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title: Special bonding - A Battle?
date: Tuesday, September 09, 2008 time : 5:54 PM Special bonding - A Battle? My milk supply kick-in in less than 4 hours after delivery when the nurse pushed Aisleyne to me for nursing. Aisleyne is very smart, she can suckle very well. The nurse checked whether I got milk supply, she is so surprise, just a gentle pressing, so much milk produced and she said to Aisleyne, "You are very lucky, your mommy got so much milk for you once you are borned." Every latch-on take about 15 mins on each breast. Everything seems to be a breeze until 2nd week; sometime the breastfeeding can be a battle between us. She can latch-on for about 5 mins then start struggling. I not sure what is happening, the problem I encountered during Amabel that time is due to the blocked milk duct and incorrect positioning. But I am sure this time is not due to that. I called Mrs Wong's mobile phone (TMC Lactation consultant), told her my problem -> Baby will struggle, gulp, gasp cough or choke while nursing whenever I got a let-down and when my breast is too full. Sometime she will pull off the breast or spit up the milk She said I am having 'Forceful Let-down (Milk Ejection Reflex) & Oversupply' and she told me never ever no wear nursing bra if I am breastfeeding, as it will cause blocked milk duct etc. After her advices, I burp and massage baby's tummy frequently if she is swallowing a lot of air through the battle. - start wearing nursing bra, I never wear bra for the first 2 weeks - Pump or hand express so the breast is not too full, then put baby to the breast. - Wait until let-down occurs, then take baby off the breast. Once the flow slows, you can put your baby back to the breast. - Nurse more frequently. This will reduce the amount of milk that accumulates between feedings, so feedings are more manageable for baby. - Nurse when baby is relaxed but not crying. Baby will suck more gently at this time, and the milk flow will be slower. I try to use the above method but sometimes there is still abit of struggling between us when I never get in time to take Aisleyne off the breast when let-down occured. My Medela PIS + a pail of warm boiled water with cloth for cleaning breast at the same time massaging breast to simulate blood flow. I started to pump breastmilk once a day hence Aisleyne is bottlefeeding once a day. I can express about 200ml each session; 100ml to be store in fridge and 100ml in freezer as a backup (in case low in milk supply or if I got fever where I got to stop latch on Aisleyne for days etc) This is how i handle the following expressed breastmilk; I stored quite alot of Frozen expressed breastmilk in my Medela freezer milk bag and bagged in ziploc bag - label with the date and time the milk is expressed and also it expiry date - to consume within 6 weeks - thawed in refrigerator and to be consume within 48 hours (including thawing process) - taste the milk before giving to baby, if turn sour I will discard Chilled expressed breastmilk in storage bottle and bagged in ziploc bag - label with the date and time the milk is expressed and also it expiry date - maintain the breastmilk in a fridge at not more then 4 degree celsius - to consume within 48 hours - taste the milk before giving to baby, if turn sour I will discard -> store for one bottlefeed per day I also start teaching my new maid on how to handle my breastmilk especially when I back to work, she is the one who will prepare the breastmilk for Aisleyne. I keep reminding her to - make sure she wash her hands till very clean before touching the bottle and breastmilk - take note of the breastmilk expiry date - to warm the breastmilk in a warmer with the water not heat up to more than 60 degree celsius or warm breastmilk in a mug of warm water. - A slight spinning of the bottle in the warmer thoroughly heats the milk throughout the bottle, without having to shake it. - alway test the breastmilk, make sure the breastmilk not heat up too hot (as nutrients in the breast milk may be destroyed), once it is warm give to baby. - Test the temperature of the milk before feeding. - Discard any unfinished remainder in an hour time upon warming up Is really not easy being a mother, especially a breastfeeding mother with more than 1 kid. Plus got to handle a forgetful maid! Sleeping soundly after a fierceful battle then a contented latch-on Labels: Aisleyne, Breastfeeding |
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