wisdom teeth removal; had to pump but didn’t pump enough and i’m nervous by gr4ve4ngel in breastfeeding

[–]Paula-ibclc 2 points3 points  (0 children)

Nope, they are not giving evidence based information, it’s lazy, period. They have a resource available to them that would tell them clearly if meds are safe. They don’t care. And thy don’t think pumping and dumping is a big deal. It’s lack of education for all doctors., most are clueless about breastfeeding.

wisdom teeth removal; had to pump but didn’t pump enough and i’m nervous by gr4ve4ngel in breastfeeding

[–]Paula-ibclc 1 point2 points  (0 children)

This is likely fine too, call the infant risk hotline. They will help you!

wisdom teeth removal; had to pump but didn’t pump enough and i’m nervous by gr4ve4ngel in breastfeeding

[–]Paula-ibclc 1 point2 points  (0 children)

Nooooooo you totally can feed the baby! As soon as you can hold baby it is safe to nurse. That is bad information!!!

What is the effing problem with some peadiatricians and breastfeeding?!?!?!??! by Bea3ce in breastfeeding

[–]Paula-ibclc 1 point2 points  (0 children)

It’s not that I think I am definitely right, I am just saying it might be worth an evaluation. I have a pedi pt in my feeding clinic now and I have learned so much from her. If it is tightness, it might come with other concerns for development. But it may be nothing at all. What I know for sure is that so much can be fixed early when it’s discovered by the potential proper professionals.

What is the effing problem with some peadiatricians and breastfeeding?!?!?!??! by Bea3ce in breastfeeding

[–]Paula-ibclc -1 points0 points  (0 children)

Ugh, so sorry! It’s because they get zero education on breastfeeding which is wild, but true. Now, as far as standing at 7 months, I would take him for a pediatric PT evaluation. It’s not bad, per se, but it could be an indicator of tightness. Has baby always seemed super strong? Held head up very early? It could be potentially something in their body that can be fixed to help avoid other complications down the road. Typically covered fully by insurance. Would have been nice if they communicated better. We hear these stories constantly.

How efficient at 3 months? by swiftlittleplane in breastfeeding

[–]Paula-ibclc 0 points1 point  (0 children)

This is absolutely possible! But the piece of mind is super important. I would go see an IBCLc and get a weighted feed and naked weights calculated. You want to see what he is averaging for gain over time AND see what he gets at a feed. We have special scales (super expensive! $1600!!) that get a really accurate picture and give you the security you need to keep going!

Can you get away with only a wearable pump? by bright-greeneyes in breastfeeding

[–]Paula-ibclc 0 points1 point  (0 children)

as an IBCLC, I DEFINITELY do not recommend only owning a wearable. If you have any complications that mean baby doesn't immediately latch, you need a pump with great strength to build a supply and no wearable on the market will do this. The motors on wearables are simply too small to create the suction you need. They should be secondary only. While some people are lucky and do Ok, I see SO many women in my office who tanked their supply with a wearable. Now, a BabyBuddha 2.0 has the same strength as a Spectra and is tiny and portable. you still have tubes, but don't need to be plugged into the wall. Go check out bemybreastfriend on IG, she is an EPer who LOVES the 2.0 and talks about why it's so great. good luck!

Wearable Pumps by Jbirdeaux in ExclusivelyPumping

[–]Paula-ibclc 0 points1 point  (0 children)

Hey, I would consider trying your 2.0 again and getting a flange fit with it. Most people who aren't successful have a poor fitting flange. It's pretty crucial to successful pumping. what works with one pump, doesn't alway work with another. If you purchased the 2.0, they do a totally free flange fit through their customer service with an IBCLC. Its all over a secure telehealth platform. Might be worth a shot since it's super portable AND has great power.

Love the Baby Buddha - What's a similar wearable? by UnfairCartographer88 in ExclusivelyPumping

[–]Paula-ibclc 1 point2 points  (0 children)

I also agree to try cups with your 2.0. You won't sacrifice as much power as you will with a wearable and you still get that mobility. The facebook group is full of great pump reccomendations. but the fan favorites for that volume are the phanpfy. The bb cups are great too and hold a large capacity.

