Please no flaming, I am fairly educated in pregnancy, birth, postpartum and lactation however I am navigating some significant variables I would like support with- in determining what is the right thing for me and this baby.
I am currently somewhere in the 35-37 week window and I am wondering if I should start to induce lactation prior to birth for a few reasons.
DD was born at 35-36 weeks gestation and we had a hard time getting breastfeeding going. She had jaundice and was in a double bili light system for 2 weeks. The preterm birth, mama/baby separation right after birth for 5 hours, lathargy of jaundice, poor policy in place by the attending peditrician, and my milk not being ready for 5 days (needed fenugreek for it to finally come in) were all variables in a rough start. She never had formula (though she did have sugar water against my wishes - insert long rant with some cuss words and gestures)....
So currently I have gestational diabetes which I am regulating with insulin for over night and 2 mealtimes. Part of my treatment plan this time includes getting baby to breast as soon as possible and also monitoring baby's glucose levels closely for at least the first 24 hours after birth. It is my understanding many newborns of GD moms *need* some form of nutirional supplementation to regualate the glucose levels. I would REALLY like to avoid any non-human supplements for this baby if possible and wonder if it would be worth trying to collect some colostrum now?
I know breast stimulation is a uterine stimulant as well as fenugreek - which signficantly increases my chance for labor. I feel very confident I am close to 37 weeks while my providers believe I am closer to 35. So I have to balance this I realize- however with my bicornuate uterus it is likely this baby will come early on his own regardless. I don't want to be navigating a premie with me as a gestational diabetes mama.... I do know that all current research shows skin to skin is the best thing to regulate glucose in the early postnatal period, but I also know that information is not known as prevalently among peditricians/hospital staff.
I will say that my providers are all on board with donor milk which we will order as a precautionary measure, however I am concerned they may want to supplement before the milk arrives. I have considered using a local momma's milk if she is up for it, but the hospital was not too keen on that idea.