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Discussion Starter #1
I'm looking for any and all advice you can give me for successfully breatfeeding after a breat reduction. My dd is 9 days old and is down to 8lbs 12 oz from 9lbs 7.7 oz. I really don't want to give her formula but it's looking like I may have to. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"> What I'd really like to do is increase my mild production so she will at least be getting some if not all her needs met by my milk. Is that unrealistic for a bfar mom?<br><br>
If I do need to supplement I'm steering clear of bottles too. I made a lot of mistakes and took very bad advice with my older dd which let to me giving up when she was a week old and I've always felt guilty about that.<br><br>
So, lay it on me.. Give me your best advice.
 

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I do not know anything about BFAR, but I would give you the same advice I'd give any woman trying to increase her production.<br><br>
1) it is normal for babies to lose weight after birth.<br>
2) the way to make more milk is nurse nurse nurse. If that means your baby is on the breast all of the time, then that is what it means. Once your production is built up you will not need to nurse so much, but for a few days you might be working at it very hard.<br><br>
Have you posted in Breastfeeding? There is so much more traffic there you might get more responses. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
You are doing a great job and you can do this!!!
 

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As anothe bfar mama, you have a few issues to deal with that typical low supply doesn't.<br><br>
1. Your baby HAS TO EAT. If you're not producing enough and you can't get donor milk, you MUST give formula. The baby has to eat.<br>
2. take herbs - fenugreek, thistle and alfalfa are a good combo.<br>
3. eat oatmeal, it increases supply as well.<br>
4. find yourself an lc, or an ibclc, asap. visit often, doing before/after weight checks so you can be assured baby is growing and you'll know how much baby gets from you.<br>
5. if you won't use a bottle, get a lactaid or sns asap and start using it so baby is getting enough to eat.<br><br>
My baby is nearly 8 weeks. We breast first, he gets no more than 1 oz from that. Then we bottle, between 3 and 4 oz depending on his mood and time of day. He also comfort nurses during the day, which helps my supply as well. He doesn't have any problems going breast to bottle, b/c we've done both since day 1. The keys here are to find an ibclc asap and USE THEM, and to remember that no matter what, and no matter how much milk you give your baby, you're doing the best you possibly can, and nobody expects you to drive yourself crazy over this, least of all the baby. Do what works best for BOTH you and the baby.
 

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As a successfully exclusively breastfeeding BFAr mom, my first thing would be to rent a scale or go hang at place with a scale (I know my ped would be cool if I wanted to do before/after weight checks daily, if it meant BFing success). Find out how much baby is getting to start with. If you had a hospital birth, with any IV, baby's weight was already inflated by the fluids. Has he/she stopped losing yet? If so, then you're doing okay. If he/she is gaining, even slowly, then you are doing even better. Looking back, with Ds, I wish I had however started the fenugreek/alfalfa early on to establish a great supply. Knowing you might have issues, I don't think taking the 2 would hurt (I took 10ish alfalfa, and 12 fenugreek in groups of 3-4/3times a day). With my Ds, he lost a TON at birth, more than 10% but turned it around and began gaining at day 5- was back up to birth weight by 2 weeks. With DD, she never really lost (well, we didn't weigh her)- At day 5, she was still her birthweight and she then started gaining. Oh, and a Lactaid isn't a bad idea if you aren't quite making enough. Just whatever you do, no bottles! Nipple confusion is a biotch! We got it from finger feeding and it def. impeded my milk supply w/ DS (though he was only supplemented while I worked from 4-6 months, and 9-12 months). Check out <a href="http://www.bfar.org" target="_blank">www.bfar.org</a>. Take as much time as you need now, rather than what you "can" - Make this the most important thing for now and know that everything else can wait. PM me with anyquestions if you want. I really struggled in the beginning with DS, but DD and I have had a great relationship from the start, and I now produce enough milk that I dontaed 10-15 oz. a day for a while in there!
 

