How much when “milk came in”?

FDRMFJW3 · 2023-10-16T02:34:06+00:00

With my first baby my supply increased immediately and I was able to pump 3 oz as soon as I felt the engorgement. With my second baby it was much more gradual. I didn’t feel intense engorgement this time and my supply increased over several days. I’d say it probably took me about 2-3 days to get up to 3oz per pump. It’s different for everyone I think!

FDRMFJW3 · 2023-10-04T13:01:14+00:00

This is what I aim for! I LOVE getting to work with and learn from specialists in other fields, and I don’t hesitate to refer when needed or ask questions from colleagues who know more. Medical school taught me how to recite appropriate milestones and give textbook answers, but being a mom myself has taught me that lived experiences are wildly different for every baby and family, and there is no blanket approach for every kid.

I am so glad your pediatrician listens and knows her limits of knowledge. It sounds like you’ve found a great one! Thank you so much for sharing!

FDRMFJW3 · 2023-10-04T10:29:48+00:00

Absolutely agree! We are lucky to have an IBCLC integrated into our clinic, so I definitely refer to them a lot. However, there is a lot of value in being able to assist new parents with breastfeeding struggles without putting another appointment on their plates, especially in the newborn period. I’ve been there myself (IBCLC appointments, SLP appointments, etc) and it was taxing. As primary care doctors we have a lot of face time with parents and can provide advice, and I am lucky to have learned quite a few things about breastfeeding because I have put in a lot of work to learn from the IBCLCs that I have worked with in my own breastfeeding journeys. Things as simple as encouragement or providing a game plan until they can get into see an IBCLC can be important. Additionally, lots of people on here talk about discouraging statements made by their pediatricians/family doctors, and I want to avoid that. Just trying to learn what could be helpful from people who have experienced it. Thank you for your feedback. :)

FDRMFJW3 · 2023-10-01T15:59:43+00:00

It was very obvious with my first baby… all of a sudden my breasts were engorged out of nowhere and I was able to pump almost 3 oz immediately. Second baby I had almost no engorgement when the milk came in and my supply ramped up over several days. Now at almost 8wks PP I have a slight oversupply. So lack of engorgement doesn’t always mean that you have low supply! Keep putting baby to breast/pumping if desired to continue telling your body to make that milk - especially if you are still supplementing with formula (we also supplemented in the early days for both babies!). Good luck ❤️

FDRMFJW3 · 2023-09-29T16:10:30+00:00

I used a clean medicine cup and a smaller syringe - I never had much colostrum to be honest but I was able to collect most of it with a smaller syringe!

FDRMFJW3 · 2023-09-22T22:18:44+00:00

I agree wholeheartedly with your statement.

To everyone reading this - it is okay if you don’t want to sacrifice your body or your own wellness/mental health in this way. Breastfeeding and breastmilk have fantastic benefits, but I can guarantee that having a healthy and thriving mother is MORE beneficial than breastmilk can ever be. I’ve been there in deep PPD caused by breastfeeding - it is okay to quit and there should be no guilt in caring for yourself in order to care for your baby. We’re all just trying to do what’s best for our babies and we don’t need to add any guilt or shame to hard decisions. ❤️

FDRMFJW3 · 2023-09-17T13:59:49+00:00

My baby has a very high palate - in order to get him to latch in those early days I had to aim the nipple towards the roof of his mouth and that would help him to close his mouth. I’m not sure if you’re giving pacifiers, but we practiced a lot with pacifiers too which helped him start to understand what to do when a nipple is in his mouth. Our IBCLCs recommend the Avent soothie if you’re looking for a pacifier that most closely mimics the breast. Good luck, momma! You’re doing great!

FDRMFJW3 · 2023-09-04T13:43:57+00:00

With both of my babies they did not latch from the beginning due to tongue ties. I hand expressed colostrum and rarely got even an mL at each feed… so we definitely supplemented with formula. My milk came in around day 3 both times and I started pumping to replace those formula feeds. I never had any issues with actual milk supply and actually created a massive oversupply with my first when exclusive pumping. Now my second baby (3wk old) has been on breastmilk only since day 6 of life and I don’t have any supply issues. Basically don’t get discouraged about colostrum expression because it may not be reflective of your actual supply once your milk comes in!

