Debate my decision.....

Avatar for cl_sunny_side_up
iVillage Member
Registered: 03-25-2003
Debate my decision.....
15
Thu, 10-30-2003 - 7:30pm

Ok, I had already been thinking about this and really had already made up my mind but "waitingforjunebug" reminded me of it.


I am wanting and will demand(lol) that my OB prescribe Reglan for me.


~christine~

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iVillage Member
Registered: 03-26-2003
Thu, 10-30-2003 - 7:58pm
Can you fill me in on what your past supply issues were?

p.s. i'm reading a really interesting anthropology book (our babies, ourselves). did you know supply issues are unheard of throughout most of the world -- its a western thing. i'll post the quote (and available references) when i have more time.

iVillage Member
Registered: 03-26-2003
Thu, 10-30-2003 - 8:43pm
I think it's an EXCELLENT idea and that you should definately persue it, BUT...why not go an extra step and ask him for domperidone/motilium? Domperidone is not available easily in the USA, but he is allowed to perscribe it and you can either get it from a compounding pharmacy (one that makes their own pills "the old fashioned way") or you can mailorder it from Mexico or Canada with the Rx.

I,m not 100% sure but I do think it's slightly more effective than Reglan AND has fewer side effects.

Also, stock up on the fenugreek, blessed thistle, etc.

I saw a woman the other day who had Insufficiant Glandular Tissue and while she is past the BF stint she did with her DS1, I said to make SURE to have a domperidone Rx and a LactAid before the birth this time around. While the LactAid is a bit of a pain in the neck, it is SO important sometimes to keep stimulation up and some women who use it lots to begin with end up with a full supply after a couple of weeks. Last time she used a makeshift supplementer system (made of a French #5 Feeding tube and a bottle with formula in it) and it was a total PITA to use (understandably). The LA is so much easier to use b/c it is a slim soft pouch (almost like disposable playtex nurser bags) that you suspend around your neck, easily conceiled in a shirt.

Anyhow...I think it's an excellent decision and if he gives you any grief, find yourself someone else (a ped, your own MD who's not an OB, another OB or whatever) who is willing to do that.

Fio.

iVillage Member
Registered: 03-19-2003
Thu, 10-30-2003 - 8:49pm

Well, I'm not so sure that it is a good idea.

iVillage Member
Registered: 03-26-2003
Thu, 10-30-2003 - 9:03pm
"Were they caused by other factors - not being able to nurse/only pumping for your preemie, not nursing often enough, baby not latching,etc? "

Not wanting to put words in her mouth, but IIRC I think Christine did say before that no one had really helped her make sure there was milk transfer going on so yeah, I'd say that is a definate thing to look for...but when you're post-partum (at least for me!) you're so out of it and tired, I think the last thing I'd want to be doing is trying to hunt down a Rx. for anything (in case the ob didn't think it was "necessary" but I did...FE) at say 2 or 5 days PP...really not!

So I'd definately have real life ppl lined up to help, but also the Rx. in case I needed it...in this kind of situation. From what I remember from Christine it did sound like supply could have been a real problem (whereas 98% of the calls we get about moms thinking they "don't have enough", it's really oversupply, this is not the impression I've gotten from what has been said about Christine's past BF situations...).

"and write it down so the hospital knows your wishes. Things like nursing w/in the first hour (the sooner, the better), no pacifiers or bottles, baby room in with you, etc. Write it down, tell every nurse you see."

I do agree with this of course!

"I think that demanding Reglan from the get-go is a bit of overkill. I understand your strong desire to make bf'ing work next time around, but I think that letting nature take its course at first is a better idea."

I don't think that the 2 can't go hand in hand...I don't think that just b/c someone has a Rx. for reglan or any other drug, that it has to be taken. FWIW I consulted a couple of months back for what looked to be mastitis coming up. I HATE taking antibiotics but this was looking bad on a FRIDAY afternoon...no way did I want to spend 6 hrs on a weekend in emerg. so I got the MD to give me a Rx. for abx. for mastitis. I never took them...never had the Rx. filled b/c I got rid of the Mastitis before the weekend was up & before I was beside myself with pain/fever etc.

"(incidently, domperidone works better, but you'd have to find a way to get it from Canada b/c it isn't approved in the US yet)."

Actually, it's not approved as a ready-mixed drug for some reason, but compounding pharmacies that make their own mixes can mix it up for you and you can also import it from Mexico and IIRC Australia (depending on which is best $$-wise...).

Fio.

iVillage Member
Registered: 03-25-2003
Thu, 10-30-2003 - 9:07pm
I absolutely applaud your determination to breastfeed your next baby and I know taht that attitude will see you a long way along the road to success.

