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Thread: HELP - low milk supply

  1. #1
    Join Date
    Jan 2008
    Posts
    11

    Default HELP - low milk supply

    My baby girl is 3 weeks old and has had a hard time gaining weight. We have been to a lactation specialist 3 times. When we were there, they said she is only taking in .5oz. (1/2oz) of milk during a session. I started pumping (Medela Pump in style advanced) after every session and I am only getting about .5 (1/2 oz) of milk. I pumped today in between feedings and got 1 oz. We are supplementing with a supplemental nursing system during every feeding. She gets expressed breastmilk for half of the supplements and formula for the other half - I cannot pump enough. She is gaining weight with the supplements, so we are going to keep doing it. We are going to switch to a bottle at 4 weeks for the supplements since the SNS can be really difficult.

    I am also taking fenugreek and blessed thistle. I am wondering if I am in the category of not able to produce enough milk - I read about all of these women pumping 2 or more oz even after a feeding and it really frustrates me.

    Any suggestions or anyone dealing with the same issues?

    Thanks
    Sara

  2. #2
    Join Date
    Aug 2007
    Posts
    1,721

    Default Re: HELP - low milk supply

    I can't pump very well. Many women can't. It could just be that your body doesn't respond well to a pump, babies are the most effective at removing milk.

    ~*Allee*~

    Damon 8/5/99 Heaven 7/24/01 Jasmine 7/20/07

  3. #3
    Join Date
    Dec 2007
    Posts
    29

    Default Re: HELP - low milk supply

    There is a separate forum for "Increasing your Milk Supply" further down the list....I'm sure you'll get lots of good advice!

    Also, it took me weeks to build up a supply by pumping regularly and drinking tons of water, so it might just take some time. Sounds like you are doing exactly what you need to be doing. Good luck!!!

  4. #4
    Join Date
    May 2006
    Posts
    21,361

    Default Re: HELP - low milk supply

    Hi! I'm so sorry that you're having a rough time.
    Are you having any pain while nursing? Are your nipples cracked, bleeding, or misshapen after nursing? If so, the culprit may be a bad latch. A bad latch can mean slow milk transfer and reduced breast stimulation, which can lead to a lowered milk supply.
    Has your baby been evaluated for tongue-tie? A tongue-tie may make it hard for her to transfer milk, but if that is the case, having her frenulum clipped may help.
    How is your baby's nursing going? Is she sleepy, falling asleep during feedings? If so, undressing her while nursing, wiping her head or feet with a cool wet washcloth, and switch nursing (unlatching her every time her suckling slows and sticking her on the other breast) may help her feed more effectively.
    There are certain physical conditions that can cause reduced milk supply. You may want to get yourself checked out for hypo- or hyper-thyroidism, PCOS, and retained placenta fragments.
    There are some prescription medications that can help you increase your supply. Reglan is commonly used in the US, Domperidone outside the US. Both are anti-reflux meds. Reglan is associated with a risk for depression, so TALK TO YOUR HEALTH CARE PROVIDER ABOUT THESE MEDICATIONS BEFORE TAKING THEM.
    If none of the above applies, just keep sticking with it. Pump as frequently as you can with the best-quality pump there is (I used a hospital-grade rental. It was awesome!) and don't get discouraged. You are giving your baby the best, and it doesn't have to be all or nothing!

  5. #5
    Join Date
    Aug 2007
    Posts
    59

    Default Re: HELP - low milk supply

    Quote Originally Posted by sara1313 View Post
    My baby girl is 3 weeks old and has had a hard time gaining weight. We have been to a lactation specialist 3 times. When we were there, they said she is only taking in .5oz. (1/2oz) of milk during a session. I started pumping (Medela Pump in style advanced) after every session and I am only getting about .5 (1/2 oz) of milk. I pumped today in between feedings and got 1 oz. We are supplementing with a supplemental nursing system during every feeding. She gets expressed breastmilk for half of the supplements and formula for the other half - I cannot pump enough. She is gaining weight with the supplements, so we are going to keep doing it. We are going to switch to a bottle at 4 weeks for the supplements since the SNS can be really difficult.

    I am also taking fenugreek and blessed thistle. I am wondering if I am in the category of not able to produce enough milk - I read about all of these women pumping 2 or more oz even after a feeding and it really frustrates me.

    Any suggestions or anyone dealing with the same issues?

    Thanks
    Sara
    Hi Sara,
    I am the queen of low supply (due to nicu baby and a difficult c-section etc.). I had trouble with the pump too but what worked is- pump when I can't feed the baby myself otherwise, put the baby on the boob at every chance. It really worked for me. I do not work outside home and I think that played a major role. There is noway I could've kept up with the baby if I worked.

  6. #6
    Join Date
    Nov 2006
    Posts
    6,959

    Default Re: HELP - low milk supply

    Have you tried power pumping to build up our supply? ten minutes on ten off, ten on ect.

  7. #7
    Join Date
    Jun 2006
    Location
    Not around here as much :(
    Posts
    12,132

    Default Re: HELP - low milk supply




    Can you give us more info regarding her weight gain? Sometimes what a doctor calls "poor weight gain" is really "typical weight gain" in a breastfed baby. You can read more about typical growth for breastfed babies here.(see more info here on weight gain, too). You can also look into breast compression... but again - let us know about her weights as there may not actually be a problem

    What was her birth weight, release/discharge weight and then any other weights you've got since then.


    If she is showing that she is getting enough? If so, low supply most likely isn't a problem
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