Hello ladies. I'm new to the board and am looking for some opinions. I'm due with my 2nd baby in April.
I can't believe it took me this long to finally figure out what it's called. One of the LCs I saw when I was nursing Jack, my firstborn, called it something like "insufficient glandular development" and there are a few other terms but none will get you the hits on Google like hypoplasia. Last week I found a wealth of information on the subject and spent hours on the computer soaking it up.
I guess first maybe I should start off with an account of my breastfeeding experience with Jack:http://www.crystalsboard.com/diary/s...dex.php?EID=40
I found some interesting pictures recently of what hypoplastic (or "tubular") breasts look like:http://www.implantinfo.com/banda2/152pechter/index.html
Honestly, mine look a LOT like the ones on the left! It's pretty depressing. Not only have I always been small chested but they never quite looked right either.
Defining characteristics of breast hypoplasia are a space where they should join in the middle often 1 or 2 inches or more (I have about an inch of FLAT space between them and no real look of "cleavage" to speak of), a long "tuberous" shape (got it), one breast larger than the other (uh huh), no increase in size during pregnancy or when milk comes in (yep), difficulties with milk supply (yep).
I guess maybe there IS some hope for me. I did produce some
milk for Jack.. hey even up to half an ounce with a pump, and this was nearly without any herbs or drugs to boost supply. I took Fenugreek but not for very long and I don't think I took enough cause they say you aren't taking enough until your sweat smells like maple syrup, mine didn't. Indeed, my boobs have increased some more with this pregnancy, I can see it (even though I'm still in the same miserable A cup). And I read this interesting tidbit from an interview on babycenter.com - it's a Q&A session with Kathleen Huggins, author of The Nursing Mother's Companion
|Widely spaced breasts that are more narrow than round and that do not grow in pregnancy are considered hypoplastic. With this, the milk onset is late! Up to one month for full production. But 40 percent of mothers with hypoplastic breasts do get full milk, while 60 percent make less than full production. So, Otto, you might want to pump after nursings with a fully automatic pump and take fenugreek and hang in there for at least one month.
See, I only nursed Jack for 2 weeks. Maybe if I'd have stuck with it longer? She says 40 percent (40 PERCENT!!) of moms with hypoplastic breasts get a full supply but it takes a long time. My breasts don't look quite as narrow and tubular as some of the pictures above so maybe I'm not such an extreme case and if I gave it more time...
OTOH do I REALLY want to invest money and time in herbs, drugs like Reglan or Dom (which is very expensive), renting a hospital grade pump for $45/mo, buying an SNS...?
The SNS. :\ I hated that thing. With a passion. Could I really stick with it for at least a month? I had a thought.. if I could stick with it, eventually I might not have to use it all the time as I could introduce a bottle and use that for supplementing instead. But still.......
The other thing is, I won't just have a newborn to take care of but a very active almost-3-year-old. It's not like I'll be able to spend all day nursing and pumping and cleaning the SNS, which is about what it would amount to.
I stumbled here and couldn't believe the wealth of information I found. It seems like a lot of you probably have hypoplasia. But, I haven't seen a single one of you talk about eventually getting a full supply and not needing to supplement with formula (where's the 40% Ms. Huggins talks about?). In fact, and I don't know how you do it, but most of you continue to use the SNS or bottles to supplement all the way until baby starts eating solids (at which point you supply, which is meager, seems to be enough). That is a long freakin time!!!!! Do I want to do that
?Do I want to do any of this?
The emotional rollercoaster and disappointment that followed our 2-week nursing relationship was hellacious. I don't know if I want to go through with that again. OTOH I keep thinking that whatever milk I can provide, no matter how small, is better than nothing. AND, my expectations are more realistic the 2nd time through because I know what I am up against whereas before I didn't expect any problems at all.
So, I need your thoughts, opinions, advice... this is so hard for me. What would YOU do in this situation? It really is a huge decision to go ahead with it, knowing what will be involved. I could be successful (!!!!) in many ways depending on how you define success, or I could just end up miserable and quit anyway. Right now I'm leaning toward trying it again, at least for a month, to see what would happen. I know that you usually have more milk with a 2nd baby no matter what, so there's that. I know that I could do a much better job of trying to boost my supply (my plan would be to eat oatmeal every day, drink my water of course, find a good tincture with some combination of any or all of the following: [fenugreek, goat's rue, blessed thistle...], possibly drink Mother's Milk tea, and possibly obtain some Reglan or Domperidone). I would use the SNS probably from the start, maybe not the first few days but I'd have it ready as soon as I was certain things weren't going well. And I would maybe rent a good hospital-grade pump. DAMN I think all of this would probably cost more than formula and that schtuff was expensive! Decisions, decisions........