15 answers

Breastfeeding and VERY Hungry Baby

ok I am asking this question for my cousin because she cant find the answer in any of her breastfeeding books. I formula fed my son so I am clueless on the subject. ok her 2.5mnth old has wanted to eat constantly since birth (like every 45 min) but now he won't drink from her breast he wants it out of a bottle. so she is always either pumping or feeding him, plus latley he has been eating so much that she can not produce enough milk to feed him as often as he wants, she is suplmenting with formula but she really wanted to exclusivley breastfeed intill he is at least 6 mnths old. is there anything she can do to stimulate a bigger milk production?

What can I do next?

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Get him back on the breast. She needs to find an IBCLC (Lactation consultant, a CERTIFIED ONE), and get him back on the breast.

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She created nipple confusion... and if she truly wants to exclusively breastfeed she needs to cut out all bottles and formula - except for when baby is in another person's care for more than 6 hours.

In order to keep her supply up, she must have her baby nurse and comfort suckle constantly - he's about to have a growth spurt and it's more important than ever to cut out all bottles and formula in order to get on board with this natural biological process called supply and demand.

Bottles create a constant drip of fluid, no sucking is even necessary... so of course babies on bottles will eat more than they really need or want simply because of the automatic flow. When the baby nurses, the flow is exactly as much or little as baby needs and wants - no more.

So besides the elimination completely cold turkey of bottles and formula... she should also pump 30 minutes before a feeding and 30 minutes after - and freeze every ounce she gets. This is the best time to pump and freeze up a stockpile of breastmilk - most women will be unable to pump much past 4 months. She should also be cautioned to NEVER estimate her milk supply with what she can pump. The pump is lucky if it can get 25% out of the breasts, whereas the baby can get 100% of what is in the breasts.

Nutrition wise... eating oatmeal, keeping hydrated, drinking a glass of Guinness or stout can help too. Supplements that are great for upping production are Fenugreek coupled with Blessed Thistle. Fenugreek may work alone but with Blessed Thistle it works wondrously.

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She needs to stop supplementing formula. I did that with my son and my milk went completely away. Pumping constantly is her only way to get it up AND taking herbs that increases milk supply. If you go into a health food store ask the ladies for lactation aids and they can take you straight to them. Fenugreek is a common one. There are others, but they escape me. Get her son to start eating from her more and he will start helping produce more milk. Only a baby can completely empty a breast which will signal more milk production.
If he wont eat from her, get a nipple shield. It's like a bottle nipple but you put it on your breast and it will help get babies eating from mom again. Go to a lactation consultant to. Don't listen if they say supplementing formula is ok. No. . it's not. I'm not anti formula fyi, it just doesn't help milk production what so ever. Just remember the more he eats from you, the more milk you will get.

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I agree with the comments below-I would get help to get baby back on the breast asap. The human body is an amazing thing, and most bodies will produce what babies need, if they are nursing. It is normal for breastfed babies to want to eat often, and that will stimulate more milk. Also, speaking from experience, she is going to burn out on constantly pumping and bottle feeding. There is not the lovely reward there of that special bond with baby, and it just starts to feel like more work than it's worth. Plus, bfeeding is supposed to be simple (one of the benefits)! I have had good luck with eating daily oatmeal to bump up my production a little bit. There's lots of yummy ways to eat it, if she's not such a fan of it.

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The more formula she uses, the LESS breastmilk her body will make. The body is incredible ... it WILL make the amount of milk the baby takes. Statistically the numbers are VERY low (like less then 1%) of women whose bodies TRULY can't make enough milk to sustain a baby.

She NEEDS to seek the help of a good lactation consultant. It will be worth it in the long run and often insurance will reimburse for lactation visits.

Many moms have trouble getting as much from pumping as they do from baby at the breast. That is VERY normal. The trouble is, her body is still trying to determine how much milk to make....and with baby NOT at the breast, it's having a hard time. Baby needs to be back at the breast. Bottles are EASIER for baby because they don't have to suck as hard. Baby should be evaluated as well to ensure there isn't an issue that is prohibiting him from effectively sucking.

To stimulate milk production, there are things like milk maid tea and of course, beer. A beer followed by a large glass of water before bed will stimulate milk production. Less then 1% of a mothers blood alcohol level is transferred into her milk. So, literally drops. This is according to my International Board Certified Lactation Consultant.