I think it would be a great idea to have a prescription ready to go (though domperidone may be a better choice if you can get it) but I wouldn't start actually taking the meds until you've seen if you really need it or not. Every breastfeeding relationship is different just as every pregnancy and birth is.

Remember frequent nursing and/or pumping is usually a much better way to build supply than any drug or herb. Te best thing to do at the first hit of supply worry is to take yourself and baby to bed and nurse as much as you can.

One of my big worries with taking a milk-increasing drug without being sure I needed it first would be of tipping myself into an oversupply situation. It's hard for anyone who has ever struggled with low supply to believe but from what I've heard oversupply can be really miserable and detrimental to the nursing relationship.

Isabel





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Avatar for cl_sunny_side_up
iVillage Member
Registered: 03-25-2003
Thu, 10-30-2003 - 9:17pm

Well, here's my problem.


~christine~

Avatar for cl_sunny_side_up
iVillage Member
Registered: 03-25-2003
Thu, 10-30-2003 - 9:19pm
That's my problem.

~christine~

iVillage Member
Registered: 03-26-2003
Thu, 10-30-2003 - 9:25pm
"from what I've heard oversupply can be really miserable and detrimental to the nursing relationship. "

Believe me, having BTDT that this is true. It is HORRIBLE. It may not be quite as "impossible" to deal with as not having enough milk (I don't mean someone who has supply issues "can't" bf...just that sometimes it's not an easy road to go and some ppl do have to supplement) but it is not a piece of cake or an easy row to hoe either.

I spent *6* long months fearing my DD1 was on the verge of a nursing strike. I could only get her to nurse when she was asleep most of the time, and only when she was in a light sleep. It was like pulling teeth otherwise...all she wanted to do was suck on her fingers. I am thoroughly convinced that had she known ANY other way of feeding, she would not have nursed past 3-4 mos of age, if that. I think that at the first opportunity she would have pulled a nipple confusion or preference on me as fast as she could to get out of being literally "drowned" at every feeding. I was bound and determined to not let her know any other way of feeding her and was lucky that when she finally started solids (late) it was small enough amounts and she was drawing near the end of her long nursing aversion.

With DD2 it was much less grueling...I knew the tricks of the trade and had DD1 to help me out if necessary...but she still choked on more than her fair share of the feedings. If I ever have other kids, and DON'T have an older nursling to help out, I will most likely be looking at a few days of BCP's to lower my supply believe it or not, to begin with!

Fio.

Avatar for queen_brat
iVillage Member
Registered: 03-26-2003
Thu, 10-30-2003 - 10:18pm

Do a little chant with me. This will work and if it doesnt formula isn't evil! Do not stress over having to bf! Set small goals for yourself. Like we will make it to 6 weeks. After that 3 months and so on. Or even smaller goals. Setting small goals might help to make you less uptight over it. Also knowing you want to nurse but if it doesn't work out the world won't end may help too. Take a nice hot relaxing bath as often as you can (if that relaxes you). If you feel yourself getting worked up stop and take deep calming breaths and remind yourself feeding is one part of child care and (gasp) not the most important. I applaud you for wanting to try and for thinking about this so much but please relax! Try and not worry about it (easier said then done I know btdt!). I think if you can relax then things will go easier. Stop by the bfing surport board and read, read and read what others have gone though. It helped me to see nursing wasn't easy for everyone. That sometimes you have to work at it. It helped me to know what problems to look for and how to head them off before they got bad. Like the red hot breat I had. I knew that ment that harmless milk blister I hadn't popped that had been there forever just out of the way was no longer harmless and needed to be popped or I would be in the hospital! Email me if you need any surport or just an understanding shoulder. I'll give you my phone number if you would rahter call!! I'd call you but no long distance right now, lol. But maybe by then my cell will be on and I can call you, lol. Aviod stress so take a break from us when we get to rowdy till your supply is going good and you can laugh at us, lol.


As for the meds do what you feel is best. I would try everything else first but I do understand your desire to nurse! I just have no idea about the med you want to ask for so would hate to say go with it.




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Avatar for yogamom4
iVillage Member
Registered: 04-01-2003
Thu, 10-30-2003 - 11:09pm
i haven't read the other posts yet but i was perscribed reglan a few mths ago for migraines and i was so worried about taking it because i had never heard of it before and i can't remember what she told me it was origanally used for so i called around and did some research and was suprised to find out its perscribed also to increase milk supply,, let me warn you thou one side affect is ~~the runs~~ i have only taken one pill and doubt i will be useing it for headaches again!

oh and yes if you are worried about milk supply definatly talk to your ob about it!

vicky

Vicky ~32~

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