Mummy's Daughter, Mummy's Milk!!

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Monday blues? Sleepy Monday?? Let's have some input about breastfeeding!!

What is low milk supply?

Almost all mothers go through a period of questioning whether their milk supply is adequate, especially when they begin breastfeeding.

Many women think their milk supply is low when it isn't. This can happen if you lose the feeling of fullness in your breasts or if milk stops leaking from your nipples. But these are actually signs that your body has adjusted to your baby's feeding requirements. A baby going through a growth spurt may also want more milk than usual, and his more frequent feedings may leave your breasts less full than they have been.

In most cases, either the baby is getting plenty of milk or the mom's low supply can be corrected. In some cases, though, a low milk supply can put a baby at risk for malnutrition. So it's important to get it checked out.

What causes low milk supply?

A mother's milk supply may diminish temporarily if she's not feeding her baby often enough because of nipple pain, a lethargic nurser, or a poor latch-on technique. An illness or birth control pills that contain estrogen can also affect milk production. For a few women, a biological or physical conditionsuch as a hormonal disorder or breast surgery causes their milk supply to be low.

For most women, though, the real problem is delivery, not production. They produce plenty of milk, but for some reason, such as an incorrect latch-on technique, the baby isn't getting enough.

How can I tell if my baby's getting enough milk?

Here are the ways you'll know:

• Your baby gains an ounce a day in the first three months of life and half an ounce a day from age 3 to 6 months. (Newborns will typically lose some of their birth weight in the first few days before gaining it back.) Your baby should be back to his birth weight by ten to 14 days after birth. Weight gain is the best evidence that your baby's getting enough milk.
• In the first month, your baby has at least three stools a day and they lighten to a yellowy-mustard color by the fifth day after birth. After the first month, the stools become less frequent. Some babies will even go a day or two between stools.
• Your baby nurses frequently (every two to three hours), for a total of at least eight feedings a day.
• You hear him swallow and you sometimes notice milk in the corners of his mouth.
• Your baby appears healthy and active.
• Your baby wets seven or eight cloth diapers a day, or five to six disposables. Disposable diapers are more absorbent, making it hard to tell when one is wet. If you're not sure, take one off and compare its weight to a dry disposable. A wet one will feel slightly heavier.

(Note: Wet diapers alone are not enough to determine whether your baby's getting enough milk: A dehydrated baby can still wet a diaper. Stools and weight gain are the best ways to tell how your baby's doing.)

How can I boost my milk supply?

If you're not producing as much milk as you (and your baby) would like, try the following:

• See a lactation professional. She can weigh your baby and give you tips on how to boost your milk supply.
• Feed your baby often. Frequent nursing sessions stimulate your body to produce more milk. Be sure to offer both breasts at each feeding.
• Get the best latch-on possible. A lactation consultant can help you with proper positioning at the breast.
• When your baby's sucking and swallowing pattern slows down, use breast compression to increase milk flow to your baby and to completely drain the breast. When your milk flow with compression seems to be slowing, switch sides and repeat. Keep switching back and forth between breasts until your baby is satisfied or stops swallowing.
  * Stimulate your body to produce more milk by adding a pumping session between nursings. Store any milk you pump to give your baby at future nursings, if needed, until your milk supply increases.
  * Don't supplement your baby's feedings with any solid food or formula, unless you and your caregiver decide that your baby needs supplemental nourishment for medical reasons.
  * Avoid the use of a pacifier. Instead, encourage your baby to comfort himself at the breast – his sucking will stimulate your milk production.
• A sleepy baby may need to be awakened and encouraged to nurse more vigorously (thus stimulating your glands to produce more milk). To keep him awake and interested, try switching sides frequently, alternating positions, or even undressing him. Some mothers play with their baby's feet during feedings to keep them awake.
• Mothers who determine that their milk output is actually low may want to have their thyroid level checked. A low thyroid level is known to reduce milk supply.
• If you're not sure your baby is sucking well, or are still concerned about your milk supply, don't hesitate to call on a lactation consultant for help.
  * Consider herbs that are reputed to increase milk production (these are called galactogogues). You'll want to check with a reputable herbalist or knowledgeable healthcare provider about the safety of specific herbs during nursing. You may also want to check our breast milk interactions chart.
  If you've tried remedies such as these to no avail, your doctor or lactation consultant may recommend medication to increase your milk production and closely follow your progress and condition while you're taking it. 

How will a low milk supply affect my baby?

If your baby regularly needs more milk than he gets, he may be diagnosed with failure to gain weight, a condition that can inhibit physical and mental development. Call your child's doctor and schedule a checkup right away if he's not gaining weight or is losing weight. Improved breastfeeding techniques often help, but in some cases slow weight gain indicates a serious health concern.

*credit to babycenter

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