold it worked my body did it, it roduced milk when I needed it too.
So I breast fed at home, but while at work they had formula.
Then I stopped at 9 months but started back up at a year again because the Isa the baby that was not latching on properly at first wanted to breast feed again and somehow doctor cant figure out how but my body began producing milk again and I successfully began to breast feed the twins for another 4 months.
Then I met the things called teeth WOW!
I had a hardtime with my breastfeeding the twins, honestly it was more stressful then anything eles, and honestly I wish I wasnt so convinced that it was the only way if I could change it I would. I would have not gone through all of it and once my milk started going low I would have stopped.
I guess what I am saying is good luck but if it because too stressful decide if it is right for you, because remember you are a working mommy is a demanding high stress field already.
Aloha

You might be able to rent a hospital grade pump from the nicu. I havent used them personally but the LLL told me they are effective in building a milk supply.

I had the same problem when I went back to work when my daughter was 4 mo., only for me there was light at the end of the tunnel. Unfortunately my milk supply dried up completely somewhere around 9 months. It was very hard on me emotionally, as I wasn't ready to wean.

Looking back, I wish I had seen a lactation consultant rather than just researching online. Also, in hindsight, I realize I nursed as long as I physically could & I'm proud of that. My daughter is now over 2yrs. old & is one of the healthiest babes I know. She's only been truly sick 2 times. So while I encourage you to do everything you can to continue nursing, you need to realize that if you should have to cut back or wean that you did the best you could & should be proud of yourself!!!

My lactition consultant said that a baby could get milk from you even if you thought you were dry. Though it is true that your milk roduction will slow if there is no demand for it. I've also read somewhere (don't remember where) that once a woman has breastfed, she could start again if there was a need. That is how some adopted babies can be breastfed. It's something about the way a baby sucks...not sure.

Anyway! As long as your baby is growing normally and not loosing weight drastically, then most of the time they say don't worry about it. Just pump when you can.

Where as I don't know the stress of a working mom, especially an ER RN...I do know that I used to worry I wouldn't have enough to feed my large baby boy. But he's fine, grows like a weed and was excuslively breastfed til 6 months, then we added in solids and water. He's about 9 months now and is about 25 lbs. and I think about 30-31 inches long/tall.

Welcome to the wonderful Magic Valley! I too work (although I'm off due to maternity leave) at SLMVRMC in the Transport department. I'm working there on a PRN basis while attending the RN program at CSI. I've finished my first year, and will be picking up with the second year in Aug. 2007, after this baby is born and a bit older. I am 35 yoa, mother of 3, almost 4, wonderful kids. Being a mom is my #1 love in life.

On the breastfeeding and working, I did the same and found it very difficult to just take a break to pump...(excuse me sir...I know you need to go to CT, but I need to go pump) It is very hard to keep your milk supply up while you're away from baby, as pumping just doesn't seem to empty the breast as well as a nursing baby. I did, however, talk to the nurses in the NICU and was able to use the pump they have up there during my break time. It was much quicker, and seemed to empty my breasts much better. I would then save any pumped milk and use it to supplement, rather than using formula. That way my son remained exclusively breast fed, even if the breast milk was from a bottle. There were also times when my husband would bring baby in for a feeding when he could...which also helped.

Best of luck to you and I hope everything works out for you! I know how very rewarding and special breastfeeding is. I've nursed 3 babies for the entire 1st year of their lives, and have very healthy happy kids. The bond is incredible.

My supply started to slow when I got my BC. I was told to try oatmeal (not instant) and molassas. I'm not a fan of oatmeal so I made quite a few cookies. With the molassas I would take a large spoonful and mix it in a glass of milk a couple times a day. It made the milk taste almost like maple syrup but my supply increased alot!!

