First of all, all my apologies: mom is 3.5 months postpartum; It may
change the situation and explains "how long ago" she stopped finishing
her breasts; 1,000 Excuses !
In fact, at the very beginning, she was very weak, due mainly to a
considerable blood loss - at least: at one point that she had blood
transfusion. She had told me (Day2/day3) she could hardly even go to the
toilets.
Babies had 1st feed back in the bedroom; but because of her weakness she
extracted her colostrum for the babies during the next first hours. Then
she gave breast till she was very weak ; she had blood transfusion;
Day 3, breasts soft. At the same time, diapers show transfer is not very
good (in number and look) ;
So I propose she breastfeeds then supplements with her own milk.
I ask her about the latch/positioning (I can't visit her in the
maternity ward), and also about the look of the nipples; they are
pinched ==> Nurture breastfeeding; (seen in prenatal consultation)
Lactogenesis II appeared at day 5/6;
Massage + reverse pressure softening (seen and shown in prenatal
consultation).
Stools then appear copious and green; gas ;
I propose she empties her breast before giving breast; she won't freeze,
she will give the "foremilk" to her elder child.
The quantity to empty before feeding will be adjusted by her after a
"minus 1 oz" from the beginning (the qty to be found will depend on the
turn of the color of the stools)
Her breasts being incomfortable after the feeds, I suggest she finishes
until comfort;
By this moment, I know lactogenesis II was late, she had had a great
loss of blood (counterbalanced afterwards by blood transfusion) and
transfer not so good (lack of stamina); I feel she is going to be
overproducing, she has to empty the breasts before the feeds because
babies are full before getting the fat.
but I feel it is too early to do anything. Her production is far from
calibration time.
Emptying after the feeds is supposed to make her comfortable and make
eventually some milk if supplementation was necessary.
I guess she pumped after the feeds for comfort + for the elder child. So
it may have not helped.
The bad latch of the first days==> corrected quite quickly with
semi-reclined position - Nurture Breastfeeding (before: pinched nipple);
By 3 weeks, she leaks easily; she ejects forcefully and far away too; we
decide to do nothing special in order to diminish her production because
I think it is too early.
She stops finishing her breasts gradually. But nothing else.
She just continues emptying "a little" her breasts before the feeds;
Children continue with gas and burps.
They go to breast, feed feed feed, then she stops the feed for burping,
then they start their behavior "I wish breast I don't want it".
"Cuddle-breastfeeds" are more difficult (breastfeeds just to be calmed
or soothed).
Note she continues using semi-reclined positions.
By 1 month, lactation is calibrated. It has been several days that she
does not empty her breast after the feeds any longer.
She will pump again at 2.5 months just to soften a little her breasts
because they sleep much longer.
Besides this: since 1 month postpartum or so (except when children will
sleep longer around 2.5 months): no big tender breast, no need to finish
her breasts after any feed to feel comfortable..... no milk stasis no
mastitis...
So when she contacted me again: gas/burps - after burping return to
breast is difficult - arching,
difficult for me to think of overproduction because of her breast that
show no sign.
But what is sure is that she ejects forcefully; even when children still
have not latched;
More specifically @ Heather: I must admit I thought about the "block
feeding" too but I hesitated ; I feel like really lacking proofs of
overproduction ; breasts appear normal, not tender, not uncomfortable,
no history of mammary pathology; But what if I diminish her production
by proposing this solution?
@ April: sure everything should be ruled out before doing anything,
notably diminishing any production or ejection.
Suck is good, at breast and finger.
Note their growth is satisfying.
Thanks to Jeni and Jennifer. Mag Phos...
Hope "my" case is easy to understand; I am really a pretty good
translator - from English into French.
And normally from French into English I am not bad, but tonight, I am
doing what always I ask my children not to do: I am thinking into French
... Sorry! Will go to bed early...
Breast regards,
Françoise Coudray
Le 24/01/2013 19:44, Jeni Leaird a écrit :
> Francoise Coudray wrote: I think of overactive ejection/let down without overproduction; Have you ever met this kind of case? Would homeopathy help, and if that
> case: which remedy + dilution?
> Any other idea?
>
>
> I have been having a great deal of success with using a Laid Back position with baby on top. Baby can then control the flow better. I actually used this with my second child with great results but have been using it in practice with good results too.
>
> Jeni Leaird, BS IBCLC
> W. Lafayette, IN USA
>
> ***********************************************
>
>
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