expressing not a debate

Mel - posted on 03/12/2011 ( 57 moms have responded )

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I cant get much milk off one side when expressing Im worried it will dry up , I will be away for 7 night, my baby is going on 8 months on march 22nd. I leave this friday morning. I got told to express 3 or 4 times a day. She has 6 breast feeds a day atm. I get maybe 20 mills on the right side last night I could get nothing went I had to express due to going to a concert. The other side i can get alot more. Any advice

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Charlie - posted on 03/15/2011

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I have to say it is summer here and our Aussie summers can be death defying sometimes breastmilk or formula just isnt enough (hydration wise ) especially in certain parts of Aus where it is 40+ degrees celsius dry heat ....worse when it is humid .

Tara - posted on 03/15/2011

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Melissa
I have breastfed all my 6 kids until age 2.5 I would as some others have suggested do more research about breastfeeding because the information you have been given is incorrect and will lead to a further reduction in your supply. Supply and demand work hand in hand. If your baby is receiving other fluids, she will nurse less frequently and your supply will diminish. She does not need sugar water or plain water at all ever. Your milk contains enough water and calories for her.
Fenugreek and blessed thistle are two supplements that you can take to increase supply. they are harmless to you and your baby but have been proven over and over to assist with production.
Pumping is not an accurate indicator of how much milk you produce. A baby can suck up to 5 times more from your nipple than you could ever get with a pump, their little mouths are designed for efficiency where as a pump is not.
Sometimes it is difficult to decipher what information is correct. But I would look to the experts, try Dr. Jack Newman's website or Kellymom or La Leche League or the leaky boob.
If you really feel you need the "medical" side of it, than go to Jack Newman, email him and he will get back to you as soon as he is able. He is the breastfeeding guru here in Canada.
Good Luck!! And don't give up if you're not ready.
:)

Carolyn - posted on 03/14/2011

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Melissa, You do not "have" to give water with all solid meals. Breastmilk contains all the water a baby needs, so long as you are nursing enough.

Giving other fluids during the day will in fact hurt your supply.

and as Lisa said, it is a fact, proven by scientist and nutrtionists that breastmilk has more calories than formula and most foods given to babies in the first year except for avacado.

Im really sorry that you are being given information that is counterproductive to reaching your goals of breastfeeding.

not all formula fed babies are bigger than breastfed babies. Logan was 17lbs by 9 weeks, yes 9 weeks, exclusiviely breastfed, he was 19.5 bls at 4 months, 22 lbs at 6 months and 25 lbs at 8 months. Still breastfed.

anywho, who you choose to listen to is your choice, But i would suggest you do your own research on google, read some sites like the Laleche League or Kellymom.com and make your own informed opinion instead of blindly trusting health visitors etc.

Carolyn - posted on 03/13/2011

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Melissa, what kind of solids is she on that she is being constipated ? considering she is breastfed which itself is like a natural mild laxative it should help even her out. So i am thinking there is something particularly difficult for her to digest in her diet that is causing it . Are you giving her rice cereal ? if so , switch to oatmeal. That alone made a huge difference for us. Also at this age, their poop does get more formed and firmer than the once liquidy mustardy poops from breastfeed babies. So unless her poop is coming out hard and pellet like, she may not be as constipated as you think.





but anyways to the topic at hand. Alot of women simply wont let down to a pump very well. The average output for a pumping session for most moms is 1/2 -2oz total. So if you are in that ball park, its totally normal if your over it, great !



Milk production tends to slow at night, especially if your baby is sleeping through the night. and since a pump is no rival to a suckling baby, it might be difficult to fool your body to produce more at night via pumping.



If you usually feed 6 times a day, I personally would try to pump atleast 6 times a day. Especially if you are having difficulties expressing and emptying the breast. Try to pump as often as you can , and aim for around the times your baby will typically nurse to atleast emulate her feeding pattern while you are gone. As a mom nursing a 9 month old, that is what i would do.



