Dear Sarah and Dr. G,
I am confident with some time both of you will work into breastfeeding success. Don’t give up and Be patient, both of you are learning and he needs some time to forget about his early days in the hospital (the separation from you both, constant NICU stimulation, tests, and bottle feedings). He needs time to be at home, bonding with you both. In this (stay at home), quiet,, no testing, atmosphere he will begin to relax and fit into that wonderful baby routine of eat,sleep, poop, pee and best of all being loved and touched gently. Scheduling is ok right now keeping your breast happy with milk release by pumping or nursing, and making sure Henry is fed by the 3rd hour. Remember to time the next feeding from the moment his tummy is full. It takes about 10 min after a feeding, and gentle burp for babies to slip into that deep sleep so they can be placed in a crib without waking up. That’s your goal. Happy breasts, happy baby, happy Mommy, happy daddy.
> Try natural methods to increase your milk supply. Diet, fluid intake, eat two servings of oatmeal a day, Pumping on a comfortably high setting with the larger flange 27mm. Your breasts need a good 2 1/2 hour break between feedings or pumping sessions to replenish milk volumes.
> Rest: This is so important to your whole well being. You can rest with baby skin to skin between feedings, as long as you do not drift into sleep.
Pump before feeding; Give the milk and baby to Daddy for food and bonding, while you take your meds and go to bed for a good 3 hours.
> Breastfeeding: Choose your times to attempt a feeding at the breast, or when doing skin to skin bonding, his little brief latch on moments are good practice sessions. Let him explore your breasts and nipples and learn.
If pumping before a feeding: do this 20 min prior to even waking Henry .. Pump both or one to collect 15 -20 mm per breast. Wake Henry
Burp him, change his diaper, and bring him to your breast. Cuddle and bond first, watch for his rooting, and see if he will latch to your bare Wet nipple. If he
refuses, or fusses, give him the fresh milk you just pumped, once he takes that milk. Then bring him back to your nipple, hopefully to continue his feeding.
You may use the shield as directed. Apply wet, massage the breast, bringing a puddle of milk into the shield, so he gets instant reward when he sucks.
Massage your breasts as you pump and as you nurse Henry. This keeps milk moving toward your nipple, for removal.
> Use the tips provided in the engorgement phase management hand out. Switch it up to make it work for you.
> Clean pump parts, bottles, nipples, paci, shield, with hot soapy water, hot rinse and paper towel dry. Dish washers can harbor bacteria.
Sarah, Now that you are home with Henry, Keep visitors to a minimum, stay in your PJ’s, Do a lot of skin to skin bonding with Henry, Dr. G- this means you too. curl up next to Sarah and Henry in bed for some important gentle bonding time. When it is time for sleep, Henry goes to his crib. Both of you Sleep when baby sleeps. Maternal Fatigue can disrupt milk production, and prompt frustration (tears). Sarah, You have everything you need to feed your baby. Working into nursing at the breast needs patients, practice, and confidence. All of which you have. You can do it. You’re both such loving parents. Keep me posted. I will check with you tomorrow.
Our lactation consultant and Henry: