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#1 of 37 Old 07-24-2007, 11:53 PM - Thread Starter
 
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I am a WOHM. My DS is 6.5 months old. The past few weeks I have had a serious drop in supply that I can pump. I have two bags left of my stashed BM.
I eat oatmeal every morning.
I drink enough water throughout the day.
I have eliminated almost all caffeine.
I take Fenugreek, 4 tablets 3 times a day. Blessed Thistle 2 tablets. Brewers yeast 4 tablets twice a day. Calcium/magnesium.
I have PCOS.
I use a medela PIS and I have recently changed out the white flappy things(sorry forgot the name).
I am able to pump twice a day at work.

Prior to the decrease, I would be able to pump about 5-6 oz. in the morning, and 4-5 oz. in the afternoon. More on Mondays because he nurses frequently when I am home.

Today I was able to pump 5 oz. total for the day, 3 this morning and 2 this afternoon. So, hopefully I will be able to get to pump while he is sleeping this evening for tomorrows feedings.

My sleep is awful because he is up almost every hour after his first waking. He goes to sleep normally at 7:30 or 8, sleeps until 10:30 to 11 p.m, then 12:30, 1:30, 2:30, 3:30. Sometimes I can get him to go back into a deep sleep until 6:30 which is the time I have to get him up to go. We co-sleep with a sidecarred crib.

I called my pediatrician and asked if I could use goats milk to supplement. She said no, because of the iron. Would that be lack of or too much iron in goat's milk? I don't want to give him formula but I am so stressed about all of this right now, I can't produce enough!

What else can I do???????????

Please! Please tell me how to increase my supply! I have tried pumping first thing in the morning but have found that when I do that it equals what I would normal pump in my morning at work pumping session. Example, I can pump 2 oz. in the morning before I leave for work and then only 3 oz. at work. This would be normally a 5 oz. bottle I would pump already so it did not help.

HELP!

laural

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#2 of 37 Old 07-24-2007, 11:57 PM
 
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Hey mama, I am not too knowledgeable about your situation but here's a link from Dr. Sears that I thought might be helpful. Good Luck!

http://askdrsears.com/html/3/t032400.asp
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#3 of 37 Old 07-25-2007, 12:27 AM
 
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Sounds like you're doing all the normal stuff to increase your supply.

As was suggested around here recently, and I've had lots of luck with it, I suggest you get some barley soup and ovaltine.

Also, go ahead and get some domperidone. The generic Motilium is available without a rx, I'll provide links if you need.
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#4 of 37 Old 07-25-2007, 01:20 AM
 
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You poor dear, you must be in such a state right now. I think you're doing all the right things, though your anxiety can't be helping matters. Which is a catch-22 because of course you're going to feel anxious if you're not producing enough!

I've been a low supply mama from the beginning, and I've felt that horrible anxiety. I've had to supplement with formula from the beginning, and I'm now an EP'er. I'm sorry I don't have a happier story for you, but I think you'll do better.

I did want to address this part, though:

Quote:
Originally Posted by Happily Blessed View Post
I called my pediatrician and asked if I could use goats milk to supplement. She said no, because of the iron. Would that be lack of or too much iron in goat's milk? I don't want to give him formula but I am so stressed about all of this right now, I can't produce enough!
Goat's milk doesn't have enough iron in it. Formula has added iron so that the baby doesn't become anemic. The additional risk with goat's milk is that it may have too much protein in it, which could put the baby at risk of kidney failure. If you try to dilute the goat's milk to minimize the protein, then the resulting liquid won't be nutritious enough and you'll end up with a failure-to-thrive situation. Same with cow's milk. It's why formula was invented in the first place: to find an adequate substitute for cow's milk (which was a popular substitute for mother's milk) when breastfeeding couldn't happen (like in most adoptions, for example, or when a baby's mother died and there were no lactating women around). Formula is basically cow's milk (or soy) that's been taken apart, reduced in protein and had other minerals and vitamins (like iron) added.

As much as I hate to tell you this, if you can't produce more or find donor breast milk, formula is the next safest thing. I would not recommend making a homemade formula or giving the baby straight milk from another mammal (cow, goat, sheep, cat, dolphin, whale, or platypus ) if the baby is less than a year old.


