This is the woman I posted about the other day. Beautiful home waterbirth. Long 3rd stage of 6 hours. Grossly asymetrical breasts (one very large, one medium sized). She has feeding frequently 1-3 hourly with the longer stretches overnight and expressing after each feed sometimes getting a bit out often not. So it would seem babe is mostly emptying the breast. She is also taking nursing teas, blessed thistle, stout to help her supply. The biggest concern to me is that she is Day 11 today and her milk still hasn't come in. There is no chance of retained placenta, illness etc. Nothing that I can put my finger on specifically, except for the asymetrical breasts. She is vegetarian, but has a great diet, and I cannot fault it in anyway. The baby is otherwise healthy, no tongue ties etc. Any suggestions as to why would her milk be taking so long to come in?
The baby's weights have been:
Birth 3550g
Day 3: 3100
Day5: 3090g
Day 6: 3150g
Day 7: 3170g
Day 8: 3210g
Day 9: 3230g
Day 10: 3260g
Should I be concerned about this? Because frankly I am, mainly because her milk still hasn't come in and she is working so hard to have babe put on this minimum weight gain already. At this point babe is weeing (6 nappies) and poos, is altert and happy (as per the woman's description). These are great signs, but to me the proof is in the pudding where we have a slow weight gaining babe with a mother who is still feeding colstrum on day 11. I have recommended that she see the GP today and ask for domperidone to try and help her milk come in.
I feel she is blaming me now for stressing her out and therfore her milk hasn't come in. What do others think, should I be worried or not? Overnight she herself felt the babe was still hungry and gave the donar EBM I got her the other day, babe drank 30mls via syringe. She is exclusively breastfeeding, no dummies etc. She is also cosleeping.
Any advice would be appreciated. I have never seen such a delay in lactogenesis 2, in a woman who hasn't had a traumatic birth experience.
Blessings,
Rachaelxx
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GentleBirth Pregnancy and Birth Education
Rachael Austin RN, EM, IPN, Adv. CBE
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