65 answers

Advice for Breastfeeding First Time Mom

My milk supply can't keep up with my 6 week old daughter's appetite. By mid afternoon I'm only able to produce approx 2oz for my 4-6oz eater. (I began pumping to gage how much she was actually eating, since by 3p.m. she would fuss tremendously on the breast.) We've started supplementing her diet with formula and have even tried thickening up expressed breast milk with cereal. I know that milk supply depends upon how often the baby feeds, how much the baby eats, etc., but it seems that my body doesn't have enough 'down time' between feedings to satisfy her hunger. Does anyone have any suggestions for natural ways to enhance milk production?

What can I do next?

So What Happened?™

I've received a TREMENDOUS amount of feedback & thank everyone for their advice. I am especially greatful to those who didn't chastise me for supplementing or pumping & to those who offered some wonderful advice who have faced my situation. Thank you!

Featured Answers

I couldn't use a pump and I was a FT working mom. Had the daycare provider suggest suing my hands. It worked great!!! Yes, just like squeezing the toothpase out of the tube. Work from the outer edges and squeeze it out toward the nipple. I got 3-4 times as much milk out this way. I could also feel where the milk was. The pumps never stayed on and even an electronic one wasn't strong enough. I'd hold the bottle under the nipple and pump right into it. Best advice on this topic ever! Afterall, pump's haven't been around forever.

I suggest pumping more often to increase the demand and then the supply should increase. You may need to supplement formula while you do that. I would not continue to add cereal into the bottle of breastmilk. Her little digestive track can't handle that, considering they aren't supposed to have cereal until 4-6 months old.
Good luck, but do keep in mind that some women may be low milk producers. I couldn't keep up with my 2nd child so I ended up just doing what I could with breastfeeding and then supplementing the rest.

Brewers yeast! Long ago was not always easy to find so my husband bought beer that contained active brewers yeast! Milk supply is suppose to be based on supply/demand but I ned the brewers yeast ot help with milk productioon

More Answers

The basics of supporting milk production!
• Nourish yourself with good foods and liquids.
• Rest when you are tired.
• Frequent milk removal: breastfeeding and/or pumping

Foods: Barley, brown rice, oats, almonds, avocados, beets, carrots (*especially carrot juice), leafy greens, winter squash, thick grain-based soups and stews.

Beverages: Try to drink something every time you breastfeed or pump.
Water, herbal teas, fresh fruit and vegetable juice, soup broth.

Herbs that help milk production*:
• Alfalfa: High in folic acid, vitamins A, D, E, K, digestive enzymes and phytoestrogens. Can eat alfalfa sprouts or take 2-3 tablets or capsules 3 times a day or drink as tea (1 tsp. seeds in 8 oz. boiling water; steep 10-20 min). Alfalfa and Fenugreek (see dosage below) used together seem to work well.
• Anise seed: Eases gas and bloating; also useful for soothing a “colicky” baby.
• Blessed thistle: Also helps digestion & for baby who has infrequent stools. Drink one cup of tea before meals.
• Borage
• Fennel
• Fenugreek: Also helpful for congestion & cough. Can be taken in capsule form (each capsule contains 580-610mg). Take 2-3 capsules 3 times a day. Increase in milk supply is usually seen in ~3 days with full response in ~1 week. Tea has bitter flavor; can add honey or lemon for flavor. May notice a “maple” odor in urine and sweat. Do NOT use during pregnancy as it may stimulate uterine contractions. See information above about using Fenugreek and Alfalfa together.
• Hops (non-alcoholic beer)
• Milk Thistle
• Nettles
• Red raspberry leaves
• Vitex: Also helps to regulate menses after pregnancy and to relieve symptoms of PMS. Tea is very bitter! Can be taken as capsule (2 “00” capsules per day) or tincture (5 ml of 1:5 tincture once a day).

