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Thread: producing enough milk & doc threatening me

  1. #21
    Join Date
    Jun 2009
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    6,562

    Default Re: producing enough milk & doc threatening me

    Your baby gained 2 pounds in 2 months, so roughly 0.25 pounds per week, or 4 ounces. I thought the "normal" range was 0.5 to 1 ounce per day. Your baby has been gaining at a rate of 0.6 ounces per day.

    I'm not a doctor or an LC, etc. But it does not sound to me like you have anything to worry about. I would do a weigh-feed-weigh, just to make sure.

    The other thing I might do in your shoes is get a referral for a PEDIATRIC allergist and a GI doctor. Food allergies can be some pretty scary things and it sounds like your baby definitely has them.
    Tracie

    Mommy to
    Lilah 10/08 nursed 25 months
    Beatrix 01/11 nursed 30 months

  2. #22
    Join Date
    Nov 2008
    Location
    Ontario, Canada
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    2,475

    Default Re: producing enough milk & doc threatening me

    Also keep a record of diapers: date, time, wet and/or dirty.
    Diaper output tells an accurate accounting of input. http://www.kellymom.com/bf/start/basics/bf-logs.html

    Here's a good article: http://www.kellymom.com/bf/supply/enough-milk.html

    I'd also print it for your doctor, along with the WHO growth charts.
    Mommy to our DD1 early bird (34 weeks, 2 days, 7lbs, 14oz)! Oct. 2nd, 2008 Emergency C-Section, Frank Breech, HEALTHY Girl!
    Weaned @ 17 months
    Our DD2 early bird (37 weeks, 3 days, 7lbs, 12oz) Aug. 10th, 2010 Our Successful VBAC, growing like a bad weed!
    Weaned @ 15 months
    Our DD3 early bird (37 weeks, 3 days, 7lbs, 6oz) Feb. 16th, 2012 Our 2nd VBAC and lightening speedy birth!

    Loving being a Mom of 3, 40 months apart!!
    and

  3. #23
    Join Date
    Jun 2011
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    42

    Default Re: producing enough milk & doc threatening me

    Thanks so much ladies for your responses! I couldn't get online yesterday (family stuff and lots of running around lol) but I did the inevitable. I started to give my DD nutramigen again even though she has appears to have an allergy. She's been tolerating it better this time- sigh, I figure it's better for me to do this temporarily just makes me sad to think it's come to this. I have done lots of research and know that the formula route (even though i'm still breastfeeding and pumping separately) is risky and I should resist (i'm givnig it via a syringe and not a bottle or nipple) but I want my DD to go to the next appt. without having to be picked at and fussed with about her weight not being perfect. I really never realized there is such a bitter contingent of medical professionals out that there that truly hate breastfeeding. I happened to get stuck with two doctors that very much feel this way it seems.

    After this next appt. i'm going to probably stop supplementing as i'll have a month (with no threatening timetable) to get her growth back on track with my bf'ing. Does this sound like a good plan to anyone? I'm not proud of it at all, but i'm afraid if things escalate to a nurse having to come to our home, goodness knows what they'll do next, especially if she isn't gaining the way they want her to. I know I sound like a horrible mom, i'm just lost and want to do what's best for her even if it's not really what my heart is behind. What do you think ladies?
    Last edited by @llli*xxmidnight; June 12th, 2011 at 03:19 PM.

  4. #24
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    Jun 2011
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    42

    Default Re: producing enough milk & doc threatening me

    Quote Originally Posted by @llli*mrsweisass View Post
    you should check with your insurance as well--most insurance providers will reiumburse all or part of a lactation consultant. The Blues (BCBS) are especially good with this... and if you are military insured, i find it hard to imagine that they would cover at least part of it. You could even ask your ped if s/he could give you a referral, if that helps. Just make sure you get a form from the LC to submit to insurance.
    I did the day before yesterday- I think I can visit a network provider outside of this clinic and I just might. I feel like me and my DD really truly are on track and she's having great growth....I really think if I could find a breastfeeding supportive doctor, it would make this so much easier.. I think i'll do some more research to find particular docs... thanks so much for the advice!

  5. #25
    Join Date
    Jun 2011
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    42

    Default Re: producing enough milk & doc threatening me

    Quote Originally Posted by @llli*duaeguttae View Post
    I just want to second the opinion of earlier posters that you should consider supplementing with your own pumped breast milk if you need to do that. Even though it doesn't sound like supply is an issue, that will just help ensure that she's getting enough.

