Thanks for that excellent reminder Anne, and as a dietitian, I’m acutely
aware of such concerns. Granted, this baby has a long way to go before
taking solids....

On Wed, Aug 29, 2018 at 9:38 AM ANNE R EGLASH <
[log in to unmask]> wrote:

> Dear All,
> I would like to comment on the concept of substituting solids for
> breastmilk if a mother is pregnant and has a drop in her supply while
> nursing an infant under a year of age. From my experience, the drop in
> supply can be quite sudden and substantial for some mothers, often becoming
> obvious to the mother that she does not have enough milk.
> Solids typically don't have the essential fatty acids, protein, and
> calorie concentration that breastfeeding infants need, especially when they
> are under 7-8 months. By 9 months an infant can eat a good variety of
> solids that have fats, protein, and sufficient volume (3 meals a day +2
> snacks) to provide for sufficient growth, depending on parents' nutritional
> knowledge, resources, and the infant's interest in solids. I have had many
> healthy older infants (9-12 mo) in my practice demonstrate fine growth
> despite refusing to nurse or drink much breastmilk from a cup, because they
> simply love to eat a high volume of solids that are rich in proteins and
> fats.  Younger infants, especially those under 7-8 months, will likely need
> donor milk or formula for sufficient growth if the pregnancy has led to
> insufficient milk supply. Infant growth should be monitored closely when
> mom is pregnant and nursing.
> My goal is writing this comment is to discourage assuming that solids in
> general can make up for insufficient milk for infants under a year of age.
> I still see primary care physicians recommending cereals and other solids
> as early as 4 months if the mother does not have enough milk, in order to
> support her preference to not supplement with formula.
> Anne
>
>
> Anne Eglash MD, IBCLC, FABM
> Clinical Professor, Dept of Family and Community Medicine
> University of Wisconsin School of Medicine and Public Health
> Director, UW Lactation Services
> Medical Director, Mothers Milk Bank of the Western Great Lakes
> Founder and President of The Milk Mob, www.themilkmob.org
>
>
>
> -----Original Message-----
> From: Lactation Information and Discussion [mailto:
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> Sent: Tuesday, August 28, 2018 11:00 PM
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> Subject: LACTNET Digest - 27 Aug 2018 to 28 Aug 2018 (#2018-232)
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> There are 2 messages totaling 239 lines in this issue.
>
> Topics of the day:
>
>   1. loss of milk during pregnancy
>   2. Methadone
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> Date:    Tue, 28 Aug 2018 10:18:34 -0400
> From:    Theresa Moutafis <[log in to unmask]>
> Subject: Re: loss of milk during pregnancy
>
> Thank you Cindy. Those are great reminders and I will let her know.
> Unfortunately I don't have the pleasure of working directly with her as I
> encountered her on a sort of chat-based "warm line". I do have her contact
> info to pass some of these tips along.
>
> I very much appreciate this group!
>
> On Sun, Aug 26, 2018 at 8:41 AM Cindy Garrison <[log in to unmask]>
> wrote:
>
> > Thank you for the statistics, Anne.  Theresa, for the mother with the
> > question that you brought to the group, it will also be important to
> > help her look at the larger picture - a) we don't really know where
> > she will fall in these statistics, b) she is early in her pregnancy
> > and should be encouraged to continue breastfeeding, c) any loss in
> > volume is usually gradual, d) the decrease in supply may be matched by
> > the baby's readiness for solids allowing any decrease in breastmilk to
> > be covered by baby's increased intake of solids (dependent, of course,
> > on baby's developmental signs of readiness for solids), and, d) if
> > willing, she could begin a routine of pumping after feedings to help
> > stimulate a greater supply now and to collect milk to be given baby
> later if needed.
> >
> > Cindy Garrison BS IBCLC
> >
> >
>
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