The Breast Feeding Support Thread

red fraggle · 12-03-2012 5:46pm

e is feeding every 2 hours yesterday and today. wore out. :rolleyes: she wil be 10 weeks this week:eek: could it be she is not gettin enough?? actually shes not feeding for quite as long maybe thats it. though its stil a 15/20 min feed.

How Strange · 12-03-2012 6:01pm

red fraggle she could be going through a developmental leap or a bit of a growth spurt. The growth spurts are 2,4,6,12 weeks but every baby is different so she could be going through one at the moment. As long as you're feeding on cue then just go with it. They can be incredibly exhausting but it's her way of telling your body to make more milk because her appetite is increasing.

I found it very good to have healthy snacks or even plain biscuits to hand on days like this so you have something to munch on. A DVD box set can be a life saver too

galah · 12-03-2012 6:02pm

could be a growth spurt - we went through a few of them as well - E would sleep and feed nicely for weeks, and then bang! up every two hours or hour and a half, day and night, for a couple of days. You'll get through them, just don't plan anything exciting for those days since you won't be leaving the couch ;-)

hehe, HowStrange beat me to it ;-)

red fraggle · 12-03-2012 6:25pm

thanks how strange and galah!!! shes been feedin for the last hour now!! it must be a growth spurt. im feeding her when she wants it so some tv time and plain bickies for the week sounds like a plan, and ill have to plan a walk in between!! i ordered the wonder weeks book and thats after coming in so ill have to get to town to get that.:rolleyes:

i wont be doing any work/painting on my house this week!!!:D

hibride · 12-03-2012 9:02pm

red fraggle wrote: »

thanks how strange and galah!!! shes been feedin for the last hour now!! it must be a growth spurt. im feeding her when she wants it so some tv time and plain bickies for the week sounds like a plan, and ill have to plan a walk in between!! i ordered the wonder weeks book and thats after coming in so ill have to get to town to get that.:rolleyes:

i wont be doing any work/painting on my house this week!!!:D

Hi, my little one was feeding an average of one time every two hours for the first year and a half, so no worries hahahaha And the growth spurs were easy to spot, she would certainly breastfeed more often and for longer periods

red fraggle · 12-03-2012 9:34pm

hibride wrote: »

Hi, my little one was feeding an average of one time every two hours for the first year and a half, so no worries hahahaha

:eek: oh my!! well e has no set hours. it was every 3-4 hours, then it was every 2 hours til midday then 4 hours then back to 2 hours. who knows!! as long as shes healthy!!

wmpdd3 · 13-03-2012 3:27pm

O my 6 week old is on the same as that. Glad to see that its not so off the wall. He usually sleeps for 5hrs at night but he can be at the boob the rest of the day. Also he doesnt sleep during the day at all.... Cant say its easy...

How Strange · 13-03-2012 5:25pm

wmpdd3 next time I'm getting a sling so I can at least move around. My son loved the closeness of being held all the time

wmpdd3 · 13-03-2012 9:55pm

Just cant master feeding in the sling, pity it would be so handy..

Cat Melodeon · 14-03-2012 10:09am

I can't get the hang of feeding in the sling either but find it's great for keeping herself quiet when I just have to get something done. As long as she knows the boob is nearby she seems chilled enough! I've had a weird couple of days with her, she's been sleeping loads, an almost worrying amount. I think it's because I had her outside in the pram. The weather has been gorgeous here, I think the fresh air knocked her out! I saw a photo recently of a creche in Sweden where the babies are wrapped up and put outside in their prams for a couple of hours every day, even when surrounded by snow drifts! Think I might have been a bit too cautious in the past about putting my guys out!

dublinlady · 14-03-2012 1:24pm

Cat Melodeon wrote: »

I can't get the hang of feeding in the sling either but find it's great for keeping herself quiet when I just have to get something done. As long as she knows the boob is nearby she seems chilled enough! I've had a weird couple of days with her, she's been sleeping loads, an almost worrying amount. I think it's because I had her outside in the pram. The weather has been gorgeous here, I think the fresh air knocked her out! I saw a photo recently of a creche in Sweden where the babies are wrapped up and put outside in their prams for a couple of hours every day, even when surrounded by snow drifts! Think I might have been a bit too cautious in the past about putting my guys out!