    If you can manage, weigh-feed-weigh every single time and write those numbers down. At the end of the day, total up what she's eaten and be sure it's enough. (A lactation consultant would be a good resource for those numbers.)

    I'm sorry that you had such a non-supportive doctor. I think it helps to show that you are on top of the issue, and keeping weight and feeding records will help to do that. I did it for several months with my second, and though my doctor never threatened me at all and was quite supportive, I think part of the reason he was so supportive was that he knew I was making sure that my little boy always got enough to eat. It helped reassure me too, even though it was a pain.
    I think supplementing with my milk would be the best case scenario, but, my DD is constantly on my breast (I guess what could be called ecological breastfeeding) and it leaves very little time to pump but I think if I can get enough stored up, i'll start doing that everyday..my supply can be a little temperamental because of previous nipple piercings. The holes have closed up and maybe scar tissue has made bf'ing harder? I definitely think thats it but I don't think there is much I can do to fix it.

    Your kind words are so appreciated! You're sooo lucky to have the doctor you have, definitely. I wrote down all of my DD's weigh-ins for over two months and she, on average was gaining 2-6 oz. a week (again I think because of my temperamental supply- I also had been taking fenugreek and switched off onto alfalfa/marshmallow so my body wouldn't adapt)... I'm back to the drawing board and I really want to step it up so i'm about to start pumping and supplementing like crazy now. I don't want to have to supplement with formula for more than necessary, you know?

  6. #26
    Join Date
    Jun 2011
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    42

    Default Re: producing enough milk & doc threatening me

    Quote Originally Posted by @llli*mommy2lilah View Post
    Your baby gained 2 pounds in 2 months, so roughly 0.25 pounds per week, or 4 ounces. I thought the "normal" range was 0.5 to 1 ounce per day. Your baby has been gaining at a rate of 0.6 ounces per day.

    I'm not a doctor or an LC, etc. But it does not sound to me like you have anything to worry about. I would do a weigh-feed-weigh, just to make sure.

    The other thing I might do in your shoes is get a referral for a PEDIATRIC allergist and a GI doctor. Food allergies can be some pretty scary things and it sounds like your baby definitely has them.
    Thanks so much for your response! Yesss that's what I had thought! It seemed very normal to me- I know she wasn't really getting a large quantity of milk but I kept at it and literally whenever she cried she would go on the breast. Hearing you say what you've said really goes a long way to soothe my nerves (like all of the other responses! thanks to you all!). I did a weigh-feed-weigh (unfortunately with the formula but I look to do a strictly breastfeeding one once I can pump and store more milk) and she gained 5 ounces in one feeding. It scares me a little- they must put some horrible stuff in formula because that's crazy to me. I definitely might look into some specialists.. I feel like a bad mom for giving things to my baby that she doesn't enjoy but I still can't get the threats out of my mind.. I just don't want to end up regretting not putting her on formula if she comes up short at the next appt. in two weeks... it's definitely hard for me to do this. I keep asking the doc/nurses and no one seems to be able to tell me what to do instead so I feel like I have no choice.

  7. #27
    Join Date
    Jun 2011
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    42

    Default Re: producing enough milk & doc threatening me

    Quote Originally Posted by @llli*amysmom View Post
    Also keep a record of diapers: date, time, wet and/or dirty.
    Diaper output tells an accurate accounting of input. http://www.kellymom.com/bf/start/basics/bf-logs.html

    Here's a good article: http://www.kellymom.com/bf/supply/enough-milk.html

    I'd also print it for your doctor, along with the WHO growth charts.
    I'm definitely going to keep a record of diapers, weigh-feed-weigh and everything. I want to come to the next appt. well prepared because from all the research i've done (from Jay Gordon and Dr. Newman on google) i've found some great ideas and proof....I didn't know previously that the WHO had charts for breastfed babies and it seems my DD is following her chart for sure even if she's at the lower end. I think Dr. Gordon had an excellent article "look at the baby not the scale" (http://drjaygordon.com/pediatricks/newborns/scales.html) I may take it to the appt. with me but my daughter is 100% of the following (from the link above):
    Is your baby eager to nurse?
    Is your baby peeing and pooping well?
    Is your baby’s urine either clear or very pale yellow?
    Are your baby’s eyes bright and alert?
    Is your baby’s skin a healthy color and texture?
    Is your baby moving its arms and legs vigorously?
    Are baby’s nails growing?
    Is your baby meeting developmental milestones?
    Is your baby’s overall disposition happy and playful?
    Yes, your baby sleeps a lot, but when your baby is awake does he have periods of being very alert?