To address your other question:

Quote:
Please! Please tell me how to increase my supply! I have tried pumping first thing in the morning but have found that when I do that it equals what I would normal pump in my morning at work pumping session. Example, I can pump 2 oz. in the morning before I leave for work and then only 3 oz. at work. This would be normally a 5 oz. bottle I would pump already so it did not help.
You're already taking some good herbs. Good. Make sure you're avoiding other herbs which could decrease your supply.

Herbs to avoid (I posted this on another post, but you may have missed it): SAGE (<---avoid this one like the plague; mothers use it to help them dry up and it happens very quickly), thyme, oregano, rosemary, parsley, any form of mint (so don't chew mint gum or eat a mint after a meal or even chocolate mints, try to avoid mint toothpaste and minty lip balms). I think that's most of the really bad ones.

Try to think positive and that you will produce more than enough milk. Try not to look at the containers as you're pumping. Take deep breaths and look out the window if you can. Think happy thoughts. I know it's hard while pumping, believe me, I know, but you can do this!!

I'm going to refer you to the links page on my website which has a lot of links I've found helpful. They go into more depth than I do, and I really hope you find what you need to fix your problem: http://www.breastfeedingsymbol.org/links/

Good luck, mama!
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#5 of 37 Old 07-25-2007, 01:22 AM
 
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NAK.

AF - SUPPLEMENT RECOMMENDATION
I have heard that supplementing with Calcium/Magnesium may help with AF related supply issues. Here is a Kellymom link for various “Natural Treatments” Jump to the section titled, “Low milk supply associated with menstruation: Calcium/magnesium supplement”.
http://www.kellymom.com/herbal/natural-treatments.html

REVERSE CYCLING
If it is consistent with your sleep needs and parenting philosophy you might want to consider co-sleeping and keeping the self-serve Milk Bar open all night to encourage reverse cycling. The more milk your baby gets overnight the less he should need during the day. If safety is a concern check out Kellymom and look up the family bed. They give lots of safety tips.

BOTTLE FEEDING TIPS
Are you using slow flow nipples? If not, you might want to pick some up to try and slow down his bottle feedings and give him a chance to recognize that he is full. That may minimize the pressure on you to produce more milk than you should have to. Here is a link to a Kellymom article on how to bottlefeed breastfed babies. One of the best tips is to remove the bottle every couple of swallows to slow the feeding down. Of course this requires more effort on the part of the caregiver. http://www.kellymom.com/bf/pumping/bottle-feeding.html

SUPPLY BOOSTING TIPS
Again, start with the basics, make sure you eat enough protein, drink enough water and limit your caffeine and get enough rest (good luck with the last one). Regarding supplements, consider trying herbal combinations such as "More Milk" or "Rescue Remedy" or have you considered "Mother's Milk Tea?

Or you could try some of the various herbs by themselves: Fenugreek, Red Raspberry Leaf, Nettle, Alfalfa, Etc. (check Kellymom.com for a more complete list and info on dosages).

It is important to do your own research on each of these herbs and decide whether you are comfortable with them or not. I don’t remember much research regarding Alfalfa however, I stopped taking it when I learned it is not recommended for anyone with Lupus. I don't have Lupus and neither does DD but Lupus runs in my husband's family and I don't want to pre-dispose my daughter.

Something else to keep in mind, if I remember correctly Fenugreek is in the peanut family so you may want to avoid that particular herb if you have a history of peanut allergies in your family.

Regarding oatmeal (cereal, cookies, etc.), I have always eaten a lot and couldn't say whether it ever made any difference. You could also try Oatstraw Tea. If you are take oatmeal to help boost supply keep in mind it can be filling so don't let it replace your protein/fat. For instance, you wouldn't want to trade your egg and cheese breakfast sandwich for a bowl of oatmeal. Or if you have the oatmeal add plenty of walnuts &/or peanut butter.

Also, some women seem to respond well to a nice piece of steak. Oddly enough, the steak would seem to work occasionally, but not always, for me.

I have also heard that the milk boosters oatmeal and brewer's yeast have two components in common, Inositol and Choline. Inositol is a B vitamin (It may or may not be unofficially "numbered" B8). Supposedly Inositol and Choline work together to increase the effectiveness of Oxytocin. If you are curious --or for the benefit of anyone else thinking about trying this-- I tried a regimen of 400 - 500 mgs of Inositol and 2.5 grams of Choline.

