Re: Expected pumping output on Day 5 (after LII)?

[Guest guest]

Have you observed her BF & pumping technique??....Is baby jaundice?? SCWatkins

 

I have a mom on Day 5, almost Day 6 (started Day 5 at 2 AM Saturday). Lactogenesis II Friday morning (Day 4) - mom reported very full breasts and lumpiness and I observed same on Day 5. Her baby was only 5#3oz at birth, 38.5 weeks, spontaneous quick natural birth. Baby was nursing well according to mom until Friday, with minimal weight loss (4#14 at lowest), but became excessively sleepy on Friday, with minimal pees, no poops and very little suckling effort (This was the day of my visit). Pediatrician advised pumping and bottlefeeding to get some milk into baby. Mom was barely able to coax milk by bottle into baby, but that seems to have improved since yesterday. Mom is using paced bottle feeding technique. Baby still showed very little suckling at breast today. My question relates to how much milk is reasonable for mom to be able to pump at this stage. She is keeping up with baby's needs now, but the amount she was able to pump today is no different from yesterday (40 ml between both breasts from new double electric Ameda). She is pumping 20 minutes 8 times a day. Should the amount she is able to pump have increased from yesterday to today?

Thanks,

Sent from my Verizon Wireless BlackBerry

[Guest guest]

Baby needs to be checked out for sepsis due to low desire to breastfeed.

Gail Neuman RNC BSN CPHW, Notary Public

certified in high risk OB

childbirth/lactation educator & student nurse practitioner

NRP, AHA BLS for Healthcare & Heartsaver Family/Friends instructor

Perinatal Nurse Associates

Baby Your Way Midwifery Associates

801 N. Tustin Ave., Suite 305

Santa Ana, CA 92705

[Guest guest]

"jaundiced"

To: Sent: Sunday, September 25, 2011 1:57 PMSubject: Re: Expected pumping output on Day 5 (after LII)?

Have you observed her BF & pumping technique??....Is baby jaundice??

SCWatkins

I have a mom on Day 5, almost Day 6 (started Day 5 at 2 AM Saturday). Lactogenesis II Friday morning (Day 4) - mom reported very full breasts and lumpiness and I observed same on Day 5. Her baby was only 5#3oz at birth, 38.5 weeks, spontaneous quick natural birth. Baby was nursing well according to mom until Friday, with minimal weight loss (4#14 at lowest), but became excessively sleepy on Friday, with minimal pees, no poops and very little suckling effort (This was the day of my visit). Pediatrician advised pumping and bottlefeeding to get some milk into baby. Mom was barely able to coax milk by bottle into baby, but that seems to have improved since yesterday. Mom is using paced bottle feeding technique. Baby still showed very little suckling at breast today. My question relates to how much milk is reasonable for mom to be able to pump at this stage. She is keeping up with baby's needs now, but the amount she was able to pump today is no

different from yesterday (40 ml between both breasts from new double electric Ameda). She is pumping 20 minutes 8 times a day. Should the amount she is able to pump have increased from yesterday to today? Thanks, Sent from my Verizon Wireless BlackBerry

[Guest guest]

Hi, .

I know this doesn't fit any math equation about intake found in any textbook, but what I have **repeatedly** seen over the years is that a 6 lb baby who eats every 2 hrs takes on average 1 oz. If that 6 lb baby eats every 3 hrs, it's more like 1 1/4 oz. As the baby gets bigger, the intake increases. So it would seem that 40 ml for the other of a 5+ pounder is just about right because the baby coming to breast and nursing well would have stimulated her to make about that much milk. I would be concerned if that hasn't increase over the next week, but not over just a 24-hr period.

Of course, I am talking about healthy 6-lb babies, not babies of that weight in the NICU. All bets are off with NICU babies, who need to sleep longer if they are premature, or may not be hungry if they are sick, or who just get their natural "I'm full" button overwhelmed by being tube-fed a prescribed amount.

Dee Kassing

I have a mom on Day 5, almost Day 6 (started Day 5 at 2 AM Saturday). Lactogenesis II Friday morning (Day 4) - mom reported very full breasts and lumpiness and I observed same on Day 5. Her baby was only 5#3oz at birth, 38.5 weeks, spontaneous quick natural birth. Baby was nursing well according to mom until Friday, with minimal weight loss (4#14 at lowest), but became excessively sleepy on Friday, with minimal pees, no poops and very little suckling effort (This was the day of my visit). Pediatrician advised pumping and bottlefeeding to get some milk into baby. Mom was barely able to coax milk by bottle into baby, but that seems to have improved since yesterday. Mom is using paced bottle feeding technique. Baby still showed very little suckling at breast today. My question relates to how much milk is reasonable for mom to be able to pump at this stage. She is keeping up with baby's needs now, but the amount she was able to pump today is no

different from yesterday (40 ml between both breasts from new double electric Ameda). She is pumping 20 minutes 8 times a day. Should the amount she is able to pump have increased from yesterday to today? Thanks,Sent from my Verizon Wireless BlackBerry

[Guest guest]

I always tell moms that enough is enough. in other words if her baby is thriving on what she is pumping then she has enough milk! it's too easy to get lost in the numbers.... Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/From: Dee Kassing To: Sent: Sunday, September 25, 2011 8:56 PMSubject: Re: Expected pumping output on Day 5 (after LII)?

Hi, .