God I'm awful - I'm the opposite! I get such bad cabin fever and the only way I feel like 'myself' is to get out of the house and walking! I've had A out every day for last couple weeks in the pram - shes 4 weeks now - should I be more cautious about taking her out? Is it incase she catches a cold? I put her in a snowsuit and put 3 blankets on her and a hat! She sleeps the whole time - sometimes shes roaring as I'm leaving - stops while I'm out but starts as soon as I get back! My legs are knackered!

Feeding in the sling - i didn't even know that was possible!! I'm so uncoordinated I'd never manage!

Don't know whats going on with her this morn - she normally feeds every 2&1/2 hrs, so far today I've fed her for half an hr at 7, 8.30, 10.30 and 12! And normally I have to wake her for her feeds ( as she's still small - 7lbs - I keep doing this ) but today she's roaring the house down for them! Earlier I couldn't figure out what she wanted - I was burping her, changing nappies, trying to settle her - then I realised! I wish I knew what her cries mean... Ppl say you learn but I really still can't tell! I just go thru my checklist and eventually sonething works! Think I'll move food to the top of that list today!!!!

How Strange · 14-03-2012 5:47pm

I meant a sling for carrying. I wouldn't even try feeding in one.

dublinlady there's a developmental leap in weeks 4.5-5.5 and frequent feeding is one of the signs. Look up the wonder weeks website or download the app if you have an iPhone.

pippington · 14-03-2012 8:39pm

Hi, my little guy is just a week old. Im breastfeeding on demand 1-2 hourly nearly during the day....but then he seems to want to sleep at night...i always wake him to feed if it getting on to 4 hours between feeds..im afraid he is too young to go any longer...but it seems he would sleep for 5 or 6 hours at night if he was left..is he still too young?

How Strange · 14-03-2012 9:13pm

pippington in my opinion if he's feeding about 10-12 times over 24 hours then it's fine to let him sleep for 5-6 hours. It's important that they feed frequently both for their own growth and for your milk supply so as long as he's getting lots of time at the breast otherwise then follow his cues with sleeping as well.

red fraggle · 14-03-2012 9:24pm

pippington wrote: »

Hi, my little guy is just a week old. Im breastfeeding on demand 1-2 hourly nearly during the day....but then he seems to want to sleep at night...i always wake him to feed if it getting on to 4 hours between feeds..im afraid he is too young to go any longer...but it seems he would sleep for 5 or 6 hours at night if he was left..is he still too young?

i think it would be ok for him to have a 5 hour sleep at night if he is feeding so frequently during the day. my public health nurse said as long as my little one was feeding often during the day and had wet and dirty nappies it was fine for her to have a 5 hour sleep. ask ur phn if ur unsure tho.

congrats on ur little man!!:D

dublinlady · 14-03-2012 10:12pm

How Strange wrote: »

I meant a sling for carrying. I wouldn't even try feeding in one.

dublinlady there's a developmental leap in weeks 4.5-5.5 and frequent feeding is one of the signs. Look up the wonder weeks website or download the app if you have an iPhone.

My lady loves the sling - its the only way I can get stuff done around the house! Calms her if she's havin a tantrum also.

I downloaded that app there thanks - its really interesting! Mind u can leaps happen early as it says I'm 1-2 weeks off her first one according to her due date but she was born at 39 weeks? She has a few of the signs tho - she's alot more alert / more clingy / feeding all day like a lunatic / her first tear appeared today! Its definitely a growth spurt or something if not a leap!?

Hey pippington! I agree with the others - my girl feeds every 2-2& 1/2 hrs during day normally and then will do a 5 hr stint during night - she's been doing this from a week or two old! She's got plenty of wet nappies and has put on weight so it's fine , in fact it's great! I was waking her during nights for feed but now we leave it to her to decide but I do wake her during day for feeds as she's small!

How Strange · 14-03-2012 10:18pm

In that case it could be the 3 week growth spurt. For the first 8 weeks it's one thing after another; they're growing physically and psychologically so quickly. It does settle down though.

annamcmahon · 14-03-2012 11:13pm

dublinlady, it sounds like you're doing great. We had our daughter out for an hour's walk when she was less than a week last January when the snow was only just melted. Once they're well wrapped up the fresh air is good for them.

I remember when she had days like your little one is having today and like that I just cycled through the list of feed, nappy, wind etc until I found the solution or sometimes didn't.

Eventually I started to be able to guess but not until well passed 6 weeks.

