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  1. #1
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    Default Low milk supply and formula top ups

    I am taking motilium (just inc to 6/day) and fenugreek (6/day) and starting nursing tea. I have been actively trying to inc supply for my DS, 3.5mths old, for over 3 weeks and feel I'm getting nowhere! The top ups seem to have increased his appetite and breast refusal still occurs at some feeds. He is vomiting a lot too. I was hoping top ups would have reduced by now but they continue to increase! He sleeps at night but not in the day and is miserable for it. Do I stop top ups and just let him ebf and go hungry? At a loss so keen for advice!

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    Do you have a pump?

    Offer him the breast first then express while you top him up (if he needs it).

    It's all about supply and demand so if you're not expressing to make up for the top ups you're not going to increase your supply.

    Good luck

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    You may need to take up to 9 motilium tablets per day (3x3) to get things going. I'm assuming until now you've been on 3 a day, which most GPs consider as the standard dose, but that was nowhere near enough for me to EBF.

    Google 'Dr Jack Newman'. He has heaps of advice including diagrams on how to do breast compression while feeding amongst other things. If you're not already, drink lots of water. Probably at least 3l a day.

    Some women find any/all of the following to help boost their supply. None made any significant difference to me.
    - fenugreek (tea/tablets)
    - blessed thistle (tea/tablets)
    - oats (porridge, lactation cookies)
    - linseed (lactation cookies, on cereal)
    - wheatgerm - this did make more difference than anything else on this list
    -brewers yeast (lactation cookies,tablets)

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    When I was where you are at, I stopped the top ups for two days but I think DS was hungry as he he was attached 24/7 those two days, so I went to the next part of my lac consult advice- top up with 30ml only, then walk bub round upright for 10 min. If there is no protest leave it at that. Definitely need to pump as pp said otherwise your body won't know your lo is needing the extra. Also skin to skin is imperative, to increase your milk making hormones. I felt so daunted by the above regime but it worked quite quickly in the end. Keep in mind that genuine low supply is fairly rare. It's hard to feel confident when they guzzle a bottle so quickly and with such enjoyment! If you're into Chinese medicine herbs and acupuncture work well.

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    A baby guzzling a bottle of formula or ebm after a bf is actually not a sign of low supply. Low supply is evidenced usually by dry nappies, to start with.
    Start to reduce your top ups while not restricting access to the breast at all. If this means hourly feeds, so be it- it's not forever and it is this that will build up your supply. Also consider using a supplemental nursing system and ditch bottles altogether while you wean from top ups. It will reinforce the food and breast association and stimulate your supply at the same time.

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    Thanks all. Yes definitely pumping as much as possible! Between that and long feeds we pretty much never leave the house! Have also tried lactation cookies, more water, etc. I think my milk has increased but his appetite has increased even more so it's not sufficient! I tried reducing top ups but he is very unsettled and won't sleep due to the hunger. The gp also said he was dehydrated and needed more! I'm worried that he'll go hungry and not necessarily seek the breast more (like he did before we identified the low supply). They are finally happy with his weight gain too, they'd curse me if it drops off I'm sure haha!

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    Does bub usually have a good latch? No pinched nipples?

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    Quote Originally Posted by SeekingAngels View Post
    Thanks all. Yes definitely pumping as much as possible! Between that and long feeds we pretty much never leave the house! Have also tried lactation cookies, more water, etc. I think my milk has increased but his appetite has increased even more so it's not sufficient! I tried reducing top ups but he is very unsettled and won't sleep due to the hunger. The gp also said he was dehydrated and needed more! I'm worried that he'll go hungry and not necessarily seek the breast more (like he did before we identified the low supply). They are finally happy with his weight gain too, they'd curse me if it drops off I'm sure haha!
    What made the GP say he was dehydrated? Just that very few GPs have a clue when it comes to BF so if there are plenty of wet nappies that is a sign they're getting enough. I would start to wean slowly off formula and just keep him at the breast. Like I said, the fact that he will drink a bottle after is NOT a sign that he's still hungry. Will post some links later for you.

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    Have bub checked for tongue and lip tie.

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    Good on you for persevering. I became completely demoralised when I experienced low supply both DD & DS, I honestly believe I should've toughed it out.


 

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