Re: Getting my milk back after about 1 month
You gave your friend good advice. The 2 things I would add are that she should watch the baby's diaper output carefully- if that remains normal, then she will know that the baby is taking in enough milk, and that she should review her contraception choices. If she's using hormonal contraception, that could be impacting her supply, and if she hasn't been trying to prevent pregnancy and is pregnant, that might kill her supply.
Your friend might be mistaking normal adjustments to supply for problems with supply. Most moms start out with an overabundance of milk, which is nature's way of ensuring that the baby gets enough to eat while mastering the art of nursing. When a mom is making a lot of extra milk, she's likely to feel full or even engorged fairly often, and she's likely to feel stronger letdowns if she's a mom who experiences the letdown sensation (not all women do). But once her supply adjusts and is more in line with what baby takes, she's likely to feel "empty" most or even all of the time, her letdown sensation will diminish or may even disappear, and her baby may fuss as she gets used to nursing on a breast that isn't overflowing. This is the tricky part: your friend's baby is tongue-tied and now that her supply isn't overabundant, and milk is harder to get out, the tongue-tie could impact the baby's ability to get enough milk. Ergo: watch the diapers.
If your friend discovers that she needs to supplement, ideally she would supplement with her own pumped milk. If that's not possible, you could probably help her- you'd have to basically relactate in order to do so but that is possible. Frequent pumping with a very good pump is how you'd go about it.
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