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Ask a Behaviorist Expert Heather MacLean,RN,CBC,BS has 15 years experience as a Registered Nurse, is a Certified Breastfeeding Consultant, and has her Bachelor of Science in Family Health.read more

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 lactation expert
  Thread Posted by Replies Views Date
  pumping increase please more less Question I will be going back to work in 1 month and am trying to build my breastmilk supply for my nanny to feed him with   When i pump (with a medela double pump)  i am only getting 2 4 oumces total   How can i get more at each pumping to build an adequate supply   My son is 8 weeks and around 13 pounds   He nurses every 2 3 hours
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sassyshelli 1 1288 4/9/09
1:42 pm
  Can I eat peanut butter while nursing? more less Question I am getting mixed answers while looking online   Some websites say it's ok while others say not to   What do you suggest
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new mommmy 1 1384 3/2/09
3:13 pm
  milk production more less Question what do i do to increase milk production my baby is  three weeks old thanks
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habi 1 1417 2/26/09
1:53 am
  breast feeding more less Question When I'm breastfeed my little girl she tends to seem like she is trying to breathe   It scares me and I take her off but then she seems like she is hungry again so I put her back on   But after I feed her she throws it up and some comes out of her nose   is this something I need to inform her doctor about or is it just because she is full
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I Got My Girl 1 241 2/24/09
11:05 am
  Going back to work more less Question I have been breastfeeding for about 4months Occasionally I have supplemented with formula in the beginning She had no problem with this   Then so I could rest my husband would feed her the bottle of formula at night (10pm) and I would do the rest   After receiving her shots 2 wks ago she will not return to the bottle or her father So I have exclusively breastfed but now i have to return to work and I am scared to death   She is very fussy now and screams I mean literally screams when she is with her father Could  be teething but just dont know what to do   Also i was planning to breastfed after work and formula fed during the day Will I have enough milk supply
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Jocelyn 1 172 2/20/09
4:59 pm
  getting pregnant while breastfeeding? more less Question Hi Heather I am the mother of a 9 month old baby girl I started breasfeeding since the moment she was born Around her 7 month I started giving her a bottle of formula at night but still breasfeeding during the day After her birth I had about 30 days of bleeding and a month after that I started my period Someone had told me you couldn't get pregnant while breasfeeding but since I have my period I guess I could no And if I do get pregnant do I have to stop breafeeding Do my breasts still produce the milk my baby needs Anita
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anita 1 184 2/18/09
12:28 pm
  decrease in milk supply....help!! more less Question I am desperately trying to figure out why all of a sudden my milk supply is decreasing   My daughter is 18 weeks old and has been nursing pretty well the whole time   All of sudden this weekend I've noticed my breasts less full so I started pumping a couple of times after nursing to stimulate some milk and to see how much I am getting after she is done   To my shock I wasn't pumping anything out when she was done   So I continued nursing over the weekend and just decided to see how much I pump at work on Monday   Well at 9 am I pumped only 4 oz instead of the usual 5 or 6 oz   Then at 3 pm I pumped 2 1/2 oz instead of 4 oz    So my supply is drastically diminishing even though I'm not stressed or dieting   The only thing I can think of that I have done differently is stopped using a nipple shield    But I would think that would help   She is only nursing for a total of about 15 minutes now instead of 20 or more minutes   So I don't know if she stops nursing because my breasts are empty or if she is full   She isn't fussy or seem hungry after I nurse    One other thing I have been pumping 5 6 oz of milk but only giving the sitter 4 oz and having her add 2 oz of formula to make a total of 6 oz for her bottle   I then freeze the extra milk to save   But I have been doing that already for 2 3 weeks with no problem   I'm so confused   And the extra pumping is not working   I am nursing 6 or 7 times a day and pumping 2 times (I was anyway now I'm pumping 4 times on top of the nursing)   I really don't want to lose my milk and stop nursing please help
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new mommmy 1 167 2/18/09
5:26 pm
