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  • "Deidre" started this thread

Posts: 429

Reg: Nov 3rd 2008

Location: Auckland, NZ

Children: Mum to Cody Charles

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1

Saturday, August 29th 2009, 4:28am

Advice - getting off using nipple shields

Hi everyone,

I had my little boy a week ago today. Unfortunately I had to have a c-section and then my milk came in late, at day 4/5. The first 2 days feeding went ok, I was feeding in bed on my side after surgery, but as bubs got more and more hungry things really went downhill. He got frustrated and angry, crying non-stop and lost 10.4 of his birth weight by day 2. He developed this habit of pushing his tongue upto the roof of his mouth, which I put down to all the crying he was doing. This made latching difficult ,something I was have issues perfecting anyway, really hard. My nipples then got ripped to bits, none of this helped by the fact I have quite flatish nipples.

In desperation on day 3 I started pumping, and topping up with the tiny amount extra I got that way + formula.. I also went to nipple shields not able to face the pain any more with sore and bleeding nipples and a baby becoming increasingly aggressive/upset with my empty boobs. Once my milk came in, I was able to stop feeding expressed milk or formula so I am breast feeding solely now but am still on the shields. Even the lactation consultants tried to help me get a latch on without them and by now couldnt get past bubs silly tongue habit (theres no tie its just a habit - one I'm hoping the shields will help break as I can be more forceful about getting his tongue down, and he does seem to be getting alot better)

So... lots of issues and I am really upset with how its all gone. Has anyone else used nipple shields and been able to transition off them? I want to stop using them and am now scared silly of not getting a proper latch on and going back to square one.
IVF/ISCI Nov08 BFP Cody born 8/09
FET-Oct & Dec10 BFN
IVF/ICSIJun11 BFP

This post has been edited 1 times, last edit by "Deidre" (Aug 29th 2009, 4:32am)


Michelle

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Saturday, August 29th 2009, 8:35am

Hi Deidre and congratulations!

Sorry to hear about the troubles you've had, sounds similar to my experience in some ways. You are clearly a very determined lady though and you are doing fantastically well to have got your ds back to exclusive breastfeeding, so well done :happy:

I used nipple shields with my dd for quite a few weeks after her birth as she had a tongue tie that was snipped at five days old. Getting her to latch without them was a slow process but it did happen. What i did was to start off a feed using the shield so that my dd could get a bit of milk to satisfy her hunger a little and then when she'd been on a few minutes i whipped the shield away. It was very frustrating for a while and was a bit hit and miss but she did eventually get the hang of it and i'm still breastfeeding her now after 7 months!

I'm sure there will be other ladies along later with more advice for you too.

Good luck with it.




ICSI May 08 - BFP
Our beautiful baby girl was born February 2009
Jan 2010 natural BFP M/C 9 weeks
May 2011 - BFP
Baby boy born Jan 2012




Fi'smum

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Saturday, August 29th 2009, 1:08pm

RE: Advice - getting off using nipple shields

Hi Deirdre, well done you, keeping going with b/f after such a difficult start !! Michelle has given you great advice - starting off a feed with shield on will take the edge off baby's hunger and calm her down, and it will also draw your nipple out a bit to make latching on easier. It's probably going to be painful to start with if your nipples haven't healed yet, but your milk and dd's saliva will help them heal, and stop infection getting in through any cracks. i have known many mums who have resorted to shields and managed to get rid of them eventually - it can take weeks, but it will be worth it.Nipple shields can sometimes be a lifesaver,but used long term without getting enough direct baby /nipple contact will reduce stimulation of milk supply.
Good luck, and I'm sure you'll get there - as Michelle said -you are a very determined lady !!!

mrs_smiff

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Children: 5 kids aged 21,18,14,13 and a little miracle born April 09

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Saturday, August 29th 2009, 2:15pm

Deirdre, first of all a massive congratulations on the birth of Cody! Fantastic news!

Secondly I was in a similar situation to you when Lochlan was born. I had a massive blood loss and then my milk didn't come in till about day 5. He'd sucked so hard on my nipples being so hungry that I was shredded to bits and in utter agony. I have to say, I preferred the pain of the actual childbirth to the pain of latching my baby onto knackered nipples! I used breast shields for about 3 weeks after this as it was the only way I could get through feeding. My milk came in well eventually and frequent feeds helped to build it up nicely. I used to rub some breast milk onto my nipples after a feed and leave them to air dry before shoving them away again. I also used Lansinoh lanolin nipple cream to help keep the skin soft and supple. This stuff is magical and if you can get hold of it I can't recommend it enough. It's expensive over here but worth buying a tube.

