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Subject:
From:
Celine Cormier <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 12 Jun 2007 16:08:00 -0400
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Hello everyone!

Here is the situation.  I met this mom 2 years ago when she had her first
baby.  She had a breast reduction only on one side when she was a teenager
because there was significant breast asymetry during puberty.  During her
first pregnancy, she didn't notice any breast changes in either of her
breasts.  She went on to breastfeed after she had her baby for 8 weeks but
had to supplement from the beggining.  She never had much of a supply
(saying she could only pump maybe one to two onces at the most with both
breast combined per 6 hours).  She would feed, supplement at the breast,
pump and then went on to doing basically everything she could to increase
her supply.  She took fenugreek 9 caps a day, some nursing teas 5 times a
day(don't know which ones but I figure it would be the Lunar Eclips Tea that
are really popular here), pumped between feedings with a hospital grade pump
and even took Domperidone 9 caps a day for several weeks.  She was stressed,
she admitted and so tired by the end of that 8 weeks that she gave up.

She is now 10 weeks pregnant with her second child and would very much like
to give breastfeeding another try.  She would like to know about anything
she could do to increase her chances of having a better milk production this
time around.

I suggested to her to make sure to start off right by breastfeeding as soon
as possible after birth and as often as possible to give her breast the best
stimulation possible.  I also suggested lost of skin-to-skin contact with
the new baby.  Also, the use of an SNS if (which will be more than likely)
she needs to supplement to make it easier on her and also have the baby at
the breast more.  Since pumping seemed to have really been too much for her
last time and since this time around, she will have a 3 year old to take
care of, I also though that the SNS would be a better alternative than
breastfeeding and pumping between feeds since I am not sure the extra
stimulation with the pump will produce more milk.  I also refered her to
Diana West's website (BTW, anyone have the address for this?) and also
suggested that she look up her book "Defining your own success".  I also
suggested to her that she thinks about what she would consider a success
this time around and just how much she think she can do this time around to
make it work.  So far, no breast changes with this pregnancy either...

Anyone out there have more suggestions?  I encouraged her that even if she
has little milk, the benefits would be awesome for her baby and so
rewarding.  She was planning on trying to give her new baby as much of her
milk as she could for as long as she could even if it was very little.

Thank you so much ladies!
Celine Cormier, RN, BN, IBCLC

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