I don't have any more milk! by Julie Johnson
The most common complaint among breastfeeding mothers is, "I don't have enough milk for my baby." Even though that statement is often told to every lactation consultant in America, it isn't being told to every lactation consultant in the world. Women outside the United States usually don't have issues with low milk supplies.
So let's think about this for a moment. Why here and not there? Why might one woman have enough milk for her entire city, and another appears to not have enough to give her week old baby? This can be a complex question and hopefully I can distinguish between actual low supply and thriving milk supply.
In the beginning stages, many new mothers find that they need the "sign" of engorgement before they feel comfortable that their milk is coming in. Actually, it is the complete opposite. Not having engorgement is what you do want. Severe engorgement can actually kill mammary cells and, therefore, in some cases lower a milk supply for good. Engorgement actually indicates that the baby is not being fed enough or perhaps not accurately. Having some firmness during pregnancy and having a baby nurse frequently starting right after delivery is what you do want.
Moms may be confused when their baby wants to suck a lot at the breasts and never appears satisfied. The baby who wants to suck at the breasts all day while maintaining weight and having "enough" wet and dirty diapers IS getting enough. Perhaps the baby needs to suck for soothing and comforting as well as for food. On the other hand, if mom is experiencing pain with vigorous and continual sucking, she needs to see a lactation professional to rule out sucking issues that possibly are causing the baby to continually work "harder" for his food.
The main culprit of low milk supply is lack of breast stimulation. No magic pills can compensate for lack of good stimulation. Occasionally, medication or herbs are additionally needed, but always accompanied with at least 8 or more good feeds at the breast a day and/or using a hospital grade breast pump.
When in doubt about offering supplementation, get a lactation consultant to help make sure that this is in the best interest of the baby and your milk supply. One final comment, the more supplementation and rubber nipples the baby receives, the less milk will be produced …and that is may be one different from other cultures.
For those special circumstances, don't forget to purchase Earth Mama Angel Baby's "More Milk Tea" and other breastfeeding essentials from www.birthandbreastfeedingsolutions.com
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