Breastmilk, Boobs, Nipples, Pumping, Breast Pads.... OH MY!! (for anyone who is squeamish about those, or any related words, I suggest you just stop reading now.)
I've mentioned before, breastfeeding has NOT been an easy thing for me
in the past. I've had different situations and issues with each of my
girls, and have learned that, like deliveries and pregnancies, no two
are exactly alike!
If you'll give me the time, I'll explain my two previous situations, and how this time, with my third daughter, is different.
K1: She was born at 41 weeks. She was really struggling with her
breathing when she was born. I held her for 10 seconds before she was
taken to the NICU (this all matters, I promise). She had high acid
levels in her blood, a high infection, blood and fluid filled lungs, and
an open sore on the back of her head from the vacuum (she was 9lb 9oz
and couldn't make it out without help). 5 hours later, at 11pm, I got to
really see her in her little incubator.
My nurses told me that they were going to have me start pumping that
night to get things going and stimulate milk production. The hospital
did not have a 24 hour IBCLC (internationally board certified lactation
consultant), so I wouldn't see one of these LCs until morning. I asked
my nurses about the pump, but they were very busy and kept forgetting to
bring one. Our second time visiting our baby, 1am, I asked the NICU
nurse. She brought one to my room a little while later.
This is where things started to go wrong. This NICU nurse was very new, I
think it was her 1st or 2nd shift ever. She brought me the hospital
grade pump, set it up, helped me get everything on, and turned it on...
to the highest suction on the fastest speed. I had never pumped, so knew
no better. I was told to pump every 3 hours. So, I did, at 2am, 5am and
8am. The LC came in around 9:30 the next morning, and noticed that my
nipples had most of the skin rubbed off. She measured me, and realized
I'd been given flanges two sizes too small.
That was the first problem. The LC then gave me soothies:
They felt great, really they did.
However, as my skin was already
broken, when I took the soothies off, they pulled off more skin and any
scabs that had started to form.
The LC and Neonatologist decided that we would try actual nursing at 24
hours old. When we did it that afternoon, K1 had a feeding tube in the
center of her mouth. But, we still worked at it. K1 had to learn to
nurse around a feeding tube. She did it though. Then (24 hours later)
they moved it to the corner of her mouth, she retrained herself, and
again, we made it through. 24 hours later, they moved it to her nose
instead of her mouth. Finally we were without limitations, but she was
so confused by that point, she had all but given up. But we still plowed
through. She was in the NICU for 8 days, the 8th day was because she
was losing weight and they wouldn't let her leave till she could sustain
her weight without a feeding tube.
We made it home, but over that weekend, I dreaded feeding her. My
nipples were so scabbed over, and the tissue was so damaged that it was
flapping... yeah, flapping. I thought they looked infected, so I went to
my OB. They gave me creams to help, but told me that the damage was so
extreme that the only way for them to heal, would be for me to quit
nursing and pumping for 2 whole weeks. By that time, my milk was gone. I
pumped for 2 months to try to regenerate my supply, took fenugreek,
mothers milk tea and lots of oatmeal. K1 would not latch at all.
Eventually, I had to throw in the towel.
Oops... that story got much longer than I intended, but K2's is much shorter, I promise!
K2: Born at 38 weeks, 7lb 4oz. She lost quite a bit of weight and got
some pretty severe jaundice by 2 weeks old, and was admitted to the
hospital. It was a different hospital than the one where she and K1 were
born. We worked with a new LC, and she was great. I was having pretty
bad pain whether nursing or not, but was told that the latch was great
and that it would get better after the initial few weeks. It didn't. I
saw her again, and again, was told that the latch was great, just
strong. I researched on my own, and thought I had thrush based on the
pain symptoms. However, a nurse at my OB's office told me that if there
were no visible signs, they couldn't treat it. I was in toe-curling,
make me gag, pain the entire 6 months I nursed her. On top of that, at
around 3 months, my supply started to drop drastically. I nursed till
she refused to keep going, then I'd pump, but formula was still needed. I
ate and drank all the 'right' things. No matter what I did, I'd waited
too long and couldn't get it to go back up. At 6 months, we completely
switched to formula.
Now, onto my (so far) success story!
K3: I was so determined to make nursing work this time... and at 6
months, my first goal has been met! I got much better prepared this
time.
I ordered 2 forms of Fenugreek before she was even born:
I also ordered Mother's Milk Tea:
It still wasn't an easy start (I'm convinced it never is). Even in the
hospital, she went over 12 hours and refused to nurse. Even if she
would try, she refused to nurse on the left side. I was finally able to
get her to latch on the left with a nipple shield. To avoid confusion, I
used the shield on both sides... and guess what? She got it! She still
got high jaundice, and we gave 2oz of formula once a day for 3 days, but
she gained steadily. I always had The Hubs give her the bottle, so she
never associated ME with anything more than "food from the boob".
