I am in need of some guidance/help here as I am faced with a mother who I was attending to during pregnancy until now. Her baby was born via natural birth, un-medicated and her baby was able to regain back the birth weight by the 13th day of life.
Despite the initial breastfeeding challenges, we had managed to work out a feeding plan and it was all going well for her until she had an episode of plugged ducts on her right breast last week (apparently due to an ill fitting bra worn during sleeptime).
We had managed to relief the plugged ducts discomfort, however, now the mother is telling me that her affected breast is not producing enough milk. Upon clarifying "not enough milk" she had mentioned that prior she was able to express 3oz each on both sides and she is now only able to do less than 1oz on the affected side and 3 to 4 oz on the good side.
The mother is also telling me that her baby fusses when placed on the affected breast to nurse and she had then given 1 feeding of formula (5oz). So far she had given about 2-5 feeds of formula.
I had given her some information and a feeding plan that includes, babymoon, skin-to-skin contact, frequent pumping after nursing, especially in the night, in hope to bring back the milk supply back to normal on the right breast.
That was 2 days ago, and now she is telling me that her supply is yet to be back to normal. As I have no physical contact with the mother for the time being, I am unable to assess further.
The mother has no prior health issues and apart from the minor nipple discomfort during the initial days, feeding has been going on well. Nipples are of adequate size, no signs of hypoplasia - these have been ruled out when I visited her teh day after she delivered her baby.
Should I be asking the mother to call on the aid of a galactogogue ->fenugreek/Motherlove or is there something that I've missed out in my observation.
I apologise for the long winded message, but it is quite difficult for me to find good reference in my country of residence considering that there are currently no Lactation Consultants/IBCLCs and I am the only (and first) Certified Lactation Educator Counselor.
Appreciate your good advise