M.A. asks from Coatesville, PA on August 14, 2010
Pumping - Coatesville,PA
My daughter is a week old and I've been breastfeeding. I am in such agony though, I'm thinking it's her latch because she demands to be fed just about 10 minutes after "finishing". So I'm guessing she's not getting enough. I don't know. The nurse, lactation consultant, and home health nurse all said she was latching great and we were doing well. But if that's the case, why does it feel like tiny knives stabbing my nipples every time she eats? She is gaining weight, so she is getting milk.
Anyway, I'm thinking of starting to pump so I can take breaks and hopefully heal a little. How does this work though? Do I put her on the breast and then pump? If so, for how long? And how long can I store the milk in the fridge? With my 18 month old I had to give her formula for medical reasons, so this is all new to me! Thanks for your help!
So What Happened?™
Thank you so much, everyone! We went to the pediatrician today to rule out thrush and being tongue tied. The ped thinks it's her latch, she's not opening her mouth enough. I'm going to contact a lactation consultant tomorrow and Tues try to get to my hospitals breast feeding support group. It is feeling a little better now that I'm trying to heal the nipples based on your suggestions. The "knives" feeling is now more like "bee stings", ha ha! Thank you again for your support, experience sharing, and advice! I have confidence that we'll get through this!!!!!!
More Answers
D.S. answers from Allentown on August 15, 2010
Hi, M.:
Massage your breast while she nurses. Keep your nipples exposed to the air as much as possible so they don't stay wet. Use oil olive on the nipples to keep them from getting irritated. Wipe the oil off before the baby nurses.
Hope this helps. Good luck. D.
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C.W. answers from Austin on August 15, 2010
I did the same thing for my DD... I just pumped instead of nursing (hand express a little milk first to rub into your nipple to avoid chafing with the pump...) I put her to breast once a day just so I could be sure that she "remembered" how to nurse. I usually fed her a bottle of milk, then when she was done I would pump her next feeding...It was a pain in the butt for a while, but not too bad. As she got older I put her to breast more and more often, and now at 3 months she is mostly on the breast. I usually pumped until my breasts were empty... and this link is the best I have seen for storage times. It has a chart on how long you can store fresh milk, and another chart for how long it is good after it has been used or thawed. GOOD LUCK! :)
http://www.askdrsears.com/html/2/t026900.asp#T026901
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A.C. answers from Houston on August 14, 2010
I am sorry to hear you are hurting so much right now. I did not finding pumping to be any more comfortable than nursing...it just creates a different sort of pain. My opinion is that you keep at the nursing to establish a good supply and teach you both how to maximize the relationship.
It might hurt, tingle, be numb, etc...but it shouldn't be agonizing. Have you tried the football hold? This is where the baby is sort of tucked between your arm and body with her feet toward your back. You support her head with the arm and hand closest to her and use your other hand for adjustment...a bed pillow (or Boppy) under her will help keep her at the right level.
I would also suggest using a warm, wet compress a few minutes before nursing. It will help stimulate your milk to come down and keep your baby from "working" the breast so much. Massaging the breast from your arm pits forward will also help.
After nursing, allow your breasts to dry naturally (or use a blast of warm air from a hair dryer) with a layer of milk. Add some lanolin or other nursing cream and then use good, breathable breast pads.
Your baby, at a week, is likely experiencing the first of many growth spurts. Sometimes it will seem as though you've grown an appendage.
Try to find a La Leche League group. You'll get lots of ideas to support your success and most welcome older children so you don't have to worry about leaving your older child.
My daughter had anything but what would be considered an ideal latch. She would suck in her bottom lip, not take what was considered enough of the areola, never nursed for more than 18 minutes TOTAL (and it was usually more like 10-14 for both sides). I never experienced any cracking or bleeeding...soreness, yes, but never anything agonizing.
Try switching up your positions a bit, keep yourself uber-hydrated, and take your time.
Good luck!
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S.K. answers from Chicago on August 14, 2010
If you are able to continue nursing for just another week or so you will probably find the pain to be quite a bit less. I just had my 4th child two weeks ago. I nursed my other three each for a year, but even though it is my 4th time to do this, each time it starts out painful. For me it lasts about two weeks, so it is coming to an end for me. In fact, today has been noticeably better than even yesterday. This past week it is the initial latch that hurts, but about 1-2 min into the feeding it feels better. If you do not have a cracked nipple and the latch is good it should not hurt throughout the entire feeding. Check your nipple carefully for a crack, look in the crease where the nipple meets the areola, that is where they most commonly occur. If you do have a crack there is a lot you can do to help it heal, I would consult a lactation specialist or find a local Le Leche League for support. I always find using a lanolin cream to be soothing and it helps prevent cracks by keeping the nipple supple and moisturized. If you are not using any yet I would definitely pick some up ASAP.
I personally find pumping to hurt even more than nursing when I am sore, so that may not help much. If you don't have to, I would avoid switching to a pumping only situation. It is a lot more work in the end and can be difficult to maintain an adequate milk supply. If you planned to do some of both, I know that many lactation consultants discourage bottles this early because it can interfere with effective nursing and potentially cause more problems than it solves. But ultimately, you have to do what works best for you.
I would encourage you to continue to seek help/support from an LC or LeLeche League, and the website www.kellymom.com is a wonderful and safe online resource. I know it hurts right now, but if you are able to stick it out just a little longer it will probably be so much better in just a week, it will be so worth it in the end. I wish you the best of luck.
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J.G. answers from Colorado Springs on August 14, 2010
Have you checked to see if you have thrush? I had that with my son, and it was extreemly painful. Have your daughter's mouth checked for the blisters, and maybe have the dr check your nipples, too. They can treat it if it is thrush, then it should heal pretty quickly. I did start pumping when we had thrush (we kept passing it back and forth), and I've always had a good let down, so I just pumped without having him eat first. I keep it in the fridge up to 48 hours (you might want to research it a bit more) but you might be able to keep it longer. Good luck, and I hope you start to feel better!
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M.G. answers from Harrisburg on August 15, 2010
Hang in there. With my first child nursing was very painful for the first two weeks but then the pain subsided and it was a breeze. I found the lanolin cream to be helpful as someone already suggested.
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L.M. answers from Norfolk on August 14, 2010
I pumped while nursing my son. I would have him feed from one side while I pumped the other. Then I would switch sides. I built up my supply and was able to store some in the freezer for emergency use. Just be sure every time your daughter is given a bottle you pump to keep your supply up.
It's going to take some time for your daughter to learn to be an efficient sucker and your breasts to learn that this is what they were made for. The initial pain won't last long, I promise. Good on you for keeping with it.
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D.S. answers from San Francisco on August 14, 2010
I am pumping for my preemie son for the last 5 months. My son would latch but never gets enough (I guess he got used to the bottles from the time he spent in the NICU). I have no experience with nursing AND pumping, but If you decide to go the pumping route,make sure you pump every 2-3 hours to make a total of 8 times/day. It is very important that you nurse/pump frequently until your supply is established. Renting a hospital grade pump also might be a good idea.
Here is some info on pumping:
http://www.kellymom.com/bf/pumping/
Good Luck!
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