31 answers

Not Producing Enough Milk for 3 Week Old Infant- Supplement?

My 3 week old infant has a huge appetite. My milk supply is in and he eats everything that I produce plus what I pump but at certain times of the day he's still super hungry. (So far he's gaining weight with no problem). We've been supplementing with an additional 2 oz of formula 1 to 2 times a day but I'm wondering if this is the best approach- should we try to hold him off instead to wait for breastmilk to replenish? Will this have an adverse effect on my supply? I pump between some of the feedings (not all); he doesn't seem to have any problem going between breast and bottle at this point.

Also, once he drinks the additional 2 oz, whether formula or breastmilk, he passes out and seems content.

Thanks!

What can I do next?

So What Happened?™

Hi everyone-

Here's a more recent update- baby is nursing VERY WELL and milk is in full supply. Thanks so much for the advice! I'm looking forward to the next couple of years of nursing. I hope!

****

Thanks for all the feedback. I'm more than happy to feed on demand, but the problem is that baby doesn't seem to want to nurse that often- actually cries and detaches a lot- I think it's when my breasts aren't full anymore and the letdown is too slow. Baby nurses fine when the letdown is fast, and drinks a lot, then passes out, and sleeps for 3 hours. My first daughter was on my breast around the clock but this baby doesn't seem to want to be. This is why I'm somewhat confused.

Also, I'm wondering why pumping between feedings would decrease my supply- wouldn't that be like the baby still nursing? Plus I do give the baby anything I've pumped, e.g., if I"m not home. I'm not opposed to occasional bottles although I definitely want my breastmilk to be in those bottles. When I pump immediately following a feeding, NOTHING comes out, which tells me the baby is draining my breasts (if I pump between feedings I get a bit more).

There's no breastfeeding group nearby (hospital cut due to funding can you imagine?) but I welcome more advice!

Featured Answers

Just in case no one told you, here are the sizes of stomachs at different ages:

Newborn - marble
3 day old - shooter marble
10 day old - ping pong ball

This is why so many babies are on Zantac for "acid reflux" - many (not all) are feeling thier babies WAY too much....so it has to go somewhere. 2oz is PLENTY for a 3 week old.

I took Mammary PMG to regulate my milk, since I had WAY too much. My friend didn't have enough and she took Mammary PMG, and her milk supply skyrocketted.

Remember demand and supply.

Good luck!

1 mom found this helpful

I personally think a lot of people think they aren't producing enough, then start supplementing and then really end up not producing enough because they are supplementing when they were really fine all along.
If he's gaining weight fine, my two cents, you're producing enough...
-M

More Answers

Please please, if you want to exclusively breastfeed your baby,do NOT supplement with formula!! Breast milk is produced on a supply and demand basis and by adding formula to the diet you are undermining your efforts because you are cutting back on the DEMAND for breastmilk which then cuts back on the DEMAND!!! If your baby is gaining weight then just keep nursing him on demand, I nursed my oldest daughter every 2 hours, around the clock for quite a long time because she was a large baby at birth ( 9 lbs 12 oz) and simply needed a LOT of breastmilk! Does the hospital where you gave birth have a nursing clinic that you can take advantage of ? If they do, their nurses are very knowledgable about breastfeeding and can be a source of excellent advice to you. Or look into a La Leche league in your area, they have regular meetings and the other Moms can be a great support and encouragement to you.

5 moms found this helpful

I'm not sure why you think your supply is low. They have growth spurts, you just feed them more often, and your supply then just increases to keep up with the demand. Then, after the growth spurt is over with, as the baby stops needing as much, your supply will decrease. Just feed ON DEMAND and nature will take care of everything, you don't even need to worry about how many oz he is getting!

Adding formula will only screw things up.

3 moms found this helpful

Please listen to KansasMom! She is on the money. Baby is working to regulate your supply at this point and by introducing formula you are throwing a wrench in baby's efforts. When my second was nursing in those first few weeks she was all over the place. Sometimes eating like she couldn't get enough then just taking a bit at some feedings. I figured out that she was in fact regulating my supply. I let her do her thing (***ON DEMAND-you never, never, never hold off a breastfed baby!***) and we went on to successfully breastfeed for 20 months.

Bottle feeding is easier for baby-takes less work-so no problem sucking down another 2 ounces.

You don't need to be pumping between feedings right now either. Let baby do his thing and your milk will be there. Very, very few nursing moms don't have what baby needs.

The best advice I can give you is to be confident in your ability to feed your baby and learn absolutely as much as you can about breastfeeding! It is not anything like bottle feeding. Baby's reactions and needs are totally different.

3 moms found this helpful

ok there is a couple of things you could try or just need to know.

1. The stimulation(demand) you place on your body is what tells your body how much to make.
2. it takes 48 hours after the demand before your body compensates.
3. Medications and foods can help or hurt your production (sage=bad Birth controll= bad Fenugreek/Mothers milk Tea good)

I have breast fed 3 children until they were 12 months old each. (some nursed and some I had to pump and bottle feed)
The way I did
In the 1st month, I fed or pumped everytime the baby was hungrey (every 2 hours from the start of the feeding- yes lots of wok but worth it)

If I am pumping and feeding - once I know I have the supply the baby needs(even a little extra) I pump every 3 hours , except at night.

If the baby is nursing I feed him on each side for 10-15 if he does not eat for the full 10-15 min on one side then right after feeding I pump for 10 min on each side with a double electric pump.