The first time I tried this regimen I didn’t really stick with it long enough to see if it made any real difference but my impression was that the tea regimen of RRL, Nettle, & Oatstraw worked better for me. I tried the Inositol / Choline regimen again recently and saw a pretty dramatic increase, anywhere from a 50% to 100% increase after about a week to a week and a half. However, it seemed to make me dizzy. The dizziness went away about two days or so after discontinuing the Inositol and Choline regimen. If I were desperate I might try it again on a very reduced dose, which would mean cutting the tablets.


What is a galactagogue? Do I need one?...Herbal remedies for increasing milk
http://www.kellymom.com/herbal/milks...actagogue.html

Increasing Low Milk Supply
http://www.kellymom.com/bf/supply/low-supply.html

Let-down Reflex: Too slow?
http://www.kellymom.com/bf/supply/letdown.html

Marmet Technique
http://www.lactationinstitute.org/MANUALEX.html

I'm not pumping enough milk. What can I do? http://www.kellymom.com/bf/supply/letdown.html

Choosing a Correctly-Fitted Breastshield http://www.medela.com/NewFiles/faq/b...hield_fit.html

How to bottle-feed the breastfed baby
...tips for a breastfeeding supportive style of bottle feeding http://www.kellymom.com/bf/pumping/bottle-feeding.html

Co-Sleeping – Making it Work and Making it Safe http://www.kellymom.com/pantley/pantley21.html

What is a galactagogue? Do I need one?...Herbal remedies for increasing milk
http://www.kellymom.com/herbal/milks...actagogue.html

Fenugreek See For Increasing Milk Supply
http://www.kellymom.com/herbal/milks...fenugreek.html

Increasing Low Milk Supply
http://www.kellymom.com/bf/supply/low-supply.html

Choosing a Correctly-Fitted Breastshield http://www.medela.com/NewFiles/faq/b...hield_fit.html

How to bottle-feed the breastfed baby
...tips for a breastfeeding supportive style of bottle feeding http://www.kellymom.com/bf/pumping/bottle-feeding.html

Co-Sleeping – Making it Work and Making it Safe http://www.kellymom.com/pantley/pantley21.html
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#6 of 37 Old 07-25-2007, 01:46 AM
 
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Still NAK.

If any of the links aren't working please PM me.

PUMPING TIPS
Make sure to read the Marmet (massage) technique to improve your pumping yield http://www.lactationinstitute.org/manualex.html

I recently read that the ducts extend up to the armpits so you might want to modify the technique to include this area. On a message board I once read about an enhancement technique, I haven't seen it anywhere else since then but it does make a difference for me.

Move the horns a little off center in between massaging, in a pattern, (e.g. slightly up, slightly down, slightly right, slightly left) so that the suction is reaching ducts it might not otherwise reach. Try to follow the same pattern each time so you're less likely to skip an area. This increased the amount of "hind" milk I was able to pump, which has a higher ratio of fat and protein so it is probably more filling. Once I go through the first pattern (12:00, 3:00, 6:00, and 9:00) I run through a second pattern (halfway between 12:00 and 3:00, halfway between 3:00 and 6:00, etc.) I was really surprised at how well this worked for me. As much as I would rather just sit down and let the pump do the work it is much more of a "hands on" experience than I would like; but it does work.

If you are coordinated try experimenting with compressions and/or massage while you are pumping. This might save some time on doing that in between moving the horns around.

Also, if you’re blanched (white) after pumping you may need bigger horns (aka funnels, shields, etc.). Note that it is possible to have large nipples even if your overall size seems small(er). One of the Medela web pages has a picture of what it looks like if you are getting squished.

Medela - Choosing a Correctly Fitted Shield
http://www.medela.com/NewFiles/faq/b...hield_fit.html
See the fhird paragraph for a picture with a link to a video

Finally, here are a couple of miscellaneous tips I read recently that I’ve never tried myself but may be helpful: 1) a hot shower between your shoulder blades before pumping. 2) non-alcoholic beer, and 3) smelling your baby’s head, looking at her picture (to facilitate Visualization), etc.

When my supply issues were the worst, I would nurse on one side and pump on the other before going to work. This has a couple of advantages: 1) Your Prolactin levels are probably higher, 2) You pump more efficiently this way if you are more conditioned to the baby than you are the pump , and 3) You may be squeezing in half a pumping that you otherwise wouldn't be able to.

