L.M. asks from Elizabeth City, NC on August 20, 2010
Preparing to Breastfeed Again
When my son was born (by unscheduled C-section), it took a few days for my milk to come in. During that time, he lost about 10% of his birthweight, but since he was such a big baby, the pediatrician gave us a lot of flack and told us we *had* to supplement with formula. This lead to a series of stressors that added to my post-pardum depression. It took a long time and a lot of determination on my part, but my son eventually latched on and nursed for about 2 years never having had more than a total of 6 oz of formula while I pumped. A hard-earned success.
I am now pregnant with twins who will, for numerous reasons, be born by scheduled c-section. I was wondering if any of you ladies knew of ways I could prepare my body for lactation so as to perhaps avoid the stress and emotional upheaval of my previous experience.
So What Happened?™
So my twins are now four months old and have been nearly exclusively breastfed. (I was in and out of the hospital for a while with gallbladder issues.) One twin was born with an amazing latch and doubled her birthweight in two months. The other (twin B) has had difficulties and requires a nipple sheild to latch on, but she is gaining weight, if a bit slowly.
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E.B. answers from Miami on August 20, 2010
Yes! Pump as soon as you get into your room start pumping. I had to do that with my 2nd son (C-section) and my milk came right in. It's funny my son lost 15% of his birthweight and I congratulate you for sticking it out. I wish I did. I'm pregnant with no. 3 due in 6-7 weeks (can't wait). and I am already predetermined to breastfeed the whole year. My g/f had a hard time getting her milk in after her baby she was induced and had her vaginally. She had to pump the first hour she was in her room to get it going. That's where I learned it from. And although I did not breastfeed as much as I wanted I beleive because I pumped when I got in my room was the reason why on day 3 and 4 I was already producing 4 - 5 oz of milk each breast.
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L.C. answers from Saginaw on August 20, 2010
It will help you make more milk-making ducts in your breasts if you start pumping during the last few months of your pregnancy. Interestingly, I only just heard about this research at a workshop...this apparently brings your milk in faster (it is normal for it to take 4-6 days) and your babies will gain faster (it is normal for babies to lose 10% of their birthweights and take 15 days to get back)
Here's a piece of information I expect you did not have: babies born after mom's been on iv fluids for hours and hours are born significantly heavier than they will be in 12 hours NO MATTER HOW MUCH THEY EAT. Because their birthweight is distorted by the iv fluids that, like their mom, have plumped them up with nothing but (heavy) water.
So, your first probably didn't weigh as much as he was weighed at, and he didn't lose as much as you were told, either. If you end up on iv for any length of time this time, be aware of it and remind the pros --they know, but often act as if they don't.
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M.R. answers from Washington DC on August 21, 2010
It drives me nuts to hear that doctors tell mothers to supplement because their milk "didn't come in right away"... NOBODY's milk comes in RIGHT AWAY! Milk takes a few days to come in. In the mean time, your baby gets colostrum from the breast and the continued sucking action of THAT brings the milk in. The worst thing you can do is supplement in the first few days because every suck your baby makes on a bottle is one less suck that he/she is making on YOU to stimulate your milk production. PLEASE hook up with a local LaLecheLeague leader to answer your questions. Google LLL and you'll find someone local to help you.
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A.C. answers from Cincinnati on August 20, 2010
I had supply issues with my son, so my OB recommended that when I hit 37 weeks, I begin pumping. Even if I don't get anything, it will apparently clue in my body to begin to producing milk. She warned not to do it before the 37th week, though, because excessive nipple stimulation can trigger uterus contractions (leading to labor) in some women.
C.L. answers from Washington DC on August 21, 2010
I am a little confused by our doctor since it takes ALL women a few days for milk to come in and ALL babies lose that much of their birth weight in those first few days. I have heard this story over and over and over about forced supplementing and derailing breastfeeding efforts. There are, of course, situations when supplementing is truly necessary but the good news is you are now an experienced breastfeeder and will more likely know when your babies are latching and nursing well. I know nothing about nursing twins, however--God bless you and I hope it all goes well!
M.. answers from Washington DC on August 21, 2010
I would try Fenugreek. You can find it at a vitamin store like GNC.
Look it up online and read about it. It is there to help mommies make more milk.
I wish you all the best.
T.J. answers from Washington DC on August 21, 2010
Congratulations! I too just had twins (2.5 months old) via scheduled c-section. My advice is to breastfeed as soon as possible and as often as possible. My milk came in pretty quickly (but I was only 6 months post breastfeeding my 2 year old). If you have ample milk supply (and we know babies do not need much to eat the first few days of life) do not allow the nurses or anyone else force you to supplement (unless of course your babies need the supplement for health reasons). With that said, exclusive breastfeeding is very different with two babies and can be very stressful especially the first month. Get yourself a twin nursing pillow (EZ to Nurse) it will help a lot to tandem feed and will help you help them get a good latch. I find it easier to BF one baby at a time, but tandem feeding is going to be necessary at night and certain points throughout the day, especially with an older child in the house. Does your ped. have a lactation specialist on board? I would talk to one, let them know your concerns and go from there.Don't worry, it is going to be a long road, but one well worth traveled!
J.C. answers from Washington DC on August 22, 2010
I had a c-section bc my baby boy was over 10lbs. I was dead set on nursing. Even though baby and I were doing well nursing, the hospital staff still pressured me to supplement. I was so angry that they were trying to force me to do something that I didn't want to do. Society is {for some reason} so against bfing. Its what's best for mom and baby. Stick to your guns. ;}
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