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Low Milk Supply -- Feeling Inadequate  

post #1 of 11
Thread Starter 
My little one is 14 days today. When I was pregnant I never thought that I would have difficulty breastfeeding. It was a natural thing that all mothers could do. I never heard of anybody having difficulty nursing. I didn't know that I "had a problem" until we went to see a lacation consultant. In the hospital my nipples had become bruised and cracked and we wanted to make sure we were breastfeeding properly. At the clinic the lactation consultant had her weighed and then I feed her. We then weighed her after the feeding. My breasts were only giving her little less than an ounce. The lactation consultant said that we had to supplement her with an 1.5 of pumped breastmilk (I can pump betwenn .5 and .75 ounces) and formula. She said that she should be eating little more than 2 ounces in a feeding. We tried supplementing using the S&S taped to my nipple but the latches were horrible. So now we bottle feed right after breastfeeding, then I pump. The whole process takes an hour to an hour and a half.

My daughter was 6 pounds at birth and also jaundice. The lactation consultant said that contributes to the low milk supply, but she also said that I am physically not able to produce enough milk. She told me that pumping might increase it, but it's been a week and I'm still pumping the same amount. The whole process is so tiring. I feel like an inadequate mother, not being able to produce enough food for my child. She is still hungry when she unlatches. I am grateful that she still loves to breastfeed and there is no nipple confusion. I don't know how much longer I can do all three: breastfeeding, bottle feeding, and then pumping. If I stop pumping, will my milk supply go down more? I hate the idea of giving her more formula.

Does anybody have any suggestions for increasing milk supply? Thank you for your help.
post #2 of 11
Oh for crying out loud. Sometimes these "lactation consultants" that don't know crap get on my everloving nerves.

Stop stressing, stop pumping STOP SUPPLEMENTING and nurse your kid. Nurse as often and as long as you can. Drink TONS of water (at least 8 oz everytime you nurse)

14 days old? I was lucky to pump an ounce in an entire DAY at 14 days postpartum. Not to mention, at 14 days, your baby's entire stomach is only like as big as a bouncy ball. GAH!

The key point IMO is when you stated you didn't know you had a problem until.....

You don't have a problem. Your lactation consultant does.

www.kellymom.com

use it, love it. Stop the madness. Listen to your body and your baby. No one else.

I'm saying this again, 'cause I know you're worried about going against what she said. She gave you bad advice. Stop it all and just concentrate on nursing your baby. (and I would suggest finding another lactation consultant. Preferably one who knows something about lactation.)
post #3 of 11
I think it would be really smart for you to get in touch with La Leche League. I think this LC undermined your confidence in a lot of ways! You may or may not have a milk supply problem but the protocol she gave you guarantees you will have one if you keep it up.

La Leche League!
post #4 of 11
OK, I wanted to come back with some more thoughts. First I wanted to say that the max I ever got pumping was 1.5 ounces from both sides total. And I had amazing milk supply. My daughter was 20 pounds by 5 months on breastmilk alone. I simply don't pump well.

As for your little one only getting one ounce at the LC's office, am I understanding right that that was in her first week of life just after you left the hospital with her? If so, an ounce is a perfectly normal feeding for a brand new baby and doesn't need topping off.

I think you may be able to taper off supplementation if you can really concentrate on nursing, nursing, nursing. The books are lies, even the good ones. Babies don't "feed every 2-3 hours." They pretty much stay at the breast for the first six to eight weeks. Twelve, 13, 14 or more hours of nursing per day sometimes! I think there were days when I had my daughter at my breast 20 hours.

Focus on weight gain and diaper output and don't worry about how much milk you manufacture.
post #5 of 11
Hi Badams,

Did we miss some of the story? Did your baby lose a lot of weight after birth? Was she hospitalised? What does she weigh now? Is she peeing more than 6 heavy wet diapers in 24 hours? How often is she pooping?

Weighing the baby before and after a feed is rarely a good way to check out how much she is getting at a feed. Sometimes babies have a four course meal and take in 2 oz! Sometimes they have a small chocolate bar or a cup of tea and we can't even measure what they get. But just like us, they take what they need when they need it when they have open access to food.

The best ways to see if they are getting enough are here:
http://www.kellymom.com/bf/supply/en...lk.html#enough
(Attachedmamaof3 gave you a great resource with Kellymom)

The moms here have given great advice. Moms of newborns find it helpful to take 2 days and just stay snuggled in bed with the baby and nurse nurse nurse everytime the baby even looks like she wants to. Lots of skin-to-skin time. Concentrate on getting a good latch and make sure that you see milk transfer (see: http://www.drjacknewman.com/index.ph...d=18&Itemid=42) and most often the milk supply comes up and the supplimenting goes out the window!

Watch her pees and poops and weight gain (see kellymom) and hopefully soon this will be just a small blip in a long, happy breastfeeding relationship!
post #6 of 11
I agree with the other posters... not enough info here. Pees/poops/weight? If she is peeing, pooping, and gaining appropriately, there is no reason to think you have a low milk supply. Make sure you sleep when your baby sleeps (you are still healing, after all), drink plenty of water, eat some oatmeal (oatmeal cookies or granola bars are fine), and unless you come back and post more info, I think you will be fine... if your problem really is low milk supply come back, because I will have other thoughts for you, being a low supply mom myself. (Baby was under birth weight at 6 weeks.)

