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  1. #41
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    I'm not breast feeding atm, stopped over a year ago, but was on motilium recently for my stomach problems, which is what its traditionally prescribed for, and after a couple of months taking 30 mg twice a day i started leaking milk! It raised my prolactin so high, like ten times higher than it should have been. Would have been great if i was breast feeding! If you're going to try it, give this dosage a go.

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    SugarplumMummy  (01-06-2012)

  3. #42
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    Quote Originally Posted by SugarplumMummy View Post
    Thanks everyone - I guess I was asking what everyone else could average to pump in a day?
    On the suggestion on another thread I am going to contact the Aba today. I am able to express 100mls per day and bub is feeding 2-4 hourly during the day so the 100mls is in addition to bubs feeds. Based on what the CHN said I didnt gauge the 100mls per day as enough and I seem to nearly be always at the pump and dont think I can sustain that with my toddler & a business to run!
    If I get the time I pump about 12 times for 10-15 minutes and my daily total would be 300mls. I divide this up as I go and supplement with formula. I also bf completely overnight and morning, then start 4 feeds during the day with bf before offering the bottle. I am on a low dose of motillium.
    It is heaps of work...I also have a toddler to chase after. Do you run your business from the computer? I do most of my pumping in front of the computer or tv, just in between doing everything else.
    Also, I have set myself a time limit...if I get to 12 weeks and my milk supply still needs this much effort to keep then I will, very sadly, just change over to formula. You can only do so much.

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    SugarplumMummy  (01-06-2012)

  5. #43
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    Quote Originally Posted by betherina View Post
    If I get the time I pump about 12 times for 10-15 minutes and my daily total would be 300mls. I divide this up as I go and supplement with formula. I also bf completely overnight and morning, then start 4 feeds during the day with bf before offering the bottle. I am on a low dose of motillium.
    It is heaps of work...I also have a toddler to chase after. Do you run your business from the computer? I do most of my pumping in front of the computer or tv, just in between doing everything else.
    Also, I have set myself a time limit...if I get to 12 weeks and my milk supply still needs this much effort to keep then I will, very sadly, just change over to formula. You can only do so much.
    Hi Betherina - it sounds like you are doing such a wonderful job with a toddler to care for as well; it must be really tiring to pump 12 times a day. I just wanted to jump in and let you know the volume you are pumping in the day is sounding pretty close to what a normal milk supply would produce; A baby over 1 month old drinks between 500ml to 1200ml per 24hrs, with the average baby drinking 750-800ml. There is more milk produced at night (because prolactin levels are highest then), so this volume is not evenly divided up between night and day. As well, the first feed of the day is often bigger in volume than other feeds. Since you are breastfeeding overnight and in the morning, there is a very good chance your baby is getting at least 500ml at these feeds; if you are pumping 300ml in the day 500ml + 300ml = 800ml = average!

    Is there any reason you are pumping in the day instead of offering the breast? your baby milks the breast more effectively than a pump, and will be able to get more than what you can pump. There are a couple of ideas in my last (long...) post you may like to try to build supply. As well, if you do need to top up with formula, one way to do this while still building supply is to offer both breasts at least twice (with 20min breask in between), then only offer a top up if baby is still showign signs of hunger - and only offer JUST enough to fill them up. eg, offer 10ml, then have a little rest and see if that's enough. Then 10ml more then rest etc. When baby is settled and full - Stop! don't be tempted to keep going and finish the bottle - that can diminish appetite for the next breast feed. I am just wondering with your personal situation and a toddler whether this approach may be more manageable than pumping 12 times a day?

    It may help to know that breastmilk changes throughout the day and this is normal; in the morning it is high volume and low in fat (high in sugar for energy) and as the day goes on it is lower in volume but higher in fat. For this reason, many babies will feed more frequently in the afternoon to tank up on the low volume high fat milk in preparation for their night sleep. If you are pumping, it would be normal to expect to pump lower volumes in the afternoon because of this.

    Also is it worth considering asking your doctor whether you could increase your dose of motillium? Most mums need 2 tabs 3 times a day, and I know many mums who are on more than this.

    you are doing an awesome job. Well done

  6. The Following 3 Users Say Thank You to purplecat For This Useful Post:

    betherina  (22-05-2012),Bubbles10  (21-05-2012),SugarplumMummy  (01-06-2012)

  7. #44
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    You have some good suggestions...I have been begging the baby health nurses and doctor to give me suggestions like these...
    My doctor has something against motillium, I had to beg her for the course I'm on, which is only 25 tablets, which I want to last as long as they can. I'm not sure where to find a doctor who will let me go on a high dose long term.
    i started pumping because bub was really unsettled and I was worried he wasn't getting enough. I will cut down the amount extra that I give him today and see how it goes.
    thank you so much, I really appreciate your advice.

  8. #45
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    Thanks for sharing and thanks purplecat - what wonderful info!

    Am still exclusively bf (so proud of myself) and am only pumping around the 100ml per day still, this is pumping around 8 times a day)
    My motillium script has finished and am taking one fenugreek a day.

    Bubs sleep is all over the place - during the day he feeds 3 hourly now and is almost back to his birth weight.
    I have to admit I am struggling through the night as bub is especially hungry/windy/unsettled and I have an infection which is making me very tired. My energy is very low. The doctor has me on 2 x antibiotics and this may or may not help the infection.

    Still havent got around to calling Aba but must do this as I really want to exclusively bf but am seriously considering offering a bottle with half breast milk and formula during the evening in the hopes that this settles bub a little more and allows me some more rest and less time on the pump. BUT im afraid once I start to offer formula that my supply will drop and bub will get used to formula/bottle.
    I thought with all of the effort I was putting into increase my supply that it would have increased from 100mls per day.

  9. #46
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    You might need to continue the molitium till you no longer need to express. Or you might be needing it long term. I would recommend you get another script and double your fenugreek. Blessed thistle tea is great too.

    You said you were not feeling great. Unfortunately maternal illness and fatigue can effect milk supply so please look after yourself too. Eat lots and drink loads of water. If possible nap during the day or at least rest.

    3w-3mths is typical of babies being restless in the evenings. So changing to formula may not help you at all.

    You are doing a fabulous job and should be proud of yourself.

  10. #47
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    Oh thanks for that yes its hard to get rest with my toddler! The doctor said I cant take the motillium with the antibiotic ;(

  11. #48
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    Just to mention too DH offered 70ml expressed milk last night at 3am and bub woke soon after and still seemed hungry. Based on this I think I maybe need to supplement formula of an evening??

  12. #49
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    Quote Originally Posted by SugarplumMummy View Post
    Just to mention too DH offered 70ml expressed milk last night at 3am and bub woke soon after and still seemed hungry. Based on this I think I maybe need to supplement formula of an evening??
    when did bub feed before that? if bub fed three or so hours before that - well maybe they did need more. also bottles are easier to get milk out of than boobs so bub could be windy/tummy sore from milk getting in too quickly and nursing is the best way to get rid of tummy pains.

    and in response to an earlier post - some women can feed their children well into toddlerhood and never express a drop! expressing volumes are not an indication of supply.

  13. #50
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    Quote Originally Posted by missie_mack View Post
    Not neccessarily. It is quite common for bubs to cluster feed at night when things are quieter. When in doubt whip your boobs out
    agree - you cannot offer too much boob!


 

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