Is it proper for a nurse to tell a patient who has gone to the hospital in labor to "go home and come back when you can't talk through your labor discomfort"
What is that all about. If you are in labor, in this case every 3-5 minutes documented but do NOT need pain meds just yet, this does not sound proper to me, especially since what is the point of "controlled labor"
That is my rant----happended to my daughter who did agree to go home but had to come back after 3 hours when she absolutely needed pain med control and did deliver 11 hours later
Oh and by the way-----the nurse discharged the patient, never seen by the MD----but supposedly did talk with the MD
You will have a more difficult time regulating your milk supply if you are adding pumping into the picture. There is absolutely no need to bottle feed this baby now, nor is there any reason whnatsoever to be pumping. ou ahve a healthy newborn and you are healthy as well.Why would you pump when you have the baby right there? You are doing more work (and stimulating yourself less efficiently) by replacing a nursing with a pumping. If your mother is suggesting this plan, she is undermining you. I don't mean to be rude, but I see this happen frequently. This baby is only 9 days old. The baby should be breastfeeding exclusively to help get you and the baby in sync, as well as your milk supply regulated. Having "tons of milk" is great, but you will continue to make too much if you continue this pumping thing. If it has been about 3 hours (or sooner if necessary), wake the baby and put him to breast. If you feed frequently during the day, you may (and I underscore may) get a little longer stretch at night. You need not be scheduling your milk removal either. jsut feed the baby and put the pump away. Feeding is your job right now. Your mother's job (as well as your husband's) is the house, other kids, laundry, cooking, etc)
My mom left for home today, hubby works fulltime, so I am virtually home alone. I have lots of other responsibilities and things going on here at home, so unfortunately feeding is not my only concern. I am struggling with postpartum depression on top of that.
My mom was against the breastpump, but my lac specialist from the hospital is the one who showed me how to use one and even rented one out to me!
Please tell me what is wrong with making too much milk? My incision is not healing properly, it has deshisced, so placing the baby on my tummy to feed is extremely painful, he hates the football hold. What do you suggest? I am not only trying to recover from my c-section, but I am just trying to do what is best for my son. Breastmilk is best...does it really matter how it gets in his mouth. From the start he just would not latch. I have issues with my nipples, so we had no choice after a couple days in the hospital, but to place him on a bottle. Now, that I am home he is slowly getting used to the football hold, but it really is a struggle still. What do you suggest.
Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
First let me say, all this is perfectly ok. "Making too much milk"? Oh I know about that a bit..... Honey I made enough milk to feed a dozen kids....I had dozens of bottles in my freezer, I tell ya. NOthing wrong with that.
And, I pumped beginning about a week after my dd was born because she had such a preference for my left side, my right and left were becoming rather....uh uneven. :rotfl: Ever try and "make" an infant nurse on a side she has decided she HATES??? good luck!
Pumping not only evened out the sizes of my breasts (which became almost grotesque in size), I froze that milk for later use for when I did have to be gone for feedings. All my dh and ds had to do was thaw some out, warm it up, and feed her. She was cup-fed at birth and never did need bottles. She drank nothing but breastmilk til she was nearly 2.
I will add, she nursed almost to the exclusion of everything else (but pureed fruit and veggiesI made her) nearly 17 months, so the pumping in that initial week did not seem to hurt our bond or breastfeeding routine one bit. But boy you did NOT try and shove a BOTTLE In her MOUTH, no way, no how!!!!! she was not having that. Plus, she had ONE ear infection her entire childhood---I attribute that to not using bottles to feed her and the use of only breastmilk as long as we did. (most kids have scores of ear infections by age 3)
The moral?
You and your family will find what works. No well-meaning advice from any of us will replace what you discover works for you and your wee one. Listen to your inner voices/instincts and that child----take care of her and yourself exclusively as possible and the rest will work itself out. You will know her cues and she yours. It always works out somehow.
this is from an experienced nursing mom of a preemie (who nursed thru two surgeries), and this daughter I just told you about. It will all be ok, despite our good works, they all become TEENAGERS some day!!!! And then you will look back fondly on these days and laugh....
