Re: baby drinking more than pumping
Going back to work is very hard on a nursing mother, especially since someone else has to care for baby. Does baby seem satisfied after you nurse? If so you probably don't have a supply problem, here are some things that may help:
You said the amount baby is taking has double, are baby's hunger signs getting read properly by caregiver or are they just giving baby a bottle every time baby makes a noise? Believe it or not, lots of people think that if a baby cries, its hungry.
What kind of bottles are you using?
How many oz/bottle?
How many bottles/day?
How long are you away form baby?
What position is baby being fed bottles?
Does baby have something to satisfy sucking need other than bottle?
Sorry for all the questions, just trying to get a better feel for your situation.
I had a similar problem with dd after going back to work. After a little investigation I found it wasn't my supply that was the problem, it was the way her signals were being read combined with the type of bottle being used and the position she was being fed in. DD had a very strong sucking need and when DCP would see her sucking her hands they would think she was hungry again, even if she had just eaten! I switched her to newborn size advent nipples so the ebm would come out slower and had DCP sit her up to take the bottle so the bottle was horizontal and she had to suck the ebm out vs it just flowing freely into her mouth. But you have to make sure to check that the nipples haven't been tampered with (some DCP will stretch the holes out, add extra holes to make babies finish faster) and explain about the sucking need (you would be amazed at how many people who work with infants are clueless about this, the result of a formula-fed society) .
It could also be the pump, what kind are you using? How often do you pump? For how long? Ideally you want to use a double electric (or hospital grade if you can afford it) and pump as often as baby would nurse until a few minutes after milk stops flowing. Sometimes if you go an extra few min after that you can get a 2nd letdown too . If you are doing all that and still don't pump as much, try adding an extra pumping session (like in the morning when you have the most milk) or pump one side while baby nurses the other. You can also pump on days off in between feedings to build backup supply for the following week. EBM can be stored in the fridge for several days so you could use the oldest first and never have to freeze it. And remember, no matter how good the pump, baby is always more efficent!
A good way to see how much baby eats while nursing would be to go to dr office & have them weight baby naked before nursing and again after, then you could see how much baby is used to getting at each feeding and adjust the bottle amounts accordingly. Hope this helps! Your doing a great job mama!
Last edited by amandalynn; May 22nd, 2006 at 01:54 PM.
Amanda Mom to James (2/25/04) and nursling Alice (8/24/05)