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Breastfeeding Moms Breastfeeding Moms

Getting a bit stressed! :( Help.

Posted by on Mar. 4, 2014 at 11:31 AM
  • 13 Replies

So ive been EBF my son since birth. I've been back to work for about a month now. I pump 3x a day at work and pump about 3-4oz a time.I normally send 3 bags of milk each filled with 6oz. My son is already 3 months and drinks 6oz bottles while being with his caregiver. I feel like my milk supply is decreasing and its very hard to pump when im at home also breastfeeding him. My boyfriend also constantly argues with me about not having extra milk stored but i struggle just to pump enough for my baby the next day. Im feeling very overwhelmed and wanted to get some advice on boosting milk supply? Anthing that anyone has tried that has helped them. Sometimes i get discouraged when i dont pump enough and sometimes i think about formula feeding instead of breastfeeding. Will it get easier when he starts to eat solid foods? Help :(((

by on Mar. 4, 2014 at 11:31 AM
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Precious333
by Group Mod-Julia on Mar. 4, 2014 at 11:39 AM
2 moms liked this
Mama. You are giving bottles way way way too big! They need to be giving 2 oz bottles, and giving them every 2 hours. An hour an ouncr while away. Www.kellymom.com tells have to bottle feed a breastfed baby.
gdiamante
by Group Mod - Gina on Mar. 4, 2014 at 11:54 AM
1 mom liked this


Quoting KarismaLove:

So ive been EBF my son since birth. I've been back to work for about a month now. I pump 3x a day at work and pump about 3-4oz a time.I normally send 3 bags of milk each filled with 6oz. My son is already 3 months and drinks 6oz bottles while being with his caregiver.

Sounds like he's being overfed by the caregiver, actually. 1 - 1.25 ounces for every hour of separation, in servings of about 3 oounces. 6 is too much.

I feel like my milk supply is decreasing and its very hard to pump when im at home also breastfeeding him. My boyfriend also constantly argues with me about not having extra milk stored but i struggle just to pump enough for my baby the next day. Im feeling very overwhelmed and wanted to get some advice on boosting milk supply?

You don't need to boost. You need the caregiver to stop stuffing your baby like he's a goose destined to become pate de foie gras! (Google it... but air warning, it will make you ill.)

Anthing that anyone has tried that has helped them. Sometimes i get discouraged when i dont pump enough and sometimes i think about formula feeding instead of breastfeeding. Will it get easier when he starts to eat solid foods? Help :(((

If you're gone eight hours, baby should not be getting mroe than ten ounces for the WHOLE time. Paced feeding... slowest flow nipple forever, bottle held parallel to the floor, stop and burp after every ounce. It shoudl take a good 20 minutes to finish a bottle. 

Your pump output is actually MORE than enough. They're over-feeding the baby. Any oaregiver who needs to shove a bottle in baby's mouth to calm them is a caregiver who must be replaced.

gdiamante
by Group Mod - Gina on Mar. 4, 2014 at 11:55 AM

How to bottle-feed the breastfed baby

JULY 28, 2011. Posted in: FEEDING BABY

…tips for a breastfeeding supportive style of bottle feeding

PDF version (great for child care providers)

by Eva Lyford. Reprinted with permission from the author.

Often, as infant feeding specialists, lactation consultants and other experts in the field of human lactation are asked how to properly bottle-feed a baby. Direct breastmilk feedings from the mother’s breast are always preferred to any artificial source or substance. In addition, there are often alternatives to bottle-feeding, such as cup feeding, which should be explored. For the baby who has to be bottle-fed, following is some information to help make the experience a good one for the baby and also to make sure that breastfeeding is fully supported even when artificial feedings are used.

This information can also be useful in evaluating infant care providers and for instructing them on how to bottle-feed a breastfed infant. Note that when working through any feeding difficulties with an infant, a lactation consultant is an excellent resource for evaluating methods for their appropriateness to the specific situation.

