I do not use block feeding for oversupply, probably not ever anymore. 


IME, oversupply has one of three causes:


1.either mom is pumping and inadvertently creating an O/S in which case it's a management issue (not the case her)


2. Baby is feeding in such a way as to drive up supply BECAUSE it serves him to feed passively--as is very common with TTd babies who do not cause pain (although sometimes they do) or in babies with structural misalignment who cannot effectively removes milk. I have seen a lot of moms lose their supplies and their babies begin to drop weight wen O/S is treated as a condition vs a symptom (sounds like the case here)


3. Mom is in a pro-inflamamtory state and her systemic health needs to be addressed. I see this VERy commonly in moms who are sensitive to dairy and especially gluten and given that she is on an anti-depressent--depression is also heavily linked to a pro-inflamamtory diet--then I do from there to help mom. I have seen a lot of cases of recurrent mastitis resolve with elimination of cow milk and gluten. Unfortunately, the treatment with abx has now done more gut damage and IMO made it all a bigger mess. (also sounds like the case here)


Jennifer Tow, IBCLC, France
Intuitive Parenting Network, LLC





Date:    Sun, 8 Jan 2012 15:49:13 -0500
From:    Leslie Cree <[log in to unmask]>
Subject: help needed for mother with severe oversupply

Hello all,
Mom has given permission for me to post, as we are stumped. She is 2nd time mom 
to an 11 day-old, seen by me on Wednesday last (infant was 8 days at the time of 
our visit). She has bilateral nipple cracks on the upper tips. Infant was 
observed to have shallow latch and difficulty maintaining a good seal. 
Infant tested for suck, very tight mouth and jaw, he chomps down and does not 
tolerate any stimulus on either his palate or mid-tongue (response = gagging). 
Mother has experienced unrelieved engorgement since day 3 postpartum, when her 
milk "came in".  Mom had been pumping to relieve fullness, with any more than a 
two-hour interval causing her great discomfort. She breastfed infant every 2 - 3 
hours, or when he showed interest cues.   Infant gaining well, and stooling 
yellow. As mom reported that latch was less painful when her breasts were 
softer, we practiced some position changes and discussed ways to get infant to 
open wider, but she chose to primarily focus on taming her oversupply.  Full 
draining and block feeding method was described at our visit, mom skeptical but 
willing to try anything.  Mom tried  full draining pump attempt on Wednesday 
after our visit. She reported pumping for 45 minutes without any sign of milk 
flow slowing. She attemped to block feed and still felt the need to express for 
comfort the rest of Wednesday.  On Thursday Mom followed up with her physician 
on recommendation for evaluation for pain medication and guidance. Mom has been 
prescribed antibiotics for bi-lateral mastitis and dr. prescribed nystatin 
ointment for her nipple wounds. (mom's breasts were full but no signs of blocked 
ducts or mastitis symptoms noted on Wed., at Thurs visit mom reported phys 
detected a large lump deep in her breast.)  Of interest is mom is taking 
Wellbutrin. Mom also going to try peppermint to lower supply. 
If I've missed anything, I'd be most grateful for your instruction and guidance. 
This mom and I would be be appreciative of any suggestions to help her 
situation.  Sorry for the long post.
Kindly,
Leslie Cree, IBCLC



 


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