I know this doesn't fit any math equation about intake found in any textbook, but what I have **repeatedly** seen over the years is that a 6 lb baby who eats every 2 hrs takes on average 1 oz. If that 6 lb baby eats every 3 hrs, it's more like 1 1/4 oz. As the baby gets bigger, the intake increases. So it would seem that 40 ml for the other of a 5+ pounder is just about right because the baby coming to breast and nursing well would have stimulated her to make about that much milk. I would be concerned if that hasn't increase over the next week, but not over just a 24-hr period.

Of course, I am talking about healthy 6-lb babies, not babies of that weight in the NICU. All bets are off with NICU babies, who need to sleep longer if they are premature, or may not be hungry if they are sick, or who just get their natural "I'm full" button overwhelmed by being tube-fed a prescribed amount.

Dee Kassing

I have a mom on Day 5, almost Day 6 (started Day 5 at 2 AM Saturday). Lactogenesis II Friday morning (Day 4) - mom reported very full breasts and lumpiness and I observed same on Day 5. Her baby was only 5#3oz at birth, 38.5 weeks, spontaneous quick natural birth. Baby was nursing well according to mom until Friday, with minimal weight loss (4#14 at lowest), but became excessively sleepy on Friday, with minimal pees, no poops and very little suckling effort (This was the day of my visit). Pediatrician advised pumping and bottlefeeding to get some milk into baby. Mom was barely able to coax milk by bottle into baby, but that seems to have improved since yesterday. Mom is using paced bottle feeding technique. Baby still showed very little suckling at breast today. My question relates to how much milk is reasonable for mom to be able to pump at this stage. She is keeping up with baby's needs now, but the amount she was able to pump today is no

different from yesterday (40 ml between both breasts from new double electric Ameda). She is pumping 20 minutes 8 times a day. Should the amount she is able to pump have increased from yesterday to today? Thanks,Sent from my Verizon Wireless BlackBerry

[Guest guest]

I should probably let you all know that if any of you feel the need to disagree with me about baby intake, I will be without email access through Thursday. I'll play catch-up with responses starting Friday.

Dee Kassing

I have a mom on Day 5, almost Day 6 (started Day 5 at 2 AM Saturday). Lactogenesis II Friday morning (Day 4) - mom reported very full breasts and lumpiness and I observed same on Day 5. Her baby was only 5#3oz at birth, 38.5 weeks, spontaneous quick natural birth. Baby was nursing well according to mom until Friday, with minimal weight loss (4#14 at lowest), but became excessively sleepy on Friday, with minimal pees, no poops and very little suckling effort (This was the day of my visit). Pediatrician advised pumping and bottlefeeding to get some milk into baby. Mom was barely able to coax milk by bottle into baby, but that seems to have improved since yesterday. Mom is using paced bottle feeding technique. Baby still showed very little suckling at breast today. My question relates to how much milk is reasonable for mom to be able to pump at this stage. She is keeping up with baby's needs now, but the amount she was able to pump today is no

different from yesterday (40 ml between both breasts from new double electric Ameda). She is pumping 20 minutes 8 times a day. Should the amount she is able to pump have increased from yesterday to today? Thanks,Sent from my Verizon Wireless BlackBerry

[Guest guest]

Agreed! But some mothers just feel the need to have some "ballpark" numbers as a crutch.

Dee Kassing

I have a mom on Day 5, almost Day 6 (started Day 5 at 2 AM Saturday). Lactogenesis II Friday morning (Day 4) - mom reported very full breasts and lumpiness and I observed same on Day 5. Her baby was only 5#3oz at birth, 38.5 weeks, spontaneous quick natural birth. Baby was nursing well according to mom until Friday, with minimal weight loss (4#14 at lowest), but became excessively sleepy on Friday, with minimal pees, no poops and very little suckling effort (This was the day of my visit). Pediatrician advised pumping and bottlefeeding to get some milk into baby. Mom was barely able to coax milk by bottle into baby, but that seems to have improved since yesterday. Mom is using paced bottle feeding technique. Baby still showed very little suckling at breast today. My question relates to how much milk is reasonable for mom to be able to pump at this stage. She is keeping up with baby's needs now, but the amount she was able to pump today is no

different from yesterday (40 ml between both breasts from new double electric Ameda). She is pumping 20 minutes 8 times a day. Should the amount she is able to pump have increased from yesterday to today? Thanks,Sent from my Verizon Wireless BlackBerry

[Guest guest]

Oh ,

I really like that! I'll have to remember it. The but the biggest thing to

remember is " thriving "

Thanks,

>

> I always tell moms that enough is enough.  in other words if her baby is

thriving on what she is pumping then she has enough milk!  it's too easy to get

lost in the numbers....

>  

> Beebe, M.Ed., IBCLC

> Lactation Consultant/Postpartum Doula

>

> www.second9months.com

> Breastfeeding Between the Lines:  http://second9months.wordpress.com/

[Guest guest]

glad you like it. Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/From: To: Sent: Monday, September 26, 2011 2:17 PMSubject: Re: Expected pumping output on Day 5 (after LII)?

Oh ,

I really like that! I'll have to remember it. The but the biggest thing to remember is "thriving"

Thanks,

>

> I always tell moms that enough is enough. Â in other words if her baby is thriving on what she is pumping then she has enough milk! Â it's too easy to get lost in the numbers....

> Â

> Beebe, M.Ed., IBCLC

> Lactation Consultant/Postpartum Doula

>

> www.second9months.com

> Breastfeeding Between the Lines: Â http://second9months.wordpress.com/