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Infant feeding

Get advice and support with infant feeding from other users here.

please help - but milk drying up my tiny baby needs my milk

78 replies

lou222 · 28/09/2008 21:28

i've expressed my milk for nearly 3 months for my premature 2 lb boy
and about a month ago started b feeding him
he's been home a couple of weeks now and my milk is drying up
i've just expressed for 40 mins and only got 20 mls
i've been expressing a little as really sore but mainly breastfeeding
i am desperate to keep going but i know he is really hungry
what can i do to up my supply?
i really don't want to give him formula but the midwive is saying we should!!

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HairyMaclary · 28/09/2008 22:06

Sorry for all the questions ad short responses, but how old is he now and how long has he been feeding for rather than having a ng tube? If he's very little and very tired he may just need to sleep more and it may be worth asking about putting an ng tube back in so that he can top up with ebm rather than having to suck. (just as a disclaimer - I'm not recommending this and I can easily understand why you would not want this but it is just a thought!)
I recognise from your posts how I felt about feeding my prem baby, I'm sure you can get through this!

SnoopDog · 28/09/2008 22:06

have a warm bath together if you can,

i had probs and the lovely mns helped out with suggestions,

warm cloth on boob, massage, lots of skin to skin, baths, frequent feeding, even if it is only a small amount,

i am still mix feeding but i would have given up on bf all together at day 5 if i had not asked for help here, dd is nearly 12 weeks now,

good luck, you sound like you are doing an amazing job already

PortAndLemon · 28/09/2008 22:07

Have a look at the kellymom page on nipple shields

HairyMaclary · 28/09/2008 22:08

just x posted with your last message, he may be getting v tired, feeding is exhausting for any newborn but particularly for a prem one. Is there anyone who can do all the other bits for you so you just stay in bed, dozing and eating while they change his nappy, dress him etc...

lou222 · 28/09/2008 22:13

he is 14 weeks old now
i had him at 27 weeks
we've been home 3 weeks now
am a single mom so not much support really
he doesnt seem to be getting too tired compared to how he was when i first started feeding him

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theSuburbanDryad · 28/09/2008 22:16

Oh bless you, you sound like you're having a rough time - you're doing really well!!

Please phone one of the helplines - they're set up for new mothers who need support.

lou222 · 28/09/2008 22:19

thanks everyone for all your advice - knew this was the place to come
will ring helplines in the morning
off to bed now !!

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Pannacotta · 28/09/2008 22:21

I'd suggest simply feeding him and ditch the expressing - IME it can just make you more anxious and fret about your supply.
Your baby (provided his latch is good) is the best at getting your milk, far more effective than expressing by hand or pump.
If he still seems hungry or frets at the end of a feed just offer him the other breast and switching sides (or just put him back to the breast) until he seems content and full.

I have been breastfeeding on and off for 4 years and my history of expressing is very variable, sometimes I would get a decent amount, sometimes very little, now I don't bother.
The more you feed, the more milk you produce.
GOod luck, hope things get easier for you both.

HairyMaclary · 28/09/2008 22:22

He's obviously getting stronger then, well done! Don't underestimate the effects of the last 14 weeks on you as well, you have done a great job, especially as a single mum.
I think a bf counsellor is your best bet, which doesn't help you much tonight but should do tomorrow.
I have to go to bed as DS2 is an early riser, but I hope your night is peaceful!

madmarriedNika · 28/09/2008 22:26

lou- you are doing really well, try not to be frightened that he lost weight at the last weigh-in, my DS (born at 30wks) did this too, and then made up for it by gaining lots the next time, could find no explanation such a difference. Like you I expressed for 3 months and started to panic as couldn't get much when pumping anymore- but by then DS had just started to feed directly from me, but his latch wasn't great and due to v sore nipples I used nipple shields- thankfully these worked really well for us, and although it took nearly 3 months before he really got the hang of feeding without them they never interfered with my milk supply, I never had to top-up after feeds (in fact he never got a bottle again!! just cups after 6 months!) & finally once he was bigger we weaned off the shields and continued to breastfeed until 10.5 months.

