| |

By Cheryl Taylor, CBE
When in the course of a happy breastfeeding relationship
you notice a supply change, it can cause momentary panic.
The first course of action should be to assess a few basic
things. Are you resting enough? Getting a good
night's sleep? Taking a nap if necessary? Are you drinking
at least 64 ounces of water a day? Are you eating a good,
healthy diet? These are some of the basics of a nursing
relationship that have to be maintained to the very best of your
ability. Our bodies aren't necessarily so forgiving of
being pushed to the limit when we're nursing. They tend to
give us a clear signal. One of those ways is with a dip in
supply. Listen to your body and take some action.
Make sure you are:
 |
Rest...
Resting adequately |
 |
Liquid intake...
Drinking at least 64 ounces of water a day |
 |
Eating...
Eating a nutritious diet |
 |
Sleeping...
Choosing a night time sleeping arrangement that
allows for the best sleep for all involved |
 |
Feeds...
Nursing frequently |
Make sure you are not doing things that can inhibit
supply, such as:
 |
Smoking |
 |
Allergy medications |
 |
Sleeping on your stomach
- compressing the breasts at night |
 |
Wearing a bra that is
too tight |
 |
Wearing a sling with the
rings pressing back against the breast instead up
near the shoulder |
After having gone through the above steps and getting
those things in line, you may still find your supply is
not what you feel it should be. The next step is
to see how often your baby is wetting. Often what
is perceived as a supply problem really isn't a supply
problem at all. Observing how much your baby is
wetting will tell you whether it is reality or merely a
perception.
Another thing to remember has to do with pumping.
There are times when you see a drop in what you are able
to get at the pump. This may not be so much a drop
in supply as it is a change in your reaction at the
pump. The baby may have no trouble at all getting
letdown, but the pump just isn't fooling your body into
one as well as it once did. Making some changes at
the pump in the way of heat, massage prior to pumping,
positioning, or several other options may do the trick
for you.
If you are supplementing, even a single bottle a day,
and are struggling with your milk supply, you need to
consider ceasing all supplementing. For some
women, supplementing even one bottle a day will have a
drastic effect on their milk supply.
If all the above has been tried with little success, it
may be time to consider using a galactagogue (a
substance that increases milk supply is called a
galactagogue). Galactagogues are a wonderful tool,
but should NOT be considered until the above measures
have been taken first. It is always prudent to
remember that, on the whole, your body knows what it is
doing in responding to your baby and providing adequate
milk. Galactagogues are a wonderful thing when
they are truly necessary but they should be a last
resort. There is often an assumption that since
herbs are natural, they are safe. That isn't
always the case, and in fact, some herbs can be quite
dangerous. Please use caution when using herbs and
observe your body's reaction to them carefully.
Some of the more common galactagogues (and there are
many used over the centuries) are:
Fenugreek
Fenugreek is one of the most commonly used galactagogues.
It works very quickly in most cases. It can be taken in
capsule form with the recommended dose being up to three
capsules three times a day. It can be used in
conjunction with Blessed Thistle, again working up to
three capsules three times a day. The dosage
needed varies according to the mother, so
experimentation with lesser doses and increasing them if
needed is a good idea. One capsule three times a day
may be enough to boost one mom's supply when another may
need three capsules three times a day.
It is important to be aware that fenugreek can affect
blood sugar levels, so much so that it is effectively
used to treat diabetes. Knowing this, a nursing mom
with hypoglycemia or diabetes needs to watch blood sugar
levels if fenugreek is her galactagogue of choice.
The only side effect to make note of is mild
gastrointestinal distress when fenugreek is taken in
high doses. Typically that would be seen in the mother,
but in rare cases it is seen in the infant with an
exhibition of some gastrointestinal difficulty which can
be as mild as gassiness in the bowels. Animal studies
have found fenugreek essentially non-toxic.
Fennel
Fennel isn't actually a galactagogue, but rather it
assists with triggering the letdown reflex. It is
particularly useful for working Moms who have found that
they've stopped responding well to the pump.
Fennel is best as a tincture, 2-4 ml up to three times a
day, but can be taken in capsule form. Caution should
be used with fennel because it can act as an appetite
suppressant. Keep a careful eye on your caloric
intake. Also, fennel contains phytoestrogens which if
taken in excess can have a negative effect on your
supply.
Rescue Remedy
This is a homeopathic remedy that is useful for
triggering the letdown reflex. You take four drops
under the tongue up to five minutes before pumping or
nursing. Rescue Remedy can have a slight sedative
effect, so use with caution.
Ignatia 6x
This is a homeopathic remedy that can work well in
combination with a mild galactagogue. Dosage would
be two tablets three times a day.
|
|
|
|