Some mothers rent them, others buy pumps such as the Hygeia EnJoye. The quality of the pump can make all the difference in the world! A normal newborn baby nurses on average 8 to 12 times in a 24 hour period. Most experts suggest it is best if mom can come close to matching what the normal nursing baby would do at the breast, and recommend she pump about every two hours, not going longer than three hours between sessions.
Understanding how milk production works can help moms in their efforts to establish good milk supply. The more frequently the breasts are emptied, the more milk mother should have. Therefore, if she were to pump at least every 3 hours, for about 20 minutes, she should establish and maintain a good milk supply. In the first couple of weeks, she may also want to pump at least twice at night, but not all mothers do this.
Prolactin levels the hormone that tells your body to make milk are highest in the early morning hours so mom would want to make sure she is pumping then as well. This is like the 1am to 5am stretch of time. If mom can at least get one pump in during this time, it will really help. The main concern is to get enough pumps in per day — a minimum of 7 pumps per day.
And to create a little bit of sanity, it is the number of pumps per day that you get in and not necessarily the amount of time you wait in between pumps that counts. So, if I needed to run an errand or just wanted to get out of the house without dragging my pump along, I would pump every 2 hours in the morning and then have a window of about 4 or 5 hours in the afternoon to do everything and would then pump again every 2 hours in the evening to get my total of 7 pumps in for the day.
The sleep was more important to me especially after the c-section. A lot of pumping is trial and error and this is why keeping info in a spreadsheet or journal is helpful. If you start sleeping through the night or going longer stretches and see a huge decline in your volume, you can always set you alarm to add another pump back in.
I never had to but this can vary from mom to mom. I did the early morning pump as long as I was up feeding the baby, but if she slept 5 hours through the night, so did I! Most experts agree that whatever the reason for pumping, moms should pump for about 20 minutes. Most agree its best to pump at least 15 minutes, and to avoid going much longer than 20 minutes.
Experts also encourage pumping about five minutes past when the milk stops flowing, often by doing so mom will elicit another letdown, and at the very least will maintain production as well as encouraging increase in supply if needed. Also pumping at least 5 minutes after your milk stops flowing will tell your body that you need more milk; thus increasing your supply. They had to work really hard to rebuild it.
Most experienced moms do not set the pump speed on high, but rather keep it on lower setting for comfort. There should be a suction setting on your pump and a speed dial. This is very important, the higher the suction does NOT mean the more milk you make. Your pump will probably have a suction setting of minimum, medium, and maximum.
I had mine set on medium when I developed a blister. Once it healed, I turned it down to minimum and have never had another blister or pain again. I keep the speed at 3 but if you feel like too much areola is being sucked into the horn, then turning down the speed will remedy that. If you are in a lot of pain and turn down the settings, you might actually get more milk because you are more relaxed! Moms may find it surprising that the breastfed baby often takes less milk in the bottle than formula babies take in.
This may vary a little from baby to baby, but the average range of milk intake is oz per day mL per day. Example : If baby usually nurses around 8 times per day, you can guess that baby might need around 3 ounces per feeding every 3 hours when mom is away. You can find a quick and easy expressed breastmilk calculator here.
It is important to remember that it is very easy to overfeed a baby using bottles. This is because the way a baby drinks from a bottle is very different than how a baby would nurse from the breast.
Shaking breastmilk is also not recommended gently swirl to mix, instead. Ideally bottlefeeding the baby should mimic how a mother breastfeeds her baby. The baby should be fed on cue, or demand, and not according to a rigid schedule. Breastmilk digests in about 90 minutes, so one would expect the feedings to be anywhere from 1.
The bottle should be offered gently, in a non-stressful manner, with the baby drawing the nipple into the mouth. The type of bottle or nipple is not as important as the manner in which the bottle is offered. Changing position mid-way through a feeding is often recommended, as is holding baby is a more upright position. Propping a bottle is also not recommended. First drink plenty of water. Check your pee when you go I know, sounds funny! If it is light yellow to clear, you are plenty hydrated.
Make sure you eat! Sometimes a baby will aggressively refuse the breast for no discernable reason — this baby will often resist being held, and may also be easily overstimulated. These babies can be transitioned to breastfeeding, but it should be done very gently so that baby becomes comfortable with being at the breast.
Some babies will become more resistant the more you press the issue of nursing. Then slowly and gently work on moving baby through the above stages.
Many experts suggest that baby not get bottles or pacifiers while he is learning to nurse correctly, with the idea that his need to suck will help the process along nursing will satisfy the need to suck. A nursing supplementer can be a big help if baby is latching well: it will encourage your baby to continue nursing by giving him a constant flow of milk expressed milk or formula while he stimulates your body to produce more milk.
For some moms, using a bottle is easier and more familiar. If you feel that using a specialized feeding device like a finger feeder or SNS is simply too overwhelming and other methods cup, dropper are not working for you, using bottles may make it easier for you to continue working on the breastfeeding.
Although bottles can certainly have their disadvantages, a good lactation consultant should be able to help you to transition to breastfeeding with or without the bottles. When using a bottle , encourage baby to open wide prior to giving the bottle. Allow your baby to accept the bottle into his mouth rather than poking it in. This will teach your baby to open wide for feedings, which is a good start to getting on the breast effectively.
Babies rarely wean on their own before months, and self-weaning is almost never abrupt. Will baby nurse while asleep or just waking up? This is usually one of the best times to try. You also might try nursing lying down or while walking around. These will help breastfeeding progress while you make sure your baby is getting enough to eat. Always talk with your baby's healthcare provider for more information:. Wake the baby to breastfeed every 2 to 3 hours if he or she is sleepy and still has not mastered feeding cues.
Your baby likely will do better for some feedings. Don't be discouraged if he or she is too sleepy. Or if he orshe seems to forget from feeding to feeding.
Some feedings will last longer than others. Your baby may need time to get going at the breast for some feeds. Massage your breast toward the nipple or use one hand to gently squeeze the breast to send milk into the baby's mouth when he or she is nursing. This is also helpful when your baby begins to fall asleep at the breast too soon after starting to feed. Click Image to Enlarge.
Chart the number, amount, and color of urine and stools for wet and dirty diapers on a daily record until latching and sucking is better. Use a correctly-fitted hospital-grade, electric breast pump to be sure all milk is removed. Many women will express milk by pumping for a few minutes after breastfeeding. How long you will need to keep pumping depends on how quickly your baby learns to breastfeed effectively.
It also depends on how much milk your baby needs to grow beyond what you are providing with breastfeeding. Weigh the baby often. Or record a test-weight before and after a feeding. This is best done at the office of a lactation consultant or the baby's healthcare provider with a medical-grade breastfeeding scale. Certain breastfeeding devices or alternative feeding methods may encourage effective sucking.
Or they may give your baby added nutrition while he or she is learning to breastfeed. A certain device may be good for your situation. But every device also has disadvantages. To prevent problems, any breastfeeding device should be used with the guidance of a certified lactation consultant IBCLC or healthcare provider with advanced knowledge of breastfeeding. Devices that may be helpful in certain situations include:. Nipple shield. This thin silicone device is centered over the nipple and areola.
It encourages a better latch, more effective sucking pattern, and better milk intake during breastfeeding for certain babies. Feeding tube system. A feeding-tube system may be taped to the breast or your finger. It lets the baby get additional milk through the tube when he or she sucks.
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