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Discussion Starter · #1 ·
My health visitor has advised due to my v sore nipples that I try to express to keep up my supply and combined feed my 7 day old son.

I BF yesterday at 10am on the left and then at 4.15 on the right and then gave him small amounts of formula (1oz at a time) through the day/evening/night last night as my nipples were bleeding and I just couldn't cope any more.

I expressed 3oz between both breasts around 6.30am (but dumped because I realised I'd not taken the pump apart properly and was a bit scared I hadn't cleaned it properly as it was my first use).

This morning my nipples seemed a bit better and so I tried to BF again.  He had
20 mins at 8am on the right,
10 mins on the left at 12.00,
8 mins on the right at 12.50,
15 mins on the left at 3.25
and 15 mins on the right at 4.50pm.

At this point my nipples (which had been healing well enough for me to feel comfy feeding), started bleeding again even with the lanisoh.

At 6pm he woke so I gave him 1oz formula, I then expressed around 8pm which I found very comfortable but only managed to get 1oz between both breasts.

He woke up at 9pm so I've fed him the 1oz breast milk and he's had half an oz of formula and has fallen straight back to sleep again.

I really don't know if he's getting enough. At his 5 day check his weight had only gone down 2 percent which I was pleased about but since then I have really noticed his feeds have gone more often but less time in length and now I've expressed at different times and seen that I got 3oz total at 6am but only 1oz at 8pm makes me think that perhaps I haven't got enough in me.

Any advise you can give me would really help. I am using an Avent manual pump.

Thank you

Bellini xxx
 

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Hi,

Has anyone checked your ds's latch to make sure he's on properly? What about using nipple shields? I know some HV's tell you not to use them but I did short term and didn't have a problem - it was either that or stop BF'ing at one point due to the pain caused by thrush. Is there a BF'ing support group local to you that you can go to to get more specialised help? Alternatively try the NCT or La Leche (http://www.fertilityfriends.co.uk/forum/index.php?topic=5095.0).

Unfortunately a pump is rarely as efficient as a baby so what you express isn't necessarily all you have there. Also, BF'ing is all about supply and demand and the only way to increase your supply is to feed (preferably) or pump more often. By giving supplements of formula your body will get the message that it is producing the right amount which is fine if you are happy to mix feed.

HV's are all well and good but they do like to tell you to introduce formula at the first hurdle. Just one other thought, have you registered on your local netmums website (www.netmums.com)? If not then do so and post on the local noticeboard asking for BF'ing support groups.

Finally, the best guage of whether he is getting enough is that he is gaining weight, producing wet and dirty nappies and is relatively content and settling well inbetween feeds.

Chux xx
 

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Discussion Starter · #3 ·
Thanks. To be honest he's not had as many nappies as yesterday but he is falling asleep during feeds. I will give it a few days as is. My mw said to ensure that I'm doing something with my breast every 3 hours so I'm going to try to keep to that as best I can. My latch has been checked numerous times and I've been told that it's fine. I did check in his mouth and I wonder if he has a tongue tie as the frenelum (sp?) seems quite forward to me (I will ask the mw to check on her next visit on Sunday).

I had an emergency c-section so I can't get out right now but when I can there is a support group - I'm just not sure it's within walking distance and I can't drive for 6 weeks.

Maybe I'm worrying over nothing... I mean if he was hungry he'd be screaming the house down rather than settled in his moses basket.
 

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If your latch is ok then I would try a nipple shield just for a day or two to give your nipples time to heal. What about trying a different position e.g. the rugby ball where he lies to your side rather than across your body?

How are you feeling after the section? You may find that you'll be able to drive before the 6 weeks, I know I was told it's a guide but they expect you to be ok somewhere around 4-6 weeks. My doctor said that as soon as I felt I could do an emergency stop without thinking "ouch, my tummy" then I was ok to drive, and the insurance weren't interested at all! Can you ask your midwife/HV is there is a closer group or could you get someone to drive you?

Well done for keeping going, it does eventually all fall into place and makes the worries of the first few weeks all worthwhile.

Chux xx
 

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You've had some good advice.  I hope that the MW can reassure you about the tongue-tie.  Kara was 75% tongue-tied at birth, and made me very very sore, and the damage took a long time to heal.  But I think my nipples would have been in a much worse state if it wasn't for a midwife telling me to put the lansinoh cream onto my breast-pads, rather than rubbing it into my sore skin.  That had to be the top tip that I was ever given!!
 

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Hi hun

how are you getting on today? hope the mw was able to have a look at your baby's tongue, like tracey my dd was also tongue tied and it caused me alot of pain, cracks and blisters so understand the pain  :eek:

i would definately try the nipple shields to give your nipples a rest and please dont worry about the amount your expressing, i worried alot as got hardly any but i had to trust my instinct that my dd was getting enough, plenty of wet and a few dirty nappies was way of checking

lansinoh saved me from giving up too!!

good luck and let us know how you're getting on

love
Suze xx
 

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Discussion Starter · #7 ·
Thanks everyone for the advice.  We're doing 70% formula, 30% Breast. MW said it's def tongue tie and she's coming back on Thursday when she would have heard from the paed.

Mister has been unsettled the last 24 hours but he's finally asleep. Tried a dummy on mw's advice but he spat it out.

Going to try and keep up my supply. I don't want to totally give up.

MW also suggested nipple shields.

Thanks xxxx
 

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I really recommend the nipple shields, I was bleeding and so sore that I cried through a feed and was nearly on the verge of giving up so they saved us.  I only needed them for a few days and used them in conjunction with lansinoh. 
It took me ages to be able to express a decent amount of milk but I know how hard it is not to worry about how much milk your producing. 

For info and in case your worried I observed a tongue tie being corrected at the hospital the other day and was amazed at how well the babies cope with it.  I was told they don't feel any pain while having it done and they only cry from having the cut pressed with a dressing.     

Oh and Congratulations on the arrival of your little man he looks scrummy.  ^hugme^
 

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My experience of Kara's tongue being 'untied' was that she cried at the point of it being snipped but then stopped when the gauze was put on (she started trying to suck it!), but as soon as it was done and had stopped bleeding she was given to me for a lovely healing breastfeed and it was if it had never happened. She cried no more than having her heel prick tests or her first 3 immunisations. I was much more upset about it than she ever was, and it's meant we've been able to carry on nursing together, and now she can also poke her tongue out. Something she wouldn't have been able to do if she hadn't had it done. I so wish that it was a routine check for all nursing babies.
 
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