  Questions about breast-milk more less Question Hi I have two questions about breast milk   First my daughter is 8 mos old and breast feeding is going very well thankfully I work part time but am home more often than not so I feed my daughter at the breast a great deal of the time I pump two three times per day to keep a supply In the last couple of months my supply when I pump is much less than it used to be I can't stock any milk any more  Is this normal Also I have a HUGE supply in the freezer but it is anywhere from 7 months old to a couple months old (The majority of it is 7 to 5 mos old) I spoke to my pediatrician about why breast milk in the freezer isn't supposed to be used after a certain amount of time   She said that if I give my daughter one bottle a day of the older breast milk it should be fine She indicated that the older breast milk isn't bad just not as nutritious as the newer stuff What do you think   I hate to throw it out I already threw some away and it fels terrible Also my pump seems to be "dying" I bought it new before the birth of my previous child and now it seems to be slowly dying (the motor) It is a Medela Is there anywhere that does "tune ups" What should I do Thanks Rachel
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Rizzo19 1 175 2/16/09
1:30 am
  Cold medicines for me while breast-feeding baby more less Question Hi I am breast feeding my daughter She is 8 mos old and it is going wonderfully (I am happy to say) I am pretty conservative with regards to what I eat/drink and take medicine wise I don't drink alcohol at all and really limit my caffeine I currently have a TERRIBLE chest cold and cough I went to the doctor and he said to take Chloresptic losenges I actually bought Halls Breezes without menthol but they do have pectin Can I use these while breast feeding Also is there a cough medicine I can take either prescription or over the counter My doctor didn't know of any but if there is one I would like to know because I can't sleep due to this persistent dry cough He also prescribed me an antibiotic the Z pack Is this safe to use He said only to fill it if I really feel I need it   Also I have been wondering about Splenda (the artificial sweetner) use while breast feeding Thanks Rachel
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Rizzo19 1 149 2/16/09
1:15 am
  Weaning yourself more less Question I breastfed my 5 yr old for the first 9 months and one day he just went "cold turkey" on me Decided he was done He'd always supplemented with formula even in the hospital I didn't use my pump to wean my supply down and still to this day have feelings of engorgement & fullness It gets painful My gyno told me that I didn't need to wean myself and that it probably had something to do with my cycle & said to use a heating pad for the pain Well this happens ALL month long I've tried different bras I've tried using my pump (even though I dont express anything) it sometimes gives me relief from the soreness I usually get a thick white discharge from my nipples My base line mammogram (last summer) was negative and I have no lumps I have recently contacted LaLeche but have received no answer yet Any advice Is it possible to restart my supply and pump for a few weeks to wean properly Anything to get rid of pain & swelling
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Gino's Mom 2 190 2/8/09
4:52 am
  cigarettes more less Question hi just a quick question My friend is currently breastfeeding her 2 month old baby and she smokes   She thinks it's ok cause she doesn't around the baby   I am really concerned   My question is does cigarette smoke/nicotine pass through breast milk to the baby
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tabby 1 183 2/10/09
5:02 am
  inverted nipples more less Question i am expecting my first child in march but ive always had inverted nipples I want to breastfeed but dont kno how that is going to be possible
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jasmine 1 245 2/8/09
9:06 pm
  Breast Milk supply still coming more less Question My baby is 18 Months old and my breast milk is still coming out What is this   Many thanks Kelechi
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Mama SC 1 167 2/3/09
3:17 pm
  newly diagnosed with hepatitus c please help more less Question i am scheduled for my c section on friday and have been researching this nursing thing everywhere i can to no avail the results of all the searching come out about half and half still I am so stressed out about this and am becoming a little desperate as the due date is approaching this week   I would like to know how much risk is involved with transmission of hepatitus c while breastfeeding As I understand it the milk doesn t transmit the disease but if my nipples crack and bleed then what Is there any steps I can take to totally prevent cracking I have bought  a breast pump would that help I am very pro brast feeding but I am concerned about giving my child this disease I now find myself dealing with Please help me or refer me to someone who can i am desperate in PA
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chamarra honey 1 164 2/3/09
2:31 am
  expecting a baby more less Question I'm having a baby boy march 2nd c section I've been through alot with my marriage relationship and being the mother of two girls My husband has anciety attacks plus my 3 yr old and 1yr old ar a lot to handle and being pregnant on top of that well i've been smoking for 5 yrs I guess it's not best to breast feed  is it
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sacagawea05070951 1 168 2/3/09
