Re: Over supply
First of all...CONGRATULATIONS!!! I have large breasts, flatish nipples and oversupply and I have breastfed 2 babies without major issues, so don't be scared. It is totally normal to be engorged at this point...if you are still getting engorged frequently in a month that is when it is concerning for oversupply. Your body is still figuring out how much milk your baby needs and will be for the next several weeks. I'm going to address your concerns one at a time so it's not a jumbled mess of my thoughts on the subject.
1. First the concern you may have a clog/mastitis developing since that is most urgent. If you are engorged already it is very hard to tell if you have a clog or just lumps from the engorgement. Is the lump still there right after the baby eats? Monitor yourself for red streaks on your breast, fever or flu like symptoms...if you see these you should call your OB and get antibiotics since that means it's mastitis. If you have a lump that doesn't go away with draining the breast, you need to try to release the clog before it develops into mastitis. I was most successful by taking a hot shower or bath and massaging behind the clog while hand expressing. Using a hot compress before nursing and massaging will work too.
2. The engorgement. When your milk comes in your breasts are very inflamed. You can take ibuprofen to help with the inflammation I also liked to use wet prefolds that I put in the fridge as cold compresses every hour or so. It helped with the pain associated with the inflammation. It is important for you to keep yourself comfortable and your milk moving to prevent milk stasis. However, you want to avoid emptying your breasts by pumping if your goal is to eventually have a supply that matches what your baby wants to eat. If you are engorged and pumping to relieve it, try to only pump enough to soften the breast until it is comfortable and no more (for me that was about an ounce). You can do that whenever you need to without stimulating more milk production.
If you really want to stimulate an oversupply for milk donation more power to you! It is a big commitment and labor of love, but was more work than I could handle. Keep pumping!
3. Latching the baby on a big breast with a small mouth. My DD was 6#s and had a small mouth, plus I had large, engorged breasts and flat nipples. You can acheive a good latch without a shield, but a LC can help a lot with techniques. Pinch the nipple at the bottom of the areola and wait until he opens WIDE then stick the nipple in as deep as possible. If it isn't a great latch take him off and try again...even if it takes several tries every time. Practice makes perfect. You can google Dr. Jack Newman Asymetrical Latch youtube videos to help with technique
wife to Kyle
and mommy to Julia
2/15/2010 and Clara