At 3 days post delivery, my milk came in full force. No matter how much
she nursed (which I pushed a LOT to help kick the jaundice), I couldn't
get comfortable. I was started to get clogged ducts. I stood in a hot
shower and massaged, and it didn't work. After 24 hours of pain, I caved
and pumped, and pumped and pumped. I just needed to be empty. After pumping about 8 oz. that day, I felt much more comfortable, she was able to keep me comfortable without much (if any) additional pumping.
After 2 weeks, my milk supply started to suffer on the left side. I have
no idea why, but she was refusing to latch. So I pulled the shield off,
and she nursed without it. She was stimulating it better and getting
more without the shield. After a few days, she dropped the shield on the
right side as well.
Now, I'm not going to let you think that it was just that easy. There
were a few days of starting with the shield, then taking it off, or vice
versa. I decided to just let her do what she was going to do and go
with it instead of trying to 'train' her into doing it one way or
another.
I was still having quite a bit of pain in the entire breast on both
sides at 7 weeks. I went back to the LC, and discussed that it was the
same horrible pain I'd had with K2. She suspected non-visible thrush,
and told me to put Monistat on my nipples. K3 wouldn't nurse, I guess it
tasted funny. So, I turned to Dr. Google, and found many women who'd
had success with Gentian Violet.
I ordered some from Walgreens and tried it immediately. I won't lie, the
first (and only) day I put it on was horrible. The pain was at least
double what it normally was. I vowed I wouldn't use it again. Yes, my
nipples were dark purple, and yes, it turned K3's mouth purple, but that
didn't bother me... the pain did.
However, the next day, the pain was back to normal, the next day, it was
cut in half again. After 2-3 days, the pain was gone. I was amazed at
how much more I enjoyed not only
nursing my baby, but my baby! I enjoyed holding her, because it didn't hurt! That was a first for me out of 3 babies!
Once I got past the pain, I settled in determined to maintain a high
supply. I think that I've always had a great supply in the beginning. I
just didn't work hard enough to maintain it.
Here are my tips to maintaining a good milk supply:
1. Fluids... like, crazy fluids. This is my 52oz gas station mug. I
drink a minimum of two of these a day. Water, flavored water, tea,
lemonade, juice etc. Powerade is great for boosting supply.
2. Food. You have to eat! The amount of food I currently eat in a day is
probably double what I'd normally eat, but if I don't, if I let myself
get just the slightest big hungry, my supply dips. Eating warm, soft
foods in beneficial, because your body doesn't need to put as much
effort into digesting it. Your body can put all it's efforts into making
milk!
3. Rest. And I know it can be hard... trust me. I have 3 kids, the
oldest is 4. I have a part time job. I want to be good at both. I also
want to breastfeed. I have to sit when I can. I have to sit when I
really shouldn't! I have to go to bed with dishes in the sink, because I
need to sleep! Making milk is an activity that your body has to do.
It has to have the energy to do it. *I personally can't do much in the
line of exercising if I want to maintain a supply. A 30 minute casual
walk tanked my milk supply for 2 days with K2. This time, I'm just not
doing anything to get into shape. I will, when I'm done nursing. I just
have to be ok with that.
4. Fenugreek. I put a dropper or two in my coffee every morning (and, yes,
it's true, caffeine in any form, including coffee, isn't great for milk
production). I think of it as my 'instant boost'. I take 2 Fenugreek
pills 3 times a day, it's my 'continued support'. If I'm noticing a
growth spurt in K3 and/or a dip in supply, I take 3 pills 3 times a day.
If I have an oversupply one day, I don't take the pills that day.
5. Lactation Bars
I really believe that these were my saving grace when I was really
starting to feel like things might fail. We'd gone 2 weeks needing to
give 2oz of formula every night when I finally made these. I ate quite a
few that first day, but that night, no formula was needed.
6. Just Nurse. Now, I know that this doesn't always work. I was so
frustrated when a friend of mine told me this with K1, when I couldn't
even get K1 to attempt to latch. However, If your baby will nurse, then
take time to just let them. Grab a few movies or a new series on
Netflix, a huge supply of snacks and drinks, and spend hours, even a
whole day, or days, curled up with baby. Couch, bed, recliner, wherever,
just stay there. Get up to go to the bathroom and go right back to
cuddling... and nursing, and cuddling... and nursing, and then do it
some more.
Those are my tips. I've had some interesting experiences with nursing,
but I can't be the only one. I KNOW I'm not actually, because no matter
how 'natural' people will tell you it is, it's still something that you
and your baby need to learn to do, like walking, and you need to learn
to do it together, like running a 3-legged race!
*I'm not a Lactivist by any stretch. G1 only got breastmilk for 8 days
and she is insanely smart and super healthy. Seriously, she's been sick
about 3 times in her entire life. Loving and Feeding your baby are all
that really count. Breastfeeding is something that I wanted to do, and for it to not work, well,... Challenge Accepted!!!