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Is my supply dipping or not?

post #1 of 4
Thread Starter 
Okay, so I'm torn here.

I have a 5 month old DS. He has a posterior tongue tie, so nursing has been a struggle. But he's still EBF, even though it's painful for me. Luckily, weight gain has never been an issue -- he's a very efficient nurser and my supply has been really strong.

In the last few weeks, I've been feeling like my supply is dipping.

- The big thing is that my let-down is taking a lot longer to come, and DS is "whining" while waiting -- sometimes he gets frustrated about it and stops.
- My breasts are feeling floppy and empty, even when DS goes a long time between nursing (they usually feel at least somewhat full when it's time for him to eat).
- And I have decent luck at pumping, getting 2-3 oz in a relatively short time -- but this morning, 1 oz was a struggle (it's been a few weeks or a month since I've pumped, so I don't know when this changed).

When this first happened, last week, I started drinking more, eating snacks, and making and eating lactation cookies. And my supply seemed to go back up -- my breasts felt more normally full, my let-down came faster, and DS stopped whining.

But now it's happening again. I feel like I'm drinking a ton, I'm eating my cookies and a few snacks, and I'm not restricting portions (although I'm not going out of my way to eat more).

But....

DS isn't nursing more. In fact, he's nursing less. I don't track nursing (I should.... maybe I'll remember to tomorrow), but he wakes 1-3 times a night and then nurses what feels like only a few times during the day (4-5?). I offer all the time because I feel like it's been ages since he ate, but he turns it down.

So do I believe the signs and take fenugreek (which was really effective for me with DD) to bump up my supply? Or do I trust that DS would nurse more if my supply were really out of line? I feel like I have to be extra-careful because of the tongue-tie thing -- he's not nursing as effectively, so a supply dip could really affect how much he gets to eat.
post #2 of 4
Hi Jen! Fancy seeing you here again.

I'm in pretty much the exact same boat. I know that around this time, our supply is supposed to naturally regulate anyway, which explains feeling less full. In general I have been way less responsive to the pump than I was with my first DD as well. Plus its normal for LOs to eat more during a session and, as a result, eat less frequently during the day. At least,

What I would recommend is listening to your DS when he nurses to hear if he's transferring well. When he's done, is he satisfied or frustrated? If he gets frustrated waiting for the letdown, you can try warm compresses, massage, etc. to get it going.

I'm at exactly the same place, and I feel like given our history, I can't trust my body or my LO to do this right or make the right adjustments if needed. DD is at the 6% for weight, slowly dropping off of her curve; but she's clearly healthy, and we seem to grow smaller babies in general. So I'm trying to trust my baby's signs, but it is a challenge.
post #3 of 4
Thread Starter 
Hey Mosaic! I've thought of you often during our journeys in tongue tie. How are you guys doing? Any improvement at all?

Because of your experience with the therapist, we went to one, too. And through her, we found another doctor to take a look at Sprout. He, FINALLY, saw the posterior tie. But it had taken So Long to see him (a month!), that Sprout was too old for him to do an in-office clip -- it would have had to be general anaethesia. And I know your experience is that clipping doesn't always fix things.... so we decided we couldn't put him through that for something that might or might not help.

Thanks for the links. I'll look at those to reassure myself. If this were a normal BF relationship, I wouldn't be worried. But, yeah, I can't trust that everything will go fine because of this impediment.
post #4 of 4
Thanks, Jen! I think we're doing well, at least I hope so! I've been back at work (full-time) for months, so we pretty much had to give up our therapy because I wasn't home with her. When I *am* home with her, she nurses every couple of hours but then sleeps all night. When I'm at work, she gets a 4-oz bottle every 2.5 hours and then wakes up several times at night. No clue what that means! Her finger and pacifier exercises are basically back at square one (boo!); but if her reflux is any indication of how much is getting IN there, then I think she's getting enough to eat. But like I said, she's low enough on the weight gain that it's raising eyebrows but not worrisome, yet. I do feel like she still isn't opening up enough, and I have some minor shaping; but I'm wondering if that's just her high palate?

Of course, then she got her first tooth yesterday and has another right behind it, so that's made things interesting, too. And I know my therapist wanted me to gently introduce solids around 6 months (given her issues); but that seems soooo soon, especially since I feel like we still haven't gotten the hang of this nursing bit!

I feel myself turning into those stereotypical sitcom moms who are always pushing their kids to eat! When will this get easier?
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