Cat Melodeon · 15-03-2012 11:50am

dublinlady wrote: »

God I'm awful - I'm the opposite! I get such bad cabin fever and the only way I feel like 'myself' is to get out of the house and walking! I've had A out every day for last couple weeks in the pram - shes 4 weeks now - should I be more cautious about taking her out? Is it incase she catches a cold? I put her in a snowsuit and put 3 blankets on her and a hat! She sleeps the whole time - sometimes shes roaring as I'm leaving - stops while I'm out but starts as soon as I get back! My legs are knackered!

Oh no, I didn't mean that - we've been going out for walks since she was 5 days old! I just meant that I put her outside for her daytime naps in the pram rather than putting her in her cot. Like yours, she had her snowsuit, hat and a blanket on. She slept 7 hours last night!!! Bliss! I'm like a new woman - it's only going on for 11 and I've a couple of washes of laundry done, buns baked and the back yard power hosed! Hubby's going to think I've been replaced by a (slightly less well-dressed) Stepford wife!

Little My · 16-03-2012 11:15am

How often should an almost 8 month old be feeding?

Since Christmas I've been feeding him at 5am(ish - whenever he wakes up any time between 5 and 6.30am) 9am, 1pm, 5pm and 11pm.

I cut the 11pm feed last week and now feed him at 8.30pm instead, and then he will sleep through till roughly 5am.

But am finding now that he has little interest in feeding at 9am or 1pm and not great at 5pm.

He is getting three little meals today but isn't drinking much water.

I'm just worried that he isn't getting enough milk as it is still supposed to be his main source of nutrition and all that. He's not cranky and doesn't seem like he is going hungry though.

implausible · 16-03-2012 11:26am

Little My wrote: »

How often should an almost 8 month old be feeding?

Since Christmas I've been feeding him at 5am(ish - whenever he wakes up any time between 5 and 6.30am) 9am, 1pm, 5pm and 11pm.

I cut the 11pm feed last week and now feed him at 8.30pm instead, and then he will sleep through till roughly 5am.

But am finding now that he has little interest in feeding at 9am or 1pm and not great at 5pm.

He is getting three little meals today but isn't drinking much water.

I'm just worried that he isn't getting enough milk as it is still supposed to be his main source of nutrition and all that. He's not cranky and doesn't seem like he is going hungry though.

That sounds exactly like my wee man at that age. He was down to three bfeeds a day - first thing in the morning, mid-day and last thing at night. The reason I remember is because it made it very easy to wean him, one feed at a time over a few weeks. He is and was a great eater and once he got going on the grub, he wasn't too bothered about mammy's milk!

If he's hungry, you'll know all about it:D!

annamcmahon · 16-03-2012 1:57pm

My daughter was the same around that age. I think, from talking to other mamas, that the world just becomes too interesting to be bothered feeding. By Christmas she'd dropped to 2 feeds but a month later when she was 13months, and 2 months before baba2 was due, she was back up to 4 if I let her.

How Strange · 16-03-2012 2:17pm

According to dr jack Newman 3 feeds a day is sufficient nutritionally. I read that when I was going back to work and it reassured me that my 7 month old son would be ok and we wouldn't need to supplement with formula.

He used to feed at 7pm, once during the night, maybe at 7am if he'd slept through the night and 5.30pm when we got home. Apart from that he could've had as much as he wanted but he was quite happy with that routine.

pippington · 16-03-2012 10:21pm

I feel like im at my wits end...my poor babs has been pretty much on the boob all day...fall asleep..pulls away from the boob...startles awake a couple mins later..sometimes gives a screechy cry...im trying to wind him well after i bf but he just gives a tiny burp, im absolutley exhausted and feel so sorry for him..anybody any suggestions on how i can make him more comfortable and also not having him on and off the breast every couple of mins..just about have my nipples healed..

wmpdd3 · 16-03-2012 10:52pm

^^^^, lover to know what the answer is... unless this little man is in bed beside me, he's on the boob. i'm so thankful, i've had no pain, but even im at my wits end. i have never heard a baby cry so much as when i change my clothes or have a shower.

annamcmahon · 16-03-2012 11:09pm

Pippington do you have a fast letdown? Does milk spray out of nipple or does your baby make spluttering noises when feeding? I had and my daughter did a lot of the things you're describing. Basically she was trying to comfort feed but couldn't so go frustrated and unlatched but then tried to latch back on again a few minutes later.

