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Subject:
From:
"Catherine Watson Genna, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 21 Jul 2005 09:09:34 -0400
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For starters, mom can breastfeed before the solid meals, and spread the 
food out a little through the day, cereal at one meal, the baby food at 
another, so baby isn't so stuffed that she waits hours for her next 
breastfeeding. A baby relying this heavily on solids should probably be 
getting meats, for protein, iron and zinc instead of so many fruits and 
veggies, which are low in calories.

It sounds like mom's supply is really dwindling, and it can be more 
difficult to increase it at this age. Encourage her to try pumping every 
waking hour for a few days to give the breasts a lot of stimulation. She 
can use the pumped milk in a supplementer to give baby more incentive to 
breastfeed. I'd also refer mom to a breastfeeding medicine doc to see if 
she is a candidate for domperidone. It has helped in low milk supply 
situations in my practice, in combination with the frequent pumping and 
breastfeeding. The bf med doc can also check her for thyroid or hormonal 
issues which may predispose to low milk supply and treat those as well.

Sometimes a babymoon helps as well, hanging out at home without a shirt 
on and holding baby skin to skin all day, so that she is tempted to 
breastfeed very often. Perhaps she can try babymoon for the next day or 
so, and then the "powerpumping" over the weekend when hopefully dad is 
home to help with everything else.
Catherine Watson Genna, IBCLC  NYC

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