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Would this work?

Posted by on Nov. 18, 2012 at 9:45 AM
  • 16 Replies

So I am using a nipple shield and notcied that when I start to nurse, the milk comes out sooo fast, that Sophie can barely keep up, no wonder after every feeding she spits up and she is uncomfortable! Do you think pumping out around an oz of milk before every feeding would work? I read its called the forceful let down (not sure) and it might help!

Soooo confused about everything :/

Thank you

by on Nov. 18, 2012 at 9:45 AM
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K8wizzo
by Kate on Nov. 18, 2012 at 9:50 AM
1 mom liked this

http://kellymom.com/bf/got-milk/supply-worries/fast-letdown/

Forceful Let-down (Milk Ejection Reflex) & Oversupply

AUGUST 20, 2011. Posted in: SUPPLY WORRIES

By Kelly Bonyata, BS, IBCLC

 Is forceful let-down the problem?

Does your baby do any of these things?

  • Gag, choke, strangle, gulp, gasp, cough while nursing as though the milk is coming too fast
  • Pull off the breast often while nursing
  • Clamp down on the nipple at let-down to slow the flow of milk
  • Make a clicking sound when nursing
  • Spit up very often and/or tend to be very gassy
  • Periodically refuse to nurse
  • Dislike comfort nursing in general

If some of this sounds familiar to you, you probably have a forceful let-down. This is often associated with too much milk (oversupply). Some mothers notice that the problems with fast letdown or oversupply don’t start until 3-6 weeks of age. Forceful let-down runs the gamut from a minor inconvenience to a major problem, depending upon how severe it is and how it affects the nursing relationship.

What can I do about it?

There are essentially two ways you can go about remedying a forceful let-down: (1) help baby deal with the fast flow and (2) take measures to adjust your milk supply down to baby’s needs. Since forceful let-down is generally a byproduct of oversupply, most moms will be working on both of these things. It may take a couple of weeks to see results from interventions for oversupply, so try to be patient and keep working on it.

Help baby deal with the fast milk flow

  • Position baby so that she is nursing “uphill” in relation to mom’s breast, where gravity is working againstthe flow of milk. The most effective positions are those where baby’s head and throat are above the level of your nipple. Some nursing positions to try:
    • Cradle hold, but with mom leaning back (a recliner or lots of pillows helps)
    • Football hold, but with mom leaning back
    • Elevated football hold – like the football hold, but baby is sitting up and facing mom to nurse instead of lying down (good for nursing in public).
    • Side lying position – this allows baby to dribble the extra milk out of her mouth when it’s coming too fast
    • Australian position (mom is “down under”, aka posture feeding) – in this position, mom is lying on her back and baby is on top (facing down), tummy to tummy with mom. Avoid using this positioning frequently, as it may lead to plugged ducts.
  • Burp baby frequently if she is swallowing a lot of air.
  • Nurse more frequently. This will reduce the amount of milk that accumulates between feedings, so feedings are more manageable for baby.
  • Nurse when baby is sleepy and relaxed. Baby will suck more gently at this time, and the milk flow will be slower.
  • Wait until let-down occurs, then take baby off the breast while at the same time catching the milk in a towel or cloth diaper. Once the flow slows, you can put your baby back to the breast.
  • Pump or hand express until the flow of milk slows down, and then put baby to the breast. Use this only if nothing else is working, as it stimulates additional milk production. If you do this, try to express a little less milk each time until you are no longer expressing before nursing.

Adjust your supply to better match baby’s needs

  • If baby is gaining weight well, then having baby nurse from only one breast per feeding can be helpful.
  • If baby finishes nursing on the first side and wants to continue nursing, just put baby back onto the first side.
  • If the second side becomes uncomfortable, express a little milk until you’re more comfortable and then use cool compresses – aim for expressing less milk each time until you are comfortable without expressing milk.
  • Avoid extra breast stimulation, for example, unnecessary pumping, running the shower on your breasts for a long time or wearing breast shells.
  • Between feedings, try applying cool compresses to the breast (on for 30 minutes, off for at least an hour). This can discourage blood flow and milk production.
  • If nursing one side per feeding is not working after a week or so, try keeping baby to one side for a certain period of time before switching sides. This is called block nursing.
  • Start with 2-3 hours and increase in half-hour increments if needed.
  • Do not restrict nursing at all, but any time that baby needs to nurse simply keep putting baby back to the same side during that time period.
  • If the second side becomes uncomfortable, express a little milk until you’re more comfortable and then use cool compresses – aim for expressing less milk each time until you are comfortable without expressing milk.
  • In more extreme cases, mom may need to experiment a bit with time periods over 4 hours to find the amount of time per breast that works best.
  • Additional measures that should only be used for extreme cases of oversupply include cabbage leaf compresses and herbs.

