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Breastfeeding Moms Breastfeeding Moms

I'm not making eniugh milk for her! what do I do?

Posted by on Aug. 22, 2013 at 12:01 AM
  • 32 Replies
My daughter was born at 36 weeks ans was very very sleepy her forst few weeks and we had issues getting her to eat enough. Also she never was content and full unless she had a tiny bit of formula. Now that she is 5 weeks and actually eating well I'm not makimg nearly enough milk for her. She will eat from each breast and then a 2-3 oz bottle per feeding. I have been trying to pump extra but then when she needs to eat therea barely any milk for her and any type of formula makes her belly very upset. I need to get her on breastmilk only.I am usimg a hand pump now, I ordered a medela pump through my insurance but its taking forever to go through.
by on Aug. 22, 2013 at 12:01 AM
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gdiamante
by Group Mod - Gina on Aug. 22, 2013 at 12:06 AM
1 mom liked this

Need a dipe count please. How many changes in 24 hours? It's the ONLY thing that matters.

Quoting KristinCarr:

My daughter was born at 36 weeks ans was very very sleepy her forst few weeks and we had issues getting her to eat enough. Also she never was content and full unless she had a tiny bit of formula.
Content and full is not what you look for. If she's fussy, that's good. Fussy babies ARE getting enough; that's what gives them the energy to fuss. 
It sounds wrong... but your WANT the baby who is a demanding pain in the butt who never lets you sleep! **smile**
Now that she is 5 weeks and actually eating well I'm not makimg nearly enough milk for her. She will eat from each breast and then a 2-3 oz bottle per feeding.
The bottles will actually make things worse. Breast one till she comes off on her own. Burp. Repeat on breast two. Then back to breast one. Till she doesn't want to be on any more. No bottles, please. Every bottle makes your situation worse.
I have been trying to pump extra but then when she needs to eat therea barely any milk for her and any type of formula makes her belly very upset. I need to get her on breastmilk only.I am usimg a hand pump now, I ordered a medela pump through my insurance but its taking forever to go through.

I need a dipe count. If you're changing 6-8 dipes per day, you're likely in great shape and can start cutting all the supplemntaiton slowly, say an ounce a day.

99% of moms who thinkg they don't make enough are actually making plenty, and in some cases are actually OVER producing.

KristinCarr
by on Aug. 22, 2013 at 12:10 AM
I honestly have no clue . I never kept count. Today maybe 7. Idk.

And now she is to the point she just screams she is still really hungry. After I'm empty she gets mad and starts screaming. Wont go back in the breast. Wont sleep. Womt stop untill she gets a bottle.


Quoting gdiamante:

Need a dipe count please. How many changes in 24 hours? It's the ONLY thing that matters.

Quoting KristinCarr:

My daughter was born at 36 weeks ans was very very sleepy her forst few weeks and we had issues getting her to eat enough. Also she never was content and full unless she had a tiny bit of formula.
Content and full is not what you look for. If she's fussy, that's good. Fussy babies ARE getting enough; that's what gives them the energy to fuss. 
It sounds wrong... but your WANT the baby who is a demanding pain in the butt who never lets you sleep! **smile**
Now that she is 5 weeks and actually eating well I'm not makimg nearly enough milk for her. She will eat from each breast and then a 2-3 oz bottle per feeding.
The bottles will actually make things worse. Breast one till she comes off on her own. Burp. Repeat on breast two. Then back to breast one. Till she doesn't want to be on any more. No bottles, please. Every bottle makes your situation worse.
I have been trying to pump extra but then when she needs to eat therea barely any milk for her and any type of formula makes her belly very upset. I need to get her on breastmilk only.I am usimg a hand pump now, I ordered a medela pump through my insurance but its taking forever to go through.

I need a dipe count. If you're changing 6-8 dipes per day, you're likely in great shape and can start cutting all the supplemntaiton slowly, say an ounce a day.

99% of moms who thinkg they don't make enough are actually making plenty, and in some cases are actually OVER producing.


maggiemom2000
by Ruby Member on Aug. 22, 2013 at 12:12 AM

The short answer: You need to gradually reduce the amount of formula you are giving while increasing baby's time at the breast.

Long answer:

Increasing milk production and weaning from supplements

Before working to increase milk supply, make sure there is a true supply issue first! Take a look at these articles to first see if you have low milk production:


The golden rule of milk production: The more frequently and completely the breasts are drained, the more milk will be produced: How Mother’s Milk  is Made

Increasing milk production:

  • offer both breasts two times at every feeding
  • use breast compressions
  • nurse frequently (at least 12-14 times in 24 hours)
  • increase skin to skin contact
  • rest, and stay hydrated

What this process looks like:

Offer baby the first breast and allow him to nurse as long as he likes. When he starts to slow down on his sucking/swallowing start doing some breast compressionsWhen you squeeze your breast you should see baby respond with an increased sucking/swallowing. Baby has “finished” the first breast when breast compressions no longer get baby nursing more, baby falls asleep or lets go of the breast. When baby has finished the first breast offer the second breast. Repeat the above steps with breast two, (offer breast, use breast compressions and allow baby to finish the breast) then repeat the whole process again with both breasts. If baby is still hungry after taking both breasts two times, then you can continue the process, nursing on one side and then the other, until he is full and/or falls asleep.

