Re: Milk is Not Coming!
Excellent information and questions from the PP, as always. Usually all that is required for a mom to produce sufficient milk is for her to nurse the baby on demand, or every 2-3 hours (whichever comes first). The most common cause of milk being slow to come in or not being produced in sufficient volume is not nursing enough, which often happens if a mom starts using formula very early on. I'm not sure if this happened to you, but if you were told to supplement "just until your milk comes in" that could explain everything you are experiencing.
However, here are some other things which can delay milk production or affect the quantity of milk which is produced:
- difficult birth, especially a birth which results in a large volume of blood loss or c-section
- retained placenta fragment or fragments
- thyroid issues
- early separation of mama and baby
- baby with difficulty nursing (can be caused by poor latching skills, low muscle tone, recessed jaw, tongue tie)
- sleepy or jaundiced baby
- previous breast or nipple surgery on mom
- hormonal contraception
If any of the above seem like possibilities, don't freak out: most of the above are fixable! Here are some things that should help:
- nurse more often
- pump more often (when a mom needs to increase supply, she should pump every time her baby eats and then pump in addition to that, aiming for a frequency of at least every 2 hours during the day and every 3 at night)
- use the best possible pump, which probably means using a hospital-grade rental
- see a lactation consultant, preferably an IBCLC, for hands-on help
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