need help

iVillage Member
Registered: 03-30-2010
need help
10
Mon, 12-20-2010 - 2:12pm

My twin boys will be 11 months on the 25th. Last month I got my first period and every since then I notice I losing my supply!! What can i do? I still want to nurse the boys until they are at least 2 yr old, if not longer.

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iVillage Member
Registered: 05-20-2008
Tue, 12-21-2010 - 1:12am

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iVillage Member
Registered: 03-30-2010
Tue, 12-21-2010 - 8:40am

They are getting angry at the breast and i have to give them a bottle afterwards. my period came on the 30th and I the boys are still acting like there isnt enough.

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iVillage Member
Registered: 06-10-2008
Tue, 12-21-2010 - 4:52pm

Thanks for stopping by!

It's not uncommon for moms to experience some drop in supply due to their cycles returning but typically it pops right back up once the cycle is over. Here's some advice from LC Becky Flora:

"For some women, the drop in milk supply and nipple tenderness associated with menstruation becomes more of a challenge. An effective treatment for these symptoms associated with the return of periods is to add a calcium/magnesium supplement to the diet upon ovulation and continue it through the second or third day of a period. The supplement should be 1500 calcium/750 magnesium but can be as low as 500 calcium/250 magnesium (the higher the dosage the more effective and quicker the results). It should be a combination pill. This much calcium should never be taken alone. If your cycles are not regular and you do not know when you ovulate, you can take the supplement the entire month until you begin to see a pattern to your flow. This type of supplement seems to work as it prevents the drop in blood calcium levels which occurs mid-cycle and continues through the second to third day of a period. It is this drop which is associated with the nipple tenderness and drop in milk supply as well as the uterine cramping so often experienced with menstruation. You only need to take one pill a day."

Are you finding the dip is only associated with your cycle or is it all the time now? When you give a bottle, is it ebm and are you pumping immediately afterward? When you give a bottle, are you continuing to use only the slowest flow bottle nipple? Have you tried fenugreek for a boost? Have you tried breast compressions while you're nursing to keep the flow quicker if you feel like they're balking when the flow slows a bit?

Sorry to bombard you with questions, just thinking out loud. Let us know what your thoughts are and we can go from there.

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iVillage Member
Registered: 03-30-2010
Tue, 12-21-2010 - 10:06pm

I give them formula.

My supply hasnt gone back up since my period.

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iVillage Member
Registered: 06-10-2008
Tue, 12-21-2010 - 10:23pm

How often are you currently giving formula and how much are you giving? How often are you nursing directly?

Do you own a high quality pump? Is it an option for you to pump if they don't nurse effectively at a given feeding? I'm just concerned if they're not nursing effectively because your supply has gone down and you're just giving formula and not pumping if they don't nurse well, that will just cause your supply to go down more.

Reglan certainly is an option but we'd recommend starting with something OTC like fenugreek. It's certainly cheaper, more accessible and has fewer side effects. Neither fenugreek (or other herbal boosters) nor a prescription milk booster will do much good without increased removal of milk from the breasts.

Are the bottle nipples the hospital gave you the slowest flow? Do they have a wide base to force the babies to flange their lips as they would while nursing?

You should be able to find calcium/magnesium supplements at any pharmacy and most discount stores.

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iVillage Member
Registered: 06-10-2008
Tue, 12-21-2010 - 10:32pm
Oh, also yes, it's normal to feel letdown less as baby gets older. Some moms (like me) never feel letdown at all even when baby is little. That piece isn't a cause for concern.
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iVillage Member
Registered: 03-30-2010
Tue, 12-21-2010 - 10:33pm

For the last 2 weeks I've been giving them 24 ounces of formula daily( this is for each of them). Im only nursing them 3-4 times a day right now.

I do own a Medela Lactina pump. I can add a few pumps a day if needed.

The nipples are slow flow

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iVillage Member
Registered: 06-10-2008
Wed, 12-22-2010 - 8:06am
Would it be possible to start offering the breast more frequently as well? Can you offer the breast at every feeding and then just follow up with a smaller bottle if they don't nurse well? Have you tried the breast compressions yet?
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iVillage Member
Registered: 03-30-2010
Wed, 12-22-2010 - 8:33am

I will try to offer the breast, thats if they will take it.

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iVillage Member
Registered: 04-13-2008
Fri, 12-24-2010 - 11:43am

As the baby is usually more efficient at extracting the milk than the breast, you have been given good advice.