I would really be trying to figure out which food is causing the constipation and seeing my doctor about that if you havent already. Because that is not normal and needs to be addressed by something other than suppositories.





Also , make sure your daughters bottles have a slow flow nipple on them so that she doesnt get spoiled by the bottle flow and refuse the work of nursing when you get back. will probably make your life easier.

Ez - posted on 03/16/2011

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There is always a discrepancy on this water issue between us Aussies and the rest of you :-p



Our midwives and child health nurses do advise water in a sippy when they start solids. It is not supposed to replace a breastfeed though. It is literally intended to be only a few sips, and 4 oz is far more than that. It should never be enough that a milk feeding is cut out! Only enough to introduce them to the concept of drinking water with food.



I agree with your research Lisa. But the reality is that it is so unbelievably hot here, so often, that kids need to get used to drinking water. It may not be necessary while they are on the boob, but it sure is afterwards. Failing to offer it until then would risk them rejecting it. And then you'd be stuck with a kid that you had to worry about constantly for fear of them dehydrating in the heat.

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Cyndel - posted on 03/16/2011

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there are some mothers milk teas that you could drink while your gone to help your supply not dry up, I plan on using Organic Mother's Milk by Traditional Medicinals starting a week to a few days before my due date. I've found it at Krogers, Ingles, and health food stores or whole food stores should carry it too. I'm drinking their pregnancy tea right now and love it. Looking forward to the mothers milk...it is supposed to taste great. Here is a link to see what I'm talking about. I hope this helps!
http://www.amazon.com/Organic-Mothers-Mi...

Mel - posted on 03/16/2011

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ok apparently 4oz is 120 mills I was thinking halfa cup as in a sippy cup but yeah I can see 120 mills not being necessary I would say around about 50-80 mills a day. Paige is only having to have extra because of the whole constipation issue.

Mel - posted on 03/16/2011

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I think they meant half a cup over a day which sounds sufficient to me. I offer a cup each meal but she does just spit it out, so Ive stuck to the bottle now. She managed all her 120 mill bottle prune juice again today plus a bit of sugar water and her bottle of probiotics and lactulose hope she keeps it up. I got hold of an electric pump tonight and was able to get 70 mills :) now I have enough milk for her to have 70 mills a day while Im gone and hoping to get some more tomorrow. I also got an appointment with a dietician an expensive one but I hear shes the best in perth.

I have a question which I might have asked before, now that I have the eletric pump an I get more milk where do I stop while I am away. Im going to aim for 3 times a day expressing and then build supply back up when I come home by puttig her on alot. If shes supposed to have 210 mills of formula (according to the back) I think its 4 times a day, how much breast milk woul I express should I do 200 mills each time?

Minnie - posted on 03/16/2011

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Yes, I definitely can see sips of water just because, but 4oz is half a cup. That will easily fill up a baby's stomach.



Failing to offer it until then would risk them rejecting it.



This sounds an awful lot like that review that appeared in the British Medical Journal that said if you don't offer solids between four and six months that babies will reject them.

Carolyn - posted on 03/16/2011

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4 oz is a ridiculous amount of water to be giving a baby with meals, that will defintily mess with your supply. Sips of water is one thing but 4 oz is a whole different ball game. Youd be filling the stomach up up with solids and water leaving no room for the much need nutrients from breastmilk or formula.

