Pam, I don't think that you are replying to anything I wrote, I think you
must have gotten my name mixed with someone else but I found your story
inspiring just the same. A story like that is worth publishing as a case
study as it will give direction and hope to others. Do you know why she did
not produce milk initially? I was talking to a mum recently who was not
making milk 2 w pp and I felt badly for her that she had no hope of having
an explanation for her problem (nothing obvious in her history) and badly
for myself that there was so little I could do to help her.
Karleen Gribble
Australia
> Karleen,
> I have a mom with twins (I think I posted on this before?) who took 3
weeks
> before she produced drops of milk. At 10 weeks she is totally
breastfeeding.
> Only because of her dedication with a pump and SNS. She nearly died giving
> birth She has had support from the author of Mothering Multiples, LLL,
and
> Lactation Consultants. Her husband has been the most powerful support.
She
> refused to believe she couldn't produce milk. We tried only breastfeeding
for
> nearly two weeks. One twin didn't gain, one gained 4 oz. She is back to
feeding a
> little extra expressed milk but not much as they gained beautifully with
just
> a little extra. It is a miracle one twin is nursing at all because he
> wouldn't suck unless the SNS was in place. But this mom is a nutritionist
who
> educated herself 100% and REFUSED to give up. So anything is possible.
>
> Pam Hendrix, RN, IBCLC
> S. Florida Hospital Based
>
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> ------------------------------
>
> Date: Tue, 17 Feb 2004 06:18:46 EST
> From: Nikki Lee <[log in to unmask]>
> Subject: oversupply
>
> In a message dated 2/17/2004 12:06:27 AM Eastern Standard Time,
> [log in to unmask] writes:
> Would it help if I pump a little before I put baby to breast to avoid
> giving her too much foremilk and thus create a f/h milk imbalance?? I
> should also try to feed a little less often, right (no less than 2 hours
> between feedings)???
> Dear Friends:
> Pumping or handexpressing the first letdown can increase baby's
comfort
> at breast. Another solution is to feed baby on one breast for two feeds in
a
> row, and used the increased pressure of milk in the breast to slow milk
> production.
> As for foremilk/hindmilk imbalance, the work of Peter Hartmann and
> Michael Woolridge has shown that babies regulate their own fat intake in
24 hours,
> and that fat content in milk is connected to the interbout (or inter-feed)
> interval.
> When rate of milk removal is low, the rate of milk synthesis slows.
More
> milk removed = increased rate of milk synthesis. The baby should set the
> feeding interval, which is dependent on storage capacity of the breast (
again,
> according to Hartman's work), and try two feeds from one breast. The other
side
> will either leak or can have a small amount removed for comfort.
> I have a question. If a mother has lactose intolerance, what is the
> impact of eating one yogurt a day? Does the fermentation of the yogurt
eliminate
> the symptoms of lactose intolerance?
> warmly,
> Nikki Lee RN, MS, Mother of 2, IBCLC, CCE, CIMI
> Maternal-Child Adjunct Faculty Union Institute and University
> Film Editor, Journal of Human Lactation
> Support the WHO Code and the Mother-Friendly Childbirth Initiative
>
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> ------------------------------
>
> End of LACTNET Digest - 16 Feb 2004 to 17 Feb 2004 - Special issue
(#2004-269)
>
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