Welcome to the Motherwear's 16th Carnival of Breastfeeding! This month's theme is pregnancy and breastfeeding. Be sure to check out the great posts from other bloggers at the bottom of this post.
This post, previously published 4.5.08, has been Selected to Participate in Motherwear's Carnival of Breastfeeding and has been bumped to the top of the blog. The theme is Pregnancy and Breastfeeding!
~~~~~~~~~~~~My first impression on reviewing my schedule in the morning when I saw I had an expecting mom, 3 months along and her 9 month old coming in for low milk supply was that I probably couldn't do anything to help her supply. I am not recommending herbs and pills to boost supply in pregnancy because they don't work then.
But like everything, you need to sit down, get your facts, and watch the mother and the baby, their interaction and nursing.
So, I have mom sit in my rocking chair with the foot stool and I make sure her 9 month old is relaxed and then she can relax and talk. The baby latched and stayed latch the entire time we talked. The baby reached for mom's long hair with her free hand and massaged and fingered moms hair as she nursed. She made soft little "happy" sounds the entire time. Looks pretty good to me so far. She was normal weight, happy, alertness, and otherwise thriving. Doesn't look like low milk supply to me.
This is where the problem came in. The PEDIATRICIAN told mom to start formula. Why? Because that's what pediatricians typically say when they don't understand breastfeeding. Mom interprets this as something is wrong with her milk supply. Who wouldn't?
My Plan to maximize the duration of breastfeeding:
1. Encourage the skin-to-skin, co-sleeping, co-bathing, the lifestyle stuff that will keep mom and baby together.
2. Let her know that Reglan, Domperidone, herbs are not used in pregnancy. Fenugreek is not recommended in pregnancy at all.
3. Emphasized mom's vitamin, nutrition and water intake.
4. Emphasize the 9 month olds nutrition. At 9 months old, what she doesn't get at the breast, she can get in whole food! (why formula?)
5. LLL has a great book for Mother's who are breastfeeding through a pregnancy. It's called "Tandem Nursing and Beyond." It's subtitle explains why it would be a good book for this mom, "Breastfeeding through a Pregnancy." This is a perfect book if you are contemplating continued nursing while concieving or being pregnant. This is a mother at the right stage for this book. I have it in my lending library.
6. Consider her birth provider. We do have several local midwives that would support her continued nursing.
7. Reconsider her choice of pediatrician. HELLO! Family physician's can provide wellness care. ;)
All-in-all nothing was wrong with her milk supply.
We have some great posts from other bloggers on the topic of breastfeeding and pregnancy. Check them out! (List will be updated throughout the day).
Natural Moms Talk Radio - Carrie shares practical information on breastfeeding while pregnant.
Permission to Mother - Dr. Denise writes about a milk supply mystery.
Crunchy Domestic Goddess - Amy writes about her experience with nursing during pregnancy.
Breastfeeding Mums - Sinead shares advice on preparing for breastfeeding.
Motherwear - A Breastfeeding Friendly Birth Plan.
Breastfeeding 123 - 10 tips to prepare for breastfeeding while pregnant
Milk Donor Mama - I speak from Experience