Even if these measures do not completely solve the problem, many moms find that their abundant supply and fast let-down will subside, at least to some extent, by about 12 weeks (give or take a bit). At this point, hormonal changes occur that make milk supply more stable and more in line with the amount of milk that baby needs.

Sometimes babies of moms with oversupply or fast let-down get very used to the fast flow and object when it normally slows somewhere between 3 weeks to 3 months. Even though your let-down may not be truly slow, it can still seem that way to baby. See Let-down Reflex: Too Slow?for tips.

 

 Additional Information

Too Much Milk? by Becky Flora, IBCLC

Oversupply by Kathy Kuhn, IBCLC

Tips for taming a monster milk supply by Kathy Kuhn, IBCLC

Gaining, Gulping, and Grimacing? by Diane Wiessinger, MS, IBCLC

Oversupply: Too Much Milk by Anne Smith, IBCLC

Colic in the Breastfed Baby by Jack Newman MD, FRCPC

Am I making too much milk? from La Leche League International

Fighting the Battle Against Oversupply  by Vanessa Manz

Finish the First Breast First by Melissa Vickers (LEAVEN, September-October 1995, p. 69-71)

Overactive Let-Down: Consequences and Treatments by Mary Jozwiak (from LEAVEN, September-October 1995, pp. 71-72)

Common Side Effects of an Overactive Let-Down by Mary Jozwiak (from LEAVEN, September-October 1995, p. 69)

Too Much of a Good Thing by Kate Drzycimski, from New Beginnings Vol. 19 No. 9, July-August 2002, p. 129.

PDF Resolution of Lactose Intolerance and “Colic” in Breastfed Babies by Robyn Noble & Anne Bovey, presented at the ALCA Vic (Melbourne) Conference on the 1st November, 1997

Lizzys_mommy13
by on Nov. 18, 2012 at 9:58 AM
1 mom liked this

I had to do that with Lizzy! If I didn't, she would either choke or spit up. Just pump out a little bit and then let baby latch. :) My visiting nurse recommended doing that, and I was so thankful after! I produced so much that Lizzy a lot of the time would get sprayed in the face or she would go to latch and have more than her little mouth could hold before she was even latched on. Expressing out a little bit of milk right before that helped quite a bit. 
I will add, that I had one heck of a supply. I had to pump just to get comfortable between feedings often and would get 8oz or so just off of one side. It was like that from beginning to end for me. So keep watch on that as well. Pumping for comfort, for those that don't know, is when you are so full that you are in pain and you pump just until you feel relief. Then you stop. Some people only need to pump 1/2oz or so, others need to pump more. 

tabi_cat1023
by Group Mod - Tabitha on Nov. 18, 2012 at 10:04 AM

Block feed meaning nurse on one side for 2-3 feeds before switching to the other side.  Do upright feeds or lay back with baby on top of you this will slow down the milk flow

szimona
by on Nov. 18, 2012 at 10:12 AM


Quoting tabi_cat1023:

Block feed meaning nurse on one side for 2-3 feeds before switching to the other side.  Do upright feeds or lay back with baby on top of you this will slow down the milk flow

My boob would explode if I did that...or you mean should i pump the other one?

maggiemom2000
by Ruby Member on Nov. 18, 2012 at 10:36 AM


Quoting szimona:


Quoting tabi_cat1023:

Block feed meaning nurse on one side for 2-3 feeds before switching to the other side.  Do upright feeds or lay back with baby on top of you this will slow down the milk flow

My boob would explode if I did that...or you mean should i pump the other one?

No, do not pump, that will signal your body to make more milk. You want to send you body the signal to make less milk. It seems like your boob will explode, but it won't! In the long run it will make things much better, you wo't feel so  full all the time.

Here's how it works (from http://www.llli.org/faq/oversupply.html)

"If you are uncomfortable on the breast that is not being used before you are ready to nurse on it again, you can hand express or pump for only a few moments (20-30 seconds or less), just enough to relieve some discomfort. Do not pump too much or you will signal your breasts to produce even more milk. There is a certain whey protein in the milk, called "Feedback Inhibitor of Lactation" (FIL), that begins to build up and concentrate when milk is not removed for a while. This protein needs to be allowed to build up high enough to trigger the breast to cut back milk production. By removing just barely enough milk to be comfortable, but still allowing the breast to be full enough to trigger the "cut back milk production" message, most mothers can decrease milk production without risking plugged ducts or a breast infection. Many mothers find that cold compresses -- chilled raw green cabbage leaves or a bag of frozen peas -- help ease the discomfort and reduce swelling from being overly full."

Precious333
by Group Mod-Julia on Nov. 18, 2012 at 10:39 AM


Quoting maggiemom2000:

 

Quoting szimona:

 

Quoting tabi_cat1023:

Block feed meaning nurse on one side for 2-3 feeds before switching to the other side.  Do upright feeds or lay back with baby on top of you this will slow down the milk flow

My boob would explode if I did that...or you mean should i pump the other one?

No, do not pump, that will signal your body to make more milk. You want to send you body the signal to make less milk. It seems like your boob will explode, but it won't! In the long run it will make things much better, you wo't feel so  full all the time.

Here's how it works (from http://www.llli.org/faq/oversupply.html)

"If you are uncomfortable on the breast that is not being used before you are ready to nurse on it again, you can hand express or pump for only a few moments (20-30 seconds or less), just enough to relieve some discomfort. Do not pump too much or you will signal your breasts to produce even more milk. There is a certain whey protein in the milk, called "Feedback Inhibitor of Lactation" (FIL), that begins to build up and concentrate when milk is not removed for a while. This protein needs to be allowed to build up high enough to trigger the breast to cut back milk production. By removing just barely enough milk to be comfortable, but still allowing the breast to be full enough to trigger the "cut back milk production" message, most mothers can decrease milk production without risking plugged ducts or a breast infection. Many mothers find that cold compresses -- chilled raw green cabbage leaves or a bag of frozen peas -- help ease the discomfort and reduce swelling from being overly full."

Yes, I agree. Also if you just express a little that can help baby latch better so I would make my way to weaning off of the nipple shield as well. I would do the cabbage leaes too.

juliakf333. Get yours at bighugelabs.com
larissalarie
by Platinum Member on Nov. 18, 2012 at 10:50 AM
1 mom liked this
The boob exploding feeling is kinda the point, it's what tells your body to cut back production and not make too much milk. It's worth it once you get through it.

The orginal idea of pumping an ounce before nursing would help the first day or two, but would wind up raising your supply that much further and make the spit up issue even worse.


Quoting szimona:



Quoting tabi_cat1023:

Block feed meaning nurse on one side for 2-3 feeds before switching to the other side.  Do upright feeds or lay back with baby on top of you this will slow down the milk flow

My boob would explode if I did that...or you mean should i pump the other one?

Posted on CafeMom Mobile
szimona
by on Nov. 18, 2012 at 11:00 AM


Quoting Precious333:


Quoting maggiemom2000:


Quoting szimona:


Quoting tabi_cat1023:

Block feed meaning nurse on one side for 2-3 feeds before switching to the other side.  Do upright feeds or lay back with baby on top of you this will slow down the milk flow

My boob would explode if I did that...or you mean should i pump the other one?

No, do not pump, that will signal your body to make more milk. You want to send you body the signal to make less milk. It seems like your boob will explode, but it won't! In the long run it will make things much better, you wo't feel so  full all the time.

Here's how it works (from http://www.llli.org/faq/oversupply.html)

"If you are uncomfortable on the breast that is not being used before you are ready to nurse on it again, you can hand express or pump for only a few moments (20-30 seconds or less), just enough to relieve some discomfort. Do not pump too much or you will signal your breasts to produce even more milk. There is a certain whey protein in the milk, called "Feedback Inhibitor of Lactation" (FIL), that begins to build up and concentrate when milk is not removed for a while. This protein needs to be allowed to build up high enough to trigger the breast to cut back milk production. By removing just barely enough milk to be comfortable, but still allowing the breast to be full enough to trigger the "cut back milk production" message, most mothers can decrease milk production without risking plugged ducts or a breast infection. Many mothers find that cold compresses -- chilled raw green cabbage leaves or a bag of frozen peas -- help ease the discomfort and reduce swelling from being overly full."

Yes, I agree. Also if you just express a little that can help baby latch better so I would make my way to weaning off of the nipple shield as well. I would do the cabbage leaes too.

I tried to express myself, but it didnt work, thats why i thought would give the pump a try, just a little bit, to slow down the flow!

szimona
by on Nov. 18, 2012 at 11:02 AM

Ahhh, see :)) So much info! Now i have no idea what to do :)) All I want is to Sophie not spit up or spit up less! 

Quoting larissalarie:

The boob exploding feeling is kinda the point, it's what tells your body to cut back production and not make too much milk. It's worth it once you get through it.

The orginal idea of pumping an ounce before nursing would help the first day or two, but would wind up raising your supply that much further and make the spit up issue even worse.


Quoting szimona:



Quoting tabi_cat1023:

Block feed meaning nurse on one side for 2-3 feeds before switching to the other side.  Do upright feeds or lay back with baby on top of you this will slow down the milk flow

My boob would explode if I did that...or you mean should i pump the other one?


tabi_cat1023
by Group Mod - Tabitha on Nov. 18, 2012 at 11:03 AM
1 mom liked this

pumping before nursing will make you produce MORE

If the hand expressing doesnt work then block feed and pump a tiny amount from the other breast just enough to soften it and make it not painfful between feeds.  Block feeding helps SOOOOOOO much

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