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  1. #11
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    Busy-Bee is offline Offending people since before Del :D
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    I just wanted to post to say that perma feeding for a newborn is normal!! It is very normal for bf babies to appear never satisfied. If you can just keep offering boob. Set yourself up for a couple of days if just resting in bed and perma feeding your baby. Get some DVDs and comfy trackies.

    I struggled with supply for months with DD. Only very high doses of motilium had any affect for me. I hated expressing because it was like I ALWAYS had my boobs out but I was always really grateful for the bottle of EBM I could give to DD in teh evening when I was just OVER a baby being attached to me 24/7.

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    Maybe she gained the weight because the motilium is working? If it were me I would ditch the formula top ups and give her unlimited bf access for a week and just see how that works jmo though. You are doing great

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    Quote Originally Posted by missie_mack View Post
    Why does she need to wean off it? Not everyone has the ability to wean off without it affecting their supply. I certainly haven't and still take it daily after almost two years, without any serious side effects.

    OP- what dosage of motillium are you on? Dr Jack Newman (who is a breastfeeding GURU/paediatrician that people fly all over the world just to hear him speak, yes I am a bit of a fan ) advises most women need to take at least 3 tablets x 4 times a day to establish a good supply and provides wonderful information about long term motillium use if it is necessary. You can find information about Getting Started here

    Also when you are pumping- try pumping more in the morning and less in the afternoon. In the afternoon you will find almost all Mums struggle with supply, particularly in the early day. This is often why babies feed for what seems hours (which is called cluster feeding). It is when your prolactin levels are their lowest, where in the morning they peak (after sleep), usually around 3-4-5 am (and this is often why babies wake around 3am for a feed ) Also try doing breast compressions when you pump(more info here as well)! These makes a big difference, I even did these when I fed- because we need to remember a breast never goes entirely dry and for most women refills within about 15-20 mins. I also find switch feeding helps get more in- this means not just offering each side once but several times. I found doing a Super Pump at least once a week helped boost supply. I did it for about an hour and would double pump for 10 minutes, rest for 10, double pump for 10....

    With your weight gains- I feel your pain and have been here myself too many times. It is normal for a breastfed baby to not put on a lot of weight every single week. Often they stagger and it needs to be averaged out ie they put on heaps one week and not much the next. 100g is perfectly ok. Look at the outputs as much as the scales- sunken fontanels, enough wet nappies (about 5 disposables), no saggy skin, alertness etc etc

    Oh and ditch the bottle. Tsk tsk to anyone who is an LC and didn't discuss the risks of using a teat on such a young baby. Look into using a supply line or a SNS. This ensures that whilst bub is being topped up that the breasts are being stimulated and reduces the risk of bub taking preference to the bottle- because babies are clever little clogs. They quickly come to realise that the teat is much easier work than the breast, it uses far less muscles and can literally drip into their mouths if they want it to. Sadly this can lead to nipple confusion (where they try to suck at the breast like they would the bottle, ouch!) or total breast refusal Which is just heartbreaking to deal with in general, something I wish upon no mother, yet alone when trying so hard to make it all work out

    I have added as many links as I can think of- but really I urge you to read lots of info from breastfeedinginc.ca Lots of videos and researched articles. kellymom.com is another wealth of info which is easy to read. Sadly I learnt early on not everyone carrying the LC title is pro breastfeeding, something to bare in mind when chatting with really any medical professional. I would love to think everyone is there to help, particularly when we are told so often how 'Breast is Best' but my experience has been finding the necessary support was pretty challenging I hope you are able to make it through
    Sorry missie mack, I was going off info from my ob and lc who have both made me try and wean off after my supply is back up. I know that not everyone can, and I certainly struggle when I'm not on it but last time I asked for another script the dr refused as there are now links to cardiac rhythm problems with long term use. I'm going to go and read some of your links now to see if I can present some of it to my dr to get another script.

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    Thankyou.

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    Thanks, Missie. It's funny - and surprising - that the head of pharmacology at Monash told me to start weaning off Motilium (I'm taking 2 pills 3x a day so 60mg daily) after about a month but the LC told me I would need to continue taking it to keep my supply up. The GP who wrote the prescription for me was clueless so I doubt I'd have a problem like Amyd did - luckily. Do you have a prescription that can be refilled? I really don't want to have to keep going to see the GP every few weeks!

    Vesper had another no formula feed this afternoon (at about 3pm then fed again at 4 before going to sleep) so I'm feeling good. I am hoping to wean her off the formula in this way - she gets enough breastmilk from me so doesn't want/need any top-ups - but I don't feel comfortable stopping it completely.

    Most annoying thing is that my pump is faulty and isn't safe to use! I'll get another one tomorrow but it means an entire day where I haven't pumped - though I'll do some hand expressing shortly. I have been doing my first pump of the day around 5.30-6am after DD has had her feed at that time and it's amazing how much I get compared to the rest of the day!

    I agree that it's shocking what some LCs will say - the one I'm seeing isn't great but she's better than no help at all. She spent about 10 minutes telling me how difficult supply lines are after I mentioned that I might look into them (still haven't decided if I will or not), but she did ring the ABA for me to see if they had them for sale. Is the Medela the only one available?

  6. #16
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    Angelini I had supply issues with DD and successfully mixed fed for 8 months. I was advised to try to wean off motillium by the gp i was seeing then but my supply would drop dramatically if i dropped a tablet.

    I have issues once again and started on motillium on day 4 - 3x2 a day. I'm also taking brewers yeast and a fenugreek/blessed thistle mix plus lots of oats and linseed. I'm still having latching issues at nearly 4 weeks but we're nearly there and he's getting better at draining my boobs properly. Because of pain I can't let him suckle as often as I could with DD so that doesn't help plus I can't handle pumping - it just wears me out emotionally and takes so much time that I just don't have to spare! Some feeds he needs no top up, usually he needs about a 20ml top up but will sometimes take up to 60ml.

    Missie Mac has lots of great advice. Definitely Google Jack Newman for lots of great info diagrams etc.

    With DD I got my supply up enough to drop formula for a few weeks - then she had a growth spurt and I couldn't go through it all again so reintroduced top ups. This was before i started motillium and this is what I did... I let her suckle whenever she wanted - I was a mummy dummy! I used breast compression techniques. I returned her to the first boob after she finished the second; then the second again, sometimes switching once again before offering a top up. Feeds would take at least 1 hour. I pumped immediately after each feed and whatever I got was offered as a top up next feed.

    So as you can see it was a pretty exhaustive process. This time around I'm happy to top up with a little formula if it means I don't dedicate 80% of my waking hours to breastfeeding!

    With DD I really struggled with feelings of failure but this time I'm making sure to focus on the positives. I know many breastfeeding mum who would love it if their bub would also take a bottle of formula - mixed feeding you get the best of both!

    Sent from my GT-S5830 using BubHub

  7. The Following User Says Thank You to Stretched For This Useful Post:

    angelini  (04-07-2013)


 

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