Insufficient Glandular Tissue and “not having enough milk”

This link provides even more information on the topic of insufficient glandular tissue and consequent low milk supply.

Link

Can all women breastfeed?

Human Breast milk is the best food for human babies, but can all women breastfeed?   The following post contains helpful information:

Can all women breastfeed?.

Moreover, when a mother, for any number of reasons including insufficient glandular tissue, history of breast surgery, hormonal imbalances, anatomical problems with baby, etc. cannot exclusively breastfeed, ANY amount of breast milk is beneficial for both baby and mom.  A lactation consultant can help determine how much milk a baby takes in during a feed with pre and post feed weights.  Also, over the course of 24 hours the number of wet diapers as well as frequency and consistency of baby’s poo can also determine how much baby is receiving from mom.  If mom isn’t making enough, supplementing will necessary.  The first and foremost priority is to FEED THE BABY!  Starvation jaundice and dehydration in newborns can be very dangerous.  Most breastfeeding problems can be averted with proper education before baby is born and careful monitoring in the first very important hours, days, and weeks of baby’s life.  A mother should feed her baby at least 8 times in a 24 hour period, baby’s pees and poos need to be sufficient, and baby shouldn’t become dehydrated or loose too much weight.

So how many wet diapers then?  How many poos?

Your baby should produce a quantity of wet diapers to correspond with how many days old she or he is for the first several days:  for example, 1 wet diaper on day 1, 2 wet diapers on day 2, 3 on day 3, 4 on day 4, 5 on day 5 and from there on after at least  6 wet diapers in 24 hours.  Urine should be light colored yellow or clear.  Remember, baby’s tummy is tiny at birth and mom also has a small amount of  milk in her breasts.  As the days progress, mom begins to make more milk, and baby’s tummy expands at an ideal physiological rate.  Baby’s poo is dark and sticky at birth and should to a soft seedy yellow consistency within the first few days of life  Often babies poo with every feed.  Other babies don’t poo quite as often.  If a  baby in the first month of life is having less than 3 seedy yellow stools in a 24 hour period, evaluation by a doctor as well as a lactation consultant is necessary.  Sometimes babies do poo less often (as my second daughter did) but having an evaluation to rule out complications and problems will provide peace of mind.

My baby lost weight after birth?  Does that mean I don’t have enough milk?

Babies are supposed to lose a little weight right after birth…ideally 6 to 7%.  Weight should stabilize around day 3 or 4 of life and birth weight should be re-gained by day 10 to 14 of life.  As long as your baby is latching properly and feeding well at least 8 times every 24 hours, weight loss and gain at ideal rates shouldn’t be an issue.  Your baby’s weight should be monitored closely by your physician in the hospital, at a 3 day, and 10 day check-up.  If weight loss becomes excessive and if bilirubin levels in your baby’s blood are too high (a sign of jaundice that your doctor will check for) you will need to supplement (at breast if possible) to keep your baby healthy.  Doner breast milk from a milk bank might be available.  Ask for it.  Human milk, even if it comes from a milk bank, is the very best supplement for your baby.   All artificial supplements are potential allergens for the sterile tummy of a newborn.  Soy and cows milk based “formulas” can cause serious problems.  If human doner milk isn’t available, a “hypoallergenic” hydrolyzed artificial milk is the safest alternative.

In most cases, when supplementing is necessary in the early days (especially when supplementation occurs “at breast” and mom uses a hospital grade breast pump to build and protect her milk supply, supplementation can be temporary and an exclusive breastfeeding relationship can be achieved within a few weeks.  However, even with the proper breastfeeding support and protocol, if it truly does  turn out that you don’t make enough milk, please just know that you most likely do make some milk.  If you need to continue to supplement, you CAN breastfeed.  The benefits of breastfeeding and breast milk can still play a role in your baby’s nutrition even if your breast isn’t its sole source.

BBC Breastfeeding Power Hour Could Save Lives

Link

What’s so great about Breast Milk, anyway?

