I think you should post it directly, may not as a response
to a particular concern, but as a "someone asked about..."
new post.  Thanks for the info.

Rachael


> >>This is coupled with the fact that over the
> >>past 2 weeks my baby has started consuming ALL of the
> >>bottles I leave at daycare, whereas in the past he has
> >>not done that as a rule, so it seems to me I should be
> >>producing MORE, not LESS.  And last but not least, I
> >>recently had to give up my HMO (where I had access to a
> >>lactation consultant) and do not have a regular doctor
> >>yet.  I feel like I am getting enough sleep (well,
> >>mostly!), eating well enough and I am still taking
> >>prenatal vitamins.
> >>
> >>Is it too soon to worry about this ?  What should the
> >>next step be if things don't pick up soon ?  This has
> >>not seemed to affect the baby yet; he eats fairly often
> >>when we're together. In terms of his daycare bottles I
> >>can make up the deficit with freezer reserves.
> >>
> >>Any advice anyone has I'd appreciate...I'd prefer email
> >>replies.
> >>
> >
> >
>
> Just a few thoughts.
> 1.  How much is the baby eating?  I have found 1.6oz per
> pound of body weight per day (a number given at a LLL
> conference, I believe) to be an accurate estimate of milk
> intake.  When you divide the daily intake by the number of
> feedings, you should get the average intake per feeding.
> If the baby is taking a lot more than this, perhaps try a
> slower flow nipple.  The estimated amount of breastmilk in
> a feed should last as long in a bottle as it takes to get
> it from the breast.  I have found that if a baby is eating
> a lot faster from the bottle than from the breast, they
> will often eat more than they need.  For example:  A
> feeding averages 3 oz and a breastfeed usually takes 30
> minutes.  If the baby takes 3 oz from the bottle in 10
> minutes, she may wish to continue to suck for 30 minutes
> taking a total of 8 to 9 oz at the feed.  The baby eats
> more than normal during the day, less when she is with mom
> therefore lower supply.
>
> 2.  Is mom experienceing significan stress?  Reduces let
> down.
>
> 3.  How about single side pumping nights and weekends
> while the baby nurses to retrain letdown and increase
> supply?
>
> 4.  Is it ok with mom to post this to the general board?
>
>
> Linda Pohl, IBCLC
> Phoenix, Arizona USA
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>