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Infant feeding

Get advice and support with infant feeding from other users here.

Tiktol & others, please help! Just had an accident & can't bf my baby. Am heartbroken.

159 replies

Maria2007 · 10/01/2009 08:31

Hi Tiktok (and other bf experts), I need your help urgently!

Here's some background: I'm Maria (we've met on these threads before, I think). I'm breastfeeding my 5 & a half month old baby since birth. He's also used to taking bottles once in a while, since in the last 3 weeks we've been giving him one bottle of formula at 11. Under my current circumstances it's good that he's comfortable taking bottles.

So. Yesterday, around 4 pm, I had a bad accident. I fell on my face (onto a plate) & broke several teeth- some came out completely- and other teeth are misplaced. I will need extensive dental work. I also had big cuts all over my mouth, & was given extensive stitching at hospital (I went with an ambulance to A&E). As you can imagine the whole thing was extremely traumatic, I lost lots of blood & didn't know at first what was happening. I'm very relieved that the damage is only on my mouth & teeth, as it could have been so much worse. But it's likely there might be some reconstructive work needed in the future, let's see.

About the medications I'm taking: They gave me morphine at hospital, for the pain. And then lots of local anaesthesia for the stitching. They have now put me on 2 antibiotics (Amoclan & Amoxillin) & one strong painkiller (Diclofenac). Plus, some paracetamol as needed. I will also be doing dental work, starting today, & that too will likely require more anaesthesia & perhaps more painkillers. Hopefully all this treatment will be completed within a week or- more likely- 2 weeks.

In the meantime, I can't & won't breastfeed, not without getting advice (hence my msg here), because I'm very scared of giving all this medicine to my boy through the milk. At the same time, I don't know what to do. Last night after my return from hospital I expressed & threw the milk away (to relieve the engorgement). This morning I also expressed & threw it away. Should I express & throw it out? If so, when? My boy usually feeds every 3 hours or so. At night we give him one bottle of formula at 11 (and I express at the same time) & then we usually give him EBM at 3.30 or so- this too we started recently & it helped our baby's sleep- so he's used to bottles at night. The rest of his feeds have been direct breastfeeds. Should I express on that schedule & throw it out? Could I then continue feeding him- when this ordeal is over- perhaps EBM in bottles if he refuses the breast? (will he, most likely, refuse the breast after 1-2 weeks on bottles solely)? I was planning & hoping to keep up the bf until he's 1 year old or so, perhaps keeping up to 3 feeds a day on the breast. Is that completely wishful thinking at the moment? Should I just give up completely? I don't want to, not in this traumatic & sudden way, but I also need to rest & recover.

Any advice would be fantastic. I can't talk to a bf helpline so easily because- as you can imagine- I don't talk clearly because of my cuts in the mouth. Which is why I'm writing here. I've always got good advice here....

Thanks in advance.
maria

OP posts:
belgo · 11/01/2009 09:33

Maria - there can be serious side effects of the medication used to dry up breastmilk, and that's why it's not commonly used in the UK.

Also if you were prescibed it and you do take it, that's it, no more breastfeeding, and it doesn't sound like that's what you want.

Ask your mother to make liquid foods for you such as soup and milkshakes as the previous poster mentioned.

If I were you, I would carry on breastfeeding. I've taken ibruprofen, paracetamol and antibiotics while breastfeeding with no adverse effects, the GP also prescribed me medivation against thrush (fluconazole I think) as thrush is very common when you are run down and taking anti-biotics.

tiktok · 11/01/2009 10:02

Maria, so sad to hear how confused you are.

The half life of Diclofenac is 1.1 hours (according to Hale). This is short and means the drug disappears rapidly from your system (and your milk). This is prob why it is routinely given after sections, when the baby is newborn and not a strapping 5 mth old like your baby

I don't see why you would wait until this evening to bf again....every hour that goes by you increase your risk of mastitis, and yes, there is a risk your baby may not breastfeed easily after all those bottles. Prob would not be permanent 'strike' but while your mum is there telling you to take something to dry up the milk, you may find it harder to persist in offering

The medication given to dry up milk is normally bromocriptine and in rare cases is associated with heart attack as well as a string of other serious conditions, and a list of minor ones, too. It used to be given years and years ago but it is no longer licensed for this purpose because of the associated deaths. You can check all this on the web.