Before I say anything else about breastfeeding and breast milk, I want to tell you more about colostrum, lysozyme and lactoferrin.   A newborn baby’s tummy is very tiny, sterile and fragile.  Colostrum (the thick, clearish yellow milk mom has in her breasts before and at birth) is the perfect first nutrition and first immunization for her baby.  Colostrum is high in protein to support early rapid growth of the baby including the brain.  Colostrum also works as a laxative to help eliminate meconium (baby’s first poo) from baby’s system.  Colostrum is baby’s first immunization as it contains a high concentration of white blood cells and immune system properties carried over from mom, and baby’s immature immune system is supported by mom’s strong immune system with the transfer of colostrum during breastfeeding.  Colostrum is also high in antioxidants and protective immunoglobulin A and is thick and coats the lining of baby’s tummy which further builds up baby’s immune system.  Colostrum and mature milk also contain lysozyme, a whey protein full of active enzymes that provide antimicrobial actions within baby’s digestive system.  Artificial infant formula has no immune system support properties.  Colostrum is alive and the perfect food from that mom to that baby.  Nothing from a can can replicate that.  Human milk also contains lactoferrin, the iron binding protein in whey which inhibits the growth of bacteria in baby’s gut (intestinal tract) thereby protecting the baby from icky stuff such as e. coli and salmonella.  Not only is artificial formula not able to replicate or come even close to providing any immune system support, artificial infant formula actually inhibits the actions of lactoferrin.  Because lactoferrin is iron binding, iron fortified infant formula saturates lactoferrin and renders it useless.  Even small amounts of artificial infant formula can allow proliferation of bad bacterias in baby’s intestines.  Colostrum is essential for optimal physiological support of a fragile newborn baby.  Furthermore, colostrum transitions into mature milk during the first week of baby’s life, changing in composition and increasing in volume.  A mother’s milk continues to adapt to the needs of her growing and changing baby in the weeks and months and even years to come.  Breastfeeding and breast milk continue to provide complex immune system support throughout mom’s and baby’s breastfeeding relationship.

Human breast milk is the best food for human babies.  Breast milk is ALL your baby needs for baby’s first six months of life and MOSTLY what your baby needs until baby’s first birthday and thereafter for as long as mom and baby desire to continue.  Toddlers can benefit from breastfeeding both emotionally and nutritionally–as breast milk continues to be a healthy and no cost protein and vitamin and immune system booster supplement to a well balanced diet.  No milk needs to be purchased from the store.  The food is free.   No bottles, no artificial nipples, no sterilizing, no refrigeration required…no manufacturing, no marketing, no distributing, no waste.  Breastfeed for your baby.  Breastfeed for your own health and bank account.  Breastfeed for the health of our environment.

My Thoughts on Cloth

My first daughter was born in 1998, and I brought her home from the hospital to a huge stash of Huggies and several tubes of Desitin.  Every 1 to 3 hours she filled a tiny, thin little diaper made of plastic and super absorbent sodium polyacrylate with a very wet yellow poo…and I can still remember that it always shot right up her back every time, out of her diaper and onto her little gown.  Tiny diaper after tiny diaper after tiny diaper got balled up and tossed into a diaper pail…and I still had to wash yellow poopy clothes.  Box after box I bought, tossed, and took out to the apartment complex dumpster…endless trash, endless messy baby clothes because the breastfed baby poo went right up and out of the disposable diaper almost every two hours.  This went on for months before I realized I had another option.  When Hannah was four-months-old, a catalog arrived in the mail advertising cloth diapers.  Back in 1998, our options were prefolds with pins, prefolds with Snappis, nylon pull-on pants, fitted diapers, prefolds fastened with velcro covers, and “all-in-ones.”  I ended up ordering a dozen prefolds and a few Bumkins vented covers, 3 pairs of Bummis Whisper nylon pull on pants (which unfortunately are no longer being made) and a dozen cotton/poly blend flannel fitted diapers, and three different styles of “all-in-ones.”   I soon realized there are pros and cons to each style of diaper.  The prefolds and velcro covers worked well, but they sagged unless I also put a onesie (tiny t-shirt that snaps between baby’s legs) on to hold the diaper in place, and the prefolds were bulky when folded over in the front but the fabric was great for absorbing wetness.  The flannel fitted diapers (made by a Canadian company called QJ) fit well but were not very durable or absorbent, and they felt very wet after being soiled and were awkward to change because the wet dipe had to come into contact with the changing table surface when the nylon pants were pulled off…the nylon pants worked well but when poopy were a pain to remove.  …and I only used the “all-in-ones” a few times because they were a huge pain to wash and took forever to dry!  We still used disposables sometimes, and at night, but I saved soooooo much money by using cloth at home.  I mean…we were home most of the time and we went through so many diapers…so why not???

My second daughter came along in 2001, and we started out in cloth right away.  We used newborn Pro-rap covers and tiny newborn cotton contour shaped diapers (which I loved! They were a birdseye 100% cotton fabric, very trim and I ended up using them for 3 girls in a row…finally selling them to a friend. Of course now I cannot find them anymore anywhere and I suspect they are no longer made.)  I loved the Pro-rap for size newborn and they worked great for holding Claire’s poo right from the start, but the next size up of Pro-rap after “newborn” (smalls) were of lesser quality and I ended up buying more Bumkins vented covers because they never leaked, although they did leave red marks on baby’s back and sagged without a onesie.  We stayed with Bumkins vented covers until potty training.  My main reasons for loving the Bumkins were that they never ever leaked EVER, and because they were made with nylon rather than PUL, they didn’t retain stinky smells which can be a problem with older babies and toddlers who are not exclusively breastfed anymore.