I completely fed DS on demand, some days he seemed to be attached all day long, and would often feed for an hour at a time - but as he was prem I think he was making up for lost time and trying to pack in the nutrients etc... and after 4 months his weight gain really took off (finally)!
Try to get some friends or family to help by cooking you meals etc. and doing all the household stuff so you can just spend time feeding whenever and as much (even if it seems no milk is coming out) as your DS wants- preferably with lots of skin to skin.

Good luck, really feel for you as know how hard this is- you're doing great. Little squeezes to your DS too xx

lizzytee · 29/09/2008 06:24

Hello Lou and congratulations on your little boy, it sounds like he is doing really well. My dd is an ex 27 weeker, now 2 and 9 months. She was bf from birth with EBM and I still do not know how I got throught the first 3 months at home.

If your nipples are sore and cracked, something is not right no matter what anyone who has checked the latch and position at the breast says. As well as having his mouth wide open and sucking well, does he have a good mouthful of breast? As others have said, try and see a breastfeeding counsellor or find a support group where someone can watch you feed and offer constructive help.

You can consider using shields but they will not correct the underlying problem. However, I know a few mums with prems who found that their babies fed better with them until they grew a bit bigger.

You don't say what weight your ds is, but I am guessing somewhere around the 5-6lb mark? I can understand why you are being encouraged to think about formula top-ups, but I agree it's often done without exploring other options.

Re your supply, it is unlikely that your milk is drying up - there does come a point where your supply and your baby's needs are in line, although growth spurts can disrupt that and it's possible that your son is having one- I think my dd had her first about 2 weeks after her due date.

Take care and keep posting

theSuburbanDryad · 29/09/2008 09:11

How are things this morning Lou?

WhyIsItRaining · 29/09/2008 09:14

Sorry I haven't read the other replies and so someone may have mentioned this. My supply dried up and the Dr wrote me a prescription for metoclopramide which made me relactate. It was fantastic. I took it for 2 weeks and my supply re-established enough to carry on exclusively breastfeeding.

lou222 · 29/09/2008 12:29

hi all
thanks again for your replies
he def has lots of energy as he fed for 35 mins on each side last night but was then still crying and rooting for more so i topped him up with ebm.
i find the nipple shields seem really big but he does latch on (it still hurts but just initially rather than the whole feed)
am i ok to use them for a while ? as scubu said just a short term measure as it forms a barrier ??
he is 5lb 11 now, was 5 lb 1 when we left hospital was 5 12 but dropped to 5 11 at last weigh in
have just come on here to find tel no's to ring.

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lizzytee · 29/09/2008 13:11

Good to hear from you Lou and thank you for the extra details. The fact that you say feeding is painful for the whole feed, together with the fact that you are sore and cracked does strongly suggest that your ds is not well latched on.

You can find a list of the helpline numbers plus links to sites with images which may help you tell for yourself whether his position and latch is righthere

However, I do think it's important that you speak with and/or get seen by a breastfeeding counsellor or infant feeding specialist. Do check with your hospital whether they have any feeding clinics or drop-ins - in my experience SCBU staff weren't always aware of the support offered to all mums or just forgot to tell SCBU parents.

Re the shields, consider discussing the best way to use them with a breastfeeding counsellor, ie unless issues with positioning are addressed, they are not likely to be helpful in the long term. But sometimes they can be helpful in assisting a small, premature baby to feed well until he is bigger and stronger.

tiktok · 29/09/2008 13:26

Agree with everything lizzytee says.

Lou - if he has had both breasts and still wants more, best thing is to put him back on to side one! This is a normal thing to do - some babies might want three , four or more 'sides' You will have milk - and shorter gaps between the times the breasts are 'used' means you make more milk, more quickly. It's the frequency with which milk is removed that 'drives' the supply.