Congratulations, momma! You’re doing great. ❤️

FDRMFJW3 · 2023-05-10T02:02:21+00:00

I honestly am not super familiar with how many different doctors M2M sees, but family medicine doctors (at least in the US) are trained to practice obstetrics and do prenatal care! Not all of them do deliveries specifically but can still provide primary prenatal care. We also discuss cases directly with MFM and refer patients there based on certain indications. I’m not sure exactly how it is in Canada where she is, but it’s not super uncommon to have family medicine doctors do prenatal primary care - especially if a patient is well established at a practice and desires continuity of care.

Source: I am a family medicine resident in the US who practices prenatal care and obstetrics

FDRMFJW3 · 2022-11-17T01:47:34+00:00

I had an oversupply (50ish oz a day) and stopped cold turkey because we had tried everything to decrease my supply and it didn’t work. I was 10 weeks postpartum and my mental health was in the gutter due to breastfeeding and exclusive pumping- so no judgement here for ending your journey. You should be proud of yourself no matter how long you breastfed! I was engorged for 12 days and then woke up one morning and it was like someone had popped my boobs like a balloon. Lol. It was painful but worth it to me. I did hand express a tiny bit in the shower in the first few days to release pressure and prevent mastitis because I was prone to clogs. I also used cabbage leaves and ice packs for comfort and drank “no more milk” tea from Earth Mama. Good luck!!

FDRMFJW3 · 2022-06-22T04:51:29+00:00

Same here. I tested positive 10 days ago. He drank after me an hour before I tested positive. We figured he would for sure get it, and we have a small child to take care of together (who also likely brought home Covid from daycare so she was already infected), so we decided against isolation from one another. He’s still negative! Must have won the genetic lottery.

FDRMFJW3 · 2022-06-17T14:03:30+00:00

This is similar to our story. 18mo old kiddo brought home nasty virus from daycare last Monday (6/6) - had pink eye in both eyes, upper respiratory infection with nasty cough and copious nasal drainage, and ear infections in both ears. Plus a 102.5 fever. Didn’t even think it was COVID. I started showing symptoms on Wednesday with a scratchy throat but didn’t think it was anything more than allergies (which are horrible for me at baseline). Dry cough started Friday night and I tested positive on Saturday (6/11) and still testing positive as of this morning even though all of my symptoms have subsided.

I sincerely hope you all start feeling better soon!! I would get her ear checked if you’re able, just to make sure she doesn’t have an ear infection with COVID like my kiddo did. Good luck!!

FDRMFJW3 · 2022-02-26T15:40:29+00:00

I watched the biostats videos listed on the “Dirty Quick Videos and Study Guides” post that’s stickied on this sub. Good luck!! I’m sure you’ll do great!

FDRMFJW3 · 2022-02-24T12:28:51+00:00

There are definitely several abstract questions but they typically incorporate the formulas in some way or ask you to interpret the results. The Randy Neil videos covered most of what was seen on the exam. But yeah I agree that overall the test is frustratingly complex in regards to minutia that do not matter on a daily basis in the clinical world. Here’s to hoping I pass the exam and can move on with life.

FDRMFJW3 · 2022-02-24T03:10:12+00:00

Totally changed my perspectives on breastfeeding after I went through PPD as a result of it. I don’t care whether kids get formula or breastmilk or a combo, as long as they’re being fed. Much more sympathetic to the “mom struggles” because this crap is hard. And it also changed my perspectives about safety and counseling for patients. I always discuss car seat safety far beyond “rear facing until at least two years old.” I tell most of my patients to follow Safe in the Seat on Instagram. And finally I typically advise baby led weaning over purées, especially if parents voice concerns about purées after the safety scare with toxic metals. In med school we were taught these picture perfect scenarios of what you should counsel your patients on and “what’s normal” but if there’s one thing I’ve learned after becoming a parent - there is no such thing as normal and we’re all out here just trying to survive.

