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Posted by on Oct. 8, 2015 at 1:25 AM
  • 32 Replies

I am BEYOND frustrated right now, and I'm losing my mind trying to figure out what the heck to do!! About a month, maybe a month and a half ago, I was put on an antidepressant (generic zoloft, I think it was) to help me with my ppd. Just as my mood and overall sanity began to improve, I noticed my milk supply was decreasing. Just to be sure, I made sure to drain my 32oz mug 5 times one day to make sure it wasn't lack of fluids. I could barely get a couple ozs, when I used to be able to get as much as 5 AFTER nursing dd. So, because that was dd's main food source and because I didn't want to put her on formula unless I had to, I got off the meds. My supply has suffered since. I try to keep hydrated, I try to eat right, I pump/nurse as often as I can. It doesn't help that a couple weeks ago I started a new job that keeps me away from her anywhere from 5-9 hours depending on the day, and the breaks aren't long enough for me to pump. A friend of mine suggested Mother Love More Milk and I've been trying to take it, but I can barely pump out .5 oz after dd has gone to sleep for the night (I usually pump right before bed, so there's about 3 hours or so between last feeding and when I pump). If I work that night and pump before bed, I can't even get a full oz!! I HATE not being able to feed her and rely on fomula. It's so expensive! And I know I shouldn't, but I feel like a failure for not being able to provide for her. It's frustrating and right now, I can't swing the co-pay to see - heck, I don't even know WHO I would see about this. I'm beyond frustrated and feel so hopeless and like I'm some horrible failure of a mother for not being able to feed her properly. Has anyone else had this issue after taking a medication? If so, what helped?

by on Oct. 8, 2015 at 1:25 AM
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by on Oct. 8, 2015 at 2:21 AM
I have no advice on the meds, sorry.
Pump in the morning. Both sides as soon as you wake up and then again a short time after breakfast every day. That should help boost your output and get enough milk to add to what you pump at work. Try pumping during your break. Ten minutes at least. If you're working in the afternoon pump before you leave and then pump one side when you get home while baby nurses on the other side. Oat cookies and other galactagogues a half hour before you pump should help too. Those are all the things I did while I was working and pumping, though I didn't do every one every day.
Every day I pumped both side when I woke up and then I pumped one side while baby nursed after I had eaten breakfast. On the days I worked it depended but I either pumped before, at lunch and after work or before and after depending on how my day went.
The biggest thing is to make sure she can nurse freely when you are home. It sounds like your supply is not the problem, just your pump output. What's her diaper count like?
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by Gold Member on Oct. 8, 2015 at 5:57 AM

The decrease in pumping amount very likely had to do with supply regulation not the meds. I dont know that i have ever seen a mom have supply issues based on anti-depressents

What you are able to pump does not equal what you have for supply. 

How are babies diapers?

To get a better pump response you need to pump every single day. Pump first thing in the morning on one side while baby is nursing on the other. You need to make your breaks work for pumping. You can't go 8+ hours without stimulating your breasts and then expect to be able to make it up in the few hours your awake at home. 

What does your schedule look like?

Here is a sample effective schedule

6am-pump and nurse

8am-nurse baby at drop off

9am-get to work (pump every 2-3 hours while there, if your company employs 50+ people they are legally required to provide you with a private clean pumping area and adequate break times to pump)

530/6-nurse on pick up. 

Nurse on demand when home with baby

Make sure when you send baby to the provider that you send only the needed amount of milk. If baby is with the provider for 9 hours the most you would need to leave is 9-11oz. 

Are you in the breastfeeding group? Theres alot of good info in there.

You could also look into donor milk.

by Bronze Member on Oct. 8, 2015 at 8:08 AM
I suggest speaking with your doctor.
by on Oct. 8, 2015 at 8:52 AM

I took zoloft while pg. Now there is a lawsuit b/c it caused birth defects  and heart issues. My dd was born with mitral prolapsed heart valve. I didnt have any issues when I was taking it while not pg or nursing so honestly I wouldnt nurse or switch to another meds while nursing

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by on Oct. 8, 2015 at 9:46 AM

I would speak with your doctor ;)

by Silver Member on Oct. 8, 2015 at 10:05 AM
Will your doctor give you advice over the phone so you don't have to pay the co pay of going in and seeing him?
by Member on Oct. 8, 2015 at 10:54 AM

I did some research when I first started noticing the decrease. Only 10% of mothers taking the drug would notice a decrease in milk supply, so it's not a common thing. I've been trying to pump as often as possible, and I nurse her before she gets a bottle. I don't have the time to pump at work, they have the break room clear across the store and I only get 15 minutes. I pump or nurse before I go to work, and I pump right when I get home because dd is asleep by the time I get back. And no, Dr. won't do over the phone, I tried.

by on Oct. 8, 2015 at 11:23 AM

you can contact an IBCLC international board certified lactation counselor and ask.

oatmeal, water, mother's milk tea, fenugreek

by on Oct. 8, 2015 at 11:31 AM

I don't really have any advice except to contact a lactation specialist o maybe you could join a breastfeeding group here on Cafemom. 

I do understand how you feel, but you're not a failure if you need to supplement or feed your child with formula. :-)

by on Oct. 8, 2015 at 12:37 PM

I'm so sorry you are going through this! I had PPD after my first baby. I already see you are getting enough fluids so it is certainly not that!!! Have you tried fenugreek??

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