You will have a more difficult time regulating your milk supply if you are adding pumping into the picture. There is absolutely no need to bottle feed this baby now, nor is there any reason whnatsoever to be pumping. ou ahve a healthy newborn and you are healthy as well.Why would you pump when you have the baby right there? You are doing more work (and stimulating yourself less efficiently) by replacing a nursing with a pumping. If your mother is suggesting this plan, she is undermining you. I don't mean to be rude, but I see this happen frequently. This baby is only 9 days old. The baby should be breastfeeding exclusively to help get you and the baby in sync, as well as your milk supply regulated. Having "tons of milk" is great, but you will continue to make too much if you continue this pumping thing. If it has been about 3 hours (or sooner if necessary), wake the baby and put him to breast. If you feed frequently during the day, you may (and I underscore may) get a little longer stretch at night. You need not be scheduling your milk removal either. jsut feed the baby and put the pump away. Feeding is your job right now. Your mother's job (as well as your husband's) is the house, other kids, laundry, cooking, etc)
My mom left for home today, hubby works fulltime, so I am virtually home alone. I have lots of other responsibilities and things going on here at home, so unfortunately feeding is not my only concern. I am struggling with postpartum depression on top of that.
My mom was against the breastpump, but my lac specialist from the hospital is the one who showed me how to use one and even rented one out to me!
Please tell me what is wrong with making too much milk? My incision is not healing properly, it has deshisced, so placing the baby on my tummy to feed is extremely painful, he hates the football hold. What do you suggest? I am not only trying to recover from my c-section, but I am just trying to do what is best for my son. Breastmilk is best...does it really matter how it gets in his mouth. From the start he just would not latch. I have issues with my nipples, so we had no choice after a couple days in the hospital, but to place him on a bottle. Now, that I am home he is slowly getting used to the football hold, but it really is a struggle still. What do you suggest.
It's perfectly ok. I pumped a week after my dd was born because she had such a preference for my left side, my right and left were becoming rather....uh uneven. :rotfl: Ever try and "make" an infant nurse on a side she has decided she HATES??? good luck!
Pumping not only evened out the sizes of my breasts (which became almost grotesque in size), I froze that milk for later use for when I did have to be gone for feedings. All my dh and ds had to do was thaw some out, warm it up, and feed her. She was cup-fed at birth and never did need bottles. She drank nothing but breastmilk til she was nearly 2.
I will add, she nursed almost to the exclusion of everything else (but pureed fruit I made her) nearly 17 months, so the pumping in that initial week did not seem to hurt our bond or breastfeeding routine one bit. But boy you did NOT try and shove a BOTTLE In her MOUTH, no way, no how!!!!! she was not having that.
The moral?
You and your family will find what works. No well-meaning advice from any of us will replace what you discover works for you and your wee one. Listen to your inner voices/instincts and that child----take care of her and yourself exclusively as possible and the rest will work itself out. It always does.
this is from an experienced nursing mom of a preemie and this daughter I just told you about. It will work out.
Thanks so much! I was starting to feel like I was being ganged up on for trying to do what I thought was best. My baby is gaining weight is in perfect health according to his pediatrician, so obviously something is working out ok!! Thanks again!! :)
Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
Thanks so much! I was starting to feel like I was being ganged up on for trying to do what I thought was best. My baby is gaining weight is in perfect health according to his pediatrician, so obviously something is working out ok!! Thanks again!! :)
It seems to me, if you would just listen to your instincts, you will do fine. You strike me as a very smart lady and one who wants only to do what is best for your baby. And you will do fine. DO NOT SWEAT SMALL STUFF-----just have fun in this special time. And take lotsa pictures. :)
You will have a more difficult time regulating your milk supply if you are adding pumping into the picture. There is absolutely no need to bottle feed this baby now, nor is there any reason whnatsoever to be pumping. ou ahve a healthy newborn and you are healthy as well.Why would you pump when you have the baby right there? You are doing more work (and stimulating yourself less efficiently) by replacing a nursing with a pumping. If your mother is suggesting this plan, she is undermining you. I don't mean to be rude, but I see this happen frequently. This baby is only 9 days old. The baby should be breastfeeding exclusively to help get you and the baby in sync, as well as your milk supply regulated. Having "tons of milk" is great, but you will continue to make too much if you continue this pumping thing. If it has been about 3 hours (or sooner if necessary), wake the baby and put him to breast. If you feed frequently during the day, you may (and I underscore may) get a little longer stretch at night. You need not be scheduling your milk removal either. jsut feed the baby and put the pump away. Feeding is your job right now. Your mother's job (as well as your husband's) is the house, other kids, laundry, cooking, etc)
My mom left for home today, hubby works fulltime, so I am virtually home alone. I have lots of other responsibilities and things going on here at home, so unfortunately feeding is not my only concern. I am struggling with postpartum depression on top of that.