Mom resting with baby after nursing with a starter SNS
When working to increase milk production, increase milk intake, or work to eliminate supplements, spending as much time as possible resting with baby skin-to-skin on your bare chest, encouraging frequent nursing, can make a big difference in a short amount of time. This can also be a chance for mom to rest, with baby napping on her bare chest. It can be a great time to have a movie marathon. If you have older children they can be movies to entertain them while you and baby rest and nurse.

Weaning from supplements:

Consider using an at breast supplementer instead of bottles for the supplemental milk. This will provide extra stimulation to your breasts and prevent a preference for bottles.

Lact-Aid at breast supplementer


If you are using bottles make sure you are giving them in a way that supports breastfeeding and minimizes flow preference. Bottle feeding in a way that supports breastfeeding includes:
  • Using a slow-flow soft bottle nipple that has a wide base and a shorter, round nipple (not the flatter, orthodontic kind).
  • Starting by resting the tip of the nipple on the baby's upper lip and allowing him to take it into his mouth himself, as if he were nursing.
  • Keeping the bottle only slightly tilted, with the baby in a more upright position, so he has to work to get the milk out. If you hold the bottle straight down, the milk will come out too fast, and he may feel overwhelmed by the flow (Kassing, 2002).
More information on bottle feeding in a way that supports breastfeeding: 

If you are currently supplementing with a bottle at every feeding, baby may expect that the time at the breast is always followed by a bottle. If you are using an at breast supplementer at every feeding, baby may expect the constant flow of milk from the tubing whenever he is at the breast. The first step towards eliminating supplements is to get baby comfortable with nursing without supplements at every feeding. Begin by encouraging comfort nursing between feedings, for at least a few days, before you begin to eliminate supplements. If baby is using a pacifier between feedings begin to replace the pacifier with your breast as much as possible.

Nursing without supplementing

If baby is gaining weight on target and is showing signs of getting enough milk then you can safely begin to wean off of supplemental milk.

One way to do this is to start by eliminating the first supplemental feeding of the day. Follow the steps above to nurse multiple times on each breast and use breast compressions. If baby is still having enough wet diapers (5 per day, plus at least 3 poops if baby is under 4-6 weeks old) then after a few days you can eliminate the next supplement of the day. Eventually you will get to where you are only giving one supplement in the evening and that will be the last one to drop.

Common Questions and Concerns:

I’m afraid to cut back on supplements, I ‘m worried my baby will starve!
Taking away one supplemental feeding will not cause your baby to starve or get dehydrated. You need for baby to be hungry enough to want to nurse more as that will increase your milk production. You can always go back to more supplemental milk if you realize you cut back too much too soon.

I tried eliminating the first time I usually supplement, but baby was screaming and refusing to nurse any more before it was time for the next supplement.
Go ahead and give the next supplement. You can simply delay the time of the first supplement instead of just eliminating it. If you were to delay that first supplement by one hour every day, by 24 days you would no longer be supplementing.

My baby seems hungry 10 minutes after taking both breasts. Does that mean it is time to give a supplement?
No. If baby is hungry again soon after nursing on both sides, offer both sides again. And again. Your breasts are never “empty”. As you continue to nurse, your body continues to produce milk.

How can I nurse so frequently? My breasts don’t have time to “fill up”.
Your breasts are never empty and don’t need time to “ill up”. The emptier the breast is, the faster it tries to refill - similar to an automatic icemaker. Emptier breasts make milk faster than fuller ones (How Mother’s Milk is Made).”

If I eat better and drink more water, will I make more milk?
“Research shows that the mother's diet, her fluid intake, and other factors have little influence on milk production. If the "milk removal" piece of the puzzle is in place, mothers make plenty of good milk regardless of dietary practices. If the "milk removal" part isn't there, nothing else can make up the difference (Smith, 2001).”
The more milk is removed the more milk you will produce. Pumping will remove more milk and help to increase your milk production. However, if you are nursing at least 12-14 times in 24 hours it will be hard to fit in pumping. Some thnigs to ask yourself include: Is it worth the additional stress? Would it be better to spend that time resting with your baby skin-to-skin? If you do pump, you can use it to replace any other milk you have been using to supplement.

Resources
Book: The Breastfeeding Mother's Guide to Making More Milk By West and Marasco

Bottles and At Breast Supplementers

polkaspots
by Gold Member on Aug. 22, 2013 at 12:13 AM
1 mom liked this
2-3 ounces is a full feeding for a newborn. Stop the bottles and nurse constantly. One side until baby comes off and then move to the other side. If she wants more, she'll let you know. Keep track of diapers. If you need to change her diaper 6-8 times every day, you're good. That's roughly 3-4 hours.
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gdiamante
by Group Mod - Gina on Aug. 22, 2013 at 12:13 AM

Seven dipes is good. She's gotten used to the stuffed turkey feel of the bottle. It's the same phenomenon that led my husband to believe he NEEDED a full half gallon of ice cream. He didn't, really. Follow maggie's advice above. Baby won't like it at first. That's OK. You're getting her back to what she should be getting.