Mel - posted on 03/15/2011

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I dont think it would fill up their stomach too much, the site I saw said 4 ounces of water with solid foods, I have no clue how much that is as we use mills here, but as long as you just offer cups of water between feeds to keep them hydrated and get them used to the taste of water I dont see how it woud affect supply, after all ABA told me that up to 50 mills of formula in addiction to breast milk would not affect my supply (was using formula when she was a newborn because my milk wasnt cutting it for her until she was 2 weeks old)

here a quote from my hand book for introducing solids, its just a western australian one, " constipation may occur with the introduction of solids and a decrease in the intake of fluid (breast milk or formula). When introducing solids , it is also important to introduce cool boiled water. An adequate intake of dietary fibre helps to prevent constipation. So offer fruit, vegetables, lgumes and wholemeal breads and cereals. "

Theres heaps more but thats all Im typing kiddies asleep and need to get onto the lunch dishes :D

there is also soething about how they have to have continued exposure to water for them to accept it, from when they begin solids at 6 months.

This book is also where I got what to feed her from there is examples of a food and drinks chart for every age

Minnie - posted on 03/15/2011

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It's just that I don't buy the milk 'sours' in the stomach...and the fact that the site was full of adds, and that the article itself did not say that water supplementation is necessary, just that our bodies need water to operate (of course) and that water is preferable to juice.





From kellymom:



In addition, breastfed babies do not require water when it is very hot outside, assuming baby is allowed to nurse as needed. Baby can get all the liquids needed via breastmilk. A number of studies have determined that an exclusively breastfed baby does not need extra water - these studies have been done in various locations (both humid and dry) at temperatures ranging from 22-41°C (71.6-105.8°F) and 9-96% relative humidity



http://www.kellymom.com/nutrition/solids...



Perhaps though, paying close attention to the color of the urine would be a good indication if the baby was receiving enough fluids. Water isn't necessary- but it may at times be useful. I do wonder though, why a cup or bottle of expressed milk would not do the same, in addition to nursing exclusively. Wouldn't filling the stomach with water make a baby too full to nurse?

Minnie - posted on 03/15/2011

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My second actually didn't begin to drink water until oh, 20 months or so. Human mik is 85% water. Edit: 88%



You can give water, definitely, but it's not necessary. Mama's milk works just fine as a source of hydration.



Melissa, unfortunately, that link you gave is not a reliable resource.

Charlie - posted on 03/15/2011

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I am also an Aussie with a baby VERY close in age to Melissa's and my midwife also advised sips of water from a sippy cup ( she even gave me a sippy cup ) , now this is new advice to me because the same midwife didnt give me this advice when Cooper was that age .... perhaps it's a new reccomendation

Mel - posted on 03/15/2011

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http://www.babydevelopmentnews.com/babyd...
When babies start solids they need water in thei diet...you might be thinking of babies who are solely breast fed before 6 months of age? You cant just breast feed a baby once they start solids.

Anyhow Im trying to get hold of an electric pump ifits going to help me express more milk. Ive reduced the amount of solids so if she doesnt want her meat and veges I wont give her anything else, and started offering the prune juice just before a breast feed, so she is more hugry so we're getting the prune juice in, Im adding a big tea spoon of sugar with the prune juice which isnt realy helping shes still constipated and ujpset but not as severe, then just giving her lots of juice and trying to get her to drink extra water, plus lactulose and probiotics. Im still taking the vitamins only ecause of my iron levels being low. Wil have to buy some prunes. Im hoping to feed her early friday morning before I leave it will be easier then pumping but my hubby wants to drop her off to his parents thursday night

Amanda - posted on 03/15/2011

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if you breast feed more often your supply will increase. think of it as supply and demand. electric hospital grade pumps will do a better job at getting the milk down than say hand expressing or a manual pump. reading some of the other reasponses you have put I would say you really need to consider reducing the amount of solids and increasing the breast feeds until she is a year old. was she constipated while she was only breast fed? it could be something in your diet as well that is doing it. are you still on prenatal vitamins? prenatals may help with the constipation. For now I would just do prunes, oats and breast milk.
good luck

Mel - posted on 03/15/2011

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fingers crossed! I know she wont forget the bottle because of the juice etc, but I was just worried she might forget the taste of formula. It took me 2 months to get her onto a bottl and she has had one bottle a day ever since. Its pretty heart breaking seeing them starving and hving to refuse the breast I dont want her to go back to that, I reckon Ill give a bottle tomorrow then thursday just breast feeding. Friday Im gone by 6am :( So thursday is my last day with her for 8 days. I hadnt thought about putting formula in a cup...atm se will drink anything from bottle but cup she likes but just spits it out. I think she just plays with everything from a cup for some reason.