While useful for any bottle-fed infant, this information is particularly targeted towards infants between 12 weeks and 6 months of age.

Babies should be bottle-fed:

  1. When their cues indicate hunger, rather than on a schedule.
  2. Held in an upright position; it is especially important to avoid letting the baby drink from a bottle when lying down. Such a position is associated with bottle caries and an increased frequency of ear infections. Note also that babies should be held often at times when they arenot being fed, to avoid the baby being trained to eat in order to be held.
  3. With a switch from one side to the other side midway through a feed; this provides for eye stimulation and development, and thwarts the development of a side preference which could impact the breastfeeding mother.
  4. For 10-20 minutes at a time, to mimic the usual breastfeeding experience. Care providers should be encouraged to make appropriate quantities last the average length of a feeding, rather than trying to feed as much as they can in as short a time as possible. This time element is significant because the infant’s system needs time to recognize satiety, long before the stomach has a chance to get over-filled.
  5. Gently, allowing the infant to draw nipple into mouth rather than pushing the nipple into the infant’s mouth, so that baby controls when the feed begins. Stroke baby’s lips from top to bottom with the nipple to illicit a rooting response of a wide open mouth, and then allow the baby to “accept” the nipple rather than poking it in.
  6. Consistent with a breastfed rhythm; the caregiver should encourage frequent pauses while the baby drinks from the bottle to mimic the breastfeeding mother’s let-down patterns. This discourages the baby from guzzling the bottle and can mitigate nipple confusion or preference.
  7. To satiation, so that baby is not aggressively encouraged to finish the last bit of milk in the bottle by such measures as forcing the nipple into the mouth, massaging the infant’s jaw or throat, or rattling the nipple around in the infant’s mouth. If baby is drowsing off and releasing the bottle nipple before the bottle is empty that means baby is done; don’t reawaken the baby to “finish.” See Bottlefeeding tips from AskDrSears.com.

The benefits of bottle-feeding in this manner:

  1. The infant will consume a volume appropriate to their size and age, rather than over- or under-eating. This can support the working and pumping mom who then has an increased likelihood of pumping a daily volume equivalent to the baby’s demand.
  2. This can minimize colic-like symptoms in the baby whose stomach is distended or over-fed.
  3. It supports the breastfeeding relationship, hopefully leading to longer durations and increased success at breastfeeding particularly for mothers who are separated from their nurslings either intermittently or recurrently.

Bottle-feeding Myth 1:
Bottle-feeding lets me know how much nutrition the baby has had.

Moms who bottle-feed, whether using expressed breast milk or anything else, should be aware that while artificial feeding may seem to be a very accurate measure of volume consumed, in fact it is often not. Bottle-fed infants more often regurgitate some quantity of a feed, or get a less than perfect balance of fore and hind milk than they might if feeding directly from the breast. If a substance other than breastmilk is used, the increased metabolic workload for the baby, lower digestibility of nutrients and increased waste substantially dilute the benefit of a feed, although it is more easily measured.

Bottle-feeding Myth 2:
It is easy to bottle-feed safely.

Bottle-feeding caregivers face certain challenges in feeding a baby safely. One extra piece of work is sterilizing all infant feeding equipment for at least the first 4 months. And, if artificial substances are used:

  1. Lot numbers should be kept for any artificial milks fed to the baby, so that parents can determine whether the product was subject to a recall.
  2. A clean source of water must be available, free from bacteria. If tap water is used, the caregiver must decide whether to boil the water to eliminate bacteria (which may concentrate any heavy metals in the water), or to use unboiled water. If bottled water is used, lot numbers should be recorded. Powdered infant formula should be mixed with water that is at least 70°C/158°F to kill any harmful bacteria that may be present in the powdered formula.
  3. Quantities the baby will need should be carefully estimated, since unused formula must be discarded. Overestimating can lead to having to throw out the unused amount – and that is quite an expensive piece of waste.