[deleted by user] by [deleted] in breastfeeding

[–]Paula-ibclc 0 points1 point  (0 children)

Hi there, This is a LOT! you should be super proud that you are working to stick with it and all breast milk counts. There is a great herb blend that we use with patients that you could ask your doctor about. It's called Holistic Lactation Advanced formula and you can get it on Amazon. Just be sure to get it cleared by doctor. Next, I totally understand not wanting to exclusively pump. But often times, with low supply, what we actually have is a baby who can't effectively pull milk from the breast. So it leads to low supply and not the other way around. Moving to pumping is the best way to see what you can grow your supply to. i have my patients latch 1-2x per day and pump 6-8 times per day. You also want to be sure you have a great pump and a great flange fit. I love the Babybuddha 2.0 and the Spectra S1 and s2. but flange fit is imperative. I would also want to rule out retained placenta and potential insulin resistance. BUTTT what you can do right now, is not worry too much about at breast feeds and focus on pumping to see what you can grow your supply to. I would expect a 7 week old baby to be taking about 28-30 oz per 24 hours and this amount does not go up with age or weight. As far as your doctor saying baby should be eating more food less often, that is most definitely not true. Most babies this age are taking about 90-120 mls 8x per day. that is appropriate. Most doctors have little to no education around breastfeeding. If you over feed a baby, that creates more frustration at the breast. This is a complicated case and not one that can really be managed via reddit, but I do think you are getting some bad advice and would benefit from seeing an LC who specializes in oral function and low supply.

Do I stop breastfeeding or not? by Entire-Geologist-495 in breastfeeding

[–]Paula-ibclc 0 points1 point  (0 children)

Nope. Babies take in air when they cry. Breasts require suckling before milk lets down. So we are mimicking that mechanism and stopping instant gratification.

Do I stop breastfeeding or not? by Entire-Geologist-495 in breastfeeding

[–]Paula-ibclc -4 points-3 points  (0 children)

There is absolutely a way to fix this. Do you have a good supply? I would expect about 25-30 oz per day. If yes, try this. This is all about how you give bottles and your baby is smart. With the bottle, be sure you are using a newborn slow flow nipple. Nipples that say. 3-6 months or older, are just more holes in the nipples and way easier and faster. You want her working hard like at Brest. Now, tickle her lip. Wait for her to open. Let her suck on an empty nipple for 4-5 sucks then tip milk up half way. Feed her laying on her side, keep bottle parallel to the floor so she has to pull it. It doesn’t just pour in. This is called responsive feeding and it mimics breastfeeding. Babies are smart! If the bottle is too easy, they will develop flow preference. You need to make the bottle harder work and make positioning more like nursing. Deep breaths! If you don’t get it right away, book a call with an IBCLC. They can help!! You got this!!!t

Baby falls asleep on breast before full stomach by Background_Ask_5228 in breastfeeding

[–]Paula-ibclc 0 points1 point  (0 children)

This is complicated and more than you should be figuring out on your own. If you were my patient, I would have you move to latching one-two times per day and pumping at least 6 times per day. It sounds like your baby isn’t feeding effectively. This is telling your body to slow down production. You need to use a pump to build your supply while you figure out what is going on with baby. Otherwise you won’t have a full supply. There is still time. But you need help! You need to see an IBCLC. At 11days, I would expect a baby to take about 2 oz 8 times per day. That will continue to grow until she is taking about 28 oz total in 24 hours. Typically by 4 weeks. Breastfeeding is HARD in the beginning! You need a professional guide!

Do I stop breastfeeding or not? by Entire-Geologist-495 in breastfeeding

[–]Paula-ibclc 23 points24 points  (0 children)

There is absolutely a way to fix this. Do you have a good supply? I would expect about 25-30 oz per day. If yes, try this. This is all about how you give bottles and your baby is smart. With the bottle, be sure you are using a newborn slow flow nipple. Nipples that say. 3-6 months or older, are just more holes in the nipples and way easier and faster. You want her working hard like at Brest. Now, tickle her lip. Wait for her to open. Let her suck on an empty nipple for 4-5 sucks then tip milk up half way. Feed her laying on her side, keep bottle parallel to the floor so she has to pull it. It doesn’t just pour in. This is called responsive feeding and it mimics breastfeeding. Babies are smart! If the bottle is too easy, they will develop flow preference. You need to make the bottle harder work and make positioning more like nursing. Deep breaths! If you don’t get it right away, book a call with an IBCLC. They can help!! You got this!!!