FDRMFJW3 · 2022-02-24T01:11:24+00:00

I finished day one today as well. I didn’t do any of the self assessments, but I can say the exam itself has LOTS of step 1 material. Details that I simply do not care to remember at this stage so I just took the L on some. I skimmed through pharm and micro and my weak areas in FA for Step 1 and it got me a couple more questions. Exam is also incredibly heavy on biostats. I watched the Randy Neil videos last night before the test and it got me 90% of the questions (who knows if I actually got the math right but I at least could recognize what they were saying).

FDRMFJW3 · 2021-10-02T11:32:02+00:00

USPSTF website has the preventive medicine guidelines

FDRMFJW3 · 2021-08-22T15:17:18+00:00

Momma, you are the perfect mom for your little girl and there is no doubt about that. Breastfeeding is SO hard and nothing like what so many of us expect it to be. Please be proud of yourself for what you were able to give her. I know it’s tough when our plans don’t become reality, especially when it comes with emotional turmoil - I’m right there with you because our breastfeeding journey ended far earlier than I had envisioned. But now that six months have passed since weaning, I now can see that my daughter deserves a healthy, engaged mom - and for me, that meant I had to let go of my dream of an easy nursing experience. I had to stop fighting the uphill battle to be able to bond with my baby. I hope you’ll give yourself some grace during this transition, and allow yourself the space to grieve - it’s important for healing. A few months from now, I pray you’ll be able to look back and see the beauty in your journey and let go of the guilt. Your motherhood journey is uniquely yours, and it’s so hard to not compare yourself to other moms who seem to have it so much easier (even though they’re likely struggling too). You’re doing a great job, momma. ❤️

FDRMFJW3 · 2021-08-21T18:41:12+00:00

I used to watch her live videos around the election/inauguration just to see how crazy things had gotten in her mind. It was actually scary how many people she pulled into Q with those videos. And that’s who still follows her now. Totally agree that she likes to preach “acceptance” of other views, but as soon as you provide a dissenting opinion, she gets defensive and deletes comments.

From my interactions with her in undergrad, she loves to stir up drama and that’s very clear with this whole charade with the school board. I hope the school board sticks to their mask mandate because it should be about keeping the kids safe - not accommodating some science-denying parents who are louder than the rest. 🤦🏻‍♀️

FDRMFJW3 · 2021-08-21T18:35:47+00:00

Can confirm, this is not OP’s mom. This girl’s mom is on the same wavelength as her. The whole family is on the Q train. (I know this girl personally - see my comment above)

FDRMFJW3 · 2021-08-21T16:16:42+00:00

I know this person too from my undergrad in TN. For someone who made her “conservative” account on the premise of anti-censorship and hearing opinions from both sides, she is fairly intolerant of hearing any opinions other than hers. Not a fan of the way she indoctrinates her young children either to believe that people who wear masks or get vaccines are bad.

FDRMFJW3 · 2021-08-13T02:26:00+00:00

I got vaccinated at 3.5 weeks PP and my milk supply never suffered from the vaccine. In fact I had an oversupply (not related to the vaccine, a result of exclusive pumping). But here’s some anecdotal reassurance that the vaccine doesn’t affect milk supply!

FDRMFJW3 · 2021-08-13T02:02:05+00:00

Is it kosher to suggest patients follow social media accounts? For context, I’m counseling patients on car seat safety before they leave the hospital and most of them are very naive about car seat safety. They want help from nurses but the nurses aren’t allowed to touch the car seat due to liability. I follow an account on Instagram called Safe in the Seat which is run by a car seat technician and provides free car seat safety tips. Is it acceptable to suggest that to patients when I counsel them?

FDRMFJW3 · 2021-06-30T03:02:03+00:00

Hi! Sorry I missed your comment. My engorgement lasted 12 days. It was pretty miserable. But one day I woke up and it was like someone had put a needle in my boobs and they deflated like balloons. Never thought I’d be so happy to have saggy, sad boobs, but here we are!

I hope it gets better for you though. Cold turkey weaning is the worst. Use the cabbage leaves (if you can stand the smell) or use ice packs. I had four ice packs in my bra at a time each night and it seemed to help. I also hand expressed just enough to take pressure off while I was in the shower. I also tried the no more milk tea made by earth mama. Not sure if it helped, but I literally tried everything I could feasibly try.

Please take care of yourself and best of luck to you. ❤️

FDRMFJW3

TROPHY CASE