Carolyn - posted on 03/15/2011

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if she is already drinking formula, im confident you could just eliminate it and nurse till you leave. especially if she has no problem going from breast to bottle an back. She isnt going to magically forget how to suck on a bottle. Especially not at the age of 8 months. She can also drink her fluids ( ie formula) from the cup.

Mel - posted on 03/15/2011

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Oh Im also glad to know she can get more, I have been worried about supply so I didnt even give her formula today. I want to give her a bottle of formula to keep her used to the taste offormula but at the same time I very much wish I could just breast feed til I go away, so at least when I come home I will be able to soley breast feed. I miss that bond with her when I can do it, it sounds crazy and over the top but I just enjoy being close with her and having that bond and I really dont like her, having to have a bottle of formula. heres hoping everything goes well while Im out of the country

Mel - posted on 03/15/2011

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Tara, look it up for youself if you like but once babies start solids, or after 6 months of age they should be given sips of water from a cup or bottle. Honestly, risking my supply being a little down is a small price to pay to make sure I dont hinder my childs development and risking her not being used to having other fluids, they must have water with meals. Please dont take this the wrong way, Im just trying to let you know that I have just researched it myself and that I do have a baby nutrition booklet right here that has an example of what they need to have eating and drinking from 4 months of age. I am very much appreciateve of the information and the help but yes does need the exra water.

I tried to get hold of a different breast pump today an electric one, but wasnt sure about it now, as Ive heard their not as natural and as good as the hand ones. Anyone from Australia know what breast pump is the best I am not getting anything from my avent hand pump, I can get some from hand expressing

Loureen I hate porridge lol! But I have heard of tablets that can increase supply but I dont think they would prescribe them to me just cause Im going away for a week, Ill seeif I can find that facebook group.

Charlie - posted on 03/14/2011

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Mel ,

I used to have a bowl of porridge with oat milk and would increase my milk supply a LOT !

And at this age your milk production will have settled , what you pump is no indication of what Paige is getting , she is able to get far more than you will ever be ab;e to pump so don't worry about that .

Also check out : The leaky B@@b on facebook there is lots of great infromation and advice , it is a great page for breastfeeding tips and advice !

Mel - posted on 03/14/2011

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yeah its just sad that my daughter slept thru today its 7.30am and shes only just waking up but not crying yet and I dont eel full but Im sure I can sort it out. Carolyn - here where I live i australia it is reccomended that babies have a cup of water with their meals, I dont want to go against that and hae her not getting used to cups and drinking other fluids, as its not good for her development, but I can only hope that everything all works out. I hear alot of people whose milk dries up so if it does then I suppose it was meant to be. Ill give this my best shot. I know not all formula fed bubs are big, my daughter was that example as well and she had extra caloriesin her formula, shes still a tiny little thing lol, but generally formula does help them to grow. Breast milk is still much better even if it generally does make for smaller babies, and Paige is still even at 7kg the size my oldest was at 13 months =)

Bonnie - posted on 03/14/2011

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Like some of the others are saying, you will need to express or pump while you are gone. Just because you are not getting enough on one side doesn't mean you are drying up. One side could produce slower than the other.

Mel - posted on 03/14/2011

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Yeah seems like it. I was very paranoid when she was newborn. You just cants ee what they are getting like with bottles. You freak all the time

Minnie - posted on 03/14/2011

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I do hope things work out for you, Melissa. Sometimes working through breastfeeding can be very complicated.