Frequent feeding, read as almost all the time, is common when babies are newborn to stimulate your supply. However the popping on and off might indicate fast letdown. If you have it let him latch but when the milk flow unlatch him and let it spray on to a cloth until the flow has slowed and then latch him back on.

If you think he has trapped wind try the tiger in the tree hold where you lie him along your arm with his head in the bend of your elbow and holding the top of his thigh. Hold your arm against your belly.

I remember how frustrating the on, off, on, off was so hope you find something that helps

pippington · 17-03-2012 11:45am

no theres no spraying of milk, no spluttering when feeding. he just never seems content with a feed. after a half hour feed last night where he deep sucked continiously i gave him a 20ml top up of ebm (all i had) and he had that walloped back in seconds and was still rooting, sucking his fists or anythin that came into view...looks today is gonna be moreof the same...last we eventually had to bundle him into the car a nd drive till he fell asleep..which he then did for 5 hours

pippington · 17-03-2012 11:53am

ive also noticed that he occasionally makes a clicking sound when feeding...ive checked and rechecked the latch and cant find a problem

How Strange · 17-03-2012 1:31pm

Ive no experience of either but if you don't have an oversupply/fast letdown and the latch is good then silent reflux or tongue tie are very common problems for all babies regardless of how they're fed.

Try going to your gp and discuss it with him/her. Tongue tie can be hard to diagnose if you don't know what to look for and it's sometimes dismissed as not important.

Silent reflux can be easily treated but is awful for the baby if not/until treated.

If you feel your gp isn't up to date on breastfeeding then look for a local la Leche league or ciudiu counsellor because they should be qualified to check for tongue tie as they're highly trained lactation consultants even more so that the LCs in the hospitals.

How Strange · 17-03-2012 1:37pm

Have a read of the thread reflux, colic and cold as one of the posters mentions the signs of reflux and see if you recognise them

liliq · 17-03-2012 8:12pm

Sorry for short reply, on my phone. Clucking is a classic sign of tongue tie. Sometimes it's not an issue at all, sometimes it is, seems to be no way of knowing if it will or not til a prob occurs. Could be worth checking out, an ibclc will be able to soot a tie better than must gps or midwives

liliq · 17-03-2012 8:15pm

liliq wrote: »

Sorry for short reply, on my phone. Clucking is a classic sign of tongue tie. Sometimes it's not an issue at all, sometimes it is, seems to be no way of knowing if it will or not til a prob occurs. Could be worth checking out, an ibclc will be able to soot a tie better than must gps or midwives

Actually after reading more of your posts sounds like tie is a def possibility, ESP as you've been in pain. Had the same with my baby.

Little My · 18-03-2012 11:55am

Thanks for the help on the number of feedings. For the last two days I have only fed him three times and he seems fine, feeding much better and not messing around as much.

Any tips on biting? He has only bitten me when he was messing around though, so hopefully with less feedings he will be less inclined to mess.

How Strange · 18-03-2012 12:13pm

Little My once or twice I let a loud shout out more out of shock and pain and it frightened the life out of him

I used to unlatch him and put the boob away so he soon figured out not to bite if he wanted milk. I found that once he realized this he'd only bite when he wasn't hungry.

I also started to recognize a look he'd give me just before clamping down. He'd have a very cheeky look, look at me directly and then bite!

pippington · 19-03-2012 12:02pm

ok so i have started my little man on infacol....he is certainly letting off more wind but is still at the same thing as regards messing with the nipple, pulling back off it, almost tearing at it at times, generally irritable on and off the breast.

last night i just couldnt do it anymore, have been in tears the past 2 days nearly so i tried him on some formula...he seemed to love it, took 60mls and actually seemed satisfied for once..had 3 massive burps, then 5 or 10mins after finishing puked the whole thing back up...so today he is back on the breast, feeding almost hourly

pippington · 19-03-2012 12:03pm

i gave him aptamil 1....am bringin him to the gp tomorrow to discuss reflux etc

wmpdd3 · 19-03-2012 3:06pm

I spoke too soon, for the last 24 hours my 7 week old has had colic and i wont have gripe water till tuesday evening. It's different with breast feeding compared to my bottlefed daughter. She passed out after her bottles and woke screaming, but he is getting no sleep unless its at the breast. Thats making him worse. I had to take off his baby gro as he cant get his knees to his chin when he is crying. Im burping him every 3mins during a feed and i'll put him in the carrier after this feed. The only thing is, at 12 weeks, my daughter's colic disappeared. Pip, Hope the doc has an answer for you.

