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Subject:
From:
Dee Kassing BS MLS IBCLC <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 17 Feb 2004 02:02:56 EST
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Hello, Natalia.
       You ask if it would help to pump a little before putting baby to
breast, and if you should try to feed a little less often.
       I usually suggest *not* pumping before putting baby to breast, because
in most cases that only increases supply, which means more milk to come out
so quickly, which means more discomfort for baby.  If you seem to have a lot of
milk, as well as a strong letdown that your baby has difficulty managing,
then you might want to try using the same breast for all feeds in a four-hour
time period, and then switch to the other breast for the next four-hour time
period.  But I would not try holding baby off.  When babies wait longer for
feedings, the storage areas of the breast fill more, which means there is more milk
to "drown" the baby.  And because the baby was held off, he is hungrier, so he
may suck more vigorously, which can also lead to a stronger letdown.  It is
often helpful to get these babies to breast at the first feeding cue, so that
they might not be so ravenous yet and might have a gentler suck which *might*
trigger a slightly gentler letdown, *and* there would be less milk stored in
the breast to "drown" the baby if there was less time between feedings.
       Hopefully, you and your baby will be more comfortable in a couple of
days.
       Dee

Dee Kassing, BS, MLS, IBCLC
Collinsville, Illinois, in central USA

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