Mel - posted on 03/14/2011

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couldnt get any milk tonight maybe a mill or 2. Very much hoping Im not losing my milk and paying I can continue feeding and bring back supply fully when I come home. Your very informed Lisa and appreciate all the help

Mel - posted on 03/14/2011

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I guess I can kind of see what you are saying about the formula verse breast milk, I guess maybe what I meant to say was that formula fed babies are bigger

Mel - posted on 03/14/2011

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They are suggesting it to help iwth constipation. Why does it concern you? I very much want to continue the breast feeding relationship but obviously the constipation issue comes first. Offering water between feeds shoudlnt affect my supply especially since your supposed to give bub water with all the solid meals, from a cup, I just normally give juice instead to try and help the constipation, but Im trying sugar water now and lactulose and this probiotic stuff

Minnie - posted on 03/14/2011

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It concerns me that a breastfeeding association would offer advice that would work contrary to maintaining milk production.

You sound worried that you won't be able to express enough of your milk for your daughter and you definitely are worried about her constipation. You sound like you really want the best for her and that you want to continue the breastfeeding relationship. But offering sugar water isn't going to do anything to help your production- and it's not going to offer anything, nutrition-wise. So it makes me wonder why they would suggest that.

Mel - posted on 03/14/2011

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my first baby had to have formula because its higher calories and she struggled with weight gain. But its fine no point in arguing on something we dont agree on. Everything heres been really helpful to me thanks

Minnie - posted on 03/14/2011

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I dont think breast milk has more calories, I think formula does which is why formula fed babies are generally bigger

Melissa, that human milk has more calories per ounce than formula is a fact. It's not an opinion. Many formula fed babies are larger than breastfed babies because of the difference in proteins and the fact that they are bottlefed. Bottlefeeding is a passive activity as opposed to breastfeeding, in which the baby has control over the flow and can end when satiated.

Mel - posted on 03/14/2011

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I think someone mentioned the breast feeding group on here? I was a member but I left, I didnt realise it was anti formula and I was being bitched about for giving "horrible advice" suggesting a mum top up baby with formula at night because the baby was very hungry and fussy. That group isnt for me. But ABA have been very helpful with this matter, hopefully I can get hold on this dietician and breast feeding specilist tomorrow

Mel - posted on 03/14/2011

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I dont think breast milk has more calories, I think formula does which is why formula fed babies are generally bigger, I dont mean to be offensive justletting you know from my experience formula is used for FTT babies to help them grow, so Ive been onto some people today they gave me the number of someone who just happens to be in perth where I live who's a specialist in all this stuff I think she meant intollerances and all that, they said it could be an intollerance and to cut out dairy for now add in prunes and use coloxyl, lactulose etc on a daily basis the stuff Id forgotten about in my bathroom cabinet. Since Your advice contridicted the advice of my friend I rang ABA who said keep the breast feed at 4am but add in as much sugar water as possible during the day (easier said then done lol). Shes still too little for the stuff I use for my oldest like parachoc and fibresure so until she turns 1 Ill just have to do the best we can, she was in a lot of pain today because I couldnt get the suppository to stay in, Im useless hubby does all that stuff normally.. I already breast feed right before the solids, I tried to give her a bit less she is generally pretty fussy sittig in her high chair lately anyhow I think due to being so constipated. Shes been in so much pain today :( I really want to be able to find a child health professional to check up on her while I am away but mine is away that whole time that I am, I just need someone to make sure her constipation doesnt get severe and have her checked up on at least every few days

Carolyn - posted on 03/13/2011

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yep like Lisa said, breastmilk has more calories than formula and most solid foods. Many breastfed babies weight gain slows down when solids are began if the solids begin to take place of the breast milk instead of add onto it as a compliment. It is far more filling than formula as well, formula is just harder and takes longer to digest than the already half digested breastmilk.



You can breastfeed right before offering solids if you dont already, if you are worried about her being hungry.



