#318 Breastfeeding

5:59 AM

I know, I know. I haven't even officially introduced you to our little girl or how she came into this world. So we'll get a basic introductions out of the way, and then do something more formal down the road.

Meet Camber Blake Prahl...



She's seriously the best thing since her daddy. It's hard not to talk about her in depth, but that will come soon!

But back to the topic at hand.

Breastfeeding.

People say it is tough. You figure you'll be the exception. You won't. I promise.

You may not have the same problem as me or as my mom did or as my sister in laws have had, but you'll face your own set of difficulties if you decide that breastfeeding will be how you keep this little tiny human alive.

So I'm telling you now, everyone is right--it's tough stuff to breastfeed.

Even with that said, it'll be worth it. It may not feel it in the moment, but there are so many levels of accomplishment and joy that come with trying to make breastfeeding a success for you and your baby. So I'm going to run through what difficulties I've faced, how I've tried to handle them, and in the end why I'm glad we're still doing this thang.

The Rocky Road of Breastfeeding

The first few days after baby is born is the best whirlwind and being thrown to the wolves you'll ever experience. There is such joy that it lifts and carries you through all the rough patches--at least in my experience. Now coming down off that high is a little rough, but thankfully I think any postpartum depression I had was limited to about 2 days; literally just coming down off that high was a weird sensation to navigate through and enough to make me feel a little down for a few days.

So my first experience breastfeeding was about 30 minutes to an hour after Camber was born. She came out through a c-section, and so some of the fluid in her lungs had not been expelled as would normally be during a vaginal birth. So the hospital staff tended to her a little longer than I expected, not really giving us that immediate moment of skin to skin. But eventually they brought her to me, she was laid on my chest, and slowly we found that little girl was trying to wiggle and move her way to eat. It wasn't super easy to get started, since neither of us knew what we were doing, but alas the nurses assisted and Camber was able to start nursing! It was a seriously odd experience and sensation, something I didn't think I'd really enjoy--and it did take a little while to get there.

The next few days in the hospital she would latch relatively easily, but she never opened her mouth wide enough and we constantly fought the struggle of keeping her awake long enough to eat what she needed. And goodness, who knew babies needed to eat so much so frequently!! Waking at all hours of the night to feed her was ridiculously exhausting, but again we were on the high of having a baby for 2 weeks straight, so you don't feel too bothered by it in the moment. That's why you need that high for sure. Kept us sane and living off little to no sleep.

By the time we got home, I felt like we were getting this thing. She was feeding long enough, as long as we kept pestering her to stay awake, and wasn't having any issues latching. I felt some minor pain, but kept thinking it'd eventually pass as soon as we were able to master her latch.


Problem #1--Refusing to Latch

But then day 4 hit--my milk came in. The first few days postpartum you are giving baby colostrum, and slowly your body will know to produce milk. Milk is much more liquidy and not quite as nutrient rich as your colostrum--so you make a lot more of it, meaning your breasts will get full. Very full. Before I'd knew what happened, my boobs were rock solid hard (which I just figured was normal? I mean I've never had boobs that could produce milk so who knows right?). I tried to get Camber to latch, and she refused. She wouldn't, or couldn't suck any longer. 

At first it didn't seem like a big problem, but when she skipped not just one feeding, not just two feedings, but was going on the third feeding of not eating, I had a melt down. I couldn't feed my baby. I didn't know what I was doing wrong or how to fix it. Stephen had been out of the house for a few hours that day, and came home to a crying baby and a crying wife. Poor guy, but he handled the situation with such grace. He called around to as many places as he could to get hold of someone who could give us some answers.

We were told I needed to pump off some of the pressure. Which after that and a hot shower, I did start feeling better. But still no matter what I seemed to do, Camber was not having it.

Fixing the Latch

The biggest thing people are going to tell you about breastfeeding those first few days, is do not give her a bottle because that will cause nipple confusion. Okay. I can see how this can happen. I can see how babies may tend to favor one over the other, and giving the option too early can possibly mean baby will stop trying to nurse. But when your baby won't eat, you need to do what you need to do to get that baby fed. My fear of nipple confusion could have possibly outweighed what was reasonable and sensible for my baby to be alive and healthy. 

But thank goodness for professionals. My biggest suggestion when you begin to have breastfeeding problem is see a lactation consultant. Seriously. It might be a little scary, but the peace of mind and advice they can give you are priceless. You're tired mamma. You're not 100% in the best frame of mind right now. You're hormonal. Let someone take a little bit of the load and give you a road map to take you towards success. 

