I thought I would share much of it here, in hopes that it helps someone else! That being said, if you have a health practitioner you should ask their advice and follow that - this post should give you lots of things to ask them though :)
Our Schedule at the Beginning when Everett was in the NICU:
- Nurse as soon as you can see the baby.
- Go every three hours to feed the baby (or as often as the NICU nurses will let you).
- Do a combination of attempting to nurse and bottle feeding.
- Nurse for a few minutes, then bottle feed (or let partner), then pump for 15 minutes on a medium setting.
- Drink a glass of water and have a snack every time you feed/pump.
- Nurse more often (if that's humanly possible...)
- Skin to skin
- Also known as cuddle time :)
- Helps promote milk production.
- Helps baby to moderate their temperature (up or down).
- Good for partner too!
- Pump, pump, pump!
- Have a picture of your baby nearby or visit the NICU and imagine your baby nursing while you pump, or if possible sit near your baby!
- Make sure you have correctly sized phalanges.
- Invest in a double electric pump, it saves time and makes it easier to actually pump when you don't want to.
- This is my pump. (I love it).
- Drink nursing tea
- I loved the taste of Lunar Eclipse nursing tea
- We were able to find this at Zehrs.
- Also helpful for baby's gas problems.
- Sleep!
- If your baby is taking a bottle/supplementation anyway, take one of the 12 feeds off a day and sleep/rest through it. This will help with supply as a well-rested body can make more milk!
Don't be afraid to try other things:
- Bottle feeding:
- You may need to bottle feed while nursing is being established, don't feel bad about this!
- Use a bottle that has a wide nipple to simulate the size/feeling of a breast. We used this kind.
- Have someone help with the bottle feeding at the beginning as nursing and pumping is more than enough effort and you will need your rest.
- Someone else will need to wash (and if using formula, sterlize) the bottles. This is something that should be delegated at the beginning.
- Have baby sit up to eat out of bottle so that he is forced to draw the milk down the nipple and it isn't poured in (simulating real nursing I was told).
- Crazy straw mechanism - Lact-aid
- Didn't work well for us since Everett was annoyed by the straw's presence in his mouth and tried to spit it out.
- Works amazingly for others!
- Nipple shield
- Apparently good for torn up nipples, also has other uses.
- We used it to get Everett to sustain a latch on the breast as it would engage his sucking reflex much like a bottle.
- Only warning we heard was to not use it exclusively if you're needing to increase your supply as the baby's direct latch works better for that.
- Goal was to use for a few weeks only (for Everett to wean the baby off the bottle and onto the breast).
- Hand expression
- Not something that was particularly easy for me, especially when establishing a supply.
- Here's a link to an explanation and how-to for hand expression and massage.
- Massage
- Worked well before pumping.
- Helped with clogged ducts.
- Brought milk down to make it easier for Everett to get milk sooner (at beginning).
- Other Supplements:
- Never used either, but work for lots of mamas!
- Fenugreek
- Blessed Thistle
Great Resources:
- La Leche League
- Breastfeeding Buddies
- Pre-birth Breastfeed Class
- Health professional (lactation consultant, midwife, family doctor)
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