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Breastfeeding Moms Breastfeeding Moms

help before I give up please!

Posted by on Feb. 15, 2014 at 10:01 AM
  • 47 Replies
Im only on day 6 and im already feeling done :(.
Baby has a good latch once she actually latches. But I have a MASSIVE over supply. Im not falking oh a little im talking wuth random letsowns I have already saved 38 os of milk. My baby in always in pain from gas, she turned BLUE and had tobe checked out at the er and im seriously debating wuiting already. :( if I hear how "lucky" I am ro have so much milk one more time ill kill someone im positive!
Sorry for the vent.
Baby was born at 36+5 6#6oz @36 hours of life she was 6#1oz and at 4 days of life she was 6#1oz
by on Feb. 15, 2014 at 10:01 AM
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K8wizzo
by Kate on Feb. 15, 2014 at 10:12 AM
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((hugs))  Oversupply can suck just as much as any other breastfeeding problem.  Try reclining to feed her and putting her on top of your breast, tummy to tummy.  Gravity will help to slow the flow of milk and help her to get a good latch.

K8wizzo
by Kate on Feb. 15, 2014 at 10:13 AM
1 mom liked this

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

K8wizzo
by Kate on Feb. 15, 2014 at 10:15 AM
1 mom liked this

I'd like you to read this article.  This is a research-based method for dealing with oversupply that typically resovles it within a week.  It works really well for severe oversupply like you are describing. http://attachmentparenting.org/blog/2012/06/12/fighting-the-battle-against-oversupply/

Mrseoc
by Member on Feb. 15, 2014 at 10:22 AM
1 mom liked this
This early on your body has yet to regulate your milk. If oversupply is your problem then you should certainly consider yourself lucky. Like another poster said it will resolve itself with time. Until then build up a stash in the freezer... feed lo with bottles for now... and take advantage of being able to let others feed her.
shortyali
by Alicia on Feb. 15, 2014 at 10:22 AM
Not going to tell you how lucky you are because I know how much an oversupply sucks. Are you using those milkys to collect milk right now? If so I'd say keep it up, if your pumping then put the pump away.
The first 6 weeks are the hardest, I'm not gonna lie. Try to push through and then if after 6 weeks you still want to quit then that's one thing. I try not to make life decisions when things are the hardest. We are here for support if you need it.
Duckyteers
by on Feb. 15, 2014 at 10:24 AM
Thank you so much ill ve checking out that link in just a few. Also please excuse all the horrible typos in my op. I was in tears and just didnt care enough to correct typos.
Duckyteers
by on Feb. 15, 2014 at 10:32 AM
1 mom liked this
Yes watching my infant tuen blue because I make too much milk and it forces her to swallow when shes clearly incapable of tolerating any more Is luck. Gah? Have you ever watched your baby turn blue and go limp? Luck? No this sucks... bottles suck, and while yes it may resolve in a few months like it did with 2 of my children this is MUCH more severe. And with my laat it didnt reallh resolve she just gotvused to the flow around 5 months s ok I didnt need to hand express before at that point.

Im sorry if I sound I mean or rude. But I don th wanna hear how lucky I am. Watv hing my daughter go lifeless doesnt really seem lucky, havjngvher screaming and crying r rom gas pains at on a few days old does not feel lucky. Its torture.

Quoting Mrseoc: This early on your body has yet to regulate your milk. If oversupply is your problem then you should certainly consider yourself lucky. Like another poster said it will resolve itself with time. Until then build up a stash in the freezer... feed lo with bottles for now... and take advantage of being able to let others feed her.
Duckyteers
by on Feb. 15, 2014 at 10:35 AM
I just catch what i catch when I can... no way would I pump (had to once so she could latch took out an ounce but I didnt mean to I only pumped for a minute if that and bam over an oz of milk)

I dont wanna give up I just dont wanna see her ever go so lifeless again :(

Quoting shortyali: Not going to tell you how lucky you are because I know how much an oversupply sucks. Are you using those milkys to collect milk right now? If so I'd say keep it up, if your pumping then put the pump away.

The first 6 weeks are the hardest, I'm not gonna lie. Try to push through and then if after 6 weeks you still want to quit then that's one thing. I try not to make life decisions when things are the hardest. We are here for support if you need it.
Mrseoc
by Member on Feb. 15, 2014 at 10:38 AM
Well we can't fix you here at cafe mom we can only offer advice. You sound overwhelmed. I hope you talk to your Dr. Maybe you should contact le leche league on their website and look for a consultant nearby you. They list the phone numbers on their website.
I know its frustrating when things don't go as planned but you came here for advice so take a deep breath and try the options. I know bottles suck but as you made clear you don't have many options. This problem is a fixable one.

Quoting Duckyteers: Yes watching my infant tuen blue because I make too much milk and it forces her to swallow when shes clearly incapable of tolerating any more Is luck. Gah? Have you ever watched your baby turn blue and go limp? Luck? No this sucks... bottles suck, and while yes it may resolve in a few months like it did with 2 of my children this is MUCH more severe. And with my laat it didnt reallh resolve she just gotvused to the flow around 5 months s ok I didnt need to hand express before at that point.



Im sorry if I sound I mean or rude. But I don th wanna hear how lucky I am. Watv hing my daughter go lifeless doesnt really seem lucky, havjngvher screaming and crying r rom gas pains at on a few days old does not feel lucky. Its torture.



Quoting Mrseoc: This early on your body has yet to regulate your milk. If oversupply is your problem then you should certainly consider yourself lucky. Like another poster said it will resolve itself with time. Until then build up a stash in the freezer... feed lo with bottles for now... and take advantage of being able to let others feed her.
shortyali
by Alicia on Feb. 15, 2014 at 10:41 AM
I know it's hard. My DD was small. I mean at you LO's age my DD was 5lbs maybe 6 ozs. If she was held correctly at all times she turned blue. It isn't fun at all. Made for a lot of sleepless nights. The reclined nursing helps a lot. Or even nurse up right in a wrap or sling of some kind.
It's kind of ironic that at this age we try to slow the force of supply down as much as we can and when they get older they actually try to squeeze your breast to get the flow moving.


Quoting Duckyteers: I just catch what i catch when I can... no way would I pump (had to once so she could latch took out an ounce but I didnt mean to I only pumped for a minute if that and bam over an oz of milk)



I dont wanna give up I just dont wanna see her ever go so lifeless again :(



Quoting shortyali: Not going to tell you how lucky you are because I know how much an oversupply sucks. Are you using those milkys to collect milk right now? If so I'd say keep it up, if your pumping then put the pump away.


The first 6 weeks are the hardest, I'm not gonna lie. Try to push through and then if after 6 weeks you still want to quit then that's one thing. I try not to make life decisions when things are the hardest. We are here for support if you need it.
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