Hi S.,
My name is H. B., I am a certified lactation consultant. I have over 12 years breastfeeding education and 4 years bf, 2 children. I don't think I have done something as hard as pumping. I had never been able to exclusively bf either of my children. I was lucky enough to be able to bring both children to work with me until they were 6 months old. Yeh, Good and Bad! Though I never had any problems bf in public and what comes in handier than latching your own infant on the breast for examples of positioning, while teaching bf classes. I had tought BF for 2 years prior to having my first child. I thought everybody should bf and if they don't they are either selfish or uneducated. WOW! What an eye opener. I believe everything happens for a reason. I worked with my first infant for 3 weeks feeding with an eyedropper, and crying at my work place( my lactation consultant) because my baby wouldn't bf. I also had the problem that no matter what kind of pump I used, It just said" who are you kidding?" I have rented the medela and have used the hospital grade pumps. Both of my children had problems with failure to thrive. Both were supplimented with formula, both bf till the age of 2, I chose to wean at that point.

I think the metoclopramide or reglan, or dopermine is another option. I have used mediclopramide to induce a milk supply for adoptive moms and for low milk supplies for children going into surgery. I took it for 3 weeks and wow did my supply increase. This is usually a last effort due to the possible side effects. I had a chioce at the time. I could take it or my infant could due to her failure to thrive. She gained amost a pound in the month it was used but I suffered terribly due to the side effects. If you can find a physician to prescribe it ( your in the right place and you probably know people ) and you can deal with the side effects than this should work. I still would try to recommend a bathroom break, well maaybe not in the bathroom but even if you can find 2-5 minutes to pump if you are feeling full. When you get engorged, this tells your body to stop producing milk, then with decreased stimulation decrease of milk supply. My heart goes out to you! But, You have done so much, so far. Alot of mothers want to breastfeed and are not able too. 6 months, wow!!!!!!!!!!
I'm so proud of you! I did continue pumping at work for 3 months and what a waste of time, most people would say.(Including my bosses who promote breastfeeding.) I would double pump 3 times a day with an electric medela and I would get 1 oz each time. 3 oz. of milk, is it really worth it? It was to me. I increased my breastfeeding on the nights and weekends. Don't be surprised if your infants starts waking more frequently in the middle of the night. They have a way of changing thier Bf times and amounts to suit thier needs.If your child is not getting enough pumped bmilk, your at a really nice age to start supplimenting with food, go slowly if your just introducing. Formula (I have been forced to learn) is a safe, alternative, effective way to feed your infant. Or just suppliment with. You have nothing to feel guilty about! You sound like a greeat person and a hard worker and thats what makes a great mom. Also, this may make you alot more simpothetic(sp) when a nursing mother comes into the emergency room needing help. Some medications may not make it possible to bf. So, take into account your situation and realize where you can learn something that may help someone else in the future. You may not be able to change the fact, that sometimes it is not recommended or possble to breastfeed and it will allow you to empathize about what your patient may be feeling. Even if its just engorgment, or loss of being able to continue breastfeeding. If you need additional info. I can fax you a sheet about the medoclopramide/reglan. Dr. Jack Newman is an excellant source of info and support. He also has info on dopermine as another medical chioce. You can get alot of info on him or sources from the internet. I have a phone number from 1997, probably has changed but if you want to try to contact ____@____.com would be a great choice to start getting medical info in case you decide to take this route and run into resistance. Not everybody is supportive of breastfeeding. Good luck and email me a personal note if you need extra info or help! Good luck and thanks for being a nurse! There are not enough of you out there!

H. B.

I just wanted to offer some pump advice. I have a five year old and a 2 month old. With my first and for a little bit with the new baby I used a manual pump (Medela, which is a really good brand) that was completely useless. I would pump for a half hour and maybe have 2 ounces. The lactation consultants at my local hospital told me that WIC provides double electric breastpumps to women on WIC who breastfeed exclusively and will be away from their babies for more than 20 hours a week. With an electric breast pump, I can pump 2 ounces in five minutes from just one breast! It is so much easier than manual. Since your milik supply is generally more in the morning, for my son's first morning feeding, I feed him on one side and pump on the other. (It takes a little juggling with pillows and practice). Letdown is quick because my baby is nursing, compared to pumping without my baby present. I am using a double electric pump from Medela. Good luck.

