Breastmilk: How Much Should I Be Making?

Updated on December 14, 2010
H.J. asks from Saint Paul, MN
6 answers

long story short, my daughter 10 days old today had a bad latch the first week, went to see a lactation lady and she had me stop nurshing and just pump for a few days till my nipples healed and also to pump 5 or so minutes longer then when milk comes out to increase supply. This is the first time of my three kids that I did not get the painfully engorged breasts. I am currently producing 1 ounce on each side sometimes a smidge less ever 2-3 hours, and not really increasing. Now I am adding in her nursing with a nipple shield a few times a day but still am not getting the full breast feeling. I feel emptied after pumping and nursing with the shield but just don't ever feel full. Am I getting over worried or is this about right. I never pumped with my other two in the beginning so I honestly have to clue how much the were eating other then having one weight in wih my son and I remember he ate about 2 3/4 oz off one side at about 4 weeks old.

*update: she had a bad latch and lost a bit too much weight and has a very week suck. Most likely because of the weight loss. She is now back up 4 oz and eats fine off the bottle but still a little lazy on the boob.

* one more update: she is on the shield because she has what her ped calls "function tongue tie" where she pulls her tongue in after a few sucks, the shield seems to help her keep the tongue out longer Hoping she will strengthen her tongue and we can get rid of the shield eventually. But for now shield seems better then nothing.

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So What Happened?

Thank you everyone for your advice, and I do wish it was as easy as "fixing the latch" and stop pumping. At least my little girl is getting breastmilk with the pump. I wish I was as lucky as so many to have perfect nipples and a baby who knows what they are doing but I don't. She is now nursing half of the time with a nipple shield and I don't seem to be having issues with getting sore so we will just keep pushing along and see what happens next.

More Answers

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D.W.

answers from Gainesville on

What you are able to pump and what baby is able to actually get from the breast are two different things.

But she has other things going on. Eating from the bottle is easier than breastfeeding. Try using the playtex nurser with the latex nipple in slow flow. That is more like the breast.

But putting her to breast more often may help. Make sure that she is getting the areola in her mouth. You may need to offer her the breast more often than what you were used to with your other kids until she gets it.

Here is some good info on nipple shield use and how to wean from using it as they are not for long-term use:

http://www.kellymom.com/bf/concerns/baby/wean-shield.html

1 mom found this helpful
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M.H.

answers from Minneapolis on

Pumping is not an adequate way to determine how much milk your body is producing. I can't believe an LC told you to stop nursing. I would fix the latch and put the pump away so your baby can build up the supply she needs. I am a horrible pumper, can't get much at all when I pump. Babies are much more efficient at emptying the breast than a pump is.

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B.E.

answers from Washington DC on

Pumping never seems to give out much. Babies are more efficiant, that being said, I wouldn't worry unless she doesn't have enough wet diapers. I know what you feel about the feeling full, I don't feel full anymore unless I miss a feeding or 2. The best thing to do is to try and relax, and stay hydrated. The more water you drink, the easier to make milk. The less stressed, the more milk. I had to ban my kids from being around when I pump, since the stress from them playing (or fighting over toys, or wanting to play with the pump) cut down the amount I am able to pump really noticably. You can also try fenugreek to build up your supply, and Mothers Milk tea. But, I highly recommend water, water, water.

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A.P.

answers from Boston on

I'm currently nursing my 2nd baby, and when I pump I hardly get much, maybe 1-2 ounces on each side. I know my baby (5 months) gets much more when he nurses or he wouldn't be gaining weight so well. This second time around my breasts feel much less full, actually they almost never feel full. I was definitely not as engorged as with my first baby. Just because you don't feel full doesn't mean you aren't full of milk. Sometimes I don't even feel my milk letdown, although I know its coming because my baby is gulping the milk.

A.G.

answers from Pocatello on

The best thing to do is just nurse on demand right now. And nurse whenever she will take your breast. That the best way to increase your supply and make sure that she is getting all she needs.

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D.H.

answers from Indianapolis on

I hope you're still able to pump/feedi with the shield. It can be really frustrating to having inverted nipples, but it IS possible to breastfeed, especially if you are able to use a nipple shield. Very few women have "perfect" nipples...in fact, I'm not really sure what those are :) But the important thing is that your baby gets breastmilk, not how you go about giving it to her!

If you're still using a shield, you may want to consider getting a Shield Shell to store it in between feedings. I have one for each of my shields (one for the diaper bag, and one for the house), and they are AWESOME! It's easy to find the shield in the dark, plus it protects my shield from my dog and two-year-old. I ordered mine at www.shieldshell.com.

Good Luck!

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