In the end, the lactation consultant provided me a plan. That's all. Things I probably could have researched and found on my own, but this person knew our specific problems and gave us steps to get where we wanted to be. 

Amazingly it worked. 


We were told to pump and bottle feed--excuse me what?! What about the nipple confusion?--and try to breastfeed recreationally. #1 That meant she got fed, which is really the biggest concern! #2 That meant breastfeeding was no pressure. She didn't have to feed because she was already full, but it also meant she wasn't upset when trying to breastfeed. Eventually over the next week she began feeding at the breast more and more. So we saw the lactation consultant one more time, and she recommended we go 1/2 and 1/2 and eventually transition to completely breastfeeding as we saw that she was steadily gaining weight.

And by about week 3, I believe we were 100% breastfeeding. 

Problem #2--Supply (Over & Under!)

Early on, before my milk regulated itself, my oversupply was a huge problem. Thankfully before Camber and I figured this breastfeeding thing out, I was pumping a lot. I would get 8 to 10 oz each pumping session, which meant I stashed away a lot of milk for when I returned to work. That was the "thank goodness" part.

Well that sounds all great, so what's the problem?

Problem was, my letdown was super heavy because of this! There were times I'd unlatch my nursing bra, and I would spray milk everywhere. Yeah I didn't believe that was possible, but it is. As Camber would drink, she was struggling to keep up and was practically drowning in my milk. Due to this, she gulped a lot more air than normal and we had a very gassy baby! A miserably gassy baby.

I figured oversupply and gassiness would always be a struggle for us, but...

About 11 weeks after little one was born, I returned to work. At first for just a few half days, to ease back into things (which I have come to realize half days would be the ideal working mommy situation),and then finally back full time. It has been tough being away from Camber--goodness she's too cute, and grows too quick! It has also been tough pumping so much.

Surprise, surprise... not nursing, but pumping instead, results in a lower supply!

Our bodies are just meant to be with that little babe and respond to all the goodness they got. So when they want more, they nurse more, and even if your milk isn't there your body now knows to make more!

At work, you're at the mercy of your schedule and what is reasonable to be away from your desk pumping. I have found I produce much less, or at least little one is less happy with a reasonable amount of milk, when I pump and she is bottle fed. I really do feel like a cow these days, just always pumping.

Fixing My Supply

Oversupply, as I mentioned before, can result in a heavy letdown and a gassy baby. The reason baby is so gassy is because they are taking in a lot of foremilk and air, compared to the hindmilk which is the fatty, rich stuff. Block feeding is a great way to help regulate your milk and try to get more of the hindmilk in their system. Essentially you are trying to empty out one boob before you move on to the next one so you can get past all the foremilk they get in the beginning of a nursing session. So that means that you may for a couple of feedings have her feed on the same breast in a row instead of switching. I found my right boob I'd have to feed at least twice on there before I could switch to the otherside. You know you always have that one boob that produces way more than the other--meet my Mrs. Rightside.

This really did help not only with her gassiness, but my milk began to regulate and even out to just about what Camber needed rather than too much. Which now, is a struggle to say it was a good thing, because I feel like I'm struggling to keep my supply up.

Undersupply is such a struggle because now you're wondering, "Can I keep this up? Am I capable of feeding my baby enough? Will I have to supplement?" When you've worked so hard for something, it is tough to realize that it may not be 100% working, and that you may need to consider another route. Pride kicks in.

Although, there are some things you can try and do to help increase your supply. Some things work great for some people, and don't for others. It is really a trial and error process, so don't get discouraged in the hunt.

I have found the following definitely help with me, but some work better than others so I just keep doing them all. Some days it means I see a huge increase, other days it seems to drop back down. I just keep stashing away and pray that it will continue to work:

