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breastfeeding advice needed

Posted by on Mar. 9, 2013 at 5:50 PM
  • 10 Replies
any advice on how to get my almost 4 month old to take the breast again ?. my supply went down almost to nothing so shes been getting bottles of formula but i just started taking fenugreek & mothers milk tea so i want her to take the breast to help bring more milk out too but when i put her to my breast she automatically starts screaming & wont take it : ( my doc said to just completely stop formula & she will have no choice but to take the breast but i feel bad when shes hungry & crying........please help i really dont want to give up on breastfeeding yet but im starting to feel like its a lost cause now : (
by on Mar. 9, 2013 at 5:50 PM
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Replies (1-10):
piwife
by on Mar. 9, 2013 at 5:55 PM
1 mom liked this
What made you think your supply was low? Best thing to do is keep offering the breast. Pump every 2 hrs if baby won't nurse. How much formula is she getting? How big are the bottles?
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Ms.Pteranodon
by on Mar. 9, 2013 at 5:57 PM
Start trying BEFORE she gets hungry.

Hand express a little onto your nipple so she can get a taste. She has to know it is there.

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mamabens
by Miranda on Mar. 9, 2013 at 5:57 PM

What she said^

skmehlebam
by on Mar. 9, 2013 at 6:00 PM
The fenugreek is good stuff! I couldn't stomach the mmt. Good luck!
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Wera79
by on Mar. 9, 2013 at 6:04 PM
Pump and give her breast milk in the bottle, soon she will prefer drinking breast milk over formula (once lactation consultant told me babies naturally prefer breast milk because tastes better and it's sweeter) keep offering her breast. It's harder to suck on breast than bottle nipple so she needs time to get used to it. Good luck and don't give up!
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mommyness0912x
by on Mar. 9, 2013 at 6:05 PM

i try to pump every hour or hand express , im luck if i get half an oz out , she gets 6oz bottles now i use breastflow bottles , if i try to latch her on she will start screeming as soon as my nipple touches her mouth & refuses to take it even if i squrte some milk on her lips or something and IF i do get her to latch she will suck mabye 5 times then let go and start crying .

mommyness0912x
by on Mar. 9, 2013 at 6:09 PM

how much fenugreek should i be taking ?. right now i take 2 pills 3 times a day & drink 4 cups of mothers milk tea .

piwife
by on Mar. 9, 2013 at 6:14 PM
2 moms liked this
Wow 6 oz!!! That is a lot she is being way overfeed. You need to pump every 2 hrs around the clock, start lowering formula. A bf baby being feed bm via bottle only needs 2-3 oz at the most


Quoting mommyness0912x:

i try to pump every hour or hand express , im luck if i get half an oz out , she gets 6oz bottles now i use breastflow bottles , if i try to latch her on she will start screeming as soon as my nipple touches her mouth & refuses to take it even if i squrte some milk on her lips or something and IF i do get her to latch she will suck mabye 5 times then let go and start crying .


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tabi_cat1023
by Group Admin -Tabitha on Mar. 9, 2013 at 6:22 PM

WOW this can be done ut its going to take serious work... 9-12 pills a day are needed honestly to raise supply.  Pump every 2-3 huors round the clock til she will latch.  Cut bottles to 3 oz in size every 3 hours.  NO MORE 6 oz bottles.  Baby needs 24-30oz a day total thats it and they should be small feedings often like breastmilk.  A supplemental nursing system would help you alot.  The problem is baby doesnt see the breast as food anymore.  Shes used to the smell of the bottle and taste of the formula so breastmilk and the breast do not equal food anymore.  You've got to work at her seeing the breast as food.  Youc an use formula in the SNS so that she smells the formula at the breast and is willing to latch.

maggiemom2000
by on Mar. 9, 2013 at 6:22 PM

Sorry, but I disagree with doc. Depriving a baby of food is never a good idea. You can get baby to the breast w/o resorting to that. There is a list of tips in this article. Read up on the "finish at the breast method" since baby is currently getting bottles:

How do I Relactate?


It is possible to get your baby successfully nursing at the breast, and can be well worth the effort in the long run.  I have worked with other moms with babies who came home from the hospital taking only bottles and learned to breastfeed.  Keep in mind that many moms re-lactate and breastfeed their adopted children (and not just newborns, even older infants who have had nothing but bottles for their first months of life).

Will your baby latch on and nurse at all?  If he will, just start putting him to the breast more and more.  Get him to nurse as much as he is willing and supplement as you need to with pumped milk and/or formula.  Gradually over time you can get him transitioned all the way to the breast.

Don't worry about putting your baby to the breast if you have little or no milk. Remember, no one worries about or questions giving a baby a pacifier and that has no milk coming out of it! Comfort nursing is often the first nursing a baby will do so you can start by encouraging that, even if you have little or no milk.

