Dear Jennifer, there may be things on the LLL website. I believe there
used to be, but I am not sure if it is still there now.
www.lalecheleague.org. Just for the record, I answer many bf questions
every month, and the single most asked question is "why don't I have
enough milk,"...and it usually turns out that the mother is working and
the caregiver is giving the baby way too much in bottlefeedings.
Current research advises that babies take in 19-30 oz of milk in 24
hours, on average, from months 1-6.  Babies who are bottlefeeding during
the day often get that much just in the 8-9 hours they are with the
caregiver.  Fast flow bottles, and feeding as the main source of
comfort, along with the fact that babies like to suck and cannot help
but eat when presented with a full fastflowing bottle, all contribute to
this pattern. Perceived low supply then often turns into actual low
supply as the mother's confidence in her own supply disintegrates.
Kathleen

Kathleen Bruce RN IBCLC
Listowner Lactnet listserv
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Is anyone aware of any brief handout or article on tips for caring for a
breastfed baby for daycare providers?  Maybe something including tips
for bottlefeeding the breastfed baby, judging hunger cues, and how to
store/use expressed milk?  I've had several requests from patients and
wouldn't mind having something in print to give my own dcp.
Specifically, I've had several patients whose babies were eating what
seemed to me ridiculous amounts of expressed milk while mom was working
(7 oz every 3 hours at 2 mos for one, 32 oz a day for another in
addition to multiple nursings at home.)  I'm considering writing my own
if there isn't something good already available, but don't want to
reinvent the wheel. Jennifer Tieman Family Physician Mom to 4, including
Caroline Rose born 5/31/03

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