neway
Will milk supply decrease significantly if I pump and dump using the manual medela pump and not breastfeed my 3 month old baby for 1 week due to taking medication? I need to continue breastfeeding after completing the drug therapy and I can't afford an electric pump. Is it ok if I use the manual for just a week?
the drug is metrogel
Answer
Maybe you can explain a tad more on how you are taking it. Are you taking it in a single dose? Is it being taken every day for 5 days? What does the Dr say regarding how long before it is out of your system.
Metrogel is Metronidazole - so it goes by many names as brands - Flagyl is one of them - same active ingredient - anyway - this is what I could find on Flagyl: http://safefetus.com/DrugDetail.asp?DrugId=223&TradeName=Flagyl&TradeId=534
You can also read here on Flagyl: http://momsmilk.org/article_medications_and_the_breastfeeding_mom.html
It is impossible to say for certain what your milk supply would do. I can tell you mine WOULD tank. I know because when I worked & pumped while at work, but Fridays I would have a pathetic output compared to Monday, I would go home ,nurse, nurse, nurse all weekend & by Monday I was pumping okay again & again every day - I would get less & less until Friday & back on the cycle. Now mind you I was only missing three feeds & it effected me like that - so I KNOW a whole week would have been very hard for me to maintain. Other women? Some can do amazing, most have a drop - how much though depends on how your body takes to it & how diligent you are about doing the pumping. If you have never had to try it before, you have nothing to compare it to, so it is near impossible to say.
I would say that a manual is too hard for all of your pumping for a whole week. Do you know anyone you could borrow from? Around here the local home health care stores carry ones you can rent that are hospital grade. They run around $30 per month - so I will tell that it will be MORE than worth it for $30 for a week of pumping to NOT do it by hand. I would also make sure you stock up on Mothers Milk Tea & drink that the minute you notice a drop in supply. If possible have someone else give as many of the bottles as possible to avoid a nursing strike & the baby fighting you on taking a bottle. You also need to learn before if possible, how to hand express. Doing hand expression while pumping will help your output & help to make sure that you empty the breasts a much as you can so you don't have that "full feeling" after pumping. Sometimes when you pump more than you are used to pumping (I speak from experience there because I had to do occasional business trips & would have to pump for 24-48 hrs continually when I was NOT used to that) you can actually end up with milk left in the breasts. This is a bigger concern for you too as you are still pretty early on at 3 months & might still have more times of engorgement than say if your babe was closer to a year - anyway.... if you use hand expression & actually put pressure on the ducts & help move the milk down you will be less likely to get a clogged duct, which is also a hazard of pumping only. I would personally ask your Dr too if taking Lecithin would be a problem with metronadizole. I do not think it is - but ask & ask the pharmacist. Taking Lecithin does help some women avoid clogs & they are better off avoided if possible.
This is a video on how to hand express. It might help you to understand how to do it if you find that you have difficultly hand expressing milk. It will help you understand how to use breast compression during pumping to assist you. http://newborns.stanford.edu/Breastfeeding/HandExpression.html
It WILL be okay. You will make it through & you will get back to nursing after you are done. Just get yourself prepared, so all that you can to make sure you are maintaining supply to ensure a smooth transition back to breast. Make sure you use a LOW FLOW nipple too in the meantime to avoid the baby developing a preference for the faster flow of a bottle - as that is pretty easy for them.
Maybe you can explain a tad more on how you are taking it. Are you taking it in a single dose? Is it being taken every day for 5 days? What does the Dr say regarding how long before it is out of your system.
Metrogel is Metronidazole - so it goes by many names as brands - Flagyl is one of them - same active ingredient - anyway - this is what I could find on Flagyl: http://safefetus.com/DrugDetail.asp?DrugId=223&TradeName=Flagyl&TradeId=534
You can also read here on Flagyl: http://momsmilk.org/article_medications_and_the_breastfeeding_mom.html
It is impossible to say for certain what your milk supply would do. I can tell you mine WOULD tank. I know because when I worked & pumped while at work, but Fridays I would have a pathetic output compared to Monday, I would go home ,nurse, nurse, nurse all weekend & by Monday I was pumping okay again & again every day - I would get less & less until Friday & back on the cycle. Now mind you I was only missing three feeds & it effected me like that - so I KNOW a whole week would have been very hard for me to maintain. Other women? Some can do amazing, most have a drop - how much though depends on how your body takes to it & how diligent you are about doing the pumping. If you have never had to try it before, you have nothing to compare it to, so it is near impossible to say.
