Some of those babies just want to suck and suck. Yes a few seem hungry, but are often contented when sucking. There is just too much expectation that babies will eat then sleep. Not want to nurse endlessly, as if it's the best thing in the world ...which it is for them!

Janet Dombro, IBCLC 


> On Nov 18, 2015, at 1:46 AM, Georganne Melnick Lopez <[log in to unmask]> wrote:
> 
> I too am curious about a link between the synthetic oxytocin and lower
> breastfeeding in hospital.
> The majority of new mothers I see give both breast and formula and 99% say
> that after they breastfed their infant was still hungry.
> There seems to be a real lack of confidence and perhaps a contributing
> factor is that their labor and birth was "handled"by others?
> Interesting areas for some research.
>> On Nov 14, 2015 8:21 AM, "mary westra" <[log in to unmask]> wrote:
>> 
>> Hi All,
>> 
>> I am late chiming in on this subject, however I have puzzled on it for many
>> years.  As a hospital based lactation consultant and a previous home birth
>> midwife, I would like to address some observations.  Most of the
>> supplementation on our unit comes from mothers' request.  The most frequent
>> statements from mothers are:  "He/She is still hungry" and "I don't have
>> enough."  These are made with great concern.  The mothers really want to
>> exclusively breastfeed but do not feel secure that they adequately meet
>> their babys' needs.  I find that reassurance rarely works, nor does hand
>> expression of several drops.  On the other hand, I don't recall any of my
>> home birth mothers fretting like this.  Mothers who delivered at home
>> rarely supplemented. Those that did did so when baby was not able to latch,
>> not because they thought "She/he's starving!" They were mostly confident of
>> their production.
>> 
>> I am wondering if the use of synthetic oxytocin intrapartum may inhibit
>> maternal oxytocin release in the early postpartum period.  Synthetic
>> oxytocin was never used intrapartum in the home births I attended and it
>> was only rarely during 3rd stage or after.
>> 
>> Do you think it's also possible that women who deliver in the hospital less
>> sure of their bodies and its ability to produce milk because the birth
>> process has been handled by others? Is it simply a emotional reaction?  Do
>> hospitalized mothers have difficulty with oxytocin release?
>> 
>> I have a hard time not believing the mother's gut instincts when they fear
>> that they are not providing one of  the most basic instincts of mothering.
>> But the feelings could be a by-product of a really neurotic culture.
>> 
>> These are some questions which I can't answer and hoping others have
>> thoughts or perhaps answers.
>> 
>> Grieving today for my friends and relatives in France,
>> 
>> Mary Westra RN, IBCLC
>> 
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