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Old 01-17-2012, 02:36 PM   #1
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PCOS concerns leading to supplementing- need help

I need some advice.

I am considering trying a two day no supplement feed on demand adventure. What are your thoughts?

Background: I have PCOS. This is my second child. First child was breastfed for 9 months with supplements after every feed from 5 weeks on. He had a 10% weight loss and did not gain weight for weeks until supplements started.

This time Mac was born at 8lbs 7 oz. He left the hospital at 7 lbs 11 oz 3 days later with Dr order to supplement 15 to 30 ml after every feed. At a week old he had a pre post feed with that had him transferring 1 oz. Week 3 he transferred 2 oz at week 6 he transferred 3 oz (morning feed). The Breastfeeding MD specialist at the breastfeeding clinic recommended at that time to feed on demand with a 2 oz supplement after every feed.

I am taking 4 tablets of fenugreek 3 times a day 2 tablets of goats rue 2 times a day. For the first month I pumped after every feed averaging 8-10 feeds a day. Since week 6 I pump when I can but I no longer have help around and have a 2 year old as well. I average 3 times of pumping a day with one power pump at the end of the day.

Mac is now 2 months (10 weeks) He nurses/supplements 6 times a day (eats every 2-3 hours during the day sleeps 7-9 hours straight at night. I feed on demand not on a schedule. I have no issue feeding him in the middle of the night if he wakes.

What is happening is that he is pulling off during nursing and refusing to relatch. He used to nurse both sides 15 minutes each. Now he will pull off at times 8-10 minutes in. I cant decide if he is frustrated because of flow or if at times he gets a burst of milk in his mouth. He will pull off and cough at times. When I try to relatch him I will get a squirt of milk. If I pump after there is milk there but I rarely pump more than 1 to 2 oz. If I pump and not feed I get 2 oz most often with on occasion 3 ounces

A LC suggested a 48 hour no supplement and see what happens. We are now 11 weeks in I have never been able to get rid of the supplements with either kid. I am willing to try this but what is the likelihood that it will allow me to get rid of the supplements? I dont mind more frequent feeds if I am EBFing but if the likeihood of making to EBF is very little I am not all that excited about trying this.

If I calculate out feeding every 2 hours at 12 times a day he would need to transfer 2.6 oz every feed. At 8 feeds a day he would need 4 oz. Not sure that I can actually produce enough to make even the 12 times a day work. And 12 feeds a day is really hard to sustain with working out of the home 2 days a week and having a 2 year old around.

So what do you think? Is it worth a shot? My best transfer was 3 oz at 6 weeks in the morning (my best feeds of the day). Mac weighed 13 lbs 5 oz at 9 weeks.

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Old 01-17-2012, 03:17 PM   #2
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Re: PCOS concerns leading to supplementing- need help

If you are able to pump an oz after a feed, you are probably producing enough. I would NEVER eliminate feeds cold turkey.

http://www.kellymom.com/bf/supply/decrease-formula.html
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Old 01-17-2012, 04:18 PM   #3
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Re: PCOS concerns leading to supplementing- need help

Aww, I'm another PCOS sufferer Have you considered domperidone? It make an awesome impact on my supply; we were able to cut down to just one supplement a day around 4 months and cut them out completely around 6-7 months.
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Old 01-17-2012, 05:27 PM   #4
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Re: PCOS concerns leading to supplementing- need help

MD at the clinic is very against domperidone it is not FDA approved for lactation according to her. Tell me more about domperidone
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Old 01-17-2012, 05:31 PM   #5
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Re: PCOS concerns leading to supplementing- need help

big hugs- I have PCOS and had issues with supply from the get-go. I took domperidone and with pretty much pumping around the clock, I was able to provide about 80% of the needs of twins.
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Old 01-17-2012, 06:17 PM   #6
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Mama domperidone is completely safe! There were dangers with it being given intravenously in high doses, that's why it isn't FDA approved. I would definitely cut way back or possibly eliminate the supplements. There is no way he needs 2oz after nursing! Are you supplementing with a bottle? That can be contributing with the issues you're having with nursing.
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Old 01-17-2012, 06:21 PM   #7
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Re: PCOS concerns leading to supplementing- need help

HERE some info on domperidone i took it with ds2.
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Old 01-17-2012, 06:24 PM   #8
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Re: PCOS concerns leading to supplementing- need help

The book 'Making More Milk' by Diane West is WONDERFUL! You would most likely find it very helpful. Also, not all LC's were created equal. You may want to search for an IBCLC who specializes in supply issues. Good luck mama! We had a mighty struggle with supply too and are headed back into the fight again.
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Old 01-17-2012, 07:06 PM   #9
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Re: PCOS concerns leading to supplementing- need help

THe MD is a supply issue specialist at the local Children's hospital. She is IBCLC. The LC that suggested the 2 day fast from supplements I am not sure what her background is. The hospital that I rent the hospital grade pump from called about my rental and I started talking to the LC from that hospital. Never met her in person.

The supplement was originally determined by the amount DS#2 weighed (now weighs 13 lbs ish), how many times he was eating (started the process with 10 feeds DS has moved to 6-7 feeds, and how much he transferred (last pre post was 3oz Then the formula of 2.5 oz for every pound in a 24 hour period was used). Current supplement 2oz.
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Old 01-17-2012, 07:50 PM   #10
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Re: PCOS concerns leading to supplementing- need help

If you are transferring 3 oz at a feed, your baby is taking in plenty! You just need to give your body a chance to provide it. Topping him off with 2 oz is WAY too much for a breastfed baby. Most breastfed babies consume about 2-3 oz a feed, which is why they nurse every 2 hours or so!

A little math for you. The average breastfed baby consumes between 25 and 32 oz of milk in a day.

If your baby drinks 3 oz every 3 hours, then your baby would get 24 oz of milk.
If your baby drank 2 oz every 2 hours, then your baby would get 24 oz of milk.

Adding 2 oz of formula with every feed is overfeeding your baby, killing your supply, and leading you to a serious down hill slide.
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