Anyway, once my nipples had started to heal, I started giving Lochlan a feed from one side for a few minutes without the shield before changing to the other side with a shield, just so I didn't overdo it to start with and cause a setback. As the days went by I increased his time on my unshielded nipple until I was able to give him a whole feed from one side. By the time he was about a month old I was able to feed him without shields completely. Without them I think I would have had to give up breast feeding as I just couldn't cope with the pain.

Keep at it, and don't worry too much about the shields at this early point. Let yourself heal before taking the next step, as if you are constantly feeding on sore boobies you will be tense and this won't help your milk supply at all. You WILL get past this hun and it will be so worth it. I am still feeding Lochlan at nearly 5 months and feel very proud of myself for sticking with it!

Just wanted to add that Lochlan lost about 13 oz in the first 4 days too. He had regained this by the end of week 2 though and then some!!
Me 35,DH 36 (Severe Oligospermia.).
4th ICSI :BFP:
I have 4 lovely big kids
Thomas Derren (Thom) July 1990
Luke Benjamin August 1993
Harley John Oliver June 1997
Alexandria Aimee Jay (Alex) July 1998
Lochlan Cassius James April 2009 (4th attempt at ICSI)


This post has been edited 1 times, last edit by "mrs_smiff" (Aug 29th 2009, 2:17pm)


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Location: Worthing, West Sussex

Children: 2 Beautiful Babies. One of Each!

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Saturday, August 29th 2009, 3:42pm

Hello and congratulations

My babies were in special care and tube fed for 40days, when it was time to breast feed my little girl took to it like a duck to water.

My little boy was harder work. we ended up using a nipple shield with him and he fed beautifully.

Getting him off the shield was a very slow process. We tried 3 different ways and in the end after 2 weeks with the combination of the 3 different ways it worked and now the both feed really well.

1- start with the sheild until nipple more pronounced then whip the sheild away.

2 - Expess milk to the end of the nipple and put it on his nose to let him know food is there.

3 - started with trying without shield, if no luck put the shield back on, sat back and relaxed and knowing that we can try again next time.

It wasnt easy but if it didnt work at one feed we tried again at the next, it will happen when baby is ready.

Good Luck and congratulations again xx
bab15 bab16 Sa-Leanne xx

  • "Deidre" started this thread

Posts: 429

Reg: Nov 3rd 2008

Location: Auckland, NZ

Children: Mum to Cody Charles

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6

Saturday, August 29th 2009, 11:15pm

Thanks guys, good to know I am not the only one, felt like a bit of a failure having to use them but at least hes breastfeeding and off formula top ups. Will try the suggestions, hes still bit manic at first so I think latching with the shield then trying to remove it when hes calmer, and I know the position is working and pain free, may work best, and starting in small bursts. I'm going to book in to see someone about it also, as at the mo I am only feeding using the football hold due to the c-section and want to get used to other positions - I'm too scared to try them by myself yet! Feel like a real fraidy cat, but I agree Mrs Smiff the pain is awful those days when I had no milk he absolutely mangled my nipples trying to get something out, til they were cracked and bleeding, and I perservered as you do as I wanted so bad for him to get something to eat!

I will say I am still shocked at how much different advice I got from hospital midwives and lactation consultants, it was ridiculous and left me and DH totally confused about what to do.
IVF/ISCI Nov08 BFP Cody born 8/09
FET-Oct & Dec10 BFN
IVF/ICSIJun11 BFP

Michelle

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Sunday, August 30th 2009, 12:31pm

Quoted

Originally posted by Deidre
felt like a bit of a failure having to use them

We'll have none of that :no: Look at how well you've done - you should be sooooo proud!

Glad you are going to see someone for support, hope it all goes well.




ICSI May 08 - BFP
Our beautiful baby girl was born February 2009
Jan 2010 natural BFP M/C 9 weeks
May 2011 - BFP
Baby boy born Jan 2012




mrs_smiff

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Posts: 5,387

Reg: Jan 10th 2007

Location: Somerset

Children: 5 kids aged 21,18,14,13 and a little miracle born April 09

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Sunday, August 30th 2009, 4:59pm

Definately NOT a failure for using them! Nipple shields were made to help you breast feed while things are sore, and they are doing that job. you are giving your little boy the best possible nourishment and giving him the very best start. Now that is something to be very proud of. You will look at your little boy when he is all chubby in a couple of months and know that he is groing so well because of what you are feeding him. It really is the most amazing feeling in the world. You're doing great chick! Don't forget, nobody will come and give you a medal for enduring pain, if you can make it easier for yourself then do it!
Me 35,DH 36 (Severe Oligospermia.).
4th ICSI :BFP:
I have 4 lovely big kids
Thomas Derren (Thom) July 1990
Luke Benjamin August 1993
Harley John Oliver June 1997
Alexandria Aimee Jay (Alex) July 1998
Lochlan Cassius James April 2009 (4th attempt at ICSI)


