Sunday, July 25, 2010

Let's talk low milk supply

I want to talk about this a little bit. This has been a question going around with a few of us twitter moms trying to answer. I've mostly been lurking reading some of the answers as I am a first time mom that hasn't had this problem, but had I given up in the beginning, I suspect it would have been a problem. All breastfeeding moms know that feeling when they are lactating, you can feel your nipple to begin to tingle and eventually a drip starts, or in some cases a stream and in some more cases you just spray. I almost feels embarrassing, and did I ever feel embarrassed, but I grew comfortable to this because I knew my supply finally came in.

So do you feel the colostrum as your baby is suckling? This has been a question that has plagued me for the longest. I’ve wondered if I ever did have any or did the continues suckling contribute to only encourage my milk supply to come in?

Everything is so scary when you are a new mom, and I know I had so many questions running through my mind and I'm sure the doctors were aggravated, but they were happy to answer, if only it would get me to shut up. Only a few days old, I had a load of new questions, one of them being what was going on in my baby's diaper? There were orange crystals in his diaper, which I thought was blood. I quickly called my mother-in-law, woke her up and asked her frantically what was wrong. She laughed and said it was normal, but it probably wouldn't hurt to take my son to the pediatrician. So I made a sick baby appointment that very next morning.

I was devastated by what the doctor told me. "The crystals mean your son is dehydrated." I was so ashamed. How could I let this happen to my son? I am his mother. I gave birth to him, I've been feeding him, what's going on? At this point, I thought I was breastfeeding fine, although I had no education in the subject whatsoever, I thought I was doing my job: putting my son to my breast and letting him do all of the work. So what was going on?

"Your milk supply hasn't fully come in yet and it's possible he isn't getting enough." The words every first time mom dreads to hear. I wasn't sure about breastfeeding up to this point, but I am a very competitive person and someone telling me I'm not giving enough is like a challenge. I'm not going to stop because my body is having issues. I will fix the problem!

"For the next week or until you feel you have your supply, and you'll know it when it happens (and boy did I know it), you need to give your son one ounce of formula every two hours than attach him to your breast so he can help manipulate your supply." I was in tears. I thought by being a nursing mother this meant no formula, though up to that point I really thought formula would be okay. We went home and started the process of supplementing. That was the hardest week we had ever lived through. Both my husband and I really wanted to sleep, but we also had this baby that needed our help.

After that week my supply had come in and I was grateful for not having to deal with nipple confusion. I don't know if it's because of the nipples we used or the continuous work of going straight to each breast for 15 minutes after the bottle helped. We were glad to be done with the formula though, it was causing our son to have a lot of gastro issues, which turns out is all babies. Formula is so thick and not easily digestible.

Have you ever been in a situation like mine? Has yours ever been worse? Did you have a support team or were you on your own?

I will tell you the story of someone I know. We were friends for only a short time, but her story is what encouraged me to really push breastfeeding, get the info out there and encourage having that support group. She was a first time mom and had a live in boyfriend, who of course was the father. They didn't have the support they expected, but they did get by with what information they found. They went through the typical first time parent classes, read the books and whatever literature they found to help them through the pregnancy and beyond. After only a few minor complications they gave birth to a beautiful little boy. Everything was fine as far as they knew, but being first time parents means you may not always have a clue about what's happening; especially without a support group to tell you what each little cry means.

It was hard for her in the beginning, but she made it through, until one day when they noticed he wasn't crying like most newborns do. Everything seemed a little off at that point. Her son seemed very lethargic, she couldn't even wake him up. They rushed him to the childrens hospital in Birmingham, the hospital where I'm pretty sure even Mississippi children go to, depending on the circumstances, but don't quote me on that. That is only something I have heard time and again. The baby survived almost another week, but the damage had been done.

She had felt a failure, feeling it was all her fault, feeling that she should have noticed something was wrong long before it had become that bad. When they told me what happened I wasn't sure what to say. How does a baby die of dehydration when we are created in a way to sustain life? She fell into a deep depression afterwards, believing her son's death was all her fault.

Now I don't know what all the circumstances were that led to his death, but after explaining to the pediatricians what had happened and my fear that the same would happen to my son since he was a little dehydrated, I wanted to know how it would end, but it became very clear to me when I remembered the last two weeks of my father's life before he passed away.

"The kidney's are the first to go." It rang through my head, echoing. I remember my father's oncologist explaining to me what was happening. "He is dehydrated and his kidneys are not where they should be because of the cancer. They have hit their end stage."

When the pediatrician explained to me how a baby's body relies on the proper nutrition of breastmilk or formula, it dawned on me. That's how it happened. She didn't really know how much a baby should eat in a day, or how many wet diapers she should have in a day. She didn't have anyone there to tell her what was going on.

This is why I push having a proper support group, surrounding yourself with people who have experienced it all, or most of it, or even becoming educated in everything there is to know. Now that last part may be a bit much, but I think you understand what I mean. My hope is, that even if you struggled the first time, I encourage you to try. Search for a lactation consultant, talk to a doctor and see if medication is needed to increase your supply. Get in touch with a La Leche League leader and surround yourself with women who can help, who understand and can help you through the process.

I'm not sure what else to really say here, and I hope that I have helped people realize how important it is to not be alone when it comes to new adventures in your life, especially when it comes to a new life.

Some links to keep in mind when dealing with low milk supply:

http://www.bestforbabes.org/

http://worldbreastfeedingweek.org/

http://www.fitpregnancy.com/yournewlife/breastfeeding/Low-Milk-Supply-89434367.html?page=1

http://www.mobimotherhood.org/MM/article-lms.aspx

http://www.lowmilksupply.org/

www.sc.edu/healthycarolina/pdf/lsp/ChallengesandStrategies.pdf

http://depts.washington.edu/growing/Nourish/Brfeed.htm

http://www.medelabreastfeedingus.com/tips-and-solutions/46/low-milk-supply

http://www.kellymom.com/bf/supply/low-supply.html