I dont think anyone is trying to tell you how to feed, but offer some recommendations on how to increase/maintain your supply and help with the alarming constipation issue.



Logan is breastfed and weighed 25lbs at 8 months. So yep people come in all sizes :)



Just please take her to a pediatrician re: constipation. I would in your shoes.





seems that last 3 posters are all thinking the same thing at the same time ! LOL

Ez - posted on 03/13/2011

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Perhaps always nursing for an entire session at each meal time first will help get more milk into her, reduce the solid intake (without her being frustrated), increase your milk production and fix her constipation.

Thank you Lisa. That was what I was trying to say lol.

Minnie - posted on 03/13/2011

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Tid bit of info: human milk has MORE calories than formula. People come in all different sizes.



Melissa, it sounds like Paige really likes her solids. Have you considered at the times she would normally have a solid meal to offer a full breastfeeding session first- and if despite a stuffed belly- she wants solids, then she can have them? Perhaps always nursing for an entire session at each meal time first will help get more milk into her, reduce the solid intake (without her being frustrated), increase your milk production and fix her constipation.

Ez - posted on 03/13/2011

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Oh I wasn't questioning her size, or implying she was too small. I only mentioned it to point out the difference in amount of solids consumed by my big hungry baby to what Paige is having.

Mel - posted on 03/13/2011

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ok with regards to the formula I only use it to keep her used to the bottle for when I go away for a week, otherwise she woulndt have known how to drink one it took nearly 2 months to get her to drink a bottle, lots of tears and screaming . Once I get bac I dont want to use bottles at all. It wasnt the formula that caused the constipation I found it was the solids. Its good to know my supply might not be low! Glad to hear that. I kind of feed on a shcedule I suppose but at the same time, she feeds at around the same time. I feed her when shes hungry but it is at the same times around about each day. Alot of people have suggested giving up breast feeds and she woukd e happy on just a bottle now, and it may be selfish of me, but shes stilhappy to breast feed and therefore Im not wanting to give it up just yet.

Some days she has 3 ice cubes and a whole tin dessert (the fruit or custard) for lunch and ten dinner plus lots of brekky other days she has a few spoons and is too fussy to sit in a high chair. Prob doesnt help that she can sit up yet so a bit hard for her to stay straight to spoon feed. I let her tell me how much she wants to eat, so does that mean you would reccomend stopping her eating when she seems to want to eat more? When she doesnt eat her main meal I offer her fruit instead perhaps I should just not give it to her if she doesnt eat the main meal. I think she has enough wet nappys obviously she only has a dirty nappy after a suppository if they even work. Erin - Paige is a little baby much like Brianna just not quite as small. I think she seems perfect to me but alot of people say they have babies half her age and twice her weight, she is around 7.5 kg now. I assumed her weight was due to breast feeding since its lowe calories then formula either that or just that my girls wee made to be small

Carolyn - posted on 03/13/2011

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Oh please do not listen to that guy about your supply !

I dont get engorged anymore either, I have easily gone almost 24 hours with expressing or nursing and not been engorged ! I will feel more full but not engorged !

When men start breastfeeding is the day i will listen to them about breastfeeding !

at 8 months, your body knows just how much to make to meet your daughters needs based on her demand. You need to think of your breasts as factories and not storage containers.

When you latch baby it starts a hormonal reaction that tells your body to start producing milk, so while she is eating you are making milk for her to eat.

So long as you are getting 5 or more wet/ or dirty diapers a day she is most likely getting plenty. Giving water and things like that can hurt your supply , breastmilk has everything including water your daughter needs. You could add prune juice to her solids by mixing it in if you find you need it to help with the constipation.

But replacing a nursing session with water/juice is a horrible suggestion especially if that person is telling you your supply is low.... its so counter productive.