Also, give some consideration to additional "conservation" methods besides those tips on bottlefeeding a BF baby. E.g.: storing milk in "serving sizes" to avoid waste if the caregiver isn't cautious about pouring out only what is needed. This is especially important for the milk that gets frozen because you only have 24 hours to use it once it's thawed. Try storing half portions for the same reason. If baby is extra hungry the caregiver won't always have to waste a whole frozen bag if only half a bag is necessary. Note, the serving size will probably change over time.

Depending upon your pumping routine you may be able to tell when you are pumping fore milk versus hind milk or a combination of the two. The hind milk usually comes in towards the end of a feeding/pumping it is higher in fat and protein and it looks more like whole milk. That milk tends to be more filling so you might want to put a little less of that in a serving size, and vice versa. So I mark the bag accordingly. As an added bonus, when DD2 was younger DH would notice she'd fall asleep more easily after a serving of hind milk which is nice for the caregiver when it comes time to planning a nap.

OVERVIEW OF MY WORKING & PUMPING ROUTINE
Depending upon the setup you have at work some parts of my routine might not work for you, but I hope you'll find some of this helpful. Sorry it's so long.

Although the milk will stay fresh for up to 8 or so hours at room temperature, I prefer to keep it cold so that I don't cut too much into that 8 hours. That way the caregiver can use that time if necessary to decrease the potential amount of waste. So if they give DD2 a 3 ounce bottle but she only drinks 1 or 2 ounces that milk can actually sit out for quite awhile.

Also, refrigerating it (or keeping it on ice) at work gives you a greater margin for error if you forget about the milk when you get home. I have left my milk on ice overnight a couple of times and still felt comfortable going on to store and use it (based on the temperature of the milk when I discovered it I was well within the temperature guidelines for refrigeration storage). Check Kellymom http://www.kellymom.com/bf/pumping/milkstorage.html or Medela's site for the temperature guidelines. I use a digital meat thermometer for checking the milk temp when necessary. If you have more than one bag you don't even need to open one. Just put the bags in a cup or mug and then place the digital probe between the bags.

So here is my procedure. I have a rectangular Rubbermaid storage container large enough to contain my fully assembled bottles (roughly 11" x 8" x 3"). Because it is a casserole dish you would need a fridge door shelf deep enough to hold it standing up. For transportation and camouflage purposes I have it double bagged in a larger than average and thicker than average grocery type plastic bag. As you may remember, my pocketbook is large enough to hold this container so I keep the bagged container in my pocketbook on my way too and from work. Otherwise you might need a large zippered tote bag or something similar.

So, at the end of a pumping session I lay the double zipped milk bags side by side at the bottom of the Rubbermaid container, then I lay the fully assemble bottles on top of them with the bottles side by side. Depending upon the width of the container you might need to set one of the bottles so the bottom of its horn will nest on the top of the other bottle. Then I put the lid on it, bag it, loosely tie the handles without knotting them, and place it in the door of the fridge, standing straight up. If the door shelf isn't deep enough on your fridge then you might be able to use a tall "canister" type Rubbermaid container but it would probably need to go on the top shelf.

This method also gives you the flexibility of leaving the bottles partially full until the next pumping. Then you can bag the milk when the bottles are full.

Regarding washing. I am lucky to have a kitchenette near the mother's room but I'm still pretty careful about where I put the disassembled parts. So the Rubbermaid container doubles as a tray and wash tub. I use Dawn detergent and hot water to wash/rinse the lid, which then doubles as a tray. I then wash/rinse the disassembled parts and lay them all on the lid. Then I wash/rinse the tub, transfer the clean parts into the tub and close the container.

It is important to shake as much water off of the parts as possible before putting them in the container. I transport everything home and take the lid off so everything can dry thoroughly. The only thing I need to do is make sure that the parts are spaced for air flow, especially the small silicone parts. In the morning they are fully dry. All I have to do is wash and dry my hands, and assemble the bottles, and I'm ready to start again.

With DD1 they had Palmolive in the kitchenette at work but the Dawn they now have is much better at cutting the fat so everything rinses better. Before I had to use a paper towel to give the insides of the bottles a light scrub and I would actually thread the paper towel through the narrow opening of the flange. Now I just wash and rinse in really warm, almost hot water. Vinegar is also really good for cutting fat, either during the washing process or as part of the final rinse.

Of course you have the option of simply reassembling the bottles after the milk is poured out, putting them back in the container and washing them when you get home. I do this on occasion but I still use the Rubbermaid container to hold everything as it dries overnight.