This post has been edited 1 times, last edit by "mrs_smiff" (Aug 30th 2009, 5:00pm)


bubble

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Sunday, August 30th 2009, 5:56pm

I agree - we'll have no more of the 'f' word round here please :D

I personally haven't used shields so can't give you much practical advice there but please do let us know when you've seen someone and how you're getting on.

x

ttc since July 06. 8 cycles of clomid. BFP on cycle 5 (Dec 07) ended in m/c at 9.5 weeks. Second BFP on cycle 8 (May 08)




  • "Deidre" started this thread

Posts: 429

Reg: Nov 3rd 2008

Location: Auckland, NZ

Children: Mum to Cody Charles

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10

Monday, August 31st 2009, 1:25am

Thanks guys, the midwife came around today and in the last 3 days he's regained all his birth weight and a little more, which is great - around 500g. I feel far more relaxed now I know things must be working fine! Will let you know how I get on. This morning I tried him a little on my least sore nipple, he did take it and feed for a few mins... before it got sore and I took him off again, but its a start.
IVF/ISCI Nov08 BFP Cody born 8/09
FET-Oct & Dec10 BFN
IVF/ICSIJun11 BFP

Michelle

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11

Monday, August 31st 2009, 9:55am

Fantastic - well done!




ICSI May 08 - BFP
Our beautiful baby girl was born February 2009
Jan 2010 natural BFP M/C 9 weeks
May 2011 - BFP
Baby boy born Jan 2012




mrs_smiff

Superstar

Posts: 5,387

Reg: Jan 10th 2007

Location: Somerset

Children: 5 kids aged 21,18,14,13 and a little miracle born April 09

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12

Monday, August 31st 2009, 10:08am

Well done Deirdre, thats the way to go about it, nice and slow, and don't do anything that hurts too much. There will be pain to start with unfortunately, but go easy on it and it will all heal nicely very soon. I would say that by 3 weeks the majority of my nipple pain had gone, so keep at it, you're nearly there!
Me 35,DH 36 (Severe Oligospermia.).
4th ICSI :BFP:
I have 4 lovely big kids
Thomas Derren (Thom) July 1990
Luke Benjamin August 1993
Harley John Oliver June 1997
Alexandria Aimee Jay (Alex) July 1998
Lochlan Cassius James April 2009 (4th attempt at ICSI)



Fi'smum

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    United Kingdom

Posts: 1,053

Reg: Feb 14th 2009

Location: Scotland

Children: 2 dd 1978 ds 1980 And 1 gorgeous granddaughter 2010 and a handsome grandson 2012

Thanks: 3 / 0

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13

Monday, August 31st 2009, 11:09pm

Hi Deirdre, First of all, apologies for getting your baby's sex wrong - I could have sworn I saw dd in your post !! Just shows what old age does to your brain !! :loony:
Glad to see things are improving, and once again congratulations and well done - 10/10 for perseverance [zx055] Keep up the good work !! :smile:

  • "Deidre" started this thread

Posts: 429

Reg: Nov 3rd 2008

Location: Auckland, NZ

Children: Mum to Cody Charles

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14

Thursday, September 24th 2009, 2:34am

hi guys, an update! Well after seeing a couple of specialists Cody does have a tongue tie, but a type 3 one, so he can stick his tongue out well but can't move his tongue up and down inside his mouth so well, so he latches and comes off as cant hold the suction and is overcompensating for it by trying to suck hard with his whole mouth... his lips, cheeks everything, so thats why the sore nipples! One specialist said cut it, the other said it moderate and wont affect speech and suggested we wait if I am coping well with nipple shields as the more the feeds the looser the tie will get (as it stretches) and as he gets bigger (and his mouth gets bigger) it will also get easier and easier, so were going with the second option for now and not cutting. hes feeding well with them and gaining weight well.

Its all been complicated by the fact weve also found our poor little man has a floppy larynx (immature larynx)too, which closes down on him sometimes when he breathes in, so he gasps and cant get a breath. We took him to the doc as we were scared about his breathing, very noisey, gasping, high pitch squeals, constant throat clearing when feeding and alot of choking. Apparently he will also grow out of this by 1 yr, but it means when feeding I need to latch and unlatch him alot to give him a break to relax and breathe (and each times he chokes - which is often 4-5 times per breast/20 min feed). The down side is it might get worse over the next 3-6 months before it gets better, as he grows and needs to take bigger amounts of air in.

So the upshot is... its going to take a while to get off the shields completely, the worse his choking gets the more essential they are seeming as it makes all the taking him on and off to breathe all the time so much easier, have to be in a real patient mood to give it a go. But still checking every week or so to see how he goes without them. We'll get there, I'm sure, my poor wee man - but also a relief in a way to know exactly whats going on.
IVF/ISCI Nov08 BFP Cody born 8/09
FET-Oct & Dec10 BFN
IVF/ICSIJun11 BFP




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