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Discussion Starter · #1 ·
Hi,<br>
I am living abroad, in Daegu, South Korea and just had my first baby. He is now 17 days old. I get little to no breastfeeding support over here -- no LLL no LC’s -- when my baby was born I was told to give him honey water to supplement my breast milk. That’s the level of help I get! In the early days, I had doubts that my baby was getting enough milk; he was so thirsty all the time. I gave him small sips of water, but not enough. He ended up being hospitalized for moderate to severe dehydration, and an infected circumcision wound. While he was in hospital for seven days, I could only see him for two half hour periods per day and had to pump and bring him milk (towards the end I could breast feed him twice per day). It was only once I started pumping regularly that I realized how LOW my supply is. I can only pump 15-30ml (LESS THAN 1 ONCE) per pumping session for a total of 100-150ml per day (FOUR ONCES TOTAL). I began taking fenugreek, alfalfa, blessed thistle and eating oatmeal twice daily to boost my supply. A nurse over here also showed me some massage techniques to open clogged ducts. I don’t; think anything is working… No real noticeable change. Now, my baby is home with me again. Of course I am scared to death that this horrible scenario will be repeated. So, as per the hospital’s recommendations, I breast feed him every 2-3 hours, usually for 30 minutes to a half an hour (although he can and has stayed on the breast for 90 minutes or more) and give him formula (40-80ml per feeding) to supplement. This makes feeding a very very long process! I wish that he could survive and thrive on my breast milk alone. Everytime I have to give him formula I feel sad. Especially since he seems to have such a hard time digesting it. What can I do? Will I ever be able to wean him off formula? If so, how? I sometimes think that the wee little bit of my milk that he is getting from me isn’t really worth the stress of questioning whether is getting enough…<br>
Any advice for this first time mom would be greatly appreciated.<br><br>
PS Surprisingly, my baby still latches on very well and can go from bottle to boob without any problems.<br><br>
Thank you for your replies from Kim and Leon the sleepy Lion
 

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you might want to check out kellymom.org- there's lots of helpful info on there about increasing you supply. My main advise to you is to put the baby to the breast as often as you possibly can. If you can, just sit on the couch - no bra - and feed even as much as every half hour - every time the baby roots for it. Your breasts need the stimulation to increase your supply. Formula takes twice as long to digest, and since nursing is a supply demand relationship, formula decreases your supply exponentially. Go without a bra as much as possible. Pump even when you don't get anything after feedings. And hang in there! Breastmilk is amazing stuff and does so many wonderful things for your baby!
 

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Yes, that is true, move towards reducing the amount of formula to help increase your milk supply. Nurse more often even though it will seem for awhile like feeding the baby is all you do. That's ok. Here are some resources for info:<br><br><a href="http://www.kellymom.com/index.html" target="_blank">http://www.kellymom.com/index.html</a><br><br>
Direct link to LLLI's FAQ's about bfing, alphabetized by subject:<br><a href="http://www.lalecheleague.org/FAQ/FAQSubject.html" target="_blank">http://www.lalecheleague.org/FAQ/FAQSubject.html</a><br><br><a href="http://www.lalecheleague.org/FAQ/increase.html" target="_blank">http://www.lalecheleague.org/FAQ/increase.html</a><br><br><a href="http://www.lalecheleague.org/FAQ/enough.html" target="_blank">http://www.lalecheleague.org/FAQ/enough.html</a><br><br><a href="http://www.lalecheleague.org/FAQ/frequency.html" target="_blank">http://www.lalecheleague.org/FAQ/frequency.html</a><br><br><br>
the LLL site also has a page where you can email them your questions.<br><br>
And keep on asking questions here, we are happy to help and support you as best we can as you continue your nursing relationship! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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Are you pumping with a hospital grade pump? That will make a huge difference. Also, pump right after feeding to stimulate your supply even more. It will be very hard at first but once you get the supply going, you will be able to just nurse. I am sorry the is not real life support for you.<br><br>
Doreen
 

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Is your ds initiating bfing every 2-3 hours or are you? Does he sleep for long periods of time and doesn't nurse then? To get your supply established, you might need to bf more then that, just to get it up. Some moms find that slowing down, and just having "nursing days" are very helpful. They just hang out at home, watch movies, and nurse as much as possible. Your supply is based on demand, every time you nurse it send the message to you breasts, and tells them how much milk to produce for next time. That is why some else sugggested pumping afte nursing, the emptier the breast is the stronger the message is, that says make more milk! How every much you get pumping, then some moms replace the formula with that milk, that is how they slowly wean back on the breast. This is the link for LLL's help over the web <a href="http://www.lalecheleague.org/helpform.html" target="_blank">http://www.lalecheleague.org/helpform.html</a><br>
Infacts do not need water, it replaces more valuable liquids that they should be drinking, they have no nutritional need for it. Breast milk is often called liquid gold, that is how valuable it is, even in small amounts. You are such a wonderful mother for being so concerned about how to make this situation work! Please read through the links that velcomom provided and come back with your questions! Good luck.
 