Hey there, I thought I'd write because I have a 14 month old daughter who I had to stop breastfeeding before she was a year which was not how I'd planned it. I had to go back to work when she was only two months old, I was a waitress, but much like your job I never knew when a customer was going to come in and I had no set breaks so finding enough time to pump was tricky.At first it didn't seem to affect my supply but after a while I had a definite decrease and by four months we already had to supplement with formula. When I asked my doctor for suggestions she pretty much said the best thing to do was to make sure I was constantly taking in fluids. She also said that for some women, no matter what they do, their milk supply will naturally dry up before the baby may be ready to wean. My milk was gone by the time she was ten months. It was a bummer for me but she did great. She's 14 months old and only had one small cold since she was born which her pediatrician said is almost unheard of and most certainly do to the fact that she was primarily breastfed the first 6 months. So don't feel too bad. Your daughter will love you just as much no matter how long you breastfeed and there are pleanty of other ways for you to continue connecting with her. Also, I'm from Chicago so I don't know if this exsists here in Utah but try contacting the La Leche League. It's a helpline/support group for nursing moms. Good luck!

I just want to say hang in there. When I had my daughter I was able to breastfeed longer because I supplemented with formula. My husband and I worked it out so that we both got to spend time feeding her & we both got to sleep. I wasn't working, but I have bipolar and what I needed was more sleep, so maybe supplementing will work to help fit your needs too. Best of luck, it is well worth it.

Hi S.. I am also new to this area and also a nurse! My daughter is 19 months old and I breastfed her for her first year. I pumped at work as often as I could, 2 times in a 12 hour shift at first and then just once. The funny thing was, as much as I pumped I NEVER got as much as she was drinking while I was working. I tried to pump on my days off in the morning and at night to stock up, but eventually I just gave up and she took formula when I was working. Amazingly, I always had enough for her on my days off, I just didn't get as much pumping. It's odd but if you have to supplement with formula just go with it! As good as those pumps are (mine almost jerked me off my chair the first time!) they just don't work as well as the babies do! My guess is that you will be able to keep breasfeeding even if your supply seems low at work. Best of luck to you! I am new to the area so I am not quite sure where you work..right now I work at the LDS hospital in Salt Lake but I am agency so maybe I will run in to you somewhere! A.

S.,
My sister is going through your same predicament. She also works as a nurse, has a crazy schedule and has tried to juggle pumping for her daughter who I take care of 50 hours a week.
Due to time limitations, she just couldn't do it. Now when she drops the baby off with me she'll give me the one or two bottles that she was able to express and formula for the rest of the day. She felt guilty about it initially but there was just no other way. The baby adjusted to it beautifully and all is well.
So, if you do have to go the formula route, don't beat yourself up too much because sometimes the only other alternative is working less and not everyone can do that!
Good luck.

HELLO. I AM ALSO A RN AND I HAD COULD NOT GET MY 9 MONTH OLD TO NURSE. EVEN AFTER 3 LACTATION CONSULTANTS AND TRYING FOR 2 MONTHS. MY MOM IS ASLO AN NICU NURSE AND TRIED, AND SHE CAN GET ANY BABY TO THE BREAST. I ENDED UP PUMPING FOR 6.5 MONTHS ENTIRELY. AFTER ONLY BEING ABLE TO PUMP, YOUR MILK SUPPLY WILL DECREASE! AND AFTER I WENT TO WORK I COULD NO LONGER PUMP EVERY 3 HOURS, SO MY MILK SUPPLY REALLY DECREASED. I WENT ON REGLAN, AND IT DEFINITELY INCREASE MY SUPPLY. I KNOW IT IS AN MEDICATION, HOWEVER I HAD NO SIDE EFFECTS, NEITHER DID MY LITTLE GUY. I WAS TAKING 10MG 2-3 TIMES A DAY. THE LACTATION CONSULTANTS HERE DO RECOMMEND REGLAN IF SUPPLY CAN NOT KEEP UP. ANY WAY WORKING WITH THE PEDS AND NEOS THEY HAVE SAID THAT THE FORMULAS NOW DAYS ARE BETTER THEN THEY USED TO BE, SO HOPEFULLY IF YOU DO NEED TO CONTINUE WITH FORMULA THAT EASES THE MIND! GOOD LUCK