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i am currently BFARing with my second baby (first succesful BFAR)<br>
definitely get a <a href="http://www.lact-aid.com/" target="_blank">lact-aid</a> or two, they are FABULOUS for at the breast supplimentation!<br>
see if you can find a local donor or two from milk. and/or check out <a href="http://health.groups.yahoo.com/group/MilkShare/" target="_blank">milkshare</a><br>
order some <a href="http://www.inhousepharmacy.com/general/motilium.html" target="_blank">domperidone from new zealand</a><br>
take some herbs my fave blend is the <a href="http://www.vitanica.com/supplements_10.htm" target="_blank">lactation blend from vitanica</a>.<br>
when not nursing, pump pump pump, even if you get NOTHING out, you are giving your breasts stimulation to make more milk.<br>
eat at least ONE oat or barley item a day, cheerios for breakfast, oatmeal, granola bar, oat cookies, etc.<br>
nurse as often as your baby wants to, give NO bottles and NO pacifiers. be the human binky.<br>
make sure you have a good latch. latching really IS everything!<br>
find a good <a href="http://www.bfar.org/lc.shtml" target="_blank">IBCLC</a><br>
and check out <a href="http://www.bfar.org" target="_blank">www.bfar.org</a><br>
and dont give up nursing! PM me if you'd like to talk more about this crazy BFAR journey!
 

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Be sure to check out the stickie at the top of this forum on low milk supply. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> from another low supply mama.<br><br>
And PS remember to love your baby! Sometimes we get so tied up with the feeding & guilt, that we forget what a precious gift we have been given.
 

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Discussion Starter #7
Thank you all for the advice. I'm still nursing like crazy, hoping that will help my supply. I'm drinking Mother's Milk Tea but apparently you can't get it in Canada so yesterday I bought fenugreek and blessed thistle and started taking the two. Tuesday I go to a local breastfeeding clinic so we'll see if I can't get her weighed before and after feeding to see how much she's getting from me. I also have an appt with my dr on Thursday so I'm going to ask for a prescription for domperidone ( I realize its probably cheaper buying over seas but I'm in Canada and I'm not sure how that would work for me ).<br><br>
Also, I'd love to get donated milk but I'm not sure where in Canada I can get it. Anyone know?<br><br>
I'm going to take your advice Addysmama and eat oatmeal at least once a day. Can't hurt, might help. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> And I'm going to buy a lactaid. The reality is, at least for a little while, I will need to supplement and I think I'll be ok with that if I'm still nursing. With my older DD I just gave up because everyone told me it was the thing to do. I've always felt bad about giving up that part of our relationship. On the plus side, Ruby's latch is way better than Erynn's ever was and that was the biggest part of the battle.<br><br>
All of you who told me I could PM you, expect a PM in the near future.<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"> I am so committed to bfing I plan to use any and all resources I can!
 

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I see that someone referred you to the supply "sticky" at the top of this board. I posted there twice (posts 5 & 6 I believe). I know that a lot of the links I included periodically become inactive. You should be able to find almost anything by "Googling" the article title. If not try using a meta search engine like "Dogpile". If there is anything you are interested in but can't find a current active link for please PM me.<br><br>
If you are pumping, I would suggest you try the Marmet/massage and "enhancement" technique.<br><br>
Good luck, ~Cath
 

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Erikka, remember also that not all bfar moms are the same. Some moms experience great strides in milk production from one child to the next, others not so much. I'm one of the "not so much" moms.
 

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<div>Originally Posted by <strong>EkkaGrrl</strong> <a href="/community/forum/post/9194857"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Thank you all for the advice. I'm still nursing like crazy, hoping that will help my supply. I'm drinking Mother's Milk Tea but apparently you can't get it in Canada so yesterday I bought fenugreek and blessed thistle and started taking the two. Tuesday I go to a local breastfeeding clinic so we'll see if I can't get her weighed before and after feeding to see how much she's getting from me. I also have an appt with my dr on Thursday so I'm going to ask for a prescription for domperidone ( I realize its probably cheaper buying over seas but I'm in Canada and I'm not sure how that would work for me ).<br><br>
Also, I'd love to get donated milk but I'm not sure where in Canada I can get it. Anyone know?<br><br>
I'm going to take your advice Addysmama and eat oatmeal at least once a day. Can't hurt, might help. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> And I'm going to buy a lactaid. The reality is, at least for a little while, I will need to supplement and I think I'll be ok with that if I'm still nursing. With my older DD I just gave up because everyone told me it was the thing to do. I've always felt bad about giving up that part of our relationship. On the plus side, Ruby's latch is way better than Erynn's ever was and that was the biggest part of the battle.<br><br>
All of you who told me I could PM you, expect a PM in the near future.<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"> I am so committed to bfing I plan to use any and all resources I can!</div>
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Where are you in Canada? I'm in the GTA and seeing Dr. Newman at his clinic in Toronto weekly. So far so good. He says he has had a BFAR woman exclusively breastfeed twins!!! He will write you a prescription for Dom if you email him and have it sent directly to the pharmacy of your choice. Of course if you are anywhere near Toronto I'd recommend going to see him personally. It's made all the difference this time around and there are women there daily who have driven hours to see him. Check out his website at drjacknewman.com and send him an email you'll be surprised how quickly he responds!! He also has heaps of info on herbs on his website. He has me taking 4 Fenugreek four times a day and three blessed thistle three times a day, plus 4 Dom four times a day. It's a lot, but totally worth it.
 