Anyway, the real fun…and cloth diapering craziness, for me, began in 2004 with the birth of my third daughter, Emily.  We had more money at that point in our life and more to spend on diapers and I had a lot of fun with Fuzzibunz and Happy Heinys with hemp inserts.  Back in 2004, the one-size pocket diaper hadn’t hit the market yet.  I had 18 Fuzzi Bunz and 18 Happy Heinys.  I started with pocket diapers in size small and kept selling them on ebay and buying more in larger sizes as Emily grew.   Although I love pocket diapers for little baby, big baby was stinkier and the PUL and polyfleece retains smell…I came to discover, much to my chagrin.  So, for toddling Emily, I ended up going back to a snappied prefold and nylon pull on pants.  By this point I had decided to steer clear of velcro closure covers altogether because they just don’t last.  The prefold/nylon pant (Bummis Whisper nylon pant) combo was perfect for my active toddler –trim fit didn’t interfere with wiggling and running around, washed up easily, and wasn’t stay-dry–BECAUSE I wanted a my older baby to feel the wetness.  Feeling wetness makes for quicker potty training.  If I had known about Mother-ease Sandy’s at this point, I would have bought them, but alas I had yet to discover my favorite easy to use fitted diapers.

With my fourth daughter in 2007 I discovered Bumgenius.  I bought 30 of them and used them full time for Allison’s first year paired with the hemp inserts I had kept from diapering Emily.  It was a pricey purchase, but when we were done with them I sold them to a friend for over half of what I originally paid.  Why did I quit pockets after age 1?  They were wearing out and staying stinky.  The ease of washing a 100% cotton diaper without a stay-dry layer for a baby no longer exclusively breastfed wins out over the ease of use of a pocket diaper.  Pre-folds and Snappies and Whisper pants were introduced back into my diapering regimen.  BUT this time around I had more money to spend for sampling fitted diapers, and I ended up falling in love with the Mother-ease Sandy’s organic cotton fitted diaper paired with an Aristocrats wool cover.  IN LOVE.  The natural fibers…the cool rash free baby bottom existing under the cotton and wool…the no leaks ever…the no stinky smells ever…the ease of hand washing the wool….(It really is easy!)

If I had to do it all over again I would go with Mother-ease organic cotton fitted diapers and Lanacare or Ruskovilla wool covers full time.  Why Lanacare?  They are prefelted for a trim, leakproof fit right from the start and are made with untreated organic merino wool….soooooo soft.  Ruskovilla covers are a more affordable choice, however, and are trim fitting and stretchy for comfort and also made of soft, organic merino wool.   I would also use Mother-ease Air Flow covers for times when all my wool was in the laundry.  If I ever needed a disposable-like alternative for a babysitter, I would go with the Mother-ease Wizard Duos or Best Bottom diapers (instead of pocket diapers or all-in-ones) as they are easy to put on baby, easy to wash, and they don’t leak!  Old fashioned flat diapers or prefolds and covers are always a good route to go for an affordable system.  Bummis covers are tried and true and their organic cotton prefolds are super soft and easy to fold.  Old fashioned flat diapers, if you don’t mind folding, are very affordable and versatile…easy to wash and fast to dry.   Flats and prefolds can be used with Best Bottom shells as well for an even more affordable, leak-proof system.  I prefer organic cotton fitted diapers and organic wool covers over any other system due to ease of use,  earth friendliness, and breathablity for baby’s skin health.  Yes, fitted diapers and wool covers are fluffier…but who says a baby’s bottom needs to be slim?😉

About Us | InfantRisk Center

About Us | InfantRisk Center.

Click the above link to be transported to “InfantRisk Center” at Texas Tech University Health Sciences Center.  The Infant Risk Center has a hotline (806)-352-2519 for information on the safety of  medications during pregnancy and breastfeeding as well as information on depression, nausea and vomiting during pregnancy, and alcohol and substance abuse during pregnancy and breastfeeding.   Numerous articles are available on health benefits of breastfeeding for mom and for baby.

If you are breastfeeding and are prescribed a medication that may be incompatible with breastfeeding, call the InfantRisk Center hotline!  Don’t assume you need to stop breastfeeding because of a prescribed medication.  Many medications, including most anti-depressants, are safe to take while breastfeeding.  Certain medications are safer and more studied than others, so call the experts to find out what you should do.

Dr Jack Newman – nbci – Newman Breastfeeding Clinic & Institute

Dr Jack Newman – nbci – Newman Breastfeeding Clinic & Institute.

KellyMom: evidence-based breastfeeding and parenting

KellyMom: evidence-based breastfeeding and parenting

Click on link above to be transported to kellymom.com, an excellent website full of accurate breastfeeding information, answers and tips.

The Real Diaper Association

<a href=”Real Diapers for Real Babies. The Real Diaper Association … creating a cultural shift to increase the use of simple, reusable cloth diapers.” title=”The Real Diaper Association”>The Real Diaper Association

Click on link above to be transported to “The Real Diaper Association” webpage for cloth diapering facts and education.