Ok on to my suggestions for you:

If you are feeding him directly then when he is hungrey do as you are feed him. If he has nursed on both sides for 10-15 min and is still hungry then give him what he needs then pump for another 10 min on both sides right after he nurses. You might want to get friends or family to help you just for a couple of days so they can give him those extra ounzes, or what ever is needed while you pump,

You can weigh him before and after each feeding to see how much he is eating. If you do not have a baby scale, weight your self then get the baby ans subtract.

Keep your self well hydrated, keep in mind you need 8 8oz glasses per day normally and now you need to add what you are removing as well.
Eat pleanty of well balence calories (need 300 to 500 more per day)

Take fenugreek (this is a herbal supliment that helps you produce)
Drink Mothers milk tea
NO STRESS!!!! LOTS OF REST!!!!!

ok I am almost done, now the most important thing, YOU ARE DOING A GREAT JOB ALREADY, you know what he needs and that is all that matters you do what you think is best for him, you and your family.
Keep up the good work and if you need anything do not hesitate to email me!

Keep it up

2 moms found this helpful

Three weeks is a common time for a growth spurt, which often makes a mom feel like her supply is low. Babies just need to be fed a little more often during these times, which should really not last very long (a few days at most). If you have been breastfeeding on demand your supply should have caught up with the baby's demand by then. The trouble with supplementing during a growth spurt (although very tempting) is that if the increased demand of the baby is provided from an outside source (like formula), your body will not increase milk production like it should. And when the growth spurt is over, the baby should be getting more milk at each feeding to accommodate his bigger body, but if you were not properly stimulated to make that extra milk, you will continue to be behind baby's demand, creating a never-ending cycle of supplementing. It is not that you are not able to produce enough, you just haven't caught up yet. Nurse on demand, which will probably be very frequently right now. And it is okay to feed on one side, the other, and then go back to the first again if he is still hungry. I know you think it is completely empty, but babies are pretty good at pulling out a little bit more each time, I would often have another let down if I had to go back to the first side again. kellymom.com is a great resource, and here is a link to a brief article about nursing through a growth spurt. If you continue to have concerns look into seeing a lactation consultant or attending a Le Leche League meeting. Good Luck and have confidence in your body!
http://breastfeeding.about.com/od/breastfeedingbystage/a/...

2 moms found this helpful

If your goal is to exclusively breastfeed, then follow this rule:

It's supply and demand--the more you let him nurse, the more milk you'll make. So, stop supplementing (and expect for about 24-48 hours that he'll seem to nurse non-stop!).

I second the suggestions for drinking lots of water (stay away from caffeine, etc.-- drink water). Get lots of sleep (even above every thing else besides food for you, nursing, and basic necessities like going to the bathroom & showering) -- sleep helps a lot to give your body the reserves it needs.

Let him nurse as much as he wants to. And make sure that he is nursing long enough on each side to get the "hindmilk". The "foremilk" which is what comes out first is more "sugary" and designed to whet the baby's appetite, but the hindmilk has more fat and will help the baby feel fuller. So, nurse one side until he has emptied it (my breasts always seemed sort of "deflated" LOL after a good nursing session).

You can also help build milk supply by making sure to nurse on both sides. So, for example, nurse the right side fully, then nurse the left side. On the next session, start with the left, nurse fully, then go to the right. That way both breasts are stimulated to make milk. If you are afraid that switching will cause him not to get the hindmilk, then pump the side he's not nursing on while he's nursing or just after. Then switch sides. But him nursing will do a 100% better job of stimulating milk production than a pump.

All that being said, it's possibly he's going through a growth spurt.

2 moms found this helpful

I struggled in the beginning with nursing too. The information within this kellymom article saved me from a lot of unnecessary stress.

http://www.kellymom.com/babyconcerns/fussy-evening.html

2 moms found this helpful

if you want to breastfeed long term and dont necessarily want him to supplement if not needed, STOP supplementing. you are confusing your body. everytime he needs to "up" the amount, your body wont really know until he sucks and sucks and sucks. by you feeding him, your body thinks "great, i fulfilled him, good job". then you go and feed him the 2 ounces. next time, you will feed him 3 ounces, and on and on. the only way your body will ever know to make more milk, is for him to suck longer than he used to. also, when you say, hold him off, i would say put him on there. let him suck, whether something comes out of not. the only way to make more milk is by letting your body know he needs more.

if you really want to protect your milk, stop pumping between. feed you baby, and even when you think you are empty, keep him on there. then after you are done nursing(whether he is satisfied or not), immediately start pumping. remember, when you pump, it is not always an indicator of having that amount of milk. when you pump out 4 oz, you may have nursed the baby giving him 6 oz. the baby always gets more out of you. so you pump after, both breasts. and each feeding keep him on even if you think you are empty. if you do this, you should increase your milk because you are telling your body that you need more.

the pumpings in between could def have an impact on your supply by feeding. your body is thinking that milk went to the baby in a 24 hour period, but by you removing it from your breast via pump, that milk isnt there for the feeding.

i swear to you, as long as you dont have any medical issues involved, that if you stop supplementing, your baby wont starve and your milk will increase right away. another option is to get his feedings a little closer together. not sure how far apart he is eating, but if you sometimes pump, you need to get that normal pumping time inside his tummy, not the fridge, so you may need to add a feeding or two during 24 hours.

i really hope this helps. from your post, it sounds like you want to be able to just nurse him, and it sounds like you havent any real problems doing so(which can sometimes deters moms from continuing). i am sure if you just maybe take 3 or 4 days, and adjust times and pump a few minutes after, you will have no problems and can get off the supplementing. good luck to you.

2 moms found this helpful

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