Monday, December 20, 2010

How I Screwed up my Milk Supply

As you may know, I chose to breastfeed MLO. My goal was to keep him on breast milk for the first year of his life. I struggled with different breastfeeding challenges as he grew and his appetite and behaviours changed, but I never felt that my milk production was too low. When he started to eat solid foods I failed to remain diligent about retaining my production. I used to produce 8 ounces (oz) of milk at a pumping, but now I'm lucky if I get 4oz, and more often I only get 2oz. I wanted to share my experience with you in the hopes that you don't follow the same faulty path as I.

As MLO began to eat solid food I noticed that he would skip a nursing. He didn't seem to miss it much, whereas he was crazy excited about eating solid food. I figured that if he didn't want the milk, I didn't need to worry about pumping, so I just started skipping a couple of feedings a day. At first I pumped in the morning and at night when he was getting his solid food meal so that I could get enough milk for his cereal meals the next day. Often I would forget to pump in the morning, adding to the decrease of demand. When MLO started eating solid foods in the middle of the day I allowed him to simply nurse 1-2 times a day. I didn't pump at those increments of every 3 hours, times at which he used to nurse. As my body received signals that the milk wasn't being used, it simply stopped producing it.

At first I thought this was no big deal. He didn't want the milk and I was previously pumping around 8oz in a sitting, so the 1-2 pumping sessions a day should have been fine. What I didn't realize was that my production was going down overall, not just at the times when he didn't want it anymore. When it became difficult to pump 2oz in a sitting I knew I was in trouble. Hubby is actually a lactation physiologist, and though his expertise is in bovids, the hominid system is virtually the same. He implored me to begin pumping again at the 3hour intervals, warning me that if my milk supply did return, I would never produce as much as I did before I had allowed my supply to dwindle.

With diligent pumping and a significant increase in my water intake (60+ oz a day) I have been able to get my volume back up to between 2-4oz in a sitting. Through that time we used up a large portion of our frozen milk supply, so the odds of me having a day or 2 without the baby are slim to none. I rarely produce enough in a day to freeze, and MLO has re-discovered his affinity for breast milk. I now feed him every 3 hours and his middle of the day feedings consist of nursing and solids. It's obvious that there isn't much available for him in the middle of the day, but he still gets a good dose of milk in the morning. I am back to pumping only in the morning and at night (sometimes twice, if the timing is right), but with the feedings in the middle of the day he drains me well.

When I reflect on how I let this happen I touch on a couple of points. First,  I wanted to have a little more autonomy. I had committed myself to breastfeeding for a year in a very emotional way, but I was tired of being bound to the baby every 3 hours. That isn't to say that I didn't want to be around him, or didn't enjoy the act of nursing (which is wonderful quiet bonding time), it was more the need to stop whatever I'm doing wherever I am and find a discrete place to feed my kid. Nursing can be very isolating and can put the breaks on whatever you have going on. I wanted him to cut down on nursing because I wanted a little more freedom to go out and about. I also kind of wanted my boobs back. It follows then, that I wasn't too keen on pumping, because it isolated me in the same way that nursing did. Second, with a decrease in breastfeeding came a decrease in puke. We had lived in a sea of vomit for 6 months. This new-found respite from regurgitated milk felt fantastic. The less he nursed, the less puke I had to clean up off of myself, my son and my floor.

It was an easy trap to fall into. Unfortunately, the repercussions were far reaching and I regret having let it happen. Be smart: when your kid starts eating solids stay on the pump!

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