Your boobs not being engorged is not sign of low supply, neither is your pump output. Best results are often gotten by a double electric pump because it will stimulate a better letdown. But ifyou dont like them, try pumping the other side while your daughter is nursing, you will probably get more milk that way .


oh god please talk to the women in the breastfeeding support group here and forget that health nurse.

oh christ. Just keep nursing, if you are concerned your supply is low, cut back on solids and nurse her more. cut out the formula feeding too. I know you said you use the one for constipation but i am pretty sure that is intended for babies who are constipated by formula ( which happens alot) so its designed to be less constipating. not releive constipation, that could very well be part of the issue.

Ez - posted on 03/13/2011

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Melissa, that actually does seem like a lot of solids for an 8mth old. My daughter was a very big baby with an appetite to match, and she definitely wasn't eating that much at that age. I think you'd find that dropping one of those solids feedings, or at least reducing the amount she eats at each feeding (ie, the custard) would allow you to BF her more often and increase your supply.

Are you BFing her on a schedule or on demand?

Mel - posted on 03/13/2011

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Shes not a massive eater of solids, like my oldest wasnt, so her schedule is basically breast feed 4-5am, breast feed 8-8.30am, one yogurt and half tin of pureed fruit, breast feed 11am, formula feed 1-2pm, pureed meat and veges, ten custard for lunch, breast feed 3.30-4.30pm breast feed 6.30pm dinner - meat/veges or fruit and custard breast feed before bed

Mel - posted on 03/13/2011

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so Ive just been told by a child health nursse friend my supply is more then likeky low *sigh* so wanted to keep breast feeding. He came to this conclusion because I mentioned I dont fill up or get sore when I have had my wedding day ( 15 hrs between feeds) hens night (had to express aftter 14 hours) and saturday night 8 hours I didnt feel sore or full. He said to try and increase her fluid intake by gving her prune juice mjixed with water when she wakes at 4am

Carolyn - posted on 03/13/2011

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there is a difference between having a hard time going when just starting solids, and being constipated for 4 months. Have you had her evaluated by a doctor rather than a health nurse ? I would definitely be looking into a different health nurse as well if she is telling you its okay to be constipated for 4 months because she is breastfed. Have you tried reducing the solids and increasing her breastmilk intake ?



Also we need to remember each persons body is different, Banana's can constipate some people, and others can pass them no problem. So as i mentionned before, it either something medical, or something in her diet is causing it.



Breastmilk should also remain the main source of nutrtion until she is one. If she is getting more solids than breastmilk/formula, solids need to be reduced and breastmilk increased.



Sorry i know constipation is not your question, but its alarming to me that she has been constipated for 4 months, especially as a breastfed baby.



There is no magic number for how much you should be getting while expressing, everyone is different. Just pump about 4-5 minutes after your milk stops flowing to make sure you get all your letdowns and empty the breast as best you can.



i would strongly suggest to take this question over the the breastfeeding support group,. they are a great bunch of gals who are incredibly knowledgeable and experienced.

Mel - posted on 03/13/2011

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I stay clear of rice cereal because it binds babies up so badly, and yes Im sure its constiption. Think it is just the solids, as alot of breast fed babies get constipated when starting solids, my child health nurse said it doesnt matter how much pureed fruits or veges they have its just they dont get enough liquids to help even it out, sonething like that. I feed yogurt, pureed apple, pear, banana, and hoe made mince, roast meat, avacado, carrot, sweet potato, peas, corn, and custard for desserts some days. I use the constipation formula once a day and breast feeds the rest of the time. I do try to avoid suppositories, but if I do leave it too long, then they just coe out when she tries to go and it cuts her because the suppository hasnt fully worked, so I used to leave 5-6 days now I dont. She may drink more prune juice when I am away, shes supposed to have 120 mills perday.

I use tome tippe bottles so Im fairly sure their the best for breast and bottle feeding, I do remember being told as newborns dont like doing both because breast feeding is so much harder. I am just hoping she will continue when I come home. I know I can always up my supply when I come back by putting her on alot, even if I do just express about 3 times a day. She is pretty much sleeping thru the night she just wakes up between 4am-5am for a feed then I wake her at 8am.

