N.L. asks from Stafford, VA on December 30, 2006
How Much Milk Should I Be Producing?
my son is 10 weeks old. i have had concerns with breastfeeding since his birth. at the hospital my son ate very little and the nurses forced supplementing down my throat. i didnt actually start producing milk until 6 or 7 days after birth and was supplementing to ensure he was eating enough. i had a breast reduction so didnt know if i'd be able to produce milk at all. at 10 weeks i am pumping 2 oz of breastmilk and have been told that i am not producing enough milk for my son. one dr says he should be eating 4 oz a feeding, another said 8 oz. either way i'm not producing enough and as much as i try to increase the supply i have not been able to. he pretty much stays on my breast all day and is still hungry, so i'll give him a few oz of formula a couple times a day knowing that this is probably "sabotaging" my milk supply - however my concern is making sure my son eats enough and is growing properly. a coworker mentioned adding a tsp of cereal to the bottles of breastmilk i give my caregiver to see if that will keep him fuller longer and take less formula. can anyone give me advice??
More Answers
S.P. answers from Washington DC on December 31, 2006
N.,
I am also a first time mom who had trouble breast feeding. My daughter is now 15 months old and is switched over to whole milk. She was an "insufficient suckler"; it was really difficult for her to properly latch on and stay that way in order to keep my production high enough to satisfy her. We visited lactation experts and still she was constantly eating and never satisfied, like your son, leaving us both feeling tired (and also leaving me with mastitis.) I had to supplement her, which was disheartening because it was very important to me to give her the breast milk. I made the decision to pump and it changed everything for us. I purchased a Medela Pump in Style (double pump with natural flow) which after a little while had my supply up enough to have enough milk left over to freeze for emergencies. Soon after she drank entirely from a bottle, 100% breast milk. I was told so much that breast feeding, not bottle, was best for establishing a relationship w/ my baby that the thought of it at first was so sad and made me feel a little like a failure. Like I was letting us both down. But as it turns out, it helped our relationship. The stress of not producing enough milk was relieved and made us both more comfortable (and actually helped in increase of supply.) She was getting as much food as she wanted, all breastmilk like I wanted, and as much love from a not stressed mother as as any baby could hope for. We made sure to keep feeding times quiet and special and in my opinion she has not sufferred from this at all. It also allowed her father the opportunity to share in feedings, she and her father have a wonderful bond now, too. He has also confessed that that really helped him to feel more involved and capable in his role. It was also comforting to know that if we had to have someone else feed her she wouldn't refuse it (as many babies tend to become very set in their ways after getting used to one thing!) w/o having to compromise nutrition.
As far as the cereal in the bottle goes, my mother suggested the same thing to me. I asked around, read a lot and found out from medical professionals that it wasn't such a good idea. One reason is that it may change your baby's tastes, making him have less of a taste for your plain old yummy breast milk. The other major reason being that he may end up eating less frequently than he needs to instead of that happy middle ground where you're not constantly feeding him, but he's still eating regularly. He may fill up on cereal and not be getting enough breast milk - meaning he's supposed to have a certain amount to get the nutrients contained in it, not just to be full. (I found that this amount varied from feeding to feeding, day to day and from my baby to other babies.)The last reason is that his belly isn't ready to digest the cereal yet. He probably won't be ready for 4-6 months, but he'll probably let you know.
Well, I hope I wasn't too long winded and I really hope I was able to help. My "unconventional" choice worked great for my little family. What I would hope for you, me and every other mother is to know that whatever choices you make - no matter what any book, or mothering league or anyone else tells you - you're still a good mom. You love your son. You have his best interests at heart. That is what's important, just try to find the best balance for YOUR family. Your son can still be happy and healthy and balanced, even with some compromises.
Best of Luck!!!
S.
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J.M. answers from Pittsburgh on January 01, 2007
What you get from a pump is not nearly what the baby gets. You can tell if your baby is getting enough by dirty diapers. If you are getting 2 or more dirty diapers a day at this age, the baby is most likely getting enough. That is if you are exclusively breastfeeding, if you are supplementing that throws off the diapers, because you can't tell what is from bf and what is supplement. Try to just nurse for a couple days and check the diapers. If enough, don't worry. The best way to increase your supply is increase nursings. I had to increase supply with 2 of my 4. I had a couple of weeks of nursing every 1 1/2 hours while awake and no more than 3 hours at night and pumping after 3-4 feedings a day for 20 minutes each time. A lot of work for a couple of weeks, but so very worth it. La Leche League is a great resource for advice and encouragement. I would have never made it with my youngest if it was not for them.
As far as the cereal, I would definately not. At this age cereal is empty calories that they should be getting from breastmilk. Every calorie that a baby takes from anything else is one that they do not get from breastmilk.