    And, to boot, her daddy is VERY tall (i'm average but a shrimp in comparison) and was skinny his whole life (I was average) so I think she just takes after him. Definitely if anyone is interested, check out the link- great articles! Oh, and thanks again for links!

  8. #28
    Join Date
    Mar 2011
    Posts
    98

    Default Re: producing enough milk & doc threatening me

    hi mama!
    I'm so sorry you're having to deal with all this worry (I mean gosh, we worry enough over our babes when everything is going perfectly... all this stress from unsupportive docs is so hard to handle).
    I just wanted to let you know my experience with the piercing aspect: I too had my nipples pierced for many years (I loved them!). After several years my left nipple started to reject the ring (no infection or anything) by pushing the ring outward. My piercer took the ring out since it would have eventually pushed all the way through leaving me with a split nipple (ick!). I ended up taking them both out and they healed normally (there are small scars on both sides of both nipples).
    fastforward about 7 years to breastfeeding my LO... the side that started to reject the piercing seems to have extra scar tissue that blocks some of the milk pores in my nipple (when I pump there is a very obvious difference in the amount of places the milk flows from on that side). My production on that side is a bit lower since my LO has given preferential treatment to the side the piercing didn't reject on. She will still nurse on the side with extra scar tissue, but i make sure to put her on that side first when she's more willing to work a little harder for her meal. Anyhoo, I guess my point is: when you pump do you see several places the milk flows/sprays from (as opposed to just one or two spots)? if it looks like the milk flows from the nipple well, I wouldn't worry too much about scar tissue.
    Hang in there mama and I hope things get easier for you very soon.
    I'm a dreadlock wearing lucky SAHM to Sabeen Hunter (1/08/11) and wife to my sweet husband Amin.
    Love

  9. #29
    Join Date
    Jun 2006
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    4,894

    Default Re: producing enough milk & doc threatening me

    Quote Originally Posted by @llli*xxmidnight View Post
    Ironically hubby is- he's army. Maybe that has something to do with it? Do you know anyone else affiliated with the military that went through this? Thanks for your response!
    If you are seeing a military doctor then I can understand his arrogance. Often times they take advantage of the fact you have nowhere else to go. Personally, I think you are doing everything right, but you may want to ease your mind by seeing a lactation consultant or another doctor.
    If you obey all the rules, you miss all the fun. - Katharine Hepburn

  10. #30
    Join Date
    Mar 2006
    Posts
    10,440

    Default Re: producing enough milk & doc threatening me

    Quote Originally Posted by @llli*mrsweisass View Post
    you should check with your insurance as well--most insurance providers will reiumburse all or part of a lactation consultant. The Blues (BCBS) are especially good with this... and if you are military insured, i find it hard to imagine that they would cover at least part of it. You could even ask your ped if s/he could give you a referral, if that helps. Just make sure you get a form from the LC to submit to insurance.
    I would beg to differ. We have BCBS Federal, and I can't get them to pay a dime for anything at all related to lactation. Never have been able to, over the last 6 years, and even now, even with a baby with a cleft lip and palate. Not the LCs I used for advice and assistance, not the hospital grade pump my child requires to be able to eat, not the specialized nipples he uses. None of it. They flat out told me -- and I went up the chain -- and it's in their book too that all expenses related to lactation are specifically excluded.



    I was thinking...just HOW would the doctor force someone into your home?
    Susan
    Mama to my all-natural boys: Ian, 9-4-04, 11.5 lbs; Colton, 11-7-06, 9 lbs, in the water; Logan, 12-8-08, 9 lbs; Gavin, 1-18-11, 9 lbs; and an angel 1-15-06
    18+ months and for Gavin, born with an incomplete cleft lip and incomplete posterior cleft palate
    Sealed for time and eternity, 7-7-93
    Always babywearing, cosleeping and cloth diapering. Living with oppositional defiant disorder and ADHD. Ask me about cloth diapering and sewing your own diapers!

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