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  38504.16 in response to 38504.14
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  8/13/2002 5:41 pm

OOPS forgot my usual caution re: finger feeding with the SNS.................m

I think I was assuming you knew how to use it since you used it before but I wanted to be sure to mention that if you tape the tubing to your finger be sure you extend the tape up on your finger and hand way beyond where the baby's mouth is on your finger. In other words make sure the tape is not entirely enclosed in the baby's mouth when finger feeding.

A friend LC worked with a mom and dad who only taped around the tip of the finger and the baby sucked the tape right off the finger. Mom and dad ended up in the ER with the baby b/c of choking. Luckily the baby ended up fine but mom and dad were a bit worse for the wear!!

I generally teach parents to tape in a spiral starting at the tip of the finger holding the tubing in place and extending all the way up onto the hand. Like the stripes going around a barber's pole.

HTH Kathy

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  8/13/2002 5:47 pm

Thanks for all the advice, Kathy! I'll let you know how it goes! Rajani nt

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  38504.18 in response to 38504.1
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  8/13/2002 5:58 am

Repost for butterflies001 re: When will my body adjust to baby sleeping through the night ?? (m)

My 3 mo. old DD has been sleeping through the night (about 8 hours) for a little over a month now. I seriously can't remember the last time she woke up in the middle of the night for a feeding. And I still wake up every morning, painfully engorged. I always have to immediately pump a little before I feed her because of the pain and also because she can't latch on. My ped. told me that my body would adjust if I skipped feedings, like in the middle of the night, but nothings' happening.

Just thought I'd ask if this is normal and is there an end to this pain every morning????

Shannon

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  38504.19 in response to 38504.18
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  8/13/2002 5:53 pm

AH well, the wonders of the human body................more

Probably what has occured in your case is that your body hasn't totally switched over to autonomic (within the breast) control of milk supply yet. That usually occurs by about ........you guessed it.......3 months. But of course we are all different and those time lines are just averages.

Here's a more complete explaination of autonomic control of milk supply:

In the early weeks and months the milk supply is stimulated by two different mechanisms. The first is related to hormones from the brain that are signaled by the birth of the placenta. Those hormones start milk production in a non-specific amount...usually more than the baby needs which is why moms generally have more than the baby needs in the earlier weeks and months. The other control is in the breast and more closely related to the amount of milk being taken from the breast. Sometime between about 3 weeks and 3 months the second, breast related control (autonomic) takes over and the milk supply becomes more finely tuned to the baby's needs so the breast begins to make exactly what is taken out no more, no less.

YOu are probably a mom who tends toward the higher end of supply too I would suspect which seems to mean (IMO) you will switch over more slowly to autonomic control of supply.

OK, so now we know what it is...what can you do to get comfy.

One thing I would recommend is to *only* pump as much as needed to get comfy and be able to allow the baby to latch in the AM. Hopefully between the reduced stimulation and your hormonal switch you will see improvement soon.

You may also want to try some cool compresses during the baby's long stretch of sleep if that works conveniently time wise for you such as after the last feeding but before you go to sleep.

Apply cool compresses 20 to 30 minutes with one hour breaks in between. The cool compresses will hopefully slow blood flow and reduce the breasts ability to produce by a bit.

Sounds like you might have oversupply so some of the general rules for that may help, such as bf from one breast only per feeding(if you aren't already). Here's a post on oversupply;

http://boards.parentsplace.com/messages/get/ppbreastfeeding77/39/2.html

Hope this helps, keep me posted and let me know what finally works.

Warmly Kathy

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  8/13/2002 6:00 am

Repost for lisaschacher re: breast feeding after having pierced nipple (m)

I am 3 months pregnant and plan on breast feeding, however I have a pierced nipple and have started to wonder how much of a problem this will cause and how early I should take out the jewelry to let it heal?

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