JBJBJB · 30/09/2008 05:35

There's herbs and foods that can help your milk supply, for example fenugreek, pearl barley, oats, and malt extract. I had heard that a drink of Guinness can help - tried it and it was great. Mind you for the sake of bub I drank only a small amount (a small bottle would last 2-3 nights) and straight after a feed so most of it is gone before baby feeds again. There's a great group on facebook called "Hey, Facebook, breastfeeding is not obscene!(Official petition to Facebook)" - it's kind of gone from that to a big convo on breastfeeding.
Also check out this recipe
Oatmeal Chocolate Chip Lactation Cookies by Noel Trujillo www.recipezaar.com/192346

Good luck!

Jenbot · 01/10/2008 10:46

Hello - my prem baby would just not put on weight with just breast milk, which was very upsetting- so I completely understand.

I did see a breastfeeding counsellor who was utterly fantastic, but the dietician at the hospital insisted on formula in the end. (Baby went right off the bottom of the weight chart!)

For two weeks I gave her 4 bottles of ebm with a certain amount of normal formula added, per day, with lots of expressing in between.

She started putting on weight, I slowly decreased the bottles. Now she has 1 bottle per day but of Nutriprem 2 rather than the ebm with normal formula.

Everyone seemed to think the ebm with formula was very odd, but it seems to be something you can do with prems for a limited time. I wasn't really happy about supplementing, but it seems to be nearly over now as she's finally growing well, so with hindsight it hasn't been the end of the world. She just needed a kick start, and we'll be back to exclusive bf very soon.

I suppose I'm just saying don't worry too much if you have to do it, it doesn't have to be forever. Good luck!

lizzytee · 02/10/2008 09:37

Lou, I picked up from your answer to Aitch's thread that feeds are lasting a long time, which made me wonder whether anyone has checked your ds for tongue-tie?

twoboots · 02/10/2008 10:02

this might sound weird but I found that when I stopped looking at the clock, feeding became easier. I stopped wearing a watch in the house and the only reason that i'm aware how long a feed takes is how cold my tea is at the end of the feed! someone mentioned herbs above, i give myself a blast of fenugreek from time to time, makes me smell like curry (maple syrup my arse) 2-3 caps- 3 times a day.

have you been doing any breast compression?
jack newmans site is full of useful documents and videos: here

mppaw · 02/10/2008 10:19

Lou, get some CAMILLOSAN cream for your nips. It is a miracle cream for cracked/bleeding nips. It is harmless so can lather it on and still BF.
Keep up the good work.....

FourArms · 02/10/2008 11:10

Lansinoh has always been my lifesaver for cracked nipples. It is available on prescription, but your GP has to write lansinoh, or you'll go round the houses with the pharmacist (well, I did anyway!) trying to give you various forms of lanolin which aren't the same thing at all. Worth getting as it's £10 otherwise.

charleymouse · 02/10/2008 11:32

Lou well done for getting this far, you are doing the best for your baby and have done brilliantly. It does sound like your latch might be a bit off re the discomfort. With regard the weight try not to panic, 1oz could be down to different scales or whether he has just pooed/weed or not.

So since leaving hospital he has gained 11 oz in three weeks, that is great. My HV said between 3-6 oz a week is normal and your little one has done that. These things are averages and can balance out, my DS 31 weeker 3lb at birth took ages to get up to speed it was just how he is. Unfortunatley our babies don't always play by the rules and read the same books/guidelines we/our health professionals do.

Good luck.

lou222 · 02/10/2008 19:53

hi all
he weight is 5 14 but the scubu nurse said he is looking scrawny and his gain is levelling off so she wants to see what he is like next time
she's given me fortifier to add to my ebm
i went to a bf cafe today and they say i have thrush (hence the pain) and an incorrect latch (more pain!)
i have been using shields for the last few days and since using them he has been feeding for between 1 hour and was up to 3 hours yesterday!
tried without shields and hasnt fed for aslong
they said at the cafe that he won't get the fatty milk with the shields ?
they were fantastic there and have really helped me but since feeding him at home i'm not sure his latch is right again - it's so hard to tell i think
and they are slightly sore again!!
i have lansinoh - no idea you could get on prescription even the scubu nurses didn't tell me that !!

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lou222 · 02/10/2008 19:54

oh and no he's not tongue tied they looked .
the feeds have only been lasting so long since i used the shields but that also maybe cos i can stand him on that length where as before i couldnt!

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