My mom was against the breastpump, but my lac specialist from the hospital is the one who showed me how to use one and even rented one out to me!
Please tell me what is wrong with making too much milk? My incision is not healing properly, it has deshisced, so placing the baby on my tummy to feed is extremely painful, he hates the football hold. What do you suggest? I am not only trying to recover from my c-section, but I am just trying to do what is best for my son. Breastmilk is best...does it really matter how it gets in his mouth. From the start he just would not latch. I have issues with my nipples, so we had no choice after a couple days in the hospital, but to place him on a bottle. Now, that I am home he is slowly getting used to the football hold, but it really is a struggle still. What do you suggest.
If you are home alone, that is all the more reason to NOT pump. You are making far more work for yourself that you need to. Just rest in between feeds and put the baby to breast. Pumping is extra work and totally unnecessary. My point is that you are making unnecessary work for yourself.
Nursing lying down can help you as well. If you can sit to pump, then you can just breastfeed. That's all I am trying to say. The more relaxed and less tired you are, the faster you will heal. Let your body rest by just breastfeeding the baby when he is hungry.
There is nothing wrong with having too much milk. You are just making far more work for yourself and making it take longer for your milk suppley to regulate.
The baby will get all the baby needs by just nursing.
You mention, problems with latch and nipple problems. If this is the case, then you need hands on help from a lactation specialist. If this nipple thing is still an issue, then you are doing yourself far more harm by pumping and bottle feeding. Just because he was on a bottle in the hospital does not mean that he needs to be now. Many babies are given bottles in the hospital when it probably was not necessary. But that is over and done with. You have moved past that.
You're going to do what you wish, but I am just mentioning that you are doing far more work than you need to be doing pumping at this stage of the game.
If you goal is exclusive breastfeeding and you are having the success that you mentioned previously, then exclusively breastfeed and put the pump on the shelf uintil you are going back to work. The bottles are only making things more complicated than they need to be. You have to feed the baby anyway so put the pump away (until you go back to work) and just relax and feed the baby. You are doing more work than you need to.
If you are seeing a minimum of 5 wet diapers in a 24 hour period and the baby's stools are mustard yellow, then he is getting enough to eat. If you are secretly worrying about the baby "getting enough" then that is a different issue altogether to be addressed.
Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
Here is a good idea that will not add any guilt to your experience:
contact La Leche League and find a leader in your area to help you with any breastfeeding problems/issues you may have. If you feel the need for outside help, these are the ladies to turn to! (and you have the chance to get out and socialize with people who are having some of the same experiences and growing pains you do):
Here is a good idea that will not add any guilt to your experience:
contact La Leche League and find a leader in your area to help you with any breastfeeding problems/issues you may have. If you feel the need for outside help, these are the ladies to turn to! (and you have the chance to get out and socialize with people who are having some of the same experiences and growing pains you do):
there, you will find a wealth of information and be able to locate a leader near you. I wish you the best. I still think you will be fine.
Good advice:) and remember every mom/baby pair is different. If you and baby are happy/ healthy stick with it!! I nursed both my babies for 13 months each. first was easy as pie, nursed exclusively for 6 months, then homeade baby food, never did have a bottle ever! second, my son, I almost gave up a zillion times. Gave him (gasp) supplimental bottles of (double gasp) formula, after he was 4 months so I didn't end up driving off a cliff (he nursed every 1 1/2 hrs all day/night...for 4 months...Mastitis 3x...Mommy went MAD) The little devil is very healthy, knows the entire alphabet and has been sick once in his 2+ years, despite the dire predicitions I rec'd to the contrary.Good luck to you...
" It will all be ok, despite our good works, they all become TEENAGERS some day!!!! And then you will look back fondly on these days and laugh...."
Really? Do they HAVE to Just sent my DD to 2nd grade today Those 3 AM feedings feel like they were yesterday...
I can see both sides of this one, and I agree with both SBE and BETSRN.