For more information on infant feeding myths, see Dr. Jack Newman’s Breastfeeding Myths

More:

MinaPR
by Mina on Mar. 4, 2014 at 12:11 PM
2 moms liked this

You can begin by sending 5oz per bag everyday instead of 6... You can save the extra 3 and begin your freezer stash!! Do that for a week and then reduce them again 1 ounce at a time until he's down to 3oz per feeding. Your supply is good. Pump at work too, but not at home, (limit pumping to just the early morning pump). The baby nursing is what will keep your supply up. On your days off from work, do not give bottles, just breast. Good luck!

tabi_cat1023
by Group Mod - Tabitha on Mar. 4, 2014 at 12:49 PM


Quoting KarismaLove:

So ive been EBF my son since birth. I've been back to work for about a month now. I pump 3x a day at work and pump about 3-4oz a time.so 9-12 oz a day..thats GREAT!!I normally send 3 bags of milk each filled with 6oz. WOAH 18oz a day? WAY too much!My son is already 3 months and drinks 6oz bottles while being with his caregiver. tats because caregiver is overfeeding and doesnt know how to correctly bottlefeed a BF babyI feel like my milk supply is decreasing and its very hard to pump when im at home also breastfeeding him. your ouput may be decreasing and with him taking so much at daycare the amount he is removing from you will go down and that will hurt supply for sureMy boyfriend also constantly argues with me about not having extra milk stored but i struggle just to pump enough for my baby the next day.you are pumping tons, yeah having back up is nice but not necessary but if caregiver wasnt overfeeding you would have tons storedIm feeling very overwhelmed and wanted to get some advice on boosting milk supply? NO NEEDAnthing that anyone has tried that has helped them. Sometimes i get discouraged when i dont pump enough and sometimes i think about formula feeding instead of breastfeeding. this is totally a stress for me too and I get it, BUT caregiver is overfeeding you are pumping amazing amounts!Will it get easier when he starts to eat solid foods? nope caregiver just needs to stop overfeedingHelp :(((

Baby needs 1 oz an hour.  Start but cutting each bottle by an ounce every few days til you are down to 3 oz bottles.  THEN you will have less stress and be able to pump plenty with some left over.  I have done this 3 times and never have mine taken over 3 oz and done perfectly.  Its hard when you see FF babies with huge 6-8 oz bottles to understand that BF abbies need 3 oz.  This is because your milk adapts in composition to what baby needs over time and when you give majority of the daily needs while away baby will take less when they nurse.

K8wizzo
by Kate on Mar. 4, 2014 at 12:52 PM

One of the frequently asked questions of breastfeeding is “How much milk should I leave my baby while we are separated?”

The answers that I’ve seen vary. The answer that I subscribe to is “The One Ounce Per Hour Rule”.  (Which could be better described as the 1-1.25oz/hour rule).

The one ounce per hour rule is based on the average daily requirements of a breastfed infant who will take in 25oz/day of milk. (This does not vary much between one and six months). While amounts might be more or less during exclusive pumping / bottle feeding, the “One Ounce Per Hour” rule is considered the standard for shorter periods of mother and infant separation.

This method is the “breastfeeding friendly” method that is most likely to lead to longer term breastfeeding success. Other methods that allow on-demand feeding from bottles or that follow amount guidelines for formula fed babies often lead to supply decrease and early weaning or supplementation of non-human milk.

I’ve heard a lot of moms say that they are anxious about the one-ounce-per-hour rule of feeding a breastfed infant while separated from mom. I understand it. I was anxious as a new mom, too, and wanted to leave MORE than my baby needed because it hurt to leave him and I wanted to make sure he would be happy and satisfied while I was away.

The thing is.. It’s not starving your baby and it’s not letting your baby go hungry. It’s something your baby is already used to. The supply in your breasts is not static. It goes up and down across the day. Your baby is already used to this.