  1. Increase your water intake--Breastmilk is mainly water, so it is only logical.
  2. Pump frequently--The more you remove milk, the more your body will be signaled to produce.
  3. Empty your breasts--Don't just pump, but pump until empty and then some! I have pumped past the point of empty multiple times now; not only do I think it helps to signal your body for future production, but it has actually resulted in a second letdown multiple times now.
  4. Massage your breasts and reposition your flanges--This will help push/release milk from other areas of your boobs. I always manage to get much more doing this, and I think it also helps with that second letdown.
  5. Pump after nursing--I have found that on my work days, I need to pump after she nurses in the morning, right before I leave for work, as well as at night time after she has gone to bed (great time to power pump). I manage to get 2-8 more ounces between those two extra pumps in a given day, and of course removing that milk helps to stimulate production!
  6. Supplements--I have found that drinking Mother's Milk Tea multiple times a day, as well as taking Fenugreek help boost my supply just enough to notice it, which totally makes it worth it to me! 
  7. Gatorade--Not 100% sure if this one really is working, or again if it's a combination of a lot of things, but apparently blue Gatorade helps with lactation. It may just mean you're taking in more fluids and also adding some electrolytes.
I am curious about starting to take some of the other supplements out there I've seen, so if my supply takes another hit that may be the route to try next. 

I was producing about 10-12 oz a day, but making all those changes I can pump more around 15-18 oz a day. Pumping is tough work, but it brings me joy knowing I can do this for Camber and give her the stuff she needs. Plus it is free! It's a small price to pay for those two things alone.

Problem #3--Bottle vs. Breast

At about 14 weeks old, we had another little set back. I returned to work right around when Camber turned 11 weeks old. So for the past 3 weeks she had been taking a lot more bottles than normal. Early on we had to use the bottles because of the latching issue, and occasionally I would give her a bottle because I wasn't confident or comfortable nursing in public, even with a cover. She handled going back and forth like a champ, and never seemed to prefer one over the other.

We started paced feeding as soon as she began taking a bottle--which if you are BF that is definitely the way to go when or if you do give baby a bottle. But paced feeding can be tedious, and honestly I am not 100% my parents were sold on why we needed to do it versus just giving her a bottle straight. As their primary caretakers during the working week, it is pretty crucial they continue this practice so that we can easily transition between the two. Honestly even I had gotten lazy about paced feeding when I did give her a bottle because she seemed to go between the two so easily.

But randomly one Saturday morning, she just refused to latch. Every time I put her in the position to start nursing, she would scream. It concerned me most because it wasn't that she tried to latch and couldn't get anything, she just completely wouldn't even try!

So that day she got a bottle. I kept trying, but would find that if she did latch, eventually she would get fed up and start the screaming all over again.

Fixing the Preference

Quickly I realized she had no patience for BF, that she wanted the immediate gratification of the bottle. So we worked over the weekend and the past few weeks to change her preference.

First, you might ask why it was such a big deal for me to try to get her back to BF instead of just becoming an exclusive pumper or going to formula. So here are my reasons why we prefer BF over anything else...

  1. It's free. 
  2. It's good for her. 
  3. I surprisingly enjoy the bond it gives us. I'd miss it.
  4. I can satisfy her BF, but my output pumping is much less than what she takes at the bottle--meaning eventually I'd have to supplement.
  5. Seriously hate having to pump. It's tiring. Time consuming. Boring. Bleh. But I do it for her! 
So the very first thing we did was to properly do paced feeding with her. I reemphasized to my mom the importance of paced feeding, and both Stephen and I brushed up on our skills and made sure we were making her work extra hard for it. 

I then bought some premie sized nipples for our Dr. Brown's bottles. We'd been on size 1, and I thought that was as low as the flow went, but of course went on their website and saw they carry a size 0/premie that they actually recommend for EBF babies. Again, it just makes the flow much slower so that they have to work to get the milk, just like they would while BF. 

Anytime I could BF Camber, I did. I made myself get comfortable with BF in front of others, because it was vital to my child's well being. Thankfully they make covers, because beyond that is DEFINITELY outside of my comfort level. This past weekend I even BF while walking, and it worked! BF anytime we were together definitely helped establish that BF relationship we have and keep her familiar with BF. 

Anytime I can now, I try to feed her just before she really gets hungry or overly tired. I realized that weekend very quickly that if she was either of those two things, her patience was next to none and we'd have no success at her actually trying to BF. This is why when I even laid her the BF position she would get upset. 

Since doing these things, she has not had a completely melt down like she did that one day. It also has helped me to know what things I can do to fix the issue if it does arise again--keeps me from getting too stressed out! 


In the end, I hope you know that you're not alone in whatever struggle you may be facing with breastfeeding. Your problems may not look like mine, but know that you can find answers to help you reach your goals (I'm still not 100% what mine are yet, that may be another entry). If you're not able to find an answer on your own, I strongly suggest seeing a lactation consultant. Having their expertise and confidence that you can still do this is HUGE and much needed when you're in the thick of it. You got this mamma.

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