I use the thermal storage bag that comes with the Medela PIS to take the milk home. I now use 2 packs of "blue ice" to increase the longevity of the milk and margin of error in case I forget to take the milk out when I get home. As mentioned above, I have been able to use milk left overnight with one blue ice pack but when you use two the ice remains partially frozen so I'm assuming the milk would stay even colder.

If you are short on freezer compartment space: I cut a cardboard box to fit the Lansinoh storage bags that I use. That way I can stack the filled bags and freeze them flat with a minimum of distortion, on the bottom shelf (drawer). Once they are fully frozen, I use tissue boxes to "file" them on their sides them by date. Periodically I double check to make sure that they are in the correct chronological order.

The "stack, freeze flat and file" method saves on freezer space and keeps everything better organized so it is easier to find the oldest bag in the right size. And since you are not pawing through a pile of lumpy bags they are less likely to get ripped or torn. This happened to me a couple of times when I would freeze them standing up in cups. When rummaging through them they would bang against the coated wire of the drawer and the bags would get damaged. I lost a small but significant amount of milk this way. It's also easier to tell at a glance how much milk you have.

I have seen a storage / filing system you can buy but it is much bulkier since the drawer segments have to be large enough to fit a full bag before the milk has frozen. My method takes a little more effort since you have to stack and freeze the bags flat, and then file them, but there is a minimum of wasted space.


LINKS
Getting Started BF’ing
http://www.kellymom.com/bf/start/index.html

Storage & Handling http://www.kellymom.com/bf/pumping/milkstorage.html

Index of Dr. Jack Newman’s Articles -- includes links to videos showing proper tips and techniques for proper latching
http://www.breastfeedingonline.com/newman.shtml

Newman’s latching tips, including diagrams
http://www.breastfeedingonline.com/whenlatchingpdf.pdf

What is a galactagogue? Do I need one?...Herbal remedies for increasing milk
http://www.kellymom.com/herbal/milks...actagogue.html

Increasing Low Milk Supply
http://www.kellymom.com/bf/supply/low-supply.html

Let-down Reflex: Too slow?
http://www.kellymom.com/bf/supply/letdown.html

Marmet Technique
http://www.lactationinstitute.org/manualex.html

Choosing a Correctly-Fitted Shield http://www.medela.com/NewFiles/faq/b...hield_fit.html

How to bottle-feed the BF baby
...tips for a breastfeeding supportive style of bottle feeding http://www.kellymom.com/bf/pumping/bottle-feeding.html

Co-Sleeping – Making it Work and Making it Safe http://www.kellymom.com/pantley/pantley21.html
BF’ing @ kellymom.com
http://www.kellymom.com/bf/index.html

How much expressed milk will my baby need? http://www.kellymom.com/bf/pumping/milkcalc.html
Kellymom link: Herbal Remedies for Increasing Milk Supply
http://www.kellymom.com/herbal/milks...bal-rem_a.html
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#7 of 37 Old 07-25-2007, 03:32 AM
 
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All of the above are great ideas, and I would do them all, but I would also order domeridone from http://www.inhousepharmacy.com
Do everything you can bear to do. But the domperidone got me from 28 ounces a day to 46 ounces a day.
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#8 of 37 Old 07-26-2007, 04:55 PM
 
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I second the info on domperidone. I've made an FAQ for it:

http://www.mothering.com/discussions...d.php?t=461626

Also, is you family open to the idea of donations? Here's info on a couple of web sites that coordinate them. Or you could post an ISO in your geographical tribal area here at MDC.

Donations:

http://www.breastmilkdonations.com/index.html

http://milkshare.birthingforlife.com/

Twin boys 04/2005 : Support breastfeeding rights at FirstRight.Org : warrior
Face the rear for MORE than a year! Toddlers' necks are safest in a rear facing carseat
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#9 of 37 Old 07-26-2007, 07:32 PM
 
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Another thought! You have PCOS, and I have learned that insulin is important for milk production. Are you taking Metformin? You should be, and you can nurse with it!
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#10 of 37 Old 07-26-2007, 11:15 PM
 
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I didn't realize you have PCOS. Has anyone suggested Goat's Rue?

Here's a Kellymom list of Herbal Remedies for Increasing Milk Supply. Scroll about 2/3rds of the way down to find Goat's Rue.

