Q: I have implants. 3 yrs post op periareolar incision. Worried about being able to breastfeed my daughter that is due any day now? Been told that most likely it'll be a full time 24 hr job nursing and pumping to make enough milk. That sounds real fun. I nursed my other 3 kids. What are your thoughts? Any advice?
Elena Vogel: Actually I think it’s likely that you WON’T have challenges breastfeeding this time around. I rarely see an issue with low milk production after breast augmentation, even if periareolar incisions are done. Especially because you’ve already nursed 3 children, chances are, you will make enough milk, easily. So, I’d just recommend that you start with breastfeeding, exclusively. Watch to see that your baby is having the right amount of poops and pees, and that weight loss is within normal limits. If anything is not looking reassuring, then that would be the time to begin pumping after feedings (and definitely seek out help from a lactation consultant). I have a feeling it will all be okay though—Good luck!
Q: I am pregnant with my second and the first time around I was not successful at breastfeeding. I really want to try again, but am nervous for more disappointment. I attempted to breastfeed for about 10 days but my nipples were in a lot of pain from what I assume is improper latch and i wasn't producing milk yet. We tried the tubes of milk that you attach to the nipple to continue breastfeeding while waiting for the milk to come in, but it was frustrating and very painful still. Any advice on how to learn the proper latch? My community lacks any lactation consultants and tips to use if my milk delays again??? Very excited to finally be getting some advice about this as it is so very important to me. Thank you!
Elena Vogel: In terms of a proper latch, it’s tricky to learn unless you have baby right there with you to practice; however, I’d suggest looking at the resources right here (pump station’s video on deep latch, etc). You also may want to look into self-attachment AKA biological nurturing: http://www.biologicalnurturing.com/.
It’s based on the idea that the baby knows how to latch on, and you don’t have to “do” anything. Regarding your low supply the first time around: there are so many different reasons why that can happen. If it’s something about you and your hormones, it may happen again. I’d recommend reading the book “Making More Milk”. It can help you find the source of the low supply, which may help you be better prepared this time around. The most productive thing you can do this time around though is ask for a hospital grade breast pump to be brought into your room after you have your baby. Be sure to breastfeed at least 8 times in 24 hours, and in addition, after nursing, pump both sides for about 10-15 minutes. Try to start doing that within 12 hours of the birth. The extra stimulation should help your milk come in much faster. Good luck!
Q: Hi, i just had our first baby and he is 2.5 weeks old now. Since birth he has been very gassy and fussy every time he passes gas or has a bowel movement. I know gas is normal but he seems like he is in a lot of pain. I've tried watching what I eat, but I eat tons of fruits and veggies and know these are the biggest offenders. Can you recommend certain foods to definetly avoid. I also have been breastfeeding since day one but he will only latch using a nipple shield which works great. I’ve tried to nurse without it but he won’t latch consistently. Is this something to worry about?
Elena Vogel: Newborn gas is very, very normal. Honestly, most babies do not have issues with foods their moms eat. Veggies and fruits do not pose a problem for babies most of the time. I would just try to burp often, put him in positions that there is pressure on his tummy, lots of walking and bouncing. It will pass as he gets older. If there is a food sensitivity it is usually dairy. So, if you’re going to avoid anything, perhaps do less milk and cheese. Regarding the nipple shield: if baby is gaining weight, then there is no problem with using it. Most moms just find it inconvenient if they use it long term (always having to have it around). So, I’d just keep trying without it, but don’t stress if it’s not happening quickly.