KristinCarr
by on Aug. 22, 2013 at 12:14 AM
The problem is I refuse to let my baby scream all day and she isn't content untill she gets that bottle. I'm a single mom with a 3 and 4 year old I barely have time to throw in my extra pumping sessions. Its just not possible for me to be holding her all day long or to be trying to take care of the other kids while she is screaming. I've been trying to give her pumped breastmilk instead of formula but I just can't get eniugh out to completely do that.


Quoting gdiamante:

Need a dipe count please. How many changes in 24 hours? It's the ONLY thing that matters.

Quoting KristinCarr:

My daughter was born at 36 weeks ans was very very sleepy her forst few weeks and we had issues getting her to eat enough. Also she never was content and full unless she had a tiny bit of formula.
Content and full is not what you look for. If she's fussy, that's good. Fussy babies ARE getting enough; that's what gives them the energy to fuss. 
It sounds wrong... but your WANT the baby who is a demanding pain in the butt who never lets you sleep! **smile**
Now that she is 5 weeks and actually eating well I'm not makimg nearly enough milk for her. She will eat from each breast and then a 2-3 oz bottle per feeding.
The bottles will actually make things worse. Breast one till she comes off on her own. Burp. Repeat on breast two. Then back to breast one. Till she doesn't want to be on any more. No bottles, please. Every bottle makes your situation worse.
I have been trying to pump extra but then when she needs to eat therea barely any milk for her and any type of formula makes her belly very upset. I need to get her on breastmilk only.I am usimg a hand pump now, I ordered a medela pump through my insurance but its taking forever to go through.

I need a dipe count. If you're changing 6-8 dipes per day, you're likely in great shape and can start cutting all the supplemntaiton slowly, say an ounce a day.

99% of moms who thinkg they don't make enough are actually making plenty, and in some cases are actually OVER producing.


gdiamante
by Group Mod - Gina on Aug. 22, 2013 at 12:16 AM

If you eliminate the pumping you will get time back. Put baby to breast as often as she wants to be there and your supply will go up, though from what you write your supply is FABULOUS.

Do you have a sling? It's necessary equipment when you have more than one. Baby gets free access and gets to be held as she wants to be.

This is one of the storms to be weathered. You can get through this. All of us have done it.

Quoting KristinCarr:

The problem is I refuse to let my baby scream all day and she isn't content untill she gets that bottle. I'm a single mom with a 3 and 4 year old I barely have time to throw in my extra pumping sessions. Its just not possible for me to be holding her all day long or to be trying to take care of the other kids while she is screaming. I've been trying to give her pumped breastmilk instead of formula but I just can't get eniugh out to completely do that.

KristinCarr
by on Aug. 22, 2013 at 12:18 AM
Ughh I'm stressed jusy thinking abiut all this. I can't stand to see her upset. And I just domt know hoe I will get any type of sleep . I just want to cry. The whole supplemental started in the hospital . Her blood sugar was low so they gave her formula to try and get it up and ever since its been downhill.
KristinCarr
by on Aug. 22, 2013 at 12:20 AM
Inwas looking into sling last night. I was a little overwhelmed and don't like to buy things withiut reading rating or personal reccomendations. What's a good one?
maggiemom2000
by Ruby Member on Aug. 22, 2013 at 12:26 AM
1 mom liked this


Quoting KristinCarr:

Ughh I'm stressed jusy thinking abiut all this. I can't stand to see her upset. And I just domt know hoe I will get any type of sleep . I just want to cry. The whole supplemental started in the hospital . Her blood sugar was low so they gave her formula to try and get it up and ever since its been downhill.

Don't stress. You're going to take one step at a time. Stopping the formula cold turkey is not an option in your case, since baby has been suplemented from such an early age.

How many bottles does baby get on the average day? 

What time in the morning does she get the first bottle? (first time you give a bottle after the sun is up). 

Count how many bottles she usually gets and subtract one. The bottle she is not going to get is that first morning bottle. Nurse, nurse, nurse, nurse. When it is the time she usually gets the second bottle, go ahead and give it.

Do this for a few days. She's getting one less bottle. She's not starving. She'snot screaming all day. She does not have you up all night.

After a few days drop the next bottle (the next on the clock. Say you stopped the 7am bottle first and the next one usually comes at 9am, first fdrop the 7am bottle, then the 9am bottle) A few days later drop the next one.

If you want to speed things up bring baby to bed with you and encourage her to nurse as much  as she wants during the night.

All the time you have spent pumping? Spend that time with baby at the breast instead (if baby is willing).

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