Keep it up, and congratulations.
J.T. answers from Pittsburgh on December 31, 2006
I went through the same thing, and we actually didn't start (my daughter and I) getting the hang of nursing until around then. When I pumped, I would only get about an ounce. To find out what you are REALLY producing, nurse at the doctor's office after your son has been weighed. Then weigh him again when you are done. No matter what, the baby will ALWAYS get more from you by nursing than the pump will. Though I would only be able to pump about one ounce, she'd get 4-5 per feeding. If nursing is important to you, try only nursing for a few days...no pumping and no formula. It will seem like your son wants to nurse all the time (esp. in about 2 weeks...he'll hit a growth spurt). This will build your milk supply. As far as if he is eating enough....does he have at least 6 wet diapers per day? Another thing to look for is to lightly rub your hand across his soft spot. If it is sunken more often than not, he could be dehydrated. Also, if he is gaining weight at a steady pace, he is fine. To help the process, reduce or eliminate the amount of caffeine you take in, and increase drinking water, milk, juice etc. Even gatorade is good. You can also try mother's milk tea, sold at GNC, or a supplement called fenugreek. Adding cereal to a bottle usually isn't a good idea. And don't stress about having to give him formula once in a while. Some breast milk is better than none. You mentioned a caregiver. Are you able to pump while you are away from your son? Pumping more often might help.
Good luck.
A.N. answers from Philadelphia on December 31, 2006
Just because you are pumping 2 oz. does not necessarily mean that is what your son is getting while nursing. The pump is not as efficient as your baby at getting the milk out. Also, try to relax as much as possible while pumping. It really does make a difference. I found that when I was worried about how many ounces I was getting, I would pump less. Just breathe deeply, relax, and think about your baby!
I would recommend that you speak to a lactation consultant. That way, you know you are speaking to someone who truly supports your choice to breastfeed. Sometimes switching to formula is the "easy" answer to a breastfeeding dilemma for some doctors and nurses. That may not be your only option. The best indicator as to how much milk you are producing is how many wet/dirty diapers your baby is producing and how well he is growing. Is his doctor concerned about his growth? He may be at your breast all day simply because it is comforting to him. My second daughter would have nursed all day if I let her--she was growing just fine, so I think it was more of a comfort than true hunger. A lactation consultant can help you determine if your son's diaper output is on target and can also give you some advice for increasing your supply. Also check out the forums on La Leche League's web site. There is so much information there. Good luck!
K. answers from Philadelphia on December 31, 2006
Don't give up! You are doing a great job! Even if you do supplement some, you are still breastfeeding and giving your child the only immune system he has right now. On another note, I breastfed my daughter for 13 months, I tried to pump a couple of times and never could get more than 2 oz. If your son is at the breast all day, then he is probably draining you and for you to pump 2 oz. on top of that is awesome. I am sure you can give your baby enough but I know how stressful it is to worry.
T.A. answers from Washington DC on December 30, 2006
Every mom wonders if they are making enough milk to feed their baby.
Under "normal" (every baby and mommy are different) circumstances, breastmilk is a supply and demand kind of thing. Milk production goes up and down depending on baby's appetite and whether or not the milk is supplemented with formula.
In your case, when you consider your surgery, pumping 2oz of breastmilk is pretty good. Don't be so hard on yourself. Keep pumping. Keep baby at your breast.
Yes, breastmilk is best. Give your baby every drop you can. However, in this case you have to supplement with formula or else your baby won't grow like s/he should. 2 oz per feeding at 10 weeks is not enough.
Don't feel badly about yourself. Supplement, don't totally replace, your milk. Feed your baby with your shirt open and at your breast. If this confuses your baby, have your husband (or someone else) feed the supplements.
When my baby was 1 week old, I had a blood clot and bleed in my brain after a seizure. My baby got supplements after the milk I pumped ran out. Not everything works out as planned. As dissapointing as it is not to produce enough milk, the most important thing is that you make sure your baby is fed enough each time.
Your still a good mom if you supplement. Don't let anyone tell you any different.
