
Amy Spangler, MN,
IBCLC, has answered many of your questions about whether or not
your baby is getting enough to eat. We will be posting more
answers to your questions in the next few weeks.
Amy is a nationally known perinatal nurse, lactation consultant and member of the Breastfeeding.com medical
advisory board. She is the author of "Amy Spangler's
Breastfeeding, A Parent's Guide," which has sold over
300,000 copies.

 How can I produce more milk for my son?
| NAME: |
Claudia |
| BABY'S NAME: |
Diego |
| BABY'S AGE: |
3 months |
How
can I produce more milk for my son? He's going through a
tremendous growth spurt and I feel I just cannot produce enough
milk. I've started Fenugreek supplements a week ago, but they do
not seem to make a significant difference. Please help!
Thank
you very much.

First
of all, I would like to know, why you think that you are not
producing enough milk? So often, a mother's perception of
inadequate milk supply is a misperception. While Fenugreek seems
to increase milk supply in some mothers, scientific evidence
that it really works is limited.
Milk production is directly related to milk removal-the more
milk you remove from the breast through breastfeeding or milk
expression, the more milk you will make. You can increase the
frequency and length of breastfeedings or you can hand express
or pump between feedings. Both will effectively increase your
milk supply, however, your baby is the more efficient.
It would be helpful to know your baby's birth weight and
growth pattern over the past three months. A normal growth
pattern is generally a good indicator of whether a baby is
getting enough to eat.


Baby Emptying me Out, Help!
| NAME: |
Kris |
| BABY'S NAME: |
Robert |
| BABY'S AGE: |
1 week |
I
have noticed a pattern that Robert seems satisfied during the
day, but at the feeding around 7 - 9 p.m., he cannot get enough.
He is emptying me out. I have wanted to stay away from formula,
but all of the nurses and lactation people I have spoken to all
say to supplement with formula. They have suggested to start
with 1/2 ounce of formula. However, I have been doing this for
two nights and he has taken 2 full ounces after breastfeeding.
Is this normal, or am I not producing enough milk for him?
For
your information, he was born at 8 pounds, 10 ounces.

To
answer this question appropriately, I would need to know your
son's feeding pattern during the day. Babies need to
breastfeed 8-12 times in 24 hours. Some babies will breastfeed
every 3-4 hours during the day and every 1-2 hours at night.
Others will breastfeed every 2-3 hours day and night. Every baby
is different. If Robert breastfeeds every 4-5 hours during the
day, he will need to eat more often in the evening, perhaps
every hour. This is a normal feeding pattern. In addition, when
babies sleep for an extended period at night for example a 4-5
hour stretch, they usually feed more often in the evening to
store up calories for use during the night.


How Do I Increase Milk Supply?
| NAME: |
Janice |
| BABY'S NAME: |
Miranda Joy |
| BABY'S AGE: |
4 months |
I
was wondering how to increase your milk supply. I breastfeed and
bottle feed. Can the increase of fluids help increase my milk
supply? Thank you.

There
are only two reliable ways to increase breastmilk supply. You
must either breastfeed more often, or you must breast pump more
often. Breastfeeding more often is more efficient that pumping
the breasts. Basically, however you can effectively remove milk
from the breast, that will enable your body to produce more
breastmilk.
Also, while we want to encourage mothers to drink to satisfy
thirst, we don't want them to force fluids. Studies have shown
that forcing fluids beyond the point of thirst actually
decreases breastmilk supply.

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