Kellymom - Herbal Remedies for Increasing Milk Supply
http://www.kellymom.com/herbal/milks...bal-rem_f.html

~Cath
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#11 of 37 Old 07-27-2007, 03:00 PM
 
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I have helped several mamas with milk supply. herbs are GREAT, but I have to say that rest is the absolute key. Also, avoid any restrictions on your breasts as much as possible, sleep on back or side at night.
I have also observed that more physical contact with baby makes for more milk. I have heard that for many women, milk supply is lower in summer months-you'll get it back. It sounds like you are a dedicated, strong mama.
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#12 of 37 Old 08-01-2007, 08:31 PM
 
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I would recommend More Milk Plus as a concentrated form of Fenugreek. It is an alcohol-extracted tincture so is stronger than just pills. You can get it at SOME health food stores & mail order through:

http://www.motherlove.com/products_extracts.php

They also have Goat's Rue for people who need to build breast tissue (insufficient glandular tissues, etc.)

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#13 of 37 Old 08-02-2007, 09:47 PM - Thread Starter
 
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Thank you so much for all of your information. I have found that after AF came and went my supply went back up a little. Not quite to what it was, but enough if I pump 2 more times to get a little more. I have ordered the domperidone. I will probably go to a health food store this weekend to get me the More Milk Plus to tide me over until the domperidone gets here.

laural
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#14 of 37 Old 08-12-2007, 01:08 PM
 
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an lll leader can help you increase your supply! they will also have information on herbs and drugs that you may be interested in.
stacey
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#15 of 37 Old 08-12-2007, 09:18 PM - Thread Starter
 
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Yes, I have contacted LLL. Unfortunately their meetings are during the day, like the fourth Thursday at 10. I work full time and have been at work for 4 hours by then.

But thanks for the idea!

laural
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#16 of 37 Old 08-13-2007, 12:54 PM
 
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local lll leaders take helping calls--or you can call the help line. here is a link to the la leche international website that may be of help to you.

http://www.lalecheleague.org/resources.html

this is also the number for the hotline:
1- 800-LALECHE
stacey
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#17 of 37 Old 08-23-2007, 08:09 AM
 
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For anyone interested, here's a link to some success stories:

http://www.mothering.com/discussions...ighlight=carob

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#18 of 37 Old 08-24-2007, 11:37 AM
 
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It's hard for me to make enough milk unless I really work at it. Otherwise, I'm stuck supplementing with formula which I hate to do.

Here is what I do;
I breastfeed as much as I can. When my baby is finished, I pump using a hospital grade breastpump. I actually rented this from a medical supply store and I pay about $40 a month for it. It's so worth it.

I drink a lot of water. I try not to do any strenuous activities.

I drink Breastea at http://www.breastea.com

I'm bad about trying to get housework done when my kids are asleep. So a lot of times I get between 5 - 6 hours of sleep a day. So I am now trying to make sure I get at least 8 hours of sleep.

I hope this helps.
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#19 of 37 Old 08-25-2007, 12:00 PM
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I'm interested in learning more about all the info in these posts as they relate to being pregnant... I know I'm not supposed to take fenugreek, which has always been successful for me... so aside from the other basics, like oatmeal, sleep (yeah, right...) staying hydrated, what can a preg mom do? DS is only 10m old, and I'm about 4m pg, so his nursing relationship is no where near ending in my eyes... I'm hoping to keep him satisfied nursing one way or another until the new babe is born and then he can at least make up for lost nutrition...

so is domperidone safe while pg? or any of the other herbs or suggestions?

thanks!!
susan

twins 7.02 ⢠DS 10.06 ⢠OMG #4 1.08 ⢠ebf + tandem nursing!
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#20 of 37 Old 08-25-2007, 04:38 PM
 
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Motherlove makes More Milk Two, which has no fenugreek and is designed to help pg moms with supply.
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#21 of 37 Old 10-11-2007, 10:06 PM
 
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The American Academy of Pediatrics has a good book on breastfeeding that explains how to increase your supply. One thing that affects it is the frequency of nursing and the length of the nursing session. If there is anyway you can pump more frequently at work, do it! Even if not much comes out, or nothing, do it anyway. And pump for as long as you normally would, or as long as you would normally nurse. Good luck!
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#22 of 37 Old 10-22-2007, 11:54 PM
 
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I just read a very good article at MOBI (Mothers Overcoming Breastfeeding Issues) website about low milk supply / slow flow. Scroll down through the too fast flow for more info:

http://www.mobimotherhood.org/MM/article-milkflow.aspx

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#23 of 37 Old 11-14-2007, 12:03 AM
 
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I have 5 month old twin piggies. Unfortunately, I have to supplement a little with formula, but I have monitored my milk production closely. I always eat and drink enough, but getting enough sleep is a huge factor for me. I can drink all the fenugreek in the healthfood store, but if I am overly sleep deprived (of course we are all moderately sleep deprived) my supply drops.

