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Suggest Remedy For Less Milk Intake In An Infant
Question: I have a baby girl born on 30.6.2015 on 36th week of pregnancy with 2.2 kg birthweight. I had a C-sec and dint get enough milk in the beginning. After 20-25 days started with natural milk boosters , lactonic powder and perinorm and I had good milk supply. Baby is now 6.1 kg at 3 months 23 days. But she is not eating properly since a month. So I feel that my milk supply has reduced. Started giving her Lactodex and Nanpro. I have series of questions.1. Would I be able to get the same milk supply back now by taking the same measures taken earlier?
2. Is the weight gain of my baby something abnormal and do I need to do some thyroid tests for her.
3. What should be her normal feeding . how many ounces/ml per feed and how many feeds per day
2. Is the weight gain of my baby something abnormal and do I need to do some thyroid tests for her.
3. What should be her normal feeding . how many ounces/ml per feed and how many feeds per day
Brief Answer:
Repeat milk boosters
Detailed Answer:
Hi
Welcome to the HCM
I understand your concerns but don't worry. The weight of your child is within the normal range. Thyroid function test is indicated for every newborn, so if she if not tested for it earlier then do get her checked.
You can easily get back good milk production as earlier by taking good nutritious diet, plenty of fluids and same medications which were taken before I.e lactonic powder and perinorm. No harm in repeating the prescription. Avoid any formula feeds as that is less nutritious than breastfeeding.
Normal feeds at this age should be guided by baby's demand. No need to go with any fixed figures. Feed her every 3-4 hours. Her consistent weight gain, urinary frequency ( more than 6 times per day), satisfaction after feeds are best guide.
Hopefully this will help you. I would be happy to help you in any further questions.
Take care
Repeat milk boosters
Detailed Answer:
Hi
Welcome to the HCM
I understand your concerns but don't worry. The weight of your child is within the normal range. Thyroid function test is indicated for every newborn, so if she if not tested for it earlier then do get her checked.
You can easily get back good milk production as earlier by taking good nutritious diet, plenty of fluids and same medications which were taken before I.e lactonic powder and perinorm. No harm in repeating the prescription. Avoid any formula feeds as that is less nutritious than breastfeeding.
Normal feeds at this age should be guided by baby's demand. No need to go with any fixed figures. Feed her every 3-4 hours. Her consistent weight gain, urinary frequency ( more than 6 times per day), satisfaction after feeds are best guide.
Hopefully this will help you. I would be happy to help you in any further questions.
Take care
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello doctor. Thanks for your reply. I have few more questions and concerns. Please help me in that.
1. My baby never cries as of hunger. She keeps sleeping even though hungry. So how to analyze and feed her.
2. Any specific food item that I should avoid like red chilly as it passes in milk. And any food item that gives more milk supply. Kindly suggest.
3. My baby sleeps a lot. She plays but at a stretch she sleeps for 6-8 hrs also. I feed her in between and again she sleeps. Is it something to worry for. How many hours she should sleep now.
4. She puts her fists into mouth most of the time. Is that something to worry about
1. My baby never cries as of hunger. She keeps sleeping even though hungry. So how to analyze and feed her.
2. Any specific food item that I should avoid like red chilly as it passes in milk. And any food item that gives more milk supply. Kindly suggest.
3. My baby sleeps a lot. She plays but at a stretch she sleeps for 6-8 hrs also. I feed her in between and again she sleeps. Is it something to worry for. How many hours she should sleep now.
4. She puts her fists into mouth most of the time. Is that something to worry about
Brief Answer:
Feed her even if she is sleeping after every 4-5 hours
Detailed Answer:
Hif
1. Feed her after 4-5 hours even if she doesn't demand during sleep. Babies feed well even during sleep once initiated. Normal feeds should last for at least 15 minutes.
2. Eat healthy balanced meals and small snacks every few hours as during pregnancy. Drink plenty of fluids. Avoid caffeine. Enjoy hygienic food with various flavors which you like. There is no harm.
Foods like broccoli, cabbage, brussels sprouts, dairy products, chocolate, citrus, garlic, or chili pepper if taken by nursing mothers are found to be gassy for babies sometimes. So, if your baby is consistently uneasy after you have them, then avoid them. Take avocados, olives, nuts, dates and seeds to boost breastfeeding.
3. Infants may sleep around 16-18 hours a day even at this age. So don't worry.
4. It's normal at this age to mouth hands and fingers.. No interventions required. Gently remove if witnessed.
Hopefully this will help you.
Feed her even if she is sleeping after every 4-5 hours
Detailed Answer:
Hif
1. Feed her after 4-5 hours even if she doesn't demand during sleep. Babies feed well even during sleep once initiated. Normal feeds should last for at least 15 minutes.
2. Eat healthy balanced meals and small snacks every few hours as during pregnancy. Drink plenty of fluids. Avoid caffeine. Enjoy hygienic food with various flavors which you like. There is no harm.
Foods like broccoli, cabbage, brussels sprouts, dairy products, chocolate, citrus, garlic, or chili pepper if taken by nursing mothers are found to be gassy for babies sometimes. So, if your baby is consistently uneasy after you have them, then avoid them. Take avocados, olives, nuts, dates and seeds to boost breastfeeding.
3. Infants may sleep around 16-18 hours a day even at this age. So don't worry.
4. It's normal at this age to mouth hands and fingers.. No interventions required. Gently remove if witnessed.
Hopefully this will help you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Doctor. Thanks for your suggestions. Still few more concerns. 1. My baby never expresses her hunger, so after a feed its difficult to know that she is satisfied. She feeds from one breast at a time and XXXXXXX for 10 mins.
2. How much ounces / ml we should give her as top feed at a time as I need to start office by next month mid. And what should be the time interval. I will feed her my milk mostly but sometimes need to top feed her also.
3. Earlier every 2 hrs my breasts were leaking, but now its not. Even I m not able to feel that it is full as earlier. How many days it takes for the medicine to work. Today I tried to express milk from one side by hands and I could only get 1 spoon. So I am extremely worried.
2. How much ounces / ml we should give her as top feed at a time as I need to start office by next month mid. And what should be the time interval. I will feed her my milk mostly but sometimes need to top feed her also.
3. Earlier every 2 hrs my breasts were leaking, but now its not. Even I m not able to feel that it is full as earlier. How many days it takes for the medicine to work. Today I tried to express milk from one side by hands and I could only get 1 spoon. So I am extremely worried.
Brief Answer:
She may take around 4-5 oz every 4 hours
Detailed Answer:
Worry and stress are the biggest hurdles in breast feeding. So avoid them. Leaking breasts due to hyperlactation normally improve in 2-4 months due to body adjustment as per babies needs. It doesn't mean that the milk production is insufficient. If your baby is growing well, urinating at least 6 times a day and sleeping well then that is the best indicator for sufficient feeds.
In case, you want to give her formula feeds then 4-5 oz every 4 hours will be good. But in case she demands more then do give extra amounts or more frequently.
Take care
She may take around 4-5 oz every 4 hours
Detailed Answer:
Worry and stress are the biggest hurdles in breast feeding. So avoid them. Leaking breasts due to hyperlactation normally improve in 2-4 months due to body adjustment as per babies needs. It doesn't mean that the milk production is insufficient. If your baby is growing well, urinating at least 6 times a day and sleeping well then that is the best indicator for sufficient feeds.
In case, you want to give her formula feeds then 4-5 oz every 4 hours will be good. But in case she demands more then do give extra amounts or more frequently.
Take care
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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