How Strange · 19-03-2012 3:33pm

Try cooled fennel tea. It's safe to give a newborn and is a natural remedy similar to gripe water. Also the rugby hold. I think annamcmahon posted about it recently and called it the tiger in the tree hold.

annamcmahon · 19-03-2012 10:28pm

The colic hold is also called the tiger in the tree. Basically you lie your baby along the length of your arm with her head where your elbow bends and hold the top of her thigh. She should look like a tiger lying on a branch. If you can't visualise what I mean google it you'll find some videos or pictures.

How Strange · 19-03-2012 10:29pm

That's a much better explanation than I could give.

annamcmahon · 20-03-2012 4:22pm

I cut and pasted it from the post you'd mentioned How Strange. It was about 6 pages in. It's crazy how difficult it is describe.

dublinlady · 24-03-2012 9:37pm

How bad is it to consider using formula at night in the hope that she'd sleep longer? I'm just so tired and she still waking every 3 hrs at 6 weeks... I use an expressed bottle for the 3 am feed. Sometimes my oh gives it. But I'm so tired I need more sleep! In consecutive hrs!!!
I don't know what I'm looking for here... I want to keep goin but as the weeks go on and there's no stretch it's getting tougher and tougher.....
I don't even know if I mean this... I'm just having a bad moment... Oh I dunno....
I never had any expectations of myself with the breastfeeding - and during the day I like it and will prob keep it up longer than I thought I would... It's jst the nites.....

galah · 24-03-2012 10:09pm

DL, I don't think it's bad, don't beat yourself up over it - we've supplemented with one bottle at night since birth, it was the only thing that kept me sane...

BUT: I found that the bottle doesnt make our baby sleep longer at all (probably not what you wanted to hear) ;-( there is absolutely no correlation between what type of/how much feed he gets and how long he sleeps. Maybe it's different for other people, but that's what I found...On the upside though, if you use a bottle, your hubby can give it to your little one while you get a bit of a break...

I may get killed for saying it - but do whatever you need to do, and if that means a bottle, give the bottle. Your little one is getting all the goodness from breastfeeding anyway, and a happy and relaxed mummy makes for a happier relaxed baby...

How Strange · 24-03-2012 10:57pm

dublinlady you have to do what you think is best for you and your family. No one can say you're right or wrong for doing it your way.

In my experience the sleep deprivation was the worst thing and I remember being so stressed in the evening at the thoughts of another night without sleep. My lad dropped his 11pm feed around 8 weeks which meant I was getting a break of 5 hours or so at night and once that happened I felt like we'd turned a corner and somehow it got easier because I was getting a block of sleep.

Most babies settle down after 6 weeks and as regards breastfeeding your son has been feeding so much to establish your supply so he may start sleeping longer between night feeds.

Take each day/night as it comes but I'd consider an expressed bottle first. Get into a routine where your husband gives it at 11pm or whatever time he wakes. Then you feed the next time. That should give you a good few hours sleep. Honestly, one night of decent sleep and you'll wake up feeling like you've won the lottery.

LilMrsDahamsta · 25-03-2012 12:04am

My lad woke every 2-3 hours day and night til he was about 12 weeks, and still wakes twice a night at close to 8 months, so I know the exhaustion you're talking about. I found that even if I couldn't get many consecutive hours of sleep, if I got enough overall I felt much better. For me, this meant going to bed in the evening and getting up in the morning at the same time as the baby, and getting hubby to mind him while I had a nap sometime during the day too. Admittedly nothing else at all got done, and the house was filthy, but the breastfeeding, and life generally, definitely got easier with a few extra hours shut eye, even if very disjointed.

wmpdd3 · 25-03-2012 12:58am

DL have you tried co-sleeping? would it be really out of the question, can you feed her lying down? These are the things that save me. I really understand if you wouldn't dream of having the baby in the bed for the night, but it could work.

I've had a few off days and given baby a bottle of formula as i didnt have much expressed. We gave him 8oz of aptamil :0 at 8pm one night, around 5 week old.