I've just started one other trick... if you have the time, after I pump (and am unhappy with my amount), I'll take a hot shower, make sure my breasts get plenty of heat, and pump again... I usually get 1-2 more oz each side. That also serves as a mini-simulated-cluster feed.

Good luck!
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#24 of 37 Old 11-24-2007, 10:52 PM
 
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I have PCOS in a bad way and I wanted to add that Shatavari has helped me a lot with increasing milk supply. I take it in tincture form from www.herb-pharm.com and works like Goat's Rue and Reglan but without the horrible side effects. Goat's Rue has been known to increase breastmilk by 50% in women with PCOS. Maybe if I had found out about it sooner I would not have to supplement with formula at all. But I am satisfied with providing half, more would be great, but any breastmilk is better than nothing.

Quote:
New Findings Vindicate Efficacy of Shatavari
(Asparagus racemosus), Traditional Medicine
by Lalit Tiwari
Shatavari is a versatile traditional plant used for a variety of serious diseases as also impotency of both the sexes. Shatavari means one 'who possesses a hundred husbands'. It is considered both a general tonic and a female reproductive tonic. Shatavari is the main Ayurvedic rejuvenative tonic for females. Shatavari is, however, also used for sexual debility and infertility in both sexes. It is also used for menopausal symptoms and to increase lactation.

Recent chemical analyses have now thrown some light on its efficacy. We give here references to a number of recent analyses of its multiple medicinal properties.

Quote:
Galactogogue:
Extract of shatavari has been shown to increase both the weight of mammary lobulo-aveolar tissue and the milk yield. This effect was attributed to the action of released corticosteroids or an increase in prolactin.
We also have a thread here discussing Shatavari.
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#25 of 37 Old 12-11-2007, 01:11 PM
 
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It sounds like maybe your body is just getting tired out...it sounds like you aren't getting much sleep. I got to this point before and found that B complex helped a lot, and I felt like I had a lot more energy.

Also, somehow when you pump and throughout the day, don't think about how much milk you need, or what you have pumped. Take your time pumping (sometimes it can take a lot longer to get another let down), and try your best to relax.

I know when I feel low on milk and I take a break and take a nap I wake up suddenly FULL. I don't think all of the other things (Fenugreek, etc.) will substitute for rest. Sleep really makes a BIG difference. But I know it's nearly impossible juggling that with work and the baby. I find I have the most milk with 8-10 hours at night, but during the week I am lucky to get 6.

Good luck-
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#26 of 37 Old 01-11-2008, 06:13 PM
 
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Occasionally people will ask here what the "true" incidence of low milk supply is. I recently found a couple of good studies measuring this.

One thing to remember is that breastfeeding involves both mother AND child(ren) and many factors can affect supply, including infant factors, and pumping and/or WOH.

http://www.ncbi.nlm.nih.gov/pubmed/1...RVAbstractPlus

This study estimates that 12% of healthy, singleton, term infants had excess weight loss. This is in a "crunchy" area (Davis, CA) with high educational levels and motivation to breastfeed, and where moms had good access to care with lactation consultants, etc. In other words, in an uncomplicated hospital birth with lots of support, 12% of singleton moms still had low supply problems.

http://www.ncbi.nlm.nih.gov/pubmed/2...ubmed_RVDocSum

This study measured 319 healthy, motivated, first-birth women who were breastfeeding full term, healthy, appropriate for gestational age or large for gestational age infants, and where only 7% had undergone previous breast surgery. It found that
Quote:
15 percent had persistent milk insufficiency despite intensive intervention.
I personally believe that low milk supply is a much more common than many health professionals recognize, and that it is an important area for ongoing research. Rather than burying our heads in the sand regarding this issue, I think breastfeeding advocates need to get the information out there for women that this is a real problem, and that there ARE some things that can be done to optimize breastmilk production. Off my : .