1:57 am
  breastfeeding and pumping more less Question my 2 1/2 weeks old baby has never been able to latch on and feed from my left breast due to a papilloma which got bigger in size during the pregnancy which changed the nipple shape; and busy trying to take care of the baby and other chores even pumping was left behind and now there is no milk or extremely little in my left breast; is it too late to start puming and possibly get milk after all this time also is there anything to do or use to help my baby latch on and feed thank you
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Violeta 1 190 1/28/09
12:17 pm
  Baby is suddenly fussy and sometimes won't nurse more less Question Where do I begin   I feel like I am living a nightmare   My 3 month old got her immunizations over a week ago and she had a fever of course   She all of a sudden refused to nurse or take a bottle so I attributed that to her shots   But took her back to the dr to be sure   He said she had a little cold and that maybe she couldn't breathe and that's why she was getting so upset when I tried to nurse but by this time she was taking a bottle just fine   So all last week I was having days or episodes where she would nurse fine and times when she would freak out and cry   She will nurse on one side and then cry almost inconsolably after that   And now she is extremely fussy and cries alot even in the morning   I took her back to the dr   yesterday thinking/hoping it was an ear infection but it's not   He said she might still be getting over her cold or going through a growth spurt   I am pumping plenty of milk but I tried to supplement anyway just to see and she didn't want it   I just don't understand what happened to my happy content baby    And she doesn't seem to be sleeping much during the day either like maybe a total of 2 or 3 hours between 8 am and 5 pm   We took her out of daycare and hired a nanny on Jan 5th which is when it seems like this has all started   Of course the shots were around that time too   I'm on the verge of stopping the breastfeeding and just pumping and give her a bottle but I really don't want to and would like to exhaust all options before stopping   I have talked to numerous lactation consultants friends and the dr and can't get an answer and it's wearing me out worrying about why my baby is so fussy and fights me on nursing
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new mommmy 1 217 1/20/09
5:16 pm
  Baby is suddenly fussy and sometimes won't nurse more less Question Where do I begin   I feel like I am living a nightmare   My 3 month old got her immunizations over a week ago and she had a fever of course   She all of a sudden refused to nurse or take a bottle so I attributed that to her shots   But took her back to the dr to be sure   He said she had a little cold and that maybe she couldn't breathe and that's why she was getting so upset when I tried to nurse but by this time she was taking a bottle just fine   So all last week I was having days or episodes where she would nurse fine and times when she would freak out and cry   She will nurse on one side and then cry almost inconsolably after that   And now she is extremely fussy and cries alot even in the morning   I took her back to the dr   yesterday thinking/hoping it was an ear infection but it's not   He said she might still be getting over her cold or going through a growth spurt   I am pumping plenty of milk but I tried to supplement anyway just to see and she didn't want it   I just don't understand what happened to my happy content baby    And she doesn't seem to be sleeping much during the day either like maybe a total of 2 or 3 hours between 8 am and 5 pm   We took her out of daycare and hired a nanny on Jan 5th which is when it seems like this has all started   Of course the shots were around that time too   I'm on the verge of stopping the breastfeeding and just pumping and give her a bottle but I really don't want to and would like to exhaust all options before stopping   I have talked to numerous lactation consultants friends and the dr and can't get an answer and it's wearing me out worrying about why my baby is so fussy and fights me on nursing
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new mommmy 1 195 1/20/09
5:18 pm
  Is baby full? more less Question I delivered my 2nd child on 01/05/09   I am currently breastfeeding but my concern is how do I know if my baby is full   She always falls asleep while nursing and I do stimulate her when she falls asleep in order for her to continue to suck   When I takee her off the breast she starts sucking her hands and turning her head to the side   I start to nurse again and asleep she goes   Please help me
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Mom of 2 1 214 1/18/09
10:00 pm
  fussy newborn more less Question My newborn is 3 weeks old and while breastfeeding be has started fussing alot at the left breast which now appears to be slightly larger than the right and lumpy   He'll start eating than push away my breast cough and then cry for my breast again   What should I do
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missy 1 144 1/18/09
1:59 pm
