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Lactation Information and Discussion

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Lactation Information and Discussion <[log in to unmask]>
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Thu, 4 Sep 2008 09:28:04 -0500
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Some ideas to think about:

Stay on one side for 8-10 hours
Mother lays on back with baby on top to decrease gravity effects of letdown
Pump to "totally empty" and start over with a fresh slate

Sounds to me the baby is getting a lot of volume, but not a lot of fat. They pee a lot, but not a lot of poops. Gassy, miserable. Might have good weight gains, might not, but supply probably won't be effective after 3-4 months and will suddenly have problems having enough to feed baby.

Not every other feels fullness, or engorgement, so those aren't necessarily reliable signs of supply - the baby usually is a better indicator.

Good luck!
Sam Doak

---- Nancy Kleinfeld <[log in to unmask]> wrote: 
> I saw a 30 year old P1L1 on Sept. 1.  Atypical let down from what i've ever 
> seen.  There is and was no engorgement, nor fullness between feeds yet the 
> let down is so forceful that baby is in acute distress at every feed.  Hungry all 
> the time-can't fill her up.  Baby is 2 weeks old and transferred .7 oz from 
> breast in 1 minute!!!  Tried some different positioning.  Tried to do one sided 
> nursing for between 4-6 hour stretches and Mom never felt any fullness or 
> need to pump to comfort on other side.  Talked to mom by phone. No 
> improvement.  Feeding almost every hour.  Pumped yesterday 3 oz. after 
> feeding.  No hx of galactorhea. No leaking prenatally or now except when 
> feeding on one side.  FORCEFUL let down almost immediately post latch.
> Does anyone have suggestions on how to proceed?  Need help asap!!
> 
>              ***********************************************

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