T.Y. answers from Philadelphia on December 31, 2006
Hi, did you ever research breastfeeding before you had your son? I did and in the books that I read it said that some nurses would try to tell me that I wasn't producing enough milk when in reality the first few days there is no milk. I can't remember now everything that they said but in the beginning I had problems with breastfeeding and I called a woman from La Leche League. I can't even tell you how knowledgeable she was and how much she helped me. The nurses in the hospital are great but they don't know about breastfeeding. Most of them just want your baby to stop crying. When I was in the hospital I told them absolutely NO formula or pacifier. The next morning when my son didn't come into my room all night I saw formula bottles and pacifiers in my son's bassinet. I had no problem the first time he ate but after that night he was so confused it was a nightmare. Find someone that knows about breastfeeding, I suggest La Leche but there are other groups. Capital Health System gives Breastfeeding Seminars at Babies R Us, you may be able to find the woman who gives them and talk to her. Any supplementing will sabotage your efforts but you have to feed your baby. Don't give up though. First of all, you need to relax when you try to pump. The stress could be causing your problems with getting milk. Second, you will need to pump often if you want to produce more milk. Are you using a picture of your baby or your baby himself when you are pumping? I found a picture of my son and a warm rag on the breast helped with letdown. I can't help you with adding cereal to the breastmilk, I've never done it. I don't see how it would hurt as long as your son is ready for it. Did you ask your pediatrician? 10 weeks sounds a little early. As much as you want to breastfeed you can't be hard on yourself. You are a good mom for even trying so hard. Breastfeeding is tough in the beginning for anyone and alot of moms give up. You are doing everything you can and that's great. Are these doctors that are telling you how many ounces talking specifically about breastmilk? Some doctors don't know much about breastfeeding, and how much formula fed babies eat and breastfed babies are two very different things. I was very fortunate to have a great bunch of doctors. They told me to watch for wet diapers and regular bowel movements. Are you changing your son often enough? If you are then chances are he is probably just hitting a growth spurt, these things happen. When you don't supplement does he still need regular diaper changes? Maybe if you tried only breastmilk for a few days you can build up your supply....I had times where I thought my son wasn't getting enough but it only took a few days for my milk to catch up. I am not sure how bad your situation is and I would never suggest starving your child. But if you truly want to increase your supply you will probably need to stop supplementing. My husband gave my son ONE bottle when he was around that age and it took me a week to get us both back on track. My son was so confused it made things very difficult. Have patience and don't be hard on yourself if things don't work out. You sound like a great mom.
K.D. answers from Allentown on December 31, 2006
N.,
Sounds like you have gotten alot of awesome advice! I am a mother of six who has breastfed all of my kids. Some were easier than others. Unfortunately, it's been my experience that folks like Drs. who do not have a lot of experience with nursing moms tend to tell you the science side of things. They need things to be black and white. And since breastfeeding isn't something that isn't an exact science, it makes them uncomfortable. What Cassandra was saying about how Drs. and nurses need to measure what the baby's eating to see if the baby's had enough is so true. My guess would be that they really haven't had much experience with nursing. Remember...you're the Mom...you know what's best for your baby. You will be able to tell if something's not right. My experience with it...hasn't been all easy. For one, all of my kids had to get used to latching on, as my nipples are alittle on the large side. It took time and patience in helping them figure it out. Then they had to figure out the whole sucking thing. My one son even lost weight because of this difficulty. But I supplemented with some formula. It didn't hurt my supply at all. I would still nurse some feedings too...so he would get used to the breast. I didn't have any problems with bottle confusion or him not wanting to nurse and just use the bottle. Again it took some patience but once he had the sucking reflex down and was able to latch on better...I found he didn't want the bottle he preferred me. Formula has more calories and will put weight on faster than breastmilk. It's also made to be heavier...thus making the baby feel full with less. Meaning 2 oz. of formula may fill him up and be more satisfying where as it may take more with breastmilk. Since breastmilk isn't easily measured, alot of folks have their own opinions as it must not be enough. Not true. Breastmilk does what it needs to do. And it's been my experience too that they don't always just drink...they like to snuggle and just lightly suck...so they may not be drinking thus it takes longer to feed them. My kids would eat a little then snuggle a little even fall asleep occasionally. The best thing I can tell you is...don't stress out over it. Stress isn't good for you either as it hinders you to be able to nurse. Just relax as you nurse. Remember it is a new thing for you too. It will take a little time for you to get used to it too. I think others mentioned that the way you can tell if he's getting enough is gaining of weight...number of wetting and poopy diapers. Remember newborns grow quickly...they hit a few different growth spurts early. So there will be some periods where he may eat more than other times.
As for adding cereal...my experience has been it may be a little early. Baby's digestive system isn't ready to digest cereal that early. My pediatrican always tells me it's weight that signals the time for cereal. When a baby is drinking alot and doesn't seem satisfied with just milk then it's time to add cereal. That's usually around 12 lbs.
Another thing you were concerned about...producing enough. Do you drink alot of water before or during nursing? By drinking alot, I found it helped tremendously in helping me produce enough milk. We sometimes don't think we need any extra but we do to keep up with the demand. There are also herbs you can take to help boost production. Sorry, I don't remember the names of the herbs at the moment. I will look them up and post it later. Enjoy your new year with your little guy! Things will get better feeding wise!
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