If you are supplementing with a bottle, give the bottle first and breastfeed second. Put a bit less formula in the bottle than you expect the baby to take. Let him nurse as long as he wants. When you give a bottle to supplement breastfeeding, take your time. Hold the baby in a semi-upright position not lying on his back and keep the bottle horizontal so that he has to work to suck the milk out.
If he pauses or stops sucking, you can take the nipple out of his mouth to give him a little rest. If your baby gets fussy an hour or two after formula and nursing, offer the breast again.
She might only nurse for a short time, but these brief but frequent feedings actually do a lot to encourage milk production and continued breastfeeding. Read more: Waiting for your milk to come in 7 foods to increase breast milk production Breastfeeding problems solved. Breastfeeding 10 reasons for low milk supply when breastfeeding Lactation expert, Teresa Pitman, discusses the top 10 reasons for low milk production and offers tips to find a solution.
Photo: iStockphoto. Here are some of the most common reasons for low milk supply and some strategies that may help. Hormonal or endocrine problems Perhaps you have polycystic ovary syndrome PCOS , a low or high thyroid, diabetes, hypertension high blood pressure or hormonal problems that made it difficult for you to conceive.
Previous breast surgery Breast surgeries can be done for both medical and cosmetic reasons. Taking certain medications or herbs Pseudoephredine the active ingredient in Sudafed and similar cold medications , methergine, bromocriptine or large amounts of sage, parsley or peppermint can affect your milk.
Sucking difficulties or anatomical issues The problem may not even be low milk supply, but lie with your little one; it may be difficult for him to get the milk from your breasts.
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There are some common reasons why women may think their milk supply is low. My baby feeds too often. There is good information about breastfeeding in the early days in the fact sheet: Breastfeeding: Getting Started My breasts feel soft. My baby has suddenly started to feed more frequently. My baby only feeds for a short time. Signs your baby is getting enough milk After the first week following birth, your baby should: wake for feeds by themselves settle between most feeds have at least 6 to 8 soaked nappies 4 to 5 heavy disposable nappies in 24 hours pass a soft yellow stool poo at least once a day.
Possible causes of low supply Your baby is not attaching well at the breast. This may also cause nipple pain and damage. Your baby does not feed often enough. Nearly all babies need to feed at least 8 to 12 times in 24 hours. Your baby does not feed effectively at the breast.
You have started using formula milk as well as breastfeeding. You have had breast surgery that is effecting your milk supply. You have recently had mastitis. You are taking oral contraceptive pills containing oestrogen. You smoke cigarettes. Rarely, there may be reduced or no milk production because of a medical condition. This occurs in less than five per cent of mothers.
Accessed Nov. Hay WW, et al. The newborn infant. New York, N. Wambach K, et al. Drug therapy and breastfeeding. In: Breastfeeding and Human Lactation. Sudbury, Mass. Breastfeeding and medication. American Academy of Pediatrics. Sridhar A, et al. Optimizing maternal and neonatal outcomes with postpartum contraception: Impact on breastfeeding and birth spacing. Maternal Health, Neonatology, and Perinatology. Kliegman RM, et al.
Feeding healthy infants, children, and adolescents. In: Nelson Textbook of Pediatrics. Philadelphia, Pa. Your guide to breastfeeding. Office on Women's Health.
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