However, I do think that pre and post weights can be a very helpful tool in determining problems with supply, ALONG WITH OTHER THINGS. You don't mention if your baby had just eaten previously, or if it was a short feeding, long feeding, normal length, etc. And without knowledge of pees/poops/weight, it's impossible to judge anything just by the pre/post weight alone.
post #7 of 11
If you do have supply problems, it doesn't make you inadequate or any less of a good mom, it just gives you a different situation than a lot of moms. I've had supply issues w/ all 3 of mine and had to supplement, despite attending LLL meetings before my oldest was even born (and only missing about 3 meetings in the past almost 5 yrs ). There are things you can do if you feel there's a problem. I think more info is needed though about her weight, attitude etc. My oldest was jaundiced as well and it was a struggle to get him to eat b/c he was so sleepy. Even w/ some formula, it still took 2.5wks for him to get back to birthweight. Are you close to birthweight, past it? Things to look for are not enough wet diapers, or slightly wet diapers instead of full diapers, not sleeping well or sleeping too much (that was Ilana's biggest sign of not eating enough), crying a lot etc. Hugs!
post #8 of 11
Thread Starter 
I guess I should have provided this info with everything else:
When we initially went in to see the lactation consultant she was having the appropriate number of wet and soiled diapers, according to the charts the hospital gave us. This was day four. She was born at 6 lbs, 2oz. We left the hospital and she was at 5lbs, 11oz. On day four at the lactation clinic she was 5lbs, 5oz. She had lost more than 10% of her body weight. So that day we rented the Symphony pump and bought formula at Target and started to supplement.

The next day we had our well-child visit with our pediatrician. She gained 3 ounces overnight. Our doctor said that all babies bottom out on their weight on day 4 or 5 and he wasn't worried. We continued to supplement the rest of the day and decided to stop the next day.

We had a follow-up lactation appt. six days later. We had her weiged again, and she had only gained an ounce since the doctor's office. We were scolded by the lactation consultant and started to pump nd supplement immediately. 3 days later at our next appt. (13 days old) she was one ounce away from her birth weight. So now the lactation consultant says she is gaining weight good.

Thank you for all of you replies.
post #9 of 11
badams, I feel your pain and frustration! I was told to supplement by my son's ped after he lost a "more than normal" amount of weight in the first few days postpartum. I went through the nursing/bottle feeding/pumping routine for the first few weeks of his life, but I personally couldn't get my supply up until I just dropped everything and nursed him all day and night long. I know a lot of people swear by pumping as a way to increase supply, but I found it exhausting and discouraging. My personal (and, admittedly, completely non-scientific) method ended up being just nursing my son for as long as he wanted as often as he wanted and only supplementing when I could read the signs that he truly couldn't get enough from my breasts to feel satisfied. In my case, this sometimes meant nursing sessions went on for hours with me switching from one breast to the other and back again and so on. Again, I am not qualified to say if this method is a good one... I know the ped who told me to supplement wouldn't have approved because she claimed BFing was too exhausting for him and I should only nurse 5 minutes on each breast before supplementing or else he'd get too tired to eat. : But I can say that it worked for me. My son let me know if he was still hungry and, eventually, he was satisifed just based on what my breasts were producing. We've been exclusively BFing since he was a month old and he's almost 3 months now... he's tall and sufficiently chubby... smart and happy! I will say that it was a HUGE time committment to convince my body to make the right amount of milk. Nursing was ALL we did for a few weeks there! But if you're committed to BFing, I thought my story might be helpful! Good luck and !
post #10 of 11
I'm going to disagree with the other posters and say that it sounds like he really needs the supplement right now while you work on your supply. i agree with starwishful that you can give him the supplement WHEN he seems still hungry after emptying the breast while breastfeeding frequently. I also struggled with low supply and felt the same way about pumping. It was really hard and I'm don't know if it increased my supply or not. I did seem to be helped by herbs and a homeopathic. I personally alternated between Blessed Thistle and Milk Thistle. I didn't do Fenugreek because it has estrogenic effects and as a breast cancer survivor, which is hormone sensitive, I didn't feel safe taking it. There's also goat's rue which many people have success with but which I also didn't try. The homeopathic I took was RegenRx Pituitary.

Has the LC been able to determine if there is some issue causing the low supply? Has she checked your baby for tongue tie? This was a contributing factor to my low supply and when my son had his tongue tie corrected, I came up to full supply (with the help mentioned above).

One thing that helped me when I was struggling emotionally with the difficulty of breastfeeding was to commit to it in small increments, e.g. promising myself that I would not quit for 6 weeks etc.

It's great that you are sticking with it, your baby is very lucky. And, in my experience it is so worth the struggle as my DS1 went on to nurse for three years and DS2 is going strong at 20 months.
post #11 of 11
Please see the stickie at the top of this forum for more ideas on increasing your supply. You might try a second opinion from another LC, preferably an IBCLC, or your LLL leader.

from someone who has BTDT.
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