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#27 of 37 Old 01-25-2008, 06:38 PM
 
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Sometimes tongue and lip tie can affect milk transfer, weight gain and eventually milk supply. I've made an FAQ on this topic:

http://www.mothering.com/discussions...d.php?t=833815

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#28 of 37 Old 01-26-2008, 11:24 PM
 
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Quote:
Originally Posted by Happily Blessed View Post
I am a WOHM. My DS is 6.5 months old. The past few weeks I have had a serious drop in supply that I can pump. I have two bags left of my stashed BM.
I eat oatmeal every morning.
I drink enough water throughout the day.
I have eliminated almost all caffeine.
I take Fenugreek, 4 tablets 3 times a day. Blessed Thistle 2 tablets. Brewers yeast 4 tablets twice a day. Calcium/magnesium.
I have PCOS.
I use a medela PIS and I have recently changed out the white flappy things(sorry forgot the name).
I am able to pump twice a day at work.

Prior to the decrease, I would be able to pump about 5-6 oz. in the morning, and 4-5 oz. in the afternoon. More on Mondays because he nurses frequently when I am home.

Today I was able to pump 5 oz. total for the day, 3 this morning and 2 this afternoon. So, hopefully I will be able to get to pump while he is sleeping this evening for tomorrows feedings.

My sleep is awful because he is up almost every hour after his first waking. He goes to sleep normally at 7:30 or 8, sleeps until 10:30 to 11 p.m, then 12:30, 1:30, 2:30, 3:30. Sometimes I can get him to go back into a deep sleep until 6:30 which is the time I have to get him up to go. We co-sleep with a sidecarred crib.

I called my pediatrician and asked if I could use goats milk to supplement. She said no, because of the iron. Would that be lack of or too much iron in goat's milk? I don't want to give him formula but I am so stressed about all of this right now, I can't produce enough!

What else can I do???????????

Please! Please tell me how to increase my supply! I have tried pumping first thing in the morning but have found that when I do that it equals what I would normal pump in my morning at work pumping session. Example, I can pump 2 oz. in the morning before I leave for work and then only 3 oz. at work. This would be normally a 5 oz. bottle I would pump already so it did not help.

HELP!

laural
Lack of DHA - take as much as can afford - cannot OD on it. You are already highly deficient in it just being on western diet, America lowest levels in the world. I know lots of people who have changed their lives with adding this to their diet - some of whom take 7 gms per day.

Go for it!!
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#29 of 37 Old 01-27-2008, 10:16 AM
 
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I think that your milk supply can go up or down for many reasons.
For example, stress, lack of sleep,quality nutrition,dehydration,milk changes to accomodate developing baby....Try to nurse or pump every 1 1/2 hours even if it is a little bit. I firmly believe that demand will increase supply. Do that for a few days and see if you see improvement.
Also, I have found that nuts of any kind..almonds, cashews...have really helped me during low production times. It gives you body the fats and vitamins you may lack.
I just wanted to add that I'm not sure what prescription or OTC people are recommending...but I would stay far and away from most prescription meds during nursing and be leary of any that claim to boost supply. I think as bf mothers we need to THINK about what we are putting in our bodies...and not take meds of any kind unless absolutely necessary. Even if it or Dr says...safe for nursing. I don't believe it...IMHO.
Good luck
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#30 of 37 Old 01-28-2008, 06:50 PM
 
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to all of us with problems beyond "just nurse more often".



Here's info on Shatavari from lowmilksupply.org, including a recommended supplier:

http://www.lowmilksupply.org/shatavari.shtml

Quote:
Obtaining Shatavari
Shatavari is not well-known outside of India,so it is not likely to be available in local health food stores. However, it may be in local ethnic grocery stores. It is sold as plain shatavari capsules and also as a product called Lactare. Another option is to buy it online; if you search on Google, you'll see ads for places that sell it in the right hand column where all the paid advertisers pop up.

WARNING: Be extremely cautious about obtaining shatavari or any herb from Asian sources because they carry a higher risk of containing toxic metals.

One company named Ayurceutics recently contacted us to say that they sell Shatavari online and are pleased to ship to addresses in North America. Their products do NOT contain toxic metals. We agreed to provide a link to their site, but note that we do not accept any financial compensation for doing so; providing this link does not constitute an endorsement of their product.

NOTE: If you do not live in the US and are ordering from a US supplier, it is often much less expensive to choose the US Postal Service (USPS) for your carrier than the United Parcel Service (UPS).

Click here to purchase Shatavari from Ayurceutics.


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