J.,
Congrats on nursing and on wanting to continue!
Unless there are concerns about the health of your pregnancy, nursing should be fine.
First bit of advice: La Leche League!! I strongly *strongly* recommend going to a meeting if you possibly can. If not, you can call a Leader -- well, you can call a Leader either way :-) She will be able to give you lots of tips on increasing and maintaining your supply. I see you're south west of Houston. Here's a link to the Houston area page, hopefully there is a meeting close to you. http://www.lllhouston.org/
Many women do experience a drop in supply while pregnant, typically in the 2nd trimester. Even with the decrease, lots of women are able to continue nursing their little ones.
Lots of ways to increase supply:
Pumping: If you pump at home, you could try pumping after you nurse, as well as pumping while nursing. Put your baby on one side and the pump on the other side. This will take advantage of the letdown that happens for your baby and help you get more pumped out. Rest assured that your baby is getting more milk during a nursing session than would ever get pumped out in the same amount of time. Baby is much more efficient at getting your milk out than a pump will ever be. Also, keep in mind that at 7mos, baby may be ready to start experimenting with solids. Just a thought.
Also for milk supply:
- Nurse on demand. Don't try to schedule your baby. The more you nurse, the more milk you’ll have. Breast milk is a Demand and Supply type thing – baby Demands it so your body Supplies it.
-Water! Make sure you're getting at least 64oz daily and then drink to thirst after that. Anything less will not be enough!
-Traditional Medicinal makes a "Mother's Milk" herbal tea - it's really great for boosting supply. You have to drink '3 cups' or more a day. Since I'm not a tea drinker, I made a half-gallon pitcher of it and drank it cold with a little xylitol/sugar in it. It’s not the most wonderful tasting tea, but I’ve had teas that are much more bitter than this one! I will say that this seems to be a hit/miss type of thing. The women who have had good results seemed to drink a LOT of it.
- Blessed Thistle and Fenugreek work wonders for a lot of mamas. When it comes to Fenugreek, you know you’re getting enough when your body fluids smell like maple syrup. I would recommend these two herbs over the Tea just mentioned.
- Fennel, alfalfa and chamomile can also help – but those have gotten more mixed reviews among my friends.
-Stay close to your babe. Wear him. Do you have a sling? If not, I would recommend getting one from somewhere. You can find them on e-bay for about $30+shipping. My recommendation would be for a fan-tail style so that you can use the same sling as your baby gets older/bigger. Wherever you get yours from (craigslist.com, e-bay, etc), if you want help figuring out how to wear your baby, there are videos online to show you how other moms do it.
My personal opinion - I recommend against the bjourns - they put most/all of the baby's weight on the crotch/groin area and spread little baby hips unnaturally, both of which can cause damage.
-Co-sleep if it's safe for you to do so - you can nurse him more, thus increasing your supply. It is safe to co-sleep with your baby unless you are very overweight, smoke or have consumed a bit of alcohol. Even if it’s just naps on the weekends…the closer, the more often, the better.
. -All the 'staying close' you can do will help your body hormonally to produce more milk.
- There are certain stretches and pressure points that you can do before nursing/pumping to aid the let-down reflex.
1.) Roll your shoulders around to stimulate between your shoulder blades and spine. 2.) Cross your arms at/near the wrists and, using your knuckles, rub your chest. 3.) Take 3 deep, cleansing breaths. Remember, you will be able to nurse/pump more if you are relaxed.
Something I think my working mom friends would suggest: When arriving home on Friday, change into a button up shirt and sling/wear your baby skin-to-skin. Your body will respond to this closeness by increasing certain hormones that aid milk supply. Wear your baby as much as you can the whole weekend (and weeknights, too if you can). The more you can be skin-to-skin (or close to it), the better.
I would recommend trying all the things listed here before getting your doc to prescribe Domperidone or Reglan. Anything you take will have side effects. I am told that Reglan has fewer side effects than some other Rx galactagogues. (A galactagogue is a substance that induces or increases lactation. The herbs listed above all qualify.)
One mom mentioned using alcohol to help with her supply. My guess is this was soon after having a child, and *not* pregnant with her second. Alcohol during pregnancy? Generally discouraged.
Also, kellymom.com has some good articles and helpful advice
http://www.kellymom.com/bf/supply/index.html
I know this was long, but I hope that you find some of it helpful!
If you have any questions for me, or if anything I wrote needs clarification, please don't hesitate to write!
K., mama to
Catherine, 5.5y
Samuel, 2.5y
Baby, due <7wks