When we finally got his wind up, he passed out for about 1 hour. Woke up, his nappy exploded, he had a short boob feed and slept for 4 hours....

Now at 9 weeks, he goes to bed with me at 11pm, I feed him, he falls asleep on my belly. I move him to the middle of the bed. He wakes about twice for a little feed lying down and usually at 8am he wakes for a massive 2 boob feed.

Before that he used to wake loads of time during the night but I just stuck a boob in his mouth and went back to sleep.

My daughter was bottle fed and she woke every hour for 1 oz until she was 12 weeks old. It wasnt too bad as I didnt really have anything else to do, but some days I spent stayed in bed till 4pm with her as i was so exhausted.

Just to say, my son is 8 week old tonight and today I weened him off the nipple sheilds, He just wasnt able to latch on till 8 weeks old! But now he's an expert.

dublinlady · 25-03-2012 1:33pm

Thanks ladies for your advice, my problem seems to be that I'm a bad sleeper - on that it takes my about an hr to fall asleep , which doesn't leave much time for sleeping between feeds! So even if I have her in the bed with me - I still have to wake so ultimately still have to fall back asleep! And I think I find it easier to fall asleep with her in Moses basket as I worry about her less! Sometimes I think it's the anxiety about not being able to sleep that prevents me from falling asleep ! I've always been like this.. But now knowing I only have 2 hrs before she wakes again I think puts much more pressure on me to fall asleep so it's a vicious cycle!!!
I think from what you said giving her formula ultimately won't help her sleep for longer spells and so prob would be of no benefit to me....
I guess this is why ppl say motherhood is tough! Don't get me wrong - I completely love her and being a mom - but I feel the sleep deprivation is making miss some of the pleasure of the experience - I just have to hope she does drop a feed and so I can get some sleep - and fingers crossed that will happen sooner rather than later as the thought of this continuing when I have to go back to work is just to much to handle right now!!!

red fraggle · 25-03-2012 5:10pm

dublinlady i know what ur sayin bout feelin like ya miss out. e is pretty ok at sleeping now but i think i missed out on the joy of her bein a tiny baby cos i was so tired myself!!!!! sleep is so important!!

i started givin e a kind of double feed. say i would feed her at 8 and then go into the dimly lit quiet bedroom for a 9.15/9.30 feed and let her feed til she came off. i think this is what helped her start sleeping for longer periods. it might be worth a try. i hope she starts sleepin a little longer for you. would u consider sleepin in another room and lettin your oh mind her for the night? i know i would prob worry but if u got one good nights sleep u would be like a new woman for a while!!

my problem today is i think my boob is blocked or has dried up!!! is this possible? e drank for a short while and then went mad pullin at it and crying. put her on the other one and she drank for ages no problem. earlier on the same boob she drank for a short while and i tried expressin to empty it but nothin came out!! its a bit sore to touch now but its not hard really. any ideas much appreciated!!!!

dublinlady · 25-03-2012 7:03pm

I'll def give the double feed idea a shot! I'll try anything at this stage!! I've been trying all afternoon to make A give me her first smile.... Nothing!! Hehe - I'm dancing and jumping around like a lunatic pulling faces - well I suppose the dog barked so that's sonething!!!!!

I know very little about blocked ducts etc but be careful it doesn't develop into mastitis - I did read somewhere to try pump for 5 mins even with no milk coming out to try clear it? Signs of mastitis would be redness, tenderness , swelling and heat around the boob and also raised temperature in general - but it doesn't sound like that at the mo anyway, weird that there's no milk, hopefully someone here can help ya more as I'm a bit clueless!!

How Strange · 25-03-2012 7:29pm

red fraggle it could be a blocked duct. Is it sore in a particular area? I can't see how your supply would decrease so drastically if you're exclusively breastfeeding and have been fine up to now.

Look for red patches/marks on the breast or a painful area or a lump. Also another sign is flu like symptoms so ferling cold and shivery followed by a fever. The sooner you react the better if it's a blocked duct. You should take ibuprofen for inflammation and keep the breast hot (shower, bath or hot water bottle) and hand massage to clear the initial blockage then latch your little one on to feed. When hand expressing you want to see the milk coming out of the whole nipple and not just a part of it. I'd feed more often from that breast over the next 24 hours too.

The most important thing if it's a blocked duct is rest, rest and more rest. Do nothing except feed and rest for 3 days as it really wipes you.

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