I would pump if you can, with a hospital grade pump, but if thats not an option or your LC advises against it then hand expressing will definitely help, are you getting engorged, you obviously want to avoid that?
Its very early days and I'm sure that a few days won't spell the end at all (sounds like only 24 hours at this stage which hopefully should be fine) but obviously you want to get the baby back on as soon as possible so that she learns to latch well and you get as much stimulation as possible, I would go back to breastfeeding as soon as the Dr says she is allowed breastmilk and if that is not after 24 hours I'd want to be given a good reason as to why, and a second opinion. I'd contact a board certified LC (IBCLC) off the list I linked to, (there are some others if Dr Delphine isn't available) so that you can get the most well trained person possible, my personal experience with hospital nurses and LCs hasn't been the best, its worth spending the money to see an expert. Once you get the all clear for breastfeeding (the nurses opinion doesn't count on this) then doing as much skin-to-skin as possible should help your baby remember how to latch. It might not be easy, but I'm sure you'll get her back on the breast and build up your supply again should it have dropped.
Do you have a support person who can back you up with all of this, I'm sure right now your baby is your biggest concern and you'll be focussed on that so a trusted friend who can voice your strong desire to breastfeed at all your meetings with the Dr might help.
Sounds like a scary thing to go though, fingers crossed all is ok with your LO and you have her back on the boob by tomorrow!.
Thanks kiwi- I have to admit that haven't been on much since bf-ing my ods.
The LC on staff at city came to talk to me just as they were taking my 3 day old daughter who appeared to be bleeding internally down to nicu so I have to admit I was not very receptive as I just wanted to go to my baby. I'm not sure I'll get a chance to speak to her before I leave assuming we are both discharged tomorrow, but will certainly try.
The nurses are very kind but are recommending only hand expressing, I'm afraid that a few days of formula and hand expressing for a very small baby will be the end of bfing for us, I will try to contact dr Delphine to get an appt. How many days do you think we can go without bfing before it gets critical?
BFC's list of breastfeeding support is available here http://www.expatwoman.com/dubai/monthly_pregnancy_babies_Breastfeeding_Support_In_Dubai_8935.aspx
on the list of support there is a facebook group called breastfeeding Q&A which is a great source of free info and support.
There being blood in your milk is NOT a reason to stop, the blood itself is not harmful to your baby. So if the ped figures its just your blood then you can breastfeed again straight away. You might want to figure out where all the blood is coming from, a good IBCLC should be able to help you figure that out, it might not be just your nipples if there is a lot of blood http://www.breastfeeding-problems.com/blood-in-breastmilk.html
The mebo should be fine, but I did used to wash it off prior to a feed because of the sesame oil in it. Lanolin cream (the medela one) is fine to leave on.
Please see a properly qualified LC straight away and if you need to contact BFC email me at [email protected] and I can forward your email to her.
Hi,
My daughter was born 3 days ago. She started bfing enthusiastically from the start but i think I was positioning her incorrectly due to pp cesarean pain and my nipples became ******. Now that I can sit well I think we've solved the latch problem but she began projection vomiting black blood last night around 11pm. She then did a small ****** spit up around 2 am. This morning at 10am she vomited bright red blood and was admitted to nicu for monitoring and tests. All of her tests came back ok (fbc and anticoagulation) and the pediatrician is thinking it was my blood she threw up and not her own. Just in case she is being observed in nicu for 24 hrs, they will test her vomit if it happens again and the ped wants her on formula for this period.
I tried to pump to keep my supply up but a lot of blood came and the nurse told me to stop and hand express. I was able to get only 20 mls but the ped won't let me give them to her anyway. My milk has mostly come in and just prior to this happening although the first 5 secs were painful after it was painfree and she seemed to be nursing well. Assuming she doesn't vomit again and the ped agrees that this was my blood and not hers when can I start nursing again?
The nurse told me I should hand express for several days to allow my nipples to heal but I am afraid we'll never get back on the breast in that case as i simply cant get enough milk this way. Even these 24 hours on formula have me nervous! I bfed my son for 14 months and very much want to do the same for my daughter. Do you have any advice? I am also currently putting meb cream on my nipples to help heal, is this safe for the baby?
Thanks for your advice!