So how much would I need to get while expressding when Im away before I stopo, is there a particular amount or would I just get as much as I can even if it is only 40-60 mills each time

Minnie - posted on 03/13/2011

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About the constipation- this is a question I get asked quite frequently- are you SURE it's constipation? Or is it just her not going for a few days? True constipation are hard small pellets. Breastfed babies can go a couple of weeks even without pooing. April is right about the body eventually forming a habit with regards to ability to poo and suppository use.

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It could be the way you are expressing it. I know that was my problem. I found that I had to get it just right and use the electric pump. That is what worked for me.

April - posted on 03/13/2011

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Prolactin levels are highest at night. It is a great time to express or nurse your baby! Pumping doesn't indicate how much milk you are producing. You can't really measure that. Also about the suppositories, if you give suppositories too often, sometimes the body learns only to poop after a suppository. I'd figure out what is causing her constipation. It is worrisome that she has been on them for 4 months now? It may take a lot of work to get her body to poop naturally now and that makes it harder to figure out what is causing her constipation in the first place.

Christina - posted on 03/13/2011

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Just have her focus on the side that isn't producing a lot when you first start nursing. Her vigorous sucking should help start producing again.

Mel - posted on 03/13/2011

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using them for her constipation which has been caused from solid foods which cant be avoided, so shes had it for 4 months now since starting them but sometimes she drinks enough prune juice to avoid it, but rarely. I do know all methods to use for consipation but suppositories are our only option with her age, my oldest uses fibre powder

Minnie - posted on 03/13/2011

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Expressing during the night is a good way to increase your milk production. Many women have success through the 'massage-stroke-shake' technique.



What you do is massage your breasts in circles, starting at the underarms and going in to the nipple. Then lean forward and stroke each breast downward. Then shake them a bit with your hands. Pump/express for five minutes, stop to do the M-S-S technique, then pump again for another five minutes, then stop to do M-S-S again.



Pumping for two minutes after you are no longer getting any milk can help increase production as well.



You'll need to pump as often as you can during the day too and pump regularly while you're away.



Good luck!



Why are you using suppositories?

Mel - posted on 03/13/2011

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ok think Ive said it all wrong I was told to express 3 or 4 times a day while Im gone, I am currently expressing at night times when the babys gone to bed, but I dont get heaps , last night I had not fed in 8 hours due to a concert and I got maybe 80 mills, the right side I checked tonight how much Im actually getting its only about 5-10 mills. I get the rest off the other side. Got about 40 mills all up. So far Ive only got 30 ice cubes so equl to around 450 mills, I took advice from on here a month or so ago to give breast milk as well as formula while Im away so that she doesnt forget the taste, I was hoping to express enough to give her at least one bottle of breast milk per day and the rest formula, but at this point I only have enough milk for about 50-70 mills per day. I dont know how much she takes form the breast compared to bottle. Because I only get so little expressig Im hoping I wont kill my supply while Im away. Im usuing an avent hand pump (didnt like the electric ones I used with Brianna ).

She did used to feed more on one side, she was very upset on the right side until a few months ago I was tld its because the flow is less on one side, now seems like she feeds the same on both but I could be wrong cause theres so much less milk. Also concerned about leaving her so long because my MIL said last night shes not using suppositories, I use them for her every couple of days and its so iportant they are used. Just fretting a bit lol

Ez - posted on 03/13/2011

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You'll definitely need to pump while you're away to keep your supply up. The problem with pumping, though, is that it's just not as efficient as a baby. So just because you are unable to express much from that one side doesn't mean your baby can't. I don't think you need to worry about one side drying up.



I do think you may struggle to pump enough in 5 days to supply your daughter for a whole week though :-/ Do you have a supply of pumped milk in your freezer that you can draw from for this week?

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