Your baby eats the same amount each day between one month and when solids are introduced. (A bit more during growth spurts- but this should happen at mom’s breast, since her supply has to scale.) This amount for breastfed babies averages out to 25oz/day with some babies eating as little as 19oz/day. Your supply is not static across the day, it increases and decreases across the day, so baby learns to nurse more during high supply hours, and less during low supply hours (which are typically in the evening)

What the one ounce per hour rule does is it encourages baby to view the bottle feeds as “low supply”, and mom-feeds as “high supply” and baby nurses more with mom and less with the bottle. Baby’s needs are met, not exceeded. More than one ounce per hour means baby finds bottle = high supply, breast = low supply, and starts fussing for more bottle, less mom. This means mom is stuck pumping HUGE amounts of milk.

This causes problems because the pump is ineffective. It’s like trying to siphon water out of a well with a drinking straw. It’s tedious, it’s boring, it’s a pain in the butt. Mom’s breasts let down easily to an eager baby, and noooot so well to a pump. 1-2oz per pumping session is actually EXCELLENT output. If baby is downing 2oz/hour or more than one ounce/hour? Mom would have to pump constantly at work to make up for it.

Better to convince baby that the bottle has a rotten supply and that it’s easier to gorge off mom. Easier on mom, easy enough on baby, and baby’s needs are more than met with the ounce per hour.

Sources: Average Intake of Breastmilk (Kellymom)

*** Important caveat: As with all “rules” there are exceptions. If mom and baby are routinely separated from each other during ALL of the highest supply hours of mom’s day and are only together briefly, the one ounce per hour rule might not work and baby may need more frequent feedings during separation. View the rule as a guideline and as a possible warning sign that your caregiver is overfeeding the baby or giving bottles that are too large/too frequent. It may not be the amount that is a problem but the bottle size. Maybe baby will do better with more frequent 2oz bottles. Maybe your pumping sessions need to be longer or more frequent in order to get milk of the right composition for what baby needs while separated. Never follow ANY rule that doesn’t work for your child.

KarismaLove
by New Member on Mar. 4, 2014 at 1:02 PM

Dont wanna blame my caregiver but in the begining i would send 4oz bottles and she said he cries for more milk. so i began sending more milk because i felt bad and thought was starving him. After i started to send 6oz bottles she said he acted more relaxed and looked satisfied. My son is 12lbs so how many oz should he be getting in a 24 hr period ? Just wondering. Thanks for the replys i will def try cutting an ounce for each bottle and see how that goes.

tabi_cat1023
by Group Mod - Tabitha on Mar. 4, 2014 at 1:02 PM
1 mom liked this

OH and make sure to pump first thing in the morning every day, even days off, just get up and pump in between feedings first thing in the AM.  That milk can be stored and is great to play catch up

tabi_cat1023
by Group Mod - Tabitha on Mar. 4, 2014 at 1:02 PM
1 mom liked this

And in case no one has told you this..you are doing AMAZING! Keeping up with 18 oz a day this long is crazy good.  Of course you are stressed because you have been overachieving!

gdiamante
by Group Mod - Gina on Mar. 4, 2014 at 1:18 PM


Quoting KarismaLove:

Dont wanna blame my caregiver but in the begining i would send 4oz bottles and she said he cries for more milk.

Or he's crying because his tummy is too stuffed. Know that "I can't believe I ate the whole thing" feeling? Babies only know one way to communicate anything: Crying.

so i began sending more milk because i felt bad and thought was starving him.

You weren't. She's overfeeding.

After i started to send 6oz bottles she said he acted more relaxed and looked satisfied.My son is 12lbs so how many oz should he be getting in a 24 hr period ?

24-30 ounces total. And that is a FOREVER number. Weight doesn't matter, age doesn't matter. So if baby is getting 18 ounces in bottles, that can really do a number on your supply.

Just wondering. Thanks for the replys i will def try cutting an ounce for each bottle and see how that goes.


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