October 2012 Moms

My Lactation Appointment

I can't say it was a HUGE success. She weighed DS before and after a feed and he was only getting 40ml. She then suggested tube feeding. Basically you breastfeed and then stick a tube in his mouth that drips formula in, as he sucks. She weighed him after that and he got another 20ml of JUST breastmilk, so 60ml total. She said I should be aiming for 33.5 oz a feed so I am about an ozish short.

I asked if I could come back and do the weigh in again for a number of reasons. I had just fed him an hour and a half before, she asked me to break the latch both sides because he was being lazy, but really he always takes breaks and breastfeeds for about 3040 minutes total and she gave me about 25 and because I feel like my supply is better earlier in the day instead of late afternoon.

The lady said no, because it would make me crazy and suggested continuing to supplement with formula. I feel disappointed and discouraged that my body isn't doing what it is supposed to, but proud of myself for continuing to breastfeed.

So, right now we are doing 3 bottles a day at 2pm, 7pm and 2am but now I am wondering if I should give more or less. Yes, I continue to worry about starving him especially after the weigh in results!! I am tempted to call another LC and try and get another appointment. What do you ladies think?

Oh, and his weight went from 92 to 914 in 7 days....
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Re: My Lactation Appointment

  • I would totally get another appt. with another LC.  I would have had the same concerns you did.  Especially the one about you having fed him so recently.  According to kellymom.com if it's been 2 hours since the last feed LO should take around 2 oz.  3 hours 3 oz. etc.  So really what your LO got was right in line.

    Alos my LC said LO should be gaining around 1 oz a day at this point.  So your LO gaining 12 oz. in 7 days is pretty awesome. 

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  • This is interesting bc my lc actually suggested renting a scale and doing weighed feedings! Also, did they make any suggestions on how to increase your supply? IMO, the more help, the better. With ds1, it took 3 lc's advice combined for us to get it!
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  • imagegusabbey:
    This is interesting bc my lc actually suggested renting a scale and doing weighed feedings! Also, did they make any suggestions on how to increase your supply? IMO, the more help, the better. With ds1, it took 3 lc's advice combined for us to get it!


    Thanks! I am on motiilium, fenugree, have oatmeal daily and am drinking lots of water! Maybe I will look at renting a scale!
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  • imagemeganole25:
    Get a second opinion. Either get your own scale or see a different LC.

    Don't forget, you are doing great!!!


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  • When I went to the LC, she had me feed baby on one side, then when he fell asleep, I unlatched him, laid him down on a hard surface to wake him up, then put him back on the same side as before. When he was done, she then had me move him to the other side. Also, she had me put a warm washcloth on top of my boob while baby was nursing, she said it encourages your let down, you can also take your thumb and rub from the top down toward your nipple to encourage more milk to come down.

    I agree with renting a scale or going to another LC, mine told me to stop by anytime to do a weighed feeding.

    Just remember, you are doing great!
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  • He gained 12oz in 7 days and people are worried about his weight gain?  That's a huge amount - docs are typically looking for 0.5-1oz per day.  I think your supply is either higher than you think, or more calorie-rich than normal.  I'd definitely find another LC or insist on doing another weighed feeding.
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