Hi Liora
What makes you think that you have a supply problem here? You have a babe
with a history of tongue tie, released day six who is filling nappies and
gaining weight. Lots of babies prefer one side over the other. Lots of
mothers exclusively breastfeed from only one breast. Sometimes their babies
feed more frequently, sometimes there is no noticeable difference. So long
as you are sure that baby is actively sucking at the left breast (and not
just relying on a forceful let down reflex) there really isn't a problem.
Mum might try breast compressions whilst babe is at the right breast in an
effort to keep her actively feeding. However, if mum is exhausted as you
describe, I would be offering her the opportunity to stop occupying her time
with expressing and concentrate on breastfeeding the baby - in whatever way
works - and sleeping whenever she can. Does she have a circle of friends
and relatives who can take care of some of her chores so she can focus on
caring for herself and the baby? (My friends came to visit with soup and
left with my dirty clothes. They brought the clothes back clean and dry the
next day.)
Cheers
Nina Berry
Australia
-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Liora Levin
Sent: Saturday, January 10, 2009 9:40 AM
To: [log in to unmask]
Subject: little milk on one side
Good evening,
First of all I want to apologize for my poor English as I am not an English
speaker.
I have an important question for you wise people.
My daughter gave birth about 9 days ago to a sweet little girl in a normal
delivery on week 40, weight of the baby was 3065 KG and apgar score was
9,10.The baby was born with a tongue tie grade 3.She refused to nurse in the
delivery room( I was there with her).She have started to nurse a bit after 8
hours but did more on the second day.It was not so easy for her to take the
breast but after many tries she took it and stared to nurse with not much
pains although the short frenulum.
In the beginning, the right breast was her favorite and he produced more
milk,
then she was chosen the left side and one day she refused to the right and
my daughter didn't pump from the right all day as she thought she will
return
to it.
It was on day 3rd after birth.
As she continued to refuse this side I have told her to pump with a Lactina
pump and the milk started to come out but not in a big amount.Her breasts
were full but not an engorgement.This was on day 4th the day she came
home.
The amount didn't grow and a day later the girl have stared to nurse from
that
side too, so I told my daughter to nurse from that side and to pump after
nursing.When she is nursing there she is doing that for about 5-10 minutes
and then she is falling asleep, when she is pumping after nursing there is
about 10ml.
The left side is full of milk and she is gulping from there for about 20-30
minutes.She has enough wet and dirthy diapers and she is gaining weight, she
got almost on day 9th to her birth weight.
I have told my daughter to start with the right side but it is always the
same,
starting to nurse slowly and then falling asleep.
It is now the 4th day that she is nursing from there and pumping with no
improvement.
I forgot to mention an important thing, she had a frenotomy 3 days ago and
her tongue is free now.
Any advice plese? my daughter is starting to get tired and despaired.
Can I do something more?I don't want to give her fenugreek as her left side
will be engorged.
I am waiting for ideas.
Thanks in advance,
Liora Levin, RN,midwife, IBCLC Israel.
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