Re: Milk not in - help!
Welcome to the forum!
If your friend can get hold of an at-the-breast supplementer (e.g. Medela Supplemental Nursing System or Lact-Aid), that would be ideal, because she could supplement and nurse at the same time. If not, there's no reason to use a bottle unless the baby is unable to get sufficient supplement via syringe, cup, or finger feeding.
4.5 days is a bit late, but not out of range for the onset of mature milk production. But now is a very good time for mom to be looking into potential causes of delayed production, and she should be working with a lactation consultant, preferably an IBCLC as she does so.
Some things to think about:
- Did she have a difficult birth- lots of IV fluids/a c-section/high volume blood loss/problems with the placenta?
- Was the placenta delivered in one piece? (She should check with her ob or midwife.)
- Does mom have any health problems that could impact breastfeeding, including PCOS or a history of thyroid disease?
- Has mom had any breast surgery or injury, including breast augmentation or breast reduction?
- How does nursing feel? Is it comfortable or is mom in pain when baby nurses, or after nursing?
- Is the baby particularly sleepy, jaundiced, or non-demanding?
- How many times does the baby nurse in a 24 hour period? It should be at least 10-12, and more would be preferable at this point.
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