I think that pumping milk instead of putting the baby to breast, especially so early, can throw off a milk supply this early in the game. There's great debate about nipple confusion, and as someone who's training to be a lactation educator, I can argue both side of that little coin. As a doula, I always suggest that the best thing to do is simply snuggle up next to your baby in bed and nurse them, which allows you to get sleep as well. It's very safe to do so, and helps stimulate all those great mommy hormones that keep you happy. :)
When you sleep near your baby, your sleep patterns coincide with the baby so that when they're stirring, you're stirring as well. Anecdotally, I can attest to this from my own experience as a mother - it's AMAZING. This is backed up by the research findings, too. James McKenna, a researcher at Notre Dame's Mother-Baby Behavioral Sleep Lab, studies mother-baby sleep diads, and it's fascinating what results are coming from his research. There is also research to suggest that, done safely, co-sleeping may help to prevent SIDS. Breastfeeding also is known to help prevent SIDS.
Instead of pumping, perhaps take advantage of the time to sleep!!!!! That way, you'll rest, recover from giving birth and prevent running your immune system amuk because you're trying to do so much. We all know how it is, wanting to accomplish stuff with a new babe and being so tired. It's tough.
Best of luck to you. I would encourage you to find a La Leche League chapter as well - I found them an invaluable support in the early days of my parenting, and it was nice to be able to go to a place where nursing amongst other people was no big whoop, and there were other mothers who knew what I was going through. Some LLL Leaders have been called breastfeeding Nazi's, which is a disgusting mischaracterization of their mission. And it's amusing that LLL gets portrayed as a hippy group, when it was originally founded by 7 mothers at a Catholic church picnic!
For anyone interested in taking a look at mother-baby sleep and the cosleeping issue, here's a link to Dr. McKenna's site:
The reason I asked about crying it out is because in our culture, many people have no problem with letting little newborns do so, justifying it as "setting the schedule". This is most deleterious to the infant, and our society needs to be educated not to do it. Once they're older, it becomes more a personal and sleep issue, but at the beginning, it's just plain unwise, and so I always ask.
Best of luck,
Alison
PS. Out of curiousity, how close was the baby's actual birth weight to the ultrasound prediction?
Specializes in Case Mgmt; Mat/Child, Critical Care.
I do agree that it is a good idea to send the patient home if they are NOT in active labor. But at the same time the nurse should explain the reasons why the patient is being sent home. I was simply told "Go home and dont come back until the pain is so bad you cnat walk, talk or breath." Now I was a first time mom and I didnt know anything about labor and delivery, all I knew was that I was having a baby :chuckle I think Dayray is right; it was the way the nurses said what they said. I, today at this moment and time, agree that it was right for them to send me home. That day when they said it, I wanted to power sock them both in the mouth. I was in pain they said go home til it gets worse!! Im glad I understand why they did it now, but I probably would have understood then too if they would have explained it better.
I'm really not trying to sound "mean" here or be offensive....but, don't you think you have some small responsibility of educating yourself before you actually go into labor? If nothing else, there are lots of good books on the subject, geared for lay-people; and there is always the option of a prepared childbirth class.
Again, not to sound rude or anything, but the ER does not consider someone in early labor an "emergency".... I notice you did go home, labor and then return the next morning/day to deliver....
No excuse for "rude" nurses, of course, but perhaps they were busy that night and were trying to rush through things....
I'm really not trying to sound "mean" here or be offensive....but, don't you think you have some small responsibility of educating yourself before you actually go into labor? If nothing else, there are lots of good books on the subject, geared for lay-people; and there is always the option of a prepared childbirth class.
What?!?!?!? And *gasp* actually take responsibility for your health and your birth/baby? Come now .... isn't that just expecting a little too much of the American public? It's so much easier to blow it all off, rely on your doctor like he's handing down information on 2 tablets from Sinai and blame everyone else if something goes differently than you thought. Oh, and don't forget, make your L&D nurses a little nuts, too.
But it's a fascinating thought .....
Alison
(Whose sarcasm is evident after one too many Braxton-Hicks contractions today. And the fact that she's had "Lady Marmalade" stuck in her head for 4 hours now ..... :angryfire )
Just sent my DD to 2nd grade today 
Those 3 AM feedings feel like they were yesterday...
TweetiePieRN
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