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I did it twice, the second time more successfully.<br><br>
I would be happy to help you. Feel free to PM me or email me.<br><br>
The first time I had twins. They were born at 36 weeks and one was in the NICU. I was a NICU nurse and thought I knew all there was to know about breastfeeding.. wrongo. We started with my daughter who was not in the NICU. She latched on pretty well at first and did really well. My son wasn't able to eat at first and when he finally was able to eat he didn't latch on well. I stupidly thought I would figure it out when I got home. My daughter did better but since she wasn't getting much she would latch on, pull off and latch on over and over again. I went home thinking I was going to breastfeed one, bottlefeed one, breastfeed the other then bottlefeed the other then pump with every feeding. I quickly realized that wasn't going to happen.<br><br>
I continued to work on nursing as much as I could but because of their latch and because there was 2 of them it was impossible to keep trying when the other one was hungry too. I pumped about 6 times a day (get a hospital grade pump, you can rent them) and tried to nurse when I could. They mostly ended up with bottles of breastmilk and formula. I did everything I could, I tried reglan and fenugreek. I ended up being able to pump about 12 oz per day so they got about 25% of their intake from breastmilk. I got a terrible thrush infection that took a long time to get rid of and for a lot of reasons stopped at 4 months.<br><br>
My second time I was very determined it would work because I was going to get the latch down before I left the hospital. She latched on very well and at first they told me not to supplement her. Day 3 she started to loose weight and eventually went from 5 lbs 15 oz to 5 lbs 2 oz. I started supplementing but tried really hard to only give her as little as I needed to. I kept nursing every 1 1/2- 2 hours and pumped as often as I could. It took her a month to regain her birthweight. I felt terribly guilty about this for along time because she was gaining weight and then started to loose it again and I had no idea my baby was starving. We supplemented about 2-4 oz of formula after every feeding for awhile. I continued to nurse and pump and eventually was able to decrease the amount of formula she got to a couple of ounces per day. I would nurse first and then if she seemed still hungry give her a bottle. Once she started solids and needed a little bit less breastmilk she ended up not needing any formula but still needed my pumped breastmilk. By about 5 months she was no longer needing any bottles and we were exclusively breastfeeding until 10 months when she weaned.<br><br>
Things I did<br>
The second time I took fenugreek from the day I got home until about 3 months. I do think it helped although I didn't notice a difference when I stopped it.<br>
Get a hospital grade pump and pump pump pump!<br>
Remember when in doubt YOU HAVE TO FEED THE BABY and formula will be ok. Just make sure you keep nursing as much as you can.<br>
Don't give up<br>
Be proud if you can give your baby ANY breastmilk. Breastfeeding is not an all or nothing thing. Don't be discouraged by moms going on about how much milk they have and how their breasts are leaking all the time.. this upset me at first but I know that I did everything I possibly could to give my kids breastmilk and I'm proud of what I did.<br><br>
Good luck. If you have any questions I would be happy to help you!<br>
Laura
 

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<div>Originally Posted by <strong>newmom22</strong> <a href="/community/forum/post/9198408"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Where are you in Canada? I'm in the GTA and seeing Dr. Newman at his clinic in Toronto weekly. So far so good. He says he has had a BFAR woman exclusively breastfeed twins!!! He will write you a prescription for Dom if you email him and have it sent directly to the pharmacy of your choice. Of course if you are anywhere near Toronto I'd recommend going to see him personally. It's made all the difference this time around and there are women there daily who have driven hours to see him. Check out his website at drjacknewman.com and send him an email you'll be surprised how quickly he responds!! He also has heaps of info on herbs on his website. He has me taking 4 Fenugreek four times a day and three blessed thistle three times a day, plus 4 Dom four times a day. It's a lot, but totally worth it.</div>
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I found his website really helpful too. I also emailed him at one point. The one thing that helped me a lot was his protocol to increase milk supply, especially the breast compression technique.
 
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