In addition, to stimulate milk production, she needs to put baby to the breast OFTEN...even if it's every 45 mins. In early days it is NOT unusual for baby to breastfeed often. They are not efficient at sucking and so aren't getting tons at a time and by giving the bottle, that is not helping him develop the mouth muscles to make his sucking stronger.

One hour with a lactation consultant will most likely do wonders for her.

1 mom found this helpful

Get him back on the breast. She needs to find an IBCLC (Lactation consultant, a CERTIFIED ONE), and get him back on the breast.

1 mom found this helpful

If she is supplementing, she should look up info on kellymom.com on how to wean off the formula. Supply = demand and she needs to nurse, nurse, nurse. Her baby is probably hitting the 12 week growth spurt. Babies nurse more before they grow a lot, to help increase your supply. She might think he's not being fed enough, but she should go by his output. Some babies drink a lot at one time, some smaller amounts more often, and some comfort nurse a lot. I strongly suspect he's not starving, but trying to increase her supply. Nursing near constantly is NORMAL newborn behavior.

If he's gotten used to a bottle, then she should consider nursing him when he's tired or after she's expressed a little to make let-down faster for him. I think it's that he's (like many humans) expressing the lazy preference. But she can get him back to exclusively breastfeeding to 6 mo. and beyond.

She can (and should) talk to a lactation consultant and/or La Leache League leader. Get some woman-to-woman advice on how to keep nursing.

She can also work on staying hydrated, eat some oatmeal, and try Mother's Milk Tea.

Oh, and since at least 6 mo. is her goal, she should be aware that about every 3 mo. there is a growth spurt and 6 mo. is a big one. That was the height of DD's nursing. Frankly, if she makes it to 6 mo., she should consider to a year because once she gets the kinks worked out, nursing later is a lot easier. Tell her not to fear teeth. That just takes some teaching. My daughter got teeth in early and quick and we worked it out without me feeling like a chew toy.

Tell her to hang in there and get some help. She can do this.

1 mom found this helpful

I worry about proper latching, and if the baby is actually taking in enough milk (how is the baby's growth?). Since breast milk is produced per the demand of the baby, if the baby is feeding a lot, the mother should be making a lot of milk. (Milk doesn't 'run out'; you make more as the baby feeds more.)

If she is feeding the baby mostly formula, and just a little breast milk, she will not produce much milk. I would encourage her to keep pumping and trying to feed the baby until she gets help from one of these sources:
1. I bet a lactation consultant at the hospital will be happy to see her (likely covered by insurance)
2. I believe WIC will have a lactation specialist who would be happy to help.
3. Another resource is La Leche League-google to find your local LLL group and contact person.

Good luck to your cousin. I really hope she finds some good help and continues to breastfeed. It is worth the effort!

1 mom found this helpful

I'm in training to be a La Lache League leader and have a few tips. First off being that the baby is only 2.5 months old he might feed that often. Some babies do eat that much with in the first few months or so.

First off the reason he is probably wanting it only from a bottle is the let down rate. It is coming out faster in a bottle than it is out of the breast. This is common in babies who are back and forth with a bottle. The hole in the bottle is bigger which will release more milk at a time/swallow. So when you put a baby to the breast again and the milk isn't released as fast then tend to get fussy and irratable and then push the breast away. This may be what is happening to her son.

Secondly, since she is having to pump since he is refusing the breast. The pump is actually hurting her supply. There is nothing better to increase your supply than your child. No breast pump can simulate the action of your child which can cause your breast to produce more milk. Some women are not able to produce a lot of milk bu pumping. However when they actually breastfeed they realize they have enough milk to feed their child. The more your child eats the more milk will be produced. As long as your child is having wet and poppy diapers in a day then you know that you are feeding your child enough.

Something she might want to try is try hand expressing the milk. If you google it you will find a few videos to show you how to do it. She might also want to grab her breast around the bottom as if she is holding it up and just squeeze gently as if you are trying to squeeze the milk out. This might help some with the slow let down/release.

If she has any more questions I would suggest her checking out her local La Lache League if she is interested in breastfeeding exclusivley. We are always will to help anyone out in need. Hope this helps and good luck to her.

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