>Subject: Joy Anderson's Insufficient Milk Case
>Reply-To: [log in to unmask]
>
>Joy,
>
>I wonder if 41 years old CAN be a factor.  I see quite a few clints in my
>practice with insufficient milk.  Last year I had approx. 250 clients and
>10 -12 did not develop sufficient milk supplies despite all efforts.
>
>But one Mom I've just seen recently has me wondering.  She has two
>children in mid-20's whom as far as she can remember nursed successfully
>with good weight gain and no problems with milk supply.
>
>She is now in a 2nd marriage and I saw her 2 1/2 years ago with her little
>boy who was failing to thrive @ 6 weeks.  We used a Lact-Aid and post-feed
>pumping and did increase milk supply but she could not get away from some
>formula supplementation.
>
>Now she has a little girl whom she thought was doing fine but again at six
>weeks the baby was about 25th %ile wgt for lgth.  She pumped for around a
>month and felt her milk supply increased significantly.  I told her to
>give baby whatever she wanted and baby gained like crazy, coming up to
>approriate wgt. for length in a few weeks, gaining approx. 2 oz. per day
>first 10 days and then slowing down.  Unfortunately, if she stops
>supplementing, weight gain slows right down again.  She only needs 4-6 oz
>of formula a day but the baby obviously can't manage without it.  She
>would not use Lact-Aid again.
>
>She has now stopped pumping and she's hoping she won't have to use any
>more formula as baby gets older but she still can't understand why she had
>enough milk with her older children and not with these new ones.  She
>asked me about age (I think she's 43 now) but I told her I had never
>considered it a factor before.  Does anyone else know if it is?
>

--
******Joan M. Fisher, RN, BN, MEd, IBCLC******
***********Ottawa, Ontario, Canada************
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