Mother’s Milk Tea*:
• Mother’s Milk Tea can be purchased in tea bag form (Mother’s Milk Tea by Traditional Medicine, or Nursing Mom’s Tea by Yogi).
• To make your own Mother’s Milk Tea: Mix 1 oz. Chamomile and Catnip, ¼ oz. Fennel seeds, ½ oz. Borage and 1/8 oz. Lavender flowers. Put 1 tablespoon of the mixture in 1 cup of boiling water. Steep at least 10 minutes & drink.
• OR put ½ to 1 oz of any of the dried herbs listed above in 1 quart of boiling water and drink ~4 cups per day.

More Milk Plus*:
• Tincture form, blend of fenugreek, nettles, blessed thistle, and fennel see
• Capsule form (take 1 capsule 4 times daily).

Menses and milk supply:
• Milk supply ↓may occur ~1 week before menstrual period & last a few days into the period due to lower blood Calcium levels from mid-cycle to second day of menses.
• Low blood calcium levels can also cause uterine cramping.
• Taking a Calcium-Magnesium supplement ###-###-####mg) from mid-cycle to day 3 can help maintain milk supply and decrease or eliminate cramps.
• Do NOT use Tums, as Calcium needs an acid environment to be used by the body.

HOPE THIS HELPS...IT REALLY WORKED WELL FOR ME WHEN MY SUPPLY GOT LOW...STARTED EATING OATMEAL EVERY MORNING AND TAKING MORE MILK PLUS CAPSULES DAILY. AND I FIT OTHER FOODS IN MY DIET AS I COULD. MY DAUGHTER IS STILL NURSING AT 17 1/2 MONTHS...

1 mom found this helpful

I have only breastfed one child, but I'm still at it after one year with some help from a lactation consultant and now I'm a pro! My problem now will be weening him - he'll never want to give it up. =) So, first I will ease your mind and let you know that she probably IS getting enough from you, even when you pump and do not see a result. When you pump, you are only able to empty the breast 40% of the way, while your baby is able to completely empty it, so pumping is not always a great judge of how much milk we make. It is absolutely NOT recommended to mix milk with cereal in a bottle. If you want to feed her cereal with a spoon to fill her up and teach her how to eat, that is wonderful, but it is not advised to put it in a bottle at ANY age. Babies have very small tummies and it does not take much to fill them up! Much less than we might think. If you are giving her the formula at all might hurt your chances at nursing b/c that is taking away from those power sessions she'll have with you. Remember, you need her to empty your breast completely. Finally, to answer your question, I also struggled with my milk supply at time (especially on one side in particular) and I went to GNC and purchased a supplement called Fenugreek. I believe I took 3 or 4 capsules about three times per day. It worked wonders! I also increased my water intake (difficult, but helped immensely). I also pumped in between nursing sessions. It absolutely works like supply and demand - but you must give it TIME. When I went to work, I pumped on the car ride there, and then on the car ride back in order to add two sessions. Finally, the best piece of advice I received from my lactation consultant was to power pump. It really isn't fun, but it sure does work. Here's how you do it: Pump for ten minutes, then stop for ten minutes, then pump again for ten minutes. Do this for one hour straight. It's amazing. Do this a few times per day. Good luck! It is certainly a challenge to be a nursing mother, but so worth it, as it is the best gift of nutrition you can give your baby. Stick with it and you will be so proud of yourself. I only intended to nurse for 6 months and then kept pushing myself. I'm so glad I did. YOU CAN DO IT! Don't let anyone discourage you. You have to be strong to do it, but it is possible. If you have any questions at all on anything I mentioned (I hadn't planned on writing this long, sorry) please message me! Take care and best of luck. Enjoy that beautiful baby!

