pumping vs. off the breast

It sounds to me as if you are over feeding your baby when you ae giving the milk in a bottle.

If you imagine a breastfeed as a normal dinner with your husband - after it you feel OK - not too full and not too empty.

Now imagine going to a buffet and keeping eating until your body says you are full - in fact you have eaten too much - this is what tends to happen with a bottle. The milk keeps coming out so the baby keeps eating and eats past the full mark.

Now imagine that you were offered a piece of chocolate cake straight after your dinner but were too full to eat it. But 20 to 30 minutes later, when you're not so full, you think, "Well, I'd like that cake now." This is what happens to a baby when he asks for another feed shortly after his main feed. The solution is to give him the high fat snack ? i.e. another breastfeed (the milk has a higher fat content for these top up feeds - pumped milk especially from the morning is likely to have a higher sugar content).

The feel of your breasts after a feed is not a good indication of how much milk the baby has taken or how much the baby needs. It could be that you have more milk than the baby needs. 7 oz would be a huge feed for a only one month old. Also as your breast gets used to lactating they will become softer ? even when full of milk.

The way to tell if you baby is getting enough milk is to look at the baby?s output. You should be looking for:
At least six wet nappies in 24 hours
At least two dirty nappies in 24 hour for babies less than six weeks old
Baby feeding between 8 and 14 times in 24 hours
Weight gain over time ? average of 170 grams per week
Good skin tone

If these are happening then your baby is getting enough milk even if you still have milk in your breast after a feed. Most mothers produce more milk than the baby can drink ? this is normal and there to help us out when the baby has a growth spurt.

Most mothers who exclusively pump to give milk for their babies have a hard time keeping their supply. The reason for this is because they get bored with all the pumping and over time start to skip feeds. It is skipping feeds that is the problem not the pumping.

Please remember that breastfeeding is not just about supplying milk for your baby. It is about communicating with him, cuddling, keeping his temperature right, bonding, loving and hormones. Giving the milk in the bottle is just not the same.

Best wishes,
Barb
 
Barb, thanks for your reminder. it does sound like you might be right, i'll watch the overfeeding. we had never had a lack of wet/dirty diapers. i think we might have over-reacted when she started feeding more frequently and got worried that she's not having enough.

plus, i have two other persons at home, my mother-in-law and helper that think that she is not having in enough, that does add extra pressure. anyways, will keep your comments in mind!

--kellyst
 
Dear Kellyst,

It can be difficult to breastfeed without a lot of support. If you are finding that your family is not as supportive as you would like of your decision to breastfeed have you consisted getting the necessary support from a mother-to-mother support group?

In Hong Kong La Leche League is the only English speaking breastfeeding support group. You are most welcome to join our meetings and ask about any issues that concern you. Our next meeting is tomorrow afternoon at Flat 2, 2nd Floor, Tower A, Villa Lotto, 18 Braodwood Road, Happy Valley, Tel: Maggie 2817-7475

All our meetings are free and it is not necessary to be a member to join our meetings. Of course we do encourage membership as money from memberships and donations are our major sources of revenue. The format for all the meetings is similar. We spend the first part of the meeting discussing the meeting title topic and the second part of the meeting the topics which the mothers attending bring up. Thus every meeting is different depending on the needs of the mothers there. Babies and toddlers are always welcome at our meetings.

The article Why La Leche League? http://www.wiessinger.baka.com/bfing/others/whylll.html gives a nice description of why our meetings may be helpful to attend.

For details of when our other meetings are please visit our web site, http://www.lalecheleague.org/HongKong.html

Occasionally we do hold extra events. If you would like to find out about these they will be announced on our e-mail reminder list. To join the list send a message to [email protected]

Best wishes,
SARAH
La Leche League Leader
 

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