My Struggle with Chronic Low Milk Supply

This photograph was taken a year ago today, when Boa was around three weeks old. My little Boa Boa was a completely different baby! It holds a lot of memory for me and when I look at it, I feel what I was feeling when it was taken. I didn’t get a lot of photos of Boa in his first few weeks of life (as you’ll see, most of our shots of him were with my camera phone) and I was happy to be taking such an amusing and cute shot on my point and shoot.

Noah, One Year Ago Today

The reason I hadn’t taken many photos in the first few weeks of his life is because I was struggling with my milk supply and had little time to do anything but breastfeed, up to 20 hours a day (something that would not change for several months and then only because I had to go back to work). I have chronic low milk supply and knew the moment Boa was born that I might have problems making enough milk for him.

And I did.

The Beginning and Background.

Noah nursing

Boa nursing perfectly and peacefully (side-laying at that!) while in the hospital; something that never happened with Mr. Serious!

We got through the first three weeks without supplementation, but they were tremendously difficult. Before Boa was even a week old, I’d started taking several doses daily of Mother’s Milk Tea; an herbal blend containing things like Fenugreek, Blessed Thistle, Red Raspberry Leaf and Marshmallow Root; a separate supplement of alfalfa and Domperidone.

Normally it is not recommended to be so aggressive right off the bat with herbal supplements. For most moms it takes a few weeks for their milk supply to adjust and if they start taking supplements for what they perceive to be little milk it might lead to over-supply which is no walk in the park either. From my experiences with Mr. Serious, I could tell fairly soon after Boa’s birth that my supply was going to be a struggle.

I was very hopeful, much more so than with Mr. Serious, that I would be able to exclusively nurse. Unlike Mr. Serious, Boa’s latch was perfect from the start. He didn’t lose as much weight when the hospital reluctantly let us leave only if we promised to have a nurse home-visit the following day and take him to the pediatrician the day after that. Yes, it still looked bleak, but I was armed with experience, determination and the knowledge of a better start.

I breastfed Mr. Serious for five months while supplementing using an SNS: a supplemental nursing system where a container holds the milk and little tubes run down to the nipple so the baby can nurse while receiving supplement, which is also supposed to help boost supply through its use. I also took similar amounts of herbal supplements and domperidone and he always needed a substantial amount of formula, up to 30 ounces a day. There are some people who continue to suggest that this happened to me because of my c-section and I frequently need to bite my tongue to keep from saying very bad things to them. Perhaps if I had given up the notion of breastfeeding two weeks in, we could all blame the c-section, but there’s no logical reason the measures I took shouldn’t have given me an adequate supply after several months of diligence.

I Made More Milk, But Not Enough.

On this day last year, Boa was not gaining weight like he should. He wasn’t moving on the scale more than a few ounces here and there. His urine had orange crystals in it, a sign of dehydration. The crystals were actually getting less and less while his wet diaper count was becoming more what it should, so I thought this was a positive sign.

Nursing with SNS

Using the SNS with donor breastmilk while nursing Boa. A hard skill to master.

Boa hadn’t had a bowel movement since he passed the last of his meconium on day 4, however. He was very healthy otherwise: elastic skin, no sunken fontanel, moist lips and mouth, alert and awake, not fussy at all. It was a scary situation and I wanted so badly not to have to supplement him. But no bowel movements for more than two weeks for a newborn is not normal. He needed more to eat.

(By the way, both our pediatrician and an IBCLC were aware of the situation. Strangely, the IBCLC pushed more for supplementation than the pediatrician.)

I feel blessed to have a friend who donated some breastmilk to me when it was evident that the baby needed to poop and to poop he needed more to eat. With a heavy heart I fed him 3 ounces via the SNS. He pooped soon after, proving to me that I was not going to be able to escape supplementation.

The top photograph in this entry was taken the day after we started supplementing. That is why it’s such an emotional trigger. That day I knew (or felt that I knew) my body was broken. Crippled. I could not nourish my child.

The Importance of Breastfeeding Support and Milk Donation.

World Breastfeeding Week 2010: August 1-7

Efforts like World Breastfeeding Week help raise awareness and let women know it’s OKAY if they need help.

It always makes me sad to learn that someone has chosen not to breastfeed her child or that a new momma gave up on breastfeeding because she didn’t have the support. I know breastfeeding is hard and despite what many lactivists will say, it is not necessarily easier than popping a bottle in the microwave to warm up.

At least, it never was for me.

There was always an SNS to juggle; 34 pills to remember to take; supply-boosting food I tried to eat as much of as possible, like oatmeal, even though I loathed it; or worry… worry that I was starving my baby or that he would react poorly to the supplement. Worry that someone would stare at me when we went out in public if I pulled out a bottle because my breasts alone weren’t able to satisfy him and using the SNS in public would end in tears.

Breastmilk is like liquid gold; I truly believe that. I think a baby can grow up just fine on formula, but there are risks that frankly aren’t there with breastmilk. On top of which, breastmilk contains a plethora of antibacterial properties. It is designed to keep a baby healthy, not just nourished. I wanted nothing more for my children.

Every woman deserves to be armed with knowledge and professional support to help her breastfeed her children. Instead of marketing formula like it’s some miracle cure and padding the pockets of big (and questionable) organizations, we need to make use of women who have an abundance of time, knowledge or milk and can gladly contribute to those in need.

We can’t look down on women for either bottle feeding OR nursing in public. Let’s support one another in the healthy nourishment of our children and stop all this childish, petty and horrifically prudish behavior that makes women feel they have no place to turn to for help.

A Swing and a Miss. Strike Two.

12-14-09 Noah Nursing

I made sure to nurse Boa without the SNS plenty too. Definitely my fondest memories.

I had to let go of my dream to exclusively breastfeed both Boa and Mr. Serious for the first six months like it was a friend who died in a terrible wreck. This mourning and grieving is something I still work through daily, but a year ago there was a lot more crying and hand-wringing, trying to deny and trying to hide myself away as to not look anyone in the eye. I felt like my body was broken and I couldn’t supply an even very basic need for my child. I felt like a failure and a disappointment.

It’s okay that I felt that way. The feelings are still locked away in my heart, but they are mine to own. I’ve had people try to tell me before that there’s nothing I should feel bad about, but for most, their children were privileged enough to grow and thrive on their mother’s milk while mine needed help. I’ve had people tell me that in the olden days or a perfect society, another mother would step in for me (kind of like my friend who donated much more milk once she discovered we were in need) but that thought doesn’t remedy my pain either because I am still a failure to my child. I am so happy for Boa that he was able to get so much breastmilk for so long, but it still breaks my heart that I couldn’t produce it all for him.

I think it’s okay to have this pain. As I mentioned before, it’s like a death and that’s something people never really get over fully. There are reminders that bring back the pain full force, but in general it’s a little easier to deal with every day.

For entries detailing exactly what happened when it happened, you can check out my Yesteryear archives.

This post was inspired by Flashback Friday at Christopher and Tia‘s.

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