Hi! I just read about your reduction, and I had to write you because I had one too! Okay, I am a total optimist, but this is the hard truth about breastfeeding with a reduction.
TOP TEN TIPS FOR BREASTFEEDING AFTER A REDUCTION:
1. If you have flat nipples (ask your doctor) get on Medela's website and order the "Soft Shells for Inverted Nipples". Start wearing them as much as you can now, and all the time your last month, to bring your nipples out and easier for the babies to grab.
2. Start breast-pump shopping. You'll need a high-end one like Medela's Lactina. I'd recommend renting it from your hospital first before shelling out the BIG bucks for it, unless you have a generous benefactor who will buy you one! But don't register for the cheaper ones, they just don't cut it for reductions. The only one BRU carries that's close to good for us is the Pump In Style by Medela. (I got a new one on Ebay for $180!)
3. Take a breastfeeding class with your husband. You will need all the info and support you can get. Let the instructor know that you've had a reduction and are expecting twins.
4. If you are having a c-section, and your husband has vacation time, ask him to take AT LEAST two weeks off. I would have liked mine to take 3 weeks, and we only had one baby! I wasn't planning on a c-section, and I totally underestimated my need for help because I'm stubborn and independent.
5. When you arrive at the hospital for your birth (you'll probably have a cesarean with twins right?) immediately put in a request for a lactation consultant and a breast pump (if you didn't bring your own). The sooner you can meet with a LC after the birth, the better! (It took 4 days for me to see one!!!)
6. Be VERY clear with your doctor that you want to nurse as soon as you can after the birth. I wasn't. I didn't even get to see my son until 4 hours later!! If you can't nurse immediately, start pumping! You probably won't get anything out, but the stimulation is SO important.
7. Say thanks, but no thanks to visitors. If you have a c-section, remember that it is considered major surgery. Since you're having to feed every two hours, there's a very small window of time where you won't have a boob out. Set aside a couple hours during 1 day of your stay where you welcome visitors. I had people visiting at very unwelcome moments. (Of course my family is also stubborn and independent and didn't feel the need to call first.) There will be plenty of happy visiting time soon enough...
8. Stay in the hospital as long as you can! I was afraid of the hospital, but it was awesome! It was like staying in a hotel only they brought you food and gave you pain medication... The long stay was great, because I had all the resources from the staff to help with breastfeeding, and I got to heal a little longer.
9. Totally stock your kitchen with as much food and premade meals as you can! When it's time to feed or pump, the last thing you want to deal with is trying to find something to snack on. I had ziploc bags with fruit and veggies in the fridge so I could grab one and go feed.
10. Get ready for a challenge. It's totally doable, but get yourself prepared!
Here's the schedule my Lactation Consultant gave me:
1. Before a feeding, pump each breast for 5 minutes
2. Feed on each breast for at least 20 minutes
3. After feeding, pump each breast for 15 minutes.
4. Feed no less than every two hours (even at night)
If you do the math, you'll see that each feeding will last you 40-90 minutes. Which leaves, 30-80 minutes to sleep/eat/bathe inbetween feedings. Not easy! But with a strong will and good support, anything is possible! (Especially with the percocet you get for having a c-section!)
You really can't risk alternating bottle and breast between feedings because of your already compromised milk supply. But if you do want a break, try pumping while your hubby handles a feeding. It's just so important to pump as often as you can. This will stimulate your milk and hopefully increase your production!
A side note about the c-section, if you have to have one, getting out of bed is hard, going up stairs doesn't feel hard but it's very bad for you. Plan on staying on one floor for at least 2-4 weeks (my doc said 6 weeks).
If you want more details or anything please email me! I learned a lot about breast-feeding with a breast reduction through my mistakes! I didn't stick to the schedule and didn't pump enough, so my supply died out in 3 weeks. Formula feeding has been fine, but I really wanted to breast feed, I just wasn't prepared for the commitment I would have to make.
Best wishes!
Mariana
Mother of Gabe, 13 weeks old
[email protected]
www.heinzandmariana.com
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