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BF questions
My wife has been pumping
since 3/5/04 when our son was born. Her milk levels are still low though. In the mornings she can pump about 3-4 ounces. The evenings it is only 1-2 ounces. Is that per pumping session or total? And how often is she pumping? If that is per session, that's really good. She shouldn't be expecting to get huge amounts of milk. She should be trying to pump about as often as baby should be eating, which should be around every 2-3 hours during the day, and at least once or twice at night. If she isn't pumping at least 8-10 times per day, she should be increasing the frequency. That will increase her production. You say she isn't doing it 'as regularly as she should'. With a baby who isn't nursing at the breast, it is REALLY important to be pumping regularly if she hopes to keep milk production up until baby can be nursing. The other is our son is not latching on properly and gets quite frustrated when put on the breast. Yup, nipple confusion will cause this very problem. Babies nurse differently at the breast than at a bottle nipple, and he's likely to get frustrated and upset (and make your wife's nipples sore), when he tries to suck 'bottle style' on the breast and nothing comes out. The SNS you mention should help with this problem, since he will get some milk even if he isn't latched on right. Your wife can also try expressing a little milk onto the nipple before putting baby on, so he tastes something which will encourage him to continue. We do have an appointment with the LC tomorrow. She should have good ideas, and you do need plenty of hands on help for this. That is another thing, he is quite the sleepy kid. Which is good at times. But when does it become excessive or become cause for concern? It is normal, in one sense, for newborns to be sleepy. They tend to do little but eat and sleep. And jaundice makes babies even sleepier, so if he's still jaundiced, that will make the problem worse. Still, by almost 2 weeks of age, he should be waking for feeds at least 10 times a day and staying relatively alert for at least 10-15 minutes during the feed. Is he wetting plenty of diapers? (A bare minimum of 6 really wet diapers, 8-12 would be better.) Is the jaundice clearing up? Is his skin pliable? His mouth moist inside? If the answer to any of these questions is no, I'd be back on the horn to the doctor right now. With his bfing difficulties, he could be getting dehydrated, which could cause the lethargy. Good luck. Naomi CAPPA Certified Lactation Educator (either remove spamblock or change address to to e-mail reply.) |
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