I think it's a question of balancing risk: not breastfeeding presents the risk of mastitis and 'strike' and discomfort and unhappiness; breastfeeding presents no risks at all (as far as the info shared by medical people here and the people you have talked to and reliable websites) apart from the tiny theoretical 'risk' of one per cent of your meds reaching the milk.

So on the one hand you have known risks, and on the other, virtually no risk at all.....

Hope today goes better for you. I totally understand your confusion, but there is a way through it.

lizzytee · 11/01/2009 10:02

Hi Maria

Re Diclofenac, like others I was prescribed it as post CS pain relief and took it for two weeks while expressing milk for DD, a 2 pound prem baby who was being treated in the same hospital. TBH I am a bit surprised at NHS Direct.

Re "pills to dry up milk": yes, these were given up until the 1980's to women who chose not to breastfeed and this is probably what your mother remembers. As tiktok and others have said, they are not prescribed any more.

Please, please do not discount the risk of developing mastitis in your situation if you decide to stop bfing suddenly - you really do not need this on top of everything else.

Take care

tiktok · 11/01/2009 10:04

Sorry - bromo. is still licensed for suppression of lactation but not recommended.Just checked.

Maria2007 · 11/01/2009 11:35

Hello again everyone,

Just to reassure you- first, I've managed to express good amounts of milk, both last evening & this morning (this morning was 300 ml at 7 am, so not bad). I don't feel I'll get mastitis because first, I'll start bf again as soon as I feel reassured, and second, because of the expressing I should be doing it should be ok. As for the medicine to dry out milk, there is NO WAY I'm taking that, so that's that. If necessary I'll lie to mum & say 'doctor recommended I don't take it'. I did talk to a paediatrician this morning on the phone (mother of a friend) & she insisted that all these medicines are fine & that I should start bf. So after that phone-call too I'm much more reassured & will attempt it as soon as I feel ready. Tonight or tomorrow morning at the latest (after speaking to my GP, as the last port of call).

Of course, the problems with feeling nauseous, faint & not eating still remain, but I'm so happy that I can build up my breastfeeding again. So that's something to be reassured about (and thanks everyone so much for your care & concern & advice).

Will update you with what's happening later, but just wanted to say that I'm a bit more ok more or less, or on the road to recovery anyway.

OP posts:
pooka · 11/01/2009 11:39

Maria - when I've had tonsilitis in the past (not really comparable but vaguely similar in terms of capability for eating) I've had lots of milkshakes laden with icecream and egg. Quite thick but capable of being drunk through a straw. Nutritious and fairly filling.

Basically nursery food that requires little or no chewing or biting. Bread and milk, rice pudding, ice cream, soup (thick leek and potato). Lots to drink. You could try complan or other liquid meal replacements.

Good luck.

giantkatestacks · 11/01/2009 11:45

Maria - thats great news. I agree with everyone else that if you stopped breastfeeding now further down the line you might resent your mum and maybe your partner for not supporting your choices and encouraging you and you'd feel guilty that you didnt stand up for what you wanted...

when your mum arrives - lie if you need to but also say straightaway 'I'm so pleased you're here because we need practical help with this...' and then send her out for those Dunns Nurishment drinks so that you're getting some calories in. If she starts on about the feeding even though you have said its all sorted just say clearly that you've made a decision and dont want to discuss it.

I would, as Tiktok says, try the first bf before she gets there as well - it will be much less stressful...maybe the midafternoon one?

themildmanneredjanitor · 11/01/2009 11:46

This reply has been deleted

Message withdrawn at poster's request.

NotQuiteCockney · 11/01/2009 12:37

Um ... tmmj - the dentist and anaesthetists she's heard from here are ... ok, I'm sure they really are who they say they are, but Maria2007 has no real guarantee of that, does she?

Oh, and from what I know, the medicine that dries up your milk is no longer generally available (if at all). It has some scary side effects, most notably (and no doubt quite rarely) death.

NotQuiteCockney · 11/01/2009 12:38

Oh, never mind what I said about the medicine for drying up milk - I'm sure tiktok knows much more about this than I do!

Maria2007 · 11/01/2009 13:34

well, I suppose because it's my GP & I know her & trust her in person . And saying to someone, in such a way, 'you're a crazy lady, just feed him' under these circumstances is a bit bizarre (to say the least). Definitely not 'mild mannered' as your name suggests.