You will want to get him to the breast at least 8-12 times in 24 hours.  Another thing you can do to help increase supply is to pump between feedings.  Pump one hour after feedings as many times a day as you can.  Pick a schedule for pumping, and stick to that schedule.  After several days you should start to see an increase in the amount you are pumping.  Any milk you pump can be used to replace formula in the bottles. The pump you are using can make a huge difference. Some pumps are much more effective at extracting milk than others. An automatic double action pump made by a reputable company is usually needed by mothers who are establishing a milk supply or relactating. The pump should cycle-suction 40 to 60 times per minute.  It may be worth it to rent a hospital grade pump (even just for one month).  See PUMPING TO INCREASE MILK SUPPLY and  POWER PUMPING

Here are some tips that may help him to get back to the breast:

Luring the Resistant Baby to the Breast, Baby Led Latching and the Breast Crawl

Put him to the breast when he is not hungry, encourage "comfort nursing".

Give him most of his feeding by bottle, then try to switch him to the breast. Click here to learn more about the “finish at the breast” method

If he is used to the bottle, and completely refusing the breast, he may be willing to take the breast with a nipple shield.

Pump a little before putting him to the breast to get the milk flowing so that he gets an "immediate reward".

You can eliminate supplemental bottles so that he gets all of his sucking at the breast.  You can get milk into him by cup or syringe if he still needs supplemental milk.

Another way to eliminate bottles is to supplement at the breast.  This has been helpful to some moms and babies transitioning from bottle to breast. For this you will need an At Breast Supplementer . Here is a summary of my experiences with At Breast Supplementers as well.

Medela SNS


Lact-Aid

If you are only going to do ONE thing, my best advice is to get an at breast supplementer and do all feedings at the breast. 

Still struggling to get baby to take the breast? Here is more information on getting an older baby to breastfeed.

Increase skin on skin contact:
Many mothers have found skin-to-skin is the absolute best tool we have for increasing milk supply and getting babies to nurse really well. Spending as much time as you possibly can with you undressed from the waist up and your baby undressed except for a diaper, just letting him sleep in your arms against your skin until he wakes and wants to nurse, will help so much. It organizes baby's suck and it stimulates your milk supply. Skin-to-skin contact also keeps your baby warm and secure and helps him use all his energy to grow.

The two of you can cover up with a blanket when you’re resting together. When you’re up and around, you could carry your baby inside your shirt/jacket (a button up works best) when he is wearing nothing but a diaper. Babies love to be held so I'm sure he would be thrilled! If you have a sling or soft baby carrier you can carry him in that under your shirt/jacket.

Warm baths have been known to help too. There's something not only relaxing about a nice warm bath, but it also help the milk flow. If you bathe with your baby that is even better. The warm water helps baby relax and nurse better while it helps you relax and your milk to flow better. For safety only do this when someone is available to help you in and out of the tub.

If you do give pumped milk or formula with a bottle, offer it to him in only his diaper, holding him against your bare chest, turned in close to “simulate” breastfeeding.  You want him to associate this feeling with feeding. Also see BOTTLE FEEDING METHODS THAT SUPPORT BREASTFEEDING

Try breast compression:
Another tool that mothers have found very helpful for increasing milk supply is breast compression. To do breast compression, put baby to your breast and let him latch on and nurse. You'll see the little fluttery sucks at first while he is waiting for the milk to let down, then his sucking will change to slooooow sucks and you'll be able to hear him swallowing. That's how you know your milk is flowing (also called “letting down”).

When the milk stops flowing quickly, your baby will go back to the quick, fluttery sucks. Then you grasp your breast, with your hand well back away from the nipple, and squeeeeeeze and hold. You'll see that your baby goes back to the sloooow sucks again, as your milk begins flowing quickly and he drinks your milk. Keep holding the squeeze until he goes back to flutter-sucks, then release the squeeze for a few moments, and repeat. You can continue breast compression, followed by releasing the compression, for the whole nursing session. Doing breast compression can really help your baby get a lot more milk in a short time.

You may choose to use herbs or contact your doctor about prescription medication to boost your supply.  Here are some links to more information:


Domperidone is the prescription drug of choice for increasing prolactin and milk supply.

also see Domperidone, getting started

Galactagogues at kellymom.com

Fenugreek is an easy to find, safe herb that is often used to increase milk supply.

THE BREASTFEEDING ANSWER BOOK, 2003 states:  “Many mothers try to boost their milk supply by drinking herbal teas, but the dose cannot be as easily controlled as capsules or tinctures, so the results will be inconsistent.  Fenugreek (three capsules three times per day can be taken alone or with blessed thistle (three capsules three times per day).  Experience indicates that it takes 24-72 hours to see an increase in milk supply once the herbs are started in the correct doses.  Fenugreek is listed in the US as a Generally Recognized as Safe herbal.”

Once you have even a small amount of milk you can begin to gradually eliminate the supplemental milk you have been giving: Increasing Milk Production and Weaning from Formula Supplements
Success Stories:
Breast Nurting: A Re-lactation Story

Relactation 6 weeks after a c-section


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