  bottle feeding problem more less Question my 4 month old is breast feeding now but will not drink from a bottle with breast milk in it she doesnt really care for a pacafier either I need to get use to a bottle so when i start  to supplement my milk What do you recommend   I also have tried 4 different type of nipples                                                                                                               thanks Tina
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tina 1 182 1/18/09
4:28 am
  supplementing more less Question I am a brand new mother as of two weeks  now   My baby came a month early but everything is functional   I started out exclusively feeding him breastmilk   Recently at our two week check up his doctor told me I would have to start supplementing him because I do not have enough calories in my milk   Is this normal that women have to do this and is there any way to increase the calories in my milk so that we do have to use a formula supplement
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Meglet09 1 152 1/16/09
3:33 pm
  Want to increase breast milk supply more less Question My daughter is twelve weeks old and I have had to pump exclusively since she never latched on For the first ten weeks I pumped thirty or more ounces in a day I returned to work and was still able to pump on regular time basis But since I went back to scrubbing hearts I don't get to pump through the day anymore and now I can barely pump ten ounces a day I'm trying taking fenugreek and hoping that works Do you have any ideas to help me I would really love to keep giving my daughter breastmilk not formula Thank you
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Mama SC 1 266 1/13/09
6:08 pm
  Supplement with formula? more less Question I wanted to know if it was okay to attempt breastfeeding and supplement with formula My baby is only 6 days old but I just feel like she may not latch on so would it be the same as if I pumped my milk and bottle fed it to her Please confirm
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Mama SC 2 205 1/13/09
5:29 pm
  Is milk supply decreasing due to menstruation? more less Question Hello Heather   I began menstruating 2 days ago and noticed that my milk supply has decreased simultaneously   Does this go hand in hand   If the decreased milk supply is due to menstruating will the supply increase when I stop flowing   My Jonas is only 5 months and has nursed beautifully   I have pumped daily since he ws 5 weeks old when I returned to work   But the last two days have been difficult to pump a sufficient amount to leave with the nanny for him   Any thoughts   Thank you Monica
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Mama de Tres 1 200 1/9/09
7:55 pm
  mixing breastfeeding & formula more less Question Hello hope your well today My question is this My daughter is 22wks and is STRICTLEY breastfed it seams she rarely gets enough I have recently been using the mothers milk tea but feel the same about her getting full I'm also planning on a company party here soon 1st time out in over a year and I'm atempting to pump with a cheap ( 40 ) Evenflo single pump all we can afford in these hard times I only get about 1ounce in a 20min pumping session is this normal If not  is there an option of mixing breastfeeding and formula if so which so you prefer I truly appreciate your time and attention; Thanks agin Joey
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Joey 1 250 1/7/09
8:29 pm
  Brestfeed &hbp meds more less Question I take metoprolol succ er 50 mg cartia xt 120 mg and sertraline hcl 25 mg I will be taking it throuout my pregnancy and after My question is would I be able to brest feed
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rylinka 1 184 1/7/09
8:07 pm
  Breast elasticity after breastfeeding? more less Question I am wondering about how to keep / ensure elasticity after breastfeeding Do you hear more complaints after manual pumping vs electric or will my breasts be destined to be loose / saggy no matter what
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Mama SC 1 184 1/6/09
4:04 pm
  Miscarriage but you hear heartbeat more less Question Dear Dr MacLean: I was wondering I can't remember can you hear a heartbeat at 7 1/2 weeks and if you had a miscarriage how long does it take before the fetus comes out Also are you allowed to look at the ultrasound pictures and have memories of what was inside of you Please help me understand this
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momma6 2 192 1/5/09
12:34 am
  head bobbing and hovering around nipple more less Question My (nearly) 5 week old son is doing great with breastfeeding for the most part but occasionally during a feeding he will stop and then has trouble latching on again He will open his eyes and mouth wide and shake his head from side to side rapidly sort of "hovering" around the nipple I gently press the back of his head to try to get him to latch and that sometimes works but other times he just gets really frustrated and starts to cry I have noticed that once in a while this crying corresponds with a passage of gas but not always Any thoughts
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andi0722 1 189 1/4/09
11:01 pm
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