But anyway. I'll start at 7 before my mother arrives (she arrives at 8-9), because before bedtime DS will be more amenable to bf, it's usually his happiest feed anyway.

OP posts:
belgo · 11/01/2009 13:38

good luck Maria with the feed

themildmanneredjanitor · 11/01/2009 13:41

This reply has been deleted

Message withdrawn at poster's request.

TinkerBellesMumandFiFi2 · 11/01/2009 14:13

I've had Diclofenac after each birth and most people I know have, they won't give you anything postnatally that will be bad for breastfeeding. The person you spoke to at NHS Direct obviously doesn't realise it's a standard postnatal painkiller.

I took the pill after the birth of my first baby as she was an extreme prem who didn't survive for long. They only give it (as far as I'm aware, my SIL doesn't believe in BFing) in extreme conditions - like losing a baby - as (I assume and TikTok said something similar) there are downsides to it. I don't know what it was called, I was just told "take this, it will stop your milk".

Grendle · 11/01/2009 17:13

Good luck with the feed Maria. Will your mum cook for you and generally look after you as well as helping with the kids?

I really can't imagine what you and your other half must be feeling like at the moment, but it must have been horrible and very frightening. Is there anyone you might feel comfortable to talk it over with? Your physical recovery sounds like it might take a little while and it all sounds very painful too, but don't forget to heal your emotional side too. Not eating won't affect your milk supply, but as I think you already know it may affect how well you feel up to breastfeeding. If you do manage to get hold of your supportive GP in the morning, do you think she might have any suggestions for making sure you're managing to eat enough to feel well? Or perhaps she could get a dietician referral for you to advise? Are you managing to drink?

I hope the first feed goes well and that the recovery is as fast as possible for you.

Maria2007 · 11/01/2009 18:56

Hi everyone again

I fed him I'm so happy, it truly was very therapeutic, and I think not only for me, but for the baby too! We did our normal bedtime routine- DP gave him his bath, then we sat in a dark room & I breastfed him & he ate hungrily & with gusto Then I sang to him & then immediately in his cot, he fell asleep like a log!

So that's that. I will of course have extra milk ready if I need to give it to him but I will try bf him through the night for today (usually we give bottles in the night) & all day tomorrow, to establish things again.

I'm so happy to be in a position to be feeding him again. As Grendle said, there is a lot that is horrible & frightening about the whole experience, and I think it'll take a while to heal. I don't mean only the physical side- and from what I was told that will take months, mainly the teeth. But also the emotional side. Being in a situation with so much blood, & basically being lucky enough to survive (because the plate could have cut my eye or my throat or whatever)... well anyway. I suppose I can't really bear to write more about this. Both DP & I are really traumatized & can't even talk much about the whole thing.

As for the food. Yes, I'll talk to my GP tomorrow about food / drink. I'm also sure my mum will be able to help, she has ideas already. She's on her way now actually, I'm so looking forward to seeing her.

This thread has been extremely helpful, and has been so reassuring, so thanks so much...

OP posts:
broguemum · 11/01/2009 18:58

Fantastic news. Well done you. Hope you get better soon.

xfabba · 11/01/2009 18:59

Great news Maria - I knew it would make you both feel better, now just get some food inside yourself and you will be well on the road to recovery i am sure.

Grendle · 11/01/2009 19:13

Mums can be great at times like this . What a relief that the feed went well. In time, perhaps you will post and let us know how you're recovering. I know I will wonder. For now, enjoy your baby. It's remarkable how a good snuggle and feed can be so therapeutic for both baby and mum.

All the best.

Darkmere · 11/01/2009 19:18

Well done Maria. x

Guadalupe · 11/01/2009 19:19

Really glad you're feeling better and feeding agin.

Guadalupe · 11/01/2009 19:19

again even!

treedelivery · 11/01/2009 19:24

Sending cyber flowers and those nutritional milk shakes. Well done, enjoy the happy feeding hormones.

belgo · 11/01/2009 19:27

Maria - can your mum make chicken stock soup for you? My dh's grandfather swore by it's healing properties, which is what you need now.

that you managed to bf.

tiktok · 11/01/2009 19:31

and phew