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Date: | Sat, 10 Jul 2010 17:13:28 -0400 |
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If she's pumping out all the milk the baby would otherwise get, no
wonder the baby is fussier than ever at breast. How about using a
supplementer at breast, with the pumped milk, and then shortening
pumpings to about 5-10 mins immediately after breastfeeding? Removing
the 'spare' milk after the baby detaches seems to help increase milk
production over time.
Often when mothers report milk production that seems to crash and a
negative pregnancy test, I plot a growth chart for their baby from
birth. Often you can see that the baby's growth started to slow
significantly earlier than mom thought there was a problem. In other
words, the problem onset was gradual. Sometimes mom can identify what
happened when baby's growth dropped - one mom went back to work, another
mom's baby got a respiratory infection and didn't feed as well for
awhile. Sometimes it was very gradual and they can't point to a
precipitating factor, but you might find a suboptimal latch or a
tongue-tie, and a growth chart that shows the baby has been steadily
slowing in growth velocity. Particularly if the growth has been
declining steadily, domperidone might really help. Don't neglect to
optimize management too.
The WHO growth charts are available online.
Catherine Watson Genna, BS, IBCLC NYC
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