no-work lactation

[@llli*contri21]

Hello my name is Esther and I had a beautiful baby girl three months ago called Julia. So far Julia has been fed only breast but sometimes we gave a bottle of breast milk as the pediatrician told us he's a little weight loss but not worrisome. Julia has always eaten recently, about five minutes in total and has shown a preference for the right chest refusing even to eat the left, so my left breast produces almost no milk but I try to encourage him with the pump. By eating just five minutes I empty the breast well and I have milk q be pulling me to refill it. Total we decided, following the advice of the doctor, give more amount between takes with a bottle of breast milk ever. For three days the child is refusing to eat the breast, only at night that is so sleepy that I do not realize it, but by day only eats from a bottle.
I write because even though I gave it up for lost, I read something about "nursing strike" or "no-work lactacion" and I would like to ask for advice on what I should do.
A greeting.

[@llli*lllmeg]

I have not heard of no work lactation, but nursing strikes certainly happen. But this does not sound like a typical strike, it sounds like baby is developing a bottle preference. But the remedy will be similar. More on all that below.

first, Here are the reasons a baby would typically not gain appropriately at the breast alone-

1-not nursing frequently enough. baby at this age nurses a minimum of 8 times a 24 day. prior to this, even more frequently would be the norm.
2-baby not nursing long enough-usually because mom is timing feedings. A baby will typically nurse many different lengths of time over the course of a day. Babies do get more efficient as they get older and may need shorter nursing sessions, but i worry when a mom says her breast is 'empty' at such and such a time. Once milk production is estabished it is normal to feel not full or even to feel 'empty' but your body still makes milk all the time. So if baby will nurse, let baby nurse even if you feel 'empty.'
3-baby has difficulty extracting milk
4-mom has low milk supply.
5-some combo of the above.

ok-bottle 'preference' bottles deliver milk more easily than the breast. So a baby will get used to that fast flow and lose interest in nursing. And of course, the more bottles given, the less baby will nurse. So baby is inadvertently trained to refuse the breast. Supplements, if needed, can be given other ways, the most breastfeeding freindly way is an at the breast suppemental system (lactation aid.) if that will not work for you, at least bottle feed in a breastfeeding supportve way. But also, if you want to keep breastfeeding, be very sure supplements are really needed/needed in the amount you are giving them. If baby actually lost weight after gaining well, that is of course alarming. But the question should be why this happened. If you can give us an actual weight history that may help. Also, baby must be weighed on the same scale everytime.

ALL of the above are usually fixable issues. If you want to keep nursing, you can. Even if you indeed do have to supplement as well, you can do that and continue to nurse. But you need support and accurate breastfeeding information.

See these articles below. i also strongly suggest the book The Womanly Art of Breastfeeding (8th edition, 2010) it should be avaliable in different languages.

low milk supply- http://kellymom.com/bf/got-milk/supp...es/low-supply/

encouraging baby to nurse http://kellymom.com/bf/concerns/child/back-to-breast/

do babies under 12 months self wean http://kellymom.com/bf/normal/babyselfwean/

bottle feeding the breastfed baby http://www.llli.org/docs/00000000000...astfedbaby.pdf

pumping log-if baby will not nurse, you have to pump to maintain milk production- http://www.llli.org/docs/00000000000...umpigchart.pdf