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Medical questions about Breastfeeding



Dr. Ruth Lawrence, professor, author and researcher, serves on Breastfeeding.com's medical advisory board.  Dr. Lawrence is a professor of pediatrics, obstetrics and gynecology at the University of Rochester.  She is also director of the university's Breastfeeding and Human Lactation Study Center.  Dr. Lawrence has answered many of your medical questions about breastfeeding

Dr. Lawrence is the author of "Breastfeeding: A Guide for the Medical Profession," the standard medical reference book for breastfeeding.  She was one of eight doctors who helped the American Academy of Pediatrics draft its 1997 policy statement supporting breastfeeding.






Is pumping affecting my supply?

NAME: Saskia
BABY'S NAME: Madeline
BABY'S AGE: 8.5 months
BIRTH WEIGHT: 7 lbs, 1 oz
CURRENT WEIGHT: 18 lbs

I am a full-time working mom and I express breastmilk for my daughter twice each day while I am away from her.  I was told by one lactation consultant that my milk supply may decrease over time under these circumstances, and by another that it should not.

In fact, my supply does seem to have diminished to the point that I am considering giving my daughter one bottle of formula as a supplement to the approximately 22-25 ounces of breastmilk she drinks each day. Although she seems to be thriving, I don't know how much longer my supply will be able to keep up with her daily needs. Does it make sense that being away from her and pumping over the course of six months has affected my supply, and is there anything I can do to increase it? Thanks!





It is possible to maintain your milk supply over time while pumping at work.  What facilitates this is to be consistent about the time it is done and the length of time that is involved.  Be sure that when you are at home on the weekends or on your day off that you feed your baby or pump at these same times.  Using a double electric pump usually results in better milk production.  On the other hand, with the stresses of work, the fatigue involved with adding work to child care responsibilities, it is not surprising that you milk supply may diminish.

Continuing to nurse with the baby will be very important to continuing your overall milk production.  The tricks that work to improve milk production are more rest, stress reduction, and relaxation, which may not be an option to a working mother.

You have nursed your baby for 8 1/2 months - a great accomplishment for a working mother.  You should not feel bad about having to add a bottle at this time, while you continue to nurse while you are with Madeline.  It sounds like you are doing a terrific job!



 

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