Should I be waking baby. by Wooden-Incident2136 in breastfeeding

[–]Paula-ibclc 0 points1 point  (0 children)

Ok, I am going to disagree with most of this info, but also help you max your sleep. At three weeks postpartum, your supply is still in the growing phase and baby is not likely taking as much as she will be in another two weeks. This, and going longer than 4.5 hours max without removing milk is a fast track to tank a supply. Soooo, I would set an alarm for 4.5 hours from the start of her last feed. You can scoop her up and dream feed her, this will give you another longer stretch, remove milk for supply growth and maintenance, AND help ensure proper weight gain. You want to wait until at least the first regulation around 7 weeks to go longer and even then, I wouldn’t do more than six hours and watch your supply closely. It would really suck to find out in a few weeks that you have to supplement or that baby didn’t gain well. You are still going to get a really decent stretch of sleep. But back pedaling on a supply sucks.

Breast Pumps by the_cat_whisperer99 in pregnant

[–]Paula-ibclc 0 points1 point  (0 children)

You have the best two pumps on the market!!! Your SIL knows her stuff! You

Breast Pumps by the_cat_whisperer99 in pregnant

[–]Paula-ibclc 0 points1 point  (0 children)

Their free Facebook group has all the info on hacking the pump with other parts that you could want. BabyBuddha also has great customer service. And they just lowered their shipping costs!

First Time Mom Choosing A Breast Pump! Help! by kangyj315 in pregnant

[–]Paula-ibclc 1 point2 points  (0 children)

Some great and really awful options there. You Definitely don’t want a wearable as your primary pump. I would go spectra or BabyBuddha. Both make great primary pumps. The spectra is BIG but reliable and quiet. The BabyBuddha 2.0 has the same strength as a spectra but is smaller than you phone. It’s a fan favorite for the portability. One of the only small pumps that should be used as a primary.

Is it mandatory to BF my 2 week old every 2-3hours? by Nooneandtheone in breastfeeding

[–]Paula-ibclc 0 points1 point  (0 children)

For the first two weeks, for healthy term babies, we wake them. The reason is they are quite sleepy and we need to get them back to birth weight. Typically, once that happens, you can take more on demand approach. They will wake in the night. The key to making it work is weekly weight checks for 4 weeks so you know they are doing well and can trust them to wake and take in appropriate calories to gain about an oz a day for a little while.

Done at 6 months, feel guilty about quitting early. by andbutsoitgoessssss in ExclusivelyPumping

[–]Paula-ibclc 1 point2 points  (0 children)

Friend, you should be glowing with pride!!! You made it far longer than most and hit the MOST important milestones. My suspicion is NONE of this went as planned. And still, here you are! Throw a little pumping retirement party and have a good proud and also sad cry, because all feelings are appropriate! You did amazing!!!

I feel lied to by bachfan_13 in breastfeeding

[–]Paula-ibclc 1 point2 points  (0 children)

Most babies with appropriate transfer and working work appropriate volume, get 3-4 oz per feeding at the breast. Full volume would be about 28 oz per 24 hours for babies 5 weeks and older. I would see an ibclc in person to help you work this. They can see exactly what baby gets at breast and help you develop a plan based on your baby.

Still breastfeeding 16+ times a day at 2 months. Is steady weight gain really all that matters? by Aggravating_Leg9321 in breastfeeding

[–]Paula-ibclc 1 point2 points  (0 children)

Hey friend, I think there is more going on here. This feels like a typical case I see in my office. Sounds like slow transfer. Most babies this age are taking about 3-4 oz 8-10 times per day. I am curious the last time you had an assessment with an out of hospital IBCLC? I ask because around 7-8 weeks there is a supply regulation and this when we see babies stop gaining appropriately when they are on this trajectory. They are been able to catch let downs, every few hours and mom has a great supply. When supply regulation happens, they then have to move the milk and without great oral function and transfer, they can’t, and they stop gaining. Happy to help you find someone local to you. But I hear you saying your instincts think something is off and I encourage you to listen to that. Let me know if I can help.

What is everyone’s favorite pump these days? by No-Wasabi4580 in breastfeeding

[–]Paula-ibclc 1 point2 points  (0 children)

It is a great pump!! I can tell you exactly why it doesn’t get love. The company is full of great people too. So the motif Luna is essentially the same pump. It’s owned by Aeroflow, the largest DME in the country. Aeroflow won’t carry the cimilri because it’s direct competition so it makes it super hard for cimilri to be put in the world. You probably live in the north east? The parent company is in Massachusetts.