In a message dated 6/5/01 8:30:43 PM Eastern Daylight Time,
[log in to unmask] writes:
I'm sorry, I didn't mean to imply that this mom regularly pumped on one
side and nursed on the other. She did that once and occasionally twice a
day. Now, she can pump barely an ounce and her baby is not satisfied during
or after breastfeeding. she has begun using the milk she had pumped prior to
supplement after he's been back and forth, back and forth at the breasts.
But that's a limited supply and she doesn''t like the smell, cost, or idea of
formula. Ewww! And sorry for confusing.
Rachel Myr wrote<<
Or maybe, where's the baby? The phantom one those breasts were trying to
supply til 3 months, I mean. (Insufficient baby syndrome strikes again.)
Debi Page Ferrarello posted on a mother whose supply takes a nose-dive at
three months, in the absence of any obvious cause.
I don't know where the milk is, but I wonder what she was doing with all the
pumped milk if she was regularly expressing 6-8 ounces from the opposite
side while nursing the baby on the ot
Is her supply now merely appropriate for the one actual baby, or is it
inadequate for that baby?
Does she smoke (excuse me if this is an offensive
question)?
Not offensive. Great question. No, she does not smoke.
Have her menses resumed? Yes, menses has resumed.
And Lisa Morasco offered:
I worked online (across the country) with one mother extensively who had
this very thing happen also. Did everything right, most especially on times
2, 3 and 4, yet had the same supply dropout until #4. No difference in
management.
Child number 4 was a pleasant anomaly. The only thing the mother can
speculate on is that this baby may suck better than the other three, raising
a question of whether there were subtle issues of hypotonia or suck problems
with the other children. It could even be a baby being a very passive
recipient of a strong milk flow, living off the flood but not really
stimulating the breast in turn very well, causing a drop-off similar to
scheduling situations (3-4 mos is classic).
Interesting. This mother has asked me if the fact that her kids nursed so
very quickly could have reduced her supply. I said that it is the emptying,
not the time at breast that keeps up the supply, but I did not consider that
maybe the kids didn't actually "empty" the breasts, but just caught the
substantial run off.
I'm wondering how often massive over-supply (or Rachel's undersupply of Baby)
is followed by undersupply....
Great thoughts. Any more?
-Debi Page Ferrarello, RN, MS, IBCLC
Breastfeeding Resources, Inc.
Abington, PA
I would encourage checking prolactin and thyroid, and then starting on a
prescriptive galactogogue. We need some thorough evaluations of such
mothers! >>
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