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Old 03-07-2012, 08:26 AM   #1
Belbaby3728
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Frustrated

Background: my now 10 week old DD was born 5 weeks early. No issues, she was 6lbs 15.5 ounces. She's been a very high needs baby from the start, we've only just been able to start putting her down for short periods of time (10-20 minutes) without her starting a screaming fit and its still very hit or miss. She's been EBF with exception of 1 ounce formula they gave her first hour of birth because her blood sugar was low (didn't give me the option of trying to feed her first).

She has never been a frequent pooper and fell into a once every 5 day pattern that she follows to this day. Only time she has gone sooner were once when a medication I took gave her tiny bout of diarrhea, and after a 2 day straight feeding marthon during 6 week growth sprout.

I went back to work last week (just 2 days a week) and was only able to pump 6 ounces a day (pumped every 2.5 hours while at work- 3 times total) while she ate 12 ounces by bottle for her dad! 3 ounces, 4 bottles every 2 hours and still ate like crazy when I got home. The following day she pooped 2 times (and 2 days early on her 5 day schedule) which made me wonder if she ate more than she needed. We are trying a new bottle this week (have Dr.Browns gonna try Breastflow) to see if it will slow her down and still fill her up well.

So here's my frustration- I hate pumping and it frustrates me more when I only get maybe 1-1.5 ounces from each breast each time I pump. I pump anywhere from 10-15 minutes (I tend to only have one big letdown each time I pump) I have tried pumping longer to no avail. I can't really pump more frequently while at work. On my days off I pump at least 3 times a day (or night) to keep my freezer stash up. Last night she only ate off one side prior to 530 so I thought good I can really pump the other side while she eats and I still only got just shy of 2 ounces and I pumped 20 minutes. I thought I would have got more than that!

I can't help but wonder if that's the max my breasts hold at any given time? She will still eat like a newborn when I am home- rarely goes over an hour without eating and will stay on my breast for hours by hours still so I wonder if that is how she gets all she wants/needs when I am home-rarely just takes it all as soon as they start to fill.

I was taking fenugreek and didn't see much difference, have recently switched to more milk plus and I'm not sure if its working yet but twice now I have pumped 1.5 ounces from one side while she nurses the other- I can usually only get 1 ounce that way so it may be helping some. I guess my question is does it seem like I should be able to pump more than that? Does my supply sound ok? I worry she'll run out of milk while I work since she ate so much but she may not need it all (we're gonna keep experimenting there) but I should be ok for 2 days if I keep my freezer stash going by pumping on days off too. But there may be some weeks that I work more than 2 days too.

For reference, birthweight 6lbs 15.5oz, dropped to 6lbs 2oz, up to 7lbs 13oz at 1 month and 9lbs 7oz at 2 months so she's growing/gaining. Plenty of wet nappies and when she poops its normal (peanut buttery if you will) so not constipated either.

If anyone has thoughts or suggestions or perhaps I just need reassurance that this is all fine/normal, I appreciate it! I just always wonder as I read moms who pump so much more when away from babies and talked with my cousin who now at 15 months breastfeeding pumps what I pump-ha she could pump double at my LO's age...

TIA

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Old 03-07-2012, 08:27 AM   #2
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Also I do consider that her prematurity may play part in her always eating still!

Sorry for the long post!!
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Old 03-07-2012, 10:37 AM   #3
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Re: Frustrated

Look at Kellymom.com for how to feed the breastfed baby. Breastfed babies average 25-32 oz of milk per day. 12 oz of milk in 6-8 hours could be too much for your baby.

Your supply sounds fine. Most moms pump about 1 oz per hour away from their babies. Kellymom.com also has other suggestions for boosting supply, including eating oatmeal.
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Old 03-07-2012, 02:07 PM   #4
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Have you checked you pump for good suction and right sized shields? That can make a huge difference in ounces pumped.
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Old 03-07-2012, 03:56 PM   #5
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It has adjustable suction and works fine (ameda purely yours) and the shields I think are right size. I did try larger at one time and no difference noticed. My nipples don't rub the sides or anything so I think the fit is ok.
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Old 03-07-2012, 07:18 PM   #6
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Re: Frustrated

Most moms will stop pumping when the milk stops (after 10-15 minutes) but really, you should pump for a full 20 minutes, even if nothing more is coming out. The stimulation is very important to signal to the breasts that even though milk isn't coming out, more is wanted so they will make more.

When you took Fenugreek, did you smell like maple syrup? If you are taking enough, you should. You should take at least 3 capsules, 3 times per day (9 capsules total) and if that isn't giving you enough results, you can take 4 capsules, 3 times per day (12 capsules total). Fenugreek tends to work best when taking in combination with the herb Blessed Thistle. It makes for a lot of capsules to swallow but the results tend to be better with both herbs.

Here is a link to kellymom.com about herbs to increase milk supply: http://www.kellymom.com/herbal/milks...bal-rem_j.html

Also, like tibeca said, your LO might be getting too much milk while you are away. As a general rule, a breastfed baby should be getting about an ounce for every hour that they are away from mom, given that mom is breastfeeding right before she leaves and as soon as they are reunited.

As far as how much you are pumping, that sounds pretty normal. Its always reassuring to be getting more but the amount you are getting with the pump is good. You should watch these videos that were produced by Stanford University on maximizing pumping output. They are very, very good and I have seen them at several lactation conferences I have attended for continuing education.

Best wishes, Mama! You're doing a great job!
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Old 03-08-2012, 05:26 AM   #7
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Thanks everyone. And yes I smelled like maple!! I was taking 2 capsules 4 times a day. Will see how the more milk plus works till that bottle is gone. Im sure your all right that its fine, just a first time mom worrywart!
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Old 03-08-2012, 09:39 AM   #8
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Re: Frustrated

Try domperidone if you want more milk. I know what you mean about pumping at work. I barely have time to pump for ten minutes. This Friday is my first full weekend back so it should be interesting to see what kind of flack I get for needing the breaks
I work at a hospital and they are not friendly about it!
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Old 03-08-2012, 10:51 AM   #9
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Re: Frustrated

I hate to bring up something so expensive, but have you tried a hospital grade pump? It helped my supply a lot (I have a low supply --- done Fenugreek, Domperidone, eat oatmeal 2xd, drink gallons, but DS continued to loose a lot of weight until we supplemented...hardest thing I've ever had to go through).
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Old 03-09-2012, 03:43 AM   #10
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We tried breastflow bottles yesterday and she only ate 8 ounces while I was gone and I was able to pump that much yesterday. I have used a hospital grade pump first month of her life. Not a huge difference noticed.
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