I would say that a manual is too hard for all of your pumping for a whole week. Do you know anyone you could borrow from? Around here the local home health care stores carry ones you can rent that are hospital grade. They run around $30 per month - so I will tell that it will be MORE than worth it for $30 for a week of pumping to NOT do it by hand. I would also make sure you stock up on Mothers Milk Tea & drink that the minute you notice a drop in supply. If possible have someone else give as many of the bottles as possible to avoid a nursing strike & the baby fighting you on taking a bottle. You also need to learn before if possible, how to hand express. Doing hand expression while pumping will help your output & help to make sure that you empty the breasts a much as you can so you don't have that "full feeling" after pumping. Sometimes when you pump more than you are used to pumping (I speak from experience there because I had to do occasional business trips & would have to pump for 24-48 hrs continually when I was NOT used to that) you can actually end up with milk left in the breasts. This is a bigger concern for you too as you are still pretty early on at 3 months & might still have more times of engorgement than say if your babe was closer to a year - anyway.... if you use hand expression & actually put pressure on the ducts & help move the milk down you will be less likely to get a clogged duct, which is also a hazard of pumping only. I would personally ask your Dr too if taking Lecithin would be a problem with metronadizole. I do not think it is - but ask & ask the pharmacist. Taking Lecithin does help some women avoid clogs & they are better off avoided if possible.
This is a video on how to hand express. It might help you to understand how to do it if you find that you have difficultly hand expressing milk. It will help you understand how to use breast compression during pumping to assist you. http://newborns.stanford.edu/Breastfeeding/HandExpression.html
It WILL be okay. You will make it through & you will get back to nursing after you are done. Just get yourself prepared, so all that you can to make sure you are maintaining supply to ensure a smooth transition back to breast. Make sure you use a LOW FLOW nipple too in the meantime to avoid the baby developing a preference for the faster flow of a bottle - as that is pretty easy for them.
pump or nipple shield? bringing supply up again?
so dang fr
my son will not latch. I tried with the nipple shield for the first two weeks of his life and he was not gaining weight well. So we supplemented and he started only wanting the bottle (the LC told me to stop with the shield). So I started manually pumping but it's been such a pain that for the last week I have not been doing it as I should as I find the manual pump really annoying (he is now 4 weeks). I still would like I breastfeed and am trying to get him back on the nipple shield. even if I have to supplement, he would still get breast milk then. I guess my main question is will using the nipple shield give him more milk (even if it's not enough and he needs to be supplement) than pumping? I would think even though it's best to not use it, it would give better results and more milk than pumping.
What is a good way to bring your milk supply up? I am getting maybe 10 ounces a day if I pump a lot and I feel that since I haven't been doing it as i should for ths last week, my supply has suffered. can I get it back to where it was or more? How can I get it to go back up again? Thanks!
Answer
I would try to get him to nurse directly at the breast without the shield, since it sounds like the shield was leading to some supply issues. I'd schedule a visit with an IBCLC (international board certified lactation consultant) as well. They might be able to help you get him back to the breast without the shield, or at least get you started with the shield and then help you wean from the shield.
Here's a link on weaning from a nipple shield: http://www.kellymom.com/bf/concerns/baby/wean-shield.html#weaning
Neither pumping nor nursing with a shield will be as effective as nursing directly at the breast. That's your best bet for getting your supply back up.
Has your son ever been checked for a high/bubble palate, tongue tie, or other latch issues?
Here's a link on latch basics. You can work on getting him to latch yourself in the meantime. I'd still get in touch with an IBCLC, though. There's a lot of good videos here, too: http://www.kellymom.com/bf/start/basics/latch-resources.html
Here's some other links you might find helpful:
Weaning From Formula Supplements: http://www.kellymom.com/bf/supply/decrease-formula.html
Increasing Your Milk Supply: http://www.kellymom.com/bf/supply/low-supply.html
Help! My Baby Won't Nurse! http://www.kellymom.com/bf/concerns/baby/back-to-breast.html
I would try to get him to nurse directly at the breast without the shield, since it sounds like the shield was leading to some supply issues. I'd schedule a visit with an IBCLC (international board certified lactation consultant) as well. They might be able to help you get him back to the breast without the shield, or at least get you started with the shield and then help you wean from the shield.
Here's a link on weaning from a nipple shield: http://www.kellymom.com/bf/concerns/baby/wean-shield.html#weaning
Neither pumping nor nursing with a shield will be as effective as nursing directly at the breast. That's your best bet for getting your supply back up.
Has your son ever been checked for a high/bubble palate, tongue tie, or other latch issues?
Here's a link on latch basics. You can work on getting him to latch yourself in the meantime. I'd still get in touch with an IBCLC, though. There's a lot of good videos here, too: http://www.kellymom.com/bf/start/basics/latch-resources.html
Here's some other links you might find helpful:
Weaning From Formula Supplements: http://www.kellymom.com/bf/supply/decrease-formula.html
Increasing Your Milk Supply: http://www.kellymom.com/bf/supply/low-supply.html
Help! My Baby Won't Nurse! http://www.kellymom.com/bf/concerns/baby/back-to-breast.html
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