1 mom found this helpful

I'll just tell you what other moms have told you, too--the pump is never as efficient as the baby at getting milk out, so don't use the amount you can pump as a gauge of how much milk you're producing. Also, babies nurse almost constantly in the beginning, and when they go through growth spurts (including one around 6 weeks), they want to nurse even more! I know it can feel like the baby is attatched to you 24/7. Six weeks is awfully young to be giving cereal--you might end up with constipation/upset tummy issues. If you supplement with formula, please realize that every time you give formula instead of putting the baby to the breast, it doesn't give your body an accurate picture of how much milk it should be producing to satisfy your baby. Remember, if she pees, poops, and gains weight, she's getting enough, even if she's crying constantly to eat (that's how they say "feed me again, mama"). As far as increasing your milk supply, get plenty to drink and make sure you eat a healthy diet (I've noticed my milk supply actually go down when I skip meals). There's a tea you can get called Mother's Milk that has herbs to increase milk production. It does work and it doesn't taste bad, either! Good luck to you and your sweet little baby!

1 mom found this helpful

I had big problems with this, but unfortunately where I lived we didn't have a lactation consultant except for one afternoon a week. Needless to say, my daughter didn't continue breastfeeding and that was devastating. (she was 10oz. less then birth weight at 6 weeks and very dehydrated).

What I learned from all of this was some things to do to help boost your milk supply. Fenegreek is an herb that helps with milk production. Also try the Mother's Milk tea (tastes like fennel seeds) or even clover tea (supposed to make it richer).

If you need a special boost your OB-GYN can prescribe Reglin for you. Its used to treat intestinal issues, but evidently it affects the milk production part of your brain. You take it for 12 days on a graduated course and then taper off. I tried this as we were desperate to get off of formula, but unfortunately it caused severe anxiety - this is a side affect - and since my daughter was flat out refusing the breast at all for 24 hours, I just said forget it, I'm done, quiting the meds cold turkey.

I'd try the herbs and teas first, if you're still having issues talk to your DR. about Reglin and see what they think.

Also, a pump does not necessarily get out the same as what a baby gets. Some people have a hard time pumping out anything at all, but have breastfeed babies with no issues. So don't let the amount you get out worry you.

Another thing might be to allow your daughter to take the breast more often, this will boost your milk supply as well.

Best wishes!

1 mom found this helpful

I had this problem too. It went away when I made sure I was drinking AT LEAST 8 8oz glasses of water a day. Good luck.
Barb

pump often [every 2 hrs during the day] and drink plenty of water

Breastfeeding is a supply and demand circle. Any supplementing will interfere with that balance. At 6 weeks, babies go through a big "grow". Typically your milk supply is not established for the demand until 6 weeks anyway. Pumping does not create the same stimulation as a hungry baby at the breast and will not produce the same amount of milk. I would stop ANY supplementing, relax, and nurse her whenever she is hungry. For such a young baby that could very well be more than every 4 hours...more like every 3or even less. The nursing on demand is very important, make sure you are getting enough water and good food and it will all work out. Good going on being persistent!! You could also go to the Le Leche League website and find a local Le Leche League leader who could help you over the phone. "The Womanly Art of Breastfeeding" is a wonderful book especially for breastfeeding moms. It was my nursing "bible" through 3 wonderful little girls. Keep up the good work!

Wow, this brings back memories of my first child. T., I would suggest that no matter what you do don't get frustrated and give up. First and foremost, drink plenty of fluids. During the day, make sure you keep maybe a 20 oz. cup of either water or juice by your side at all times. Keeping fluids at your bed side is also best. Drinking plenty of fluids helps build up your milk supply. Pumping in between feeding times may also help, at least until your supply is where you want it to be. Try and make sure you feed her from each breast for the same amount of time. If not, then one breast will produce more than the other which can also cause problems with your supply.

Unfortunately, supplementing with formula or a tablespoon or so of cereal may just be what she needs. Sometimes, the baby just needs a little more bulk to satisfy them. Believe me being a mother of 4 breastfed children, each experience was a little different. Good luck on everything! Just remember patience is all you need. Both you and the baby will come to an agreement and everyone will be satisfied.

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