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Discussion Starter · #6 ·
Hi,<br><br>
Slowly (very slowly) but surely the supply is going up. It's only a bit of progress but today (now at least) I am confedent that it will just keep getting better and more plentiful. I am still giving lots of furmula (80% of his daily food intake), but there are times now when he comes of the breast full. However, when I pump I am still only getting a teaspoon at best.<br>
I will try the nursing day when I feel a bit more confident. It was after a few "nursing days" that I had to take my babe to the hospital, so I am still very cautious and generous with the formula...<br><br>
thank you again. It makes a world of difference to have a forum like this when I am in this crazy part of the world!<br><br>
Kim in Daegu
 

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Keep in mind that the amount of milk you get when you pump is NOT an accurate indicator of how much milk you have. A pump is nowhere near as efficient at getting your milk out as your baby is.<br><br>
A good thing to do would be to go to bed with him for a day or two. Keep drinks and snacks within reach and have your husband/partner bring you your meals. Offer the baby your breast whenever he shows even the slightest indication of interest. Discontinue the use of a pacifier if he's getting one - it satisfies his need for non-nutritive sucking, but that non-nutritive sucking is important in getting your milk supply up. Give him your breast whenever you'd give him the pacifier.<br><br>
Make sure you drink plenty of water - at <i>least</i> two liters a day. That'll help your supply as well - your body can't make as much milk if you're dehydrated. Cut out caffeinated beverages as much as you can - they're not beneficial to your milk supply at all, and can actually increase dehydration (caffeine is a diuretic).<br><br>
Good luck, and keep nursing your baby! You can do it!
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink"> i believe that you can do it. my dd was born 5 lbs. 2 oz. and her ped told me it was necessary to supplement even though my supply was fine. <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/hopmad.gif" style="border:0px solid;" title="hopping mad"> so i did and started noticing that my supply was slowing decreasing and then she needed the formula and i was crushed, so i slowly started weaning her from the bottle and now she is a happy boob baby full time. i'll tell you how i did it: first i started with one of her formula feedings and i would put her on the boob and let her nurse as long as she wanted then when she was finished she would most likely still be hungry so i would give her an ounce at a time until she was full, no more. and eventually all of her supplements were replaced with nursing. but all i can tell you is take it one formula feeding at a time and don't get discouraged it took me about 3-4 weeks of weaning but we did it and now i have the luxury of bf all of the time. if your supply is low i would take some of the other womens advice for boosting it up at the same time, like mothers milk tea and plenty of fluids all day long. good luck and don't give up!! <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/hug2.gif" style="border:0px solid;" title="Hug2">
 

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Discussion Starter · #9 ·
Hi Jamie,<br><br>
Thank you for the advice. I will try my best. Also, good luck with the deployment. I work for DND (Canada) and do research on Quality of Life. I know how tough it can get. Hope you're faring well.
 

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It's really too bad you don't have any in person help. When I was in your situation, I found what helped me a great deal was to weigh the baby before and after a feeding to see how much she was getting out. That way I could give her a reasonable amount of formula to supplement. I also had little luck with the pump after feedings (5 ml, here I come!) But I did find that the baby was only slightly better than the pump at draining me. After 2 hours of no feeding, I could pump 1 oz out of both breasts, or the baby could get 1.2 oz out of both breasts. I did a whole rigamarole of things, including weighing the baby before/after feedings, pumping 15 min with a double pump after every feeding (while DH fed the baby formula), oatmeal, barley, fenugreek, goat's rue, domperidone, breast massage, 3-4L of water daily, lots of sleep, and made sure I took my synthroid (I'm hypothyroid, which also slows down milk production). Finally, a LC diagnosed me as having Insufficient Glandular Tissue (IGT). So, a professional told me I'd never be able to exclusively breastfeed.<br><br>
After taking a night off of pumping, and just BF baby when she was hungry followed by formula, I realized that I was making myself crazy trying to up my supply constantly. I had to find my own "milky center". I'd take what I had, and do the best I could with it. A month and a half later, I find that my supply has increased by about 50% -- with basically everything but the pumping regimen. I just nurse my baby whenever I can, try to eat a good diet with the above mentioned supplements, and give her formula when the well's gone dry. It hurts not to be able to feed her entirely of myself, but I figure, I'm feeding her emotionally with BF, and giving her a bit of a nutritional boost (simply because I can't provide, I know most people can) with the formula.<br><br>
And emotional food is very important stuff...<br><br>
Good luck with finding your own "milky center",<br>
SarahD
 
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