Okay, Dad... this is your "nursing" warning. (And anyone
else who doesn't care about nursing.)
I started back to work last week... and after a week of upset tummies, lots of crying and spitting up, I decided for everyone sanity, I needed help.
Ryan was dining on his first expressed milk, and while he had been a little fussy with breast feeding, it was nothing like this.
I didn't want to call his doc, because doc's tend to swing right to formula. I didn't want to call the Le
Leche League, because obviously, I need to supplement, and that's not really their agenda.
Sooooo, I pulled out the number they gave me when Ryan was born for the hospital lactation consultant.
The nurse who answered was very nice. I explained that I had recently started back, that my son had been supplemented on formula since birth, but this was the first time he was using expressed milk... and things were going badly.
She asked me a few questions:
How many bra sizes did I go up?
WHAT????? What the hell does that have to do with anything.... but I told her.
How often does he want to eat? ALL THE TIME... and even after he's done, he wants more.
With bottle and breast? Yes
How much weight had Ryan gained in the last week? About a pound.
Did he have baby acne? Yes. How bad? It had started to get worse a few days ago.
How were his stool? Still explosive, and runny.
What color? Yellowish... but a little darker than mustard... more green tinted.
How would you describe his eating style? Lazy... suck suck sleep.
Her answer: You're not getting a proper let down. He's getting too much
foremilk, and not enough
hindmilk.
WHAT???
Okay, so, I knew about
foremilk and
hindmilk... but this I didn't know!
She explained it like this: It's basically as if you were to try and eat nothing but candy all day long... you would constantly feel hungry, but have a tummy ache from all the sugar.
Foremilk is really sweet, and doesn't have a lot of fats. It's the
candybar milk.
Hindmilk is the good fatty filling milk. A mom's body makes milk on demand... but it also stores milk. Your breasts are the storage units. Some women STORE a lot more milk than others, so when the baby cuddles up to the table to eat, there is a large supply already there waiting. This would be the
foremilk the baby gets first.
The problem with this is the fats of the milk tend to stay in the breast until there is a strong let down and the fats are basically pushed loose from the breast tissue. If you store enough (OR if you just have a LOT of milk)to fill your baby's tummy, your body never cues the
hindmilk, and the baby gets the
candybar milk... and that causes a tummy ache AND hunger.
NOW, this starts to regulate itself after time in most cases, and mom and baby both become happier.
Unless you're pumping. Then you have more issues. Pumping is not exactly what nature intended, so let downs (and
hindmilk) are harder to come by if you have this issue to begin with.
SOOOOO long story short, my baby was on sugar overload and STARVING!
She suggested that I mix the milk with formula for now. It could take a few days to see results, but the throwing up should calm in a day.
For pumping, she highly suggested NOT waiting until I felt engorged... but instead try and pump every two hours for the next few weeks and make sure I was pumping until not a drop was coming out.
While nursing, instead of switching up sides (like most of the advice tells you to) DON'T. Nurse
wholly on one side for an entire feeding. If baby wants to eat again within about an hour of the first feeding, stay on the same side.
And you know what... it's TOTALLY working. So, file this info away, and next time there's a mom with these issues, suggest she talk to someone about Milk imbalances... before someone recommends she eat nothing but white rice or switch to formula.