Excessive weight loss and breastfeeding

topic posted Tue, April 29, 2008 - 8:47 PM by  Kisaya Rayne
I've gotten really thin since Aris was born. No, really, I'm not trying to brag here. I'm actually getting concerned. I was keeping a decent weight for a while there, but then I had to cut back on nursing because Aris was never satisfied, even with a full solid food meal schedule. I'm starting to wonder if I should just stop nursing all together. Aris isn't really all that interested anymore. I'm sure he knows he's getting better sustenance from other things. However, this is really hard on me. I want to get my milk supply up again. I want to keep nursing him until he's a toddler. I just feel like a bad mom because I'm not sure I can. This is something I had set out to do. I wouldn't fail with Aris like I did with Corde. It was easy for me to excuse it because she wasn't interested. It was easy for me to say that I was eating much more poorly. Now I eat like a cow and I'm finding it's not enough.

All of this started because I saw how thin I was in a picture from Wyldefyre Productions. All I could think was how sickeningly thin I looked. I decided while I was dancing tonight to look at myself in the patio door, one of those sliding glass ones. They reflect real nice at night. I was shocked by what I saw. Yeah, I guess I'm the ideal for some women, but I swear, I'm thinner now than I was before I had Aris. I just don't know what to do. I'm eating healthy. Yes, I'm exercising, but I'm starting to find I'm having problems with that. I get tired far too quickly these days. I'm starting to notice the problems I used to have when I decided I was fat in high school, or when I was on the stuff for ADHD. I was tired all the time. I never seemed to have energy or motivation for that matter. All I wanted to do was sit around all day because everything else exhausted me too much. Now it's happening all over again. Aris is down to nursing once a day and I'm still having problems. I don't want to give it up entirely, but I just don't know what else to do. No one down here knows anything about extended breast feeding. I was given all sorts of issues when I wanted to breastfeed past six months! They said he was on solid foods and no longer needed to nurse. Anything from that point on was just him trying to get comfort. Well, I want something better than what a few uneducated doctors seem to find best for my son. I know what's best for him. I just worry that what's best for him isn't what's best for me.

On top of that, there's also the issue of him. He hasn't had an exam recently (I've been trying to schedule his one year with no luck) but he seems small and thin to me. I'm starting to get afraid that he'll have the same problems Corde did. I'm afraid he'll start losing weight and stop growing too. He's always been short. He was usually really chunky, but now he's having a problem fitting in 12 months pants because he's too thin for them. Before he had problems with the 12 months pants because he was getting a little too tubby for them. I know he may have grown, which may have thinned him out, but he still seems so small in comparison to other babies.

I just don't know what to do. I want what's best for my son, but I also don't want to give up on breastfeeding unless I have to. I just don't know what to do about it anymore.
posted by:
Kisaya Rayne
Austin
  • Re: Excessive weight loss and breastfeeding

    Wed, April 30, 2008 - 5:24 PM
    Here are some suggestions for increasing milk supply from Dr. Sears' website.

    I think that if you want to continue to breastfeed, you should. Even if it's only once per day your baby will still benefit from the closeness and cuddling.

    Try taking fenugreek along with pumping...if you can. Pumping a few times per day can really increase your supply. Also, if you have your baby available to you all day, try latching him on. The more he stimulates your nipples...the more milk you will supply. You can always give him a snack afterwards if he still seems hungry.

    Also, have confidence in yourself. You are a great mother and you are doing the best you can.

    Oh, and I was also thinking maybe you have some kind of thyroid condition that is making you lose so much weight. I have heard that is common, very common, in the first year postpartum. I know babycenter.com has an article concerning that very topic.
    here is the link: www.babycenter.com/404_can-...156141.bc


    Here is the Dr. Sears article, too. (p.s. I love Dr. Sears' Breastfeeding book...it has the BEST advice about everything in there)

    INCREASING YOUR MILK SUPPLY


    Remember the three B's of breastfeeding: the breast, the baby, and the brain. To increase your milk supply, the breast needs more stimulation from the baby and making that happen will require some adjustments in your brain. To increase your milk supply, you have to make breastfeeding a priority.

    * Increase feeding frequency. Breastfeed your baby at least every two hours during the day. If your baby has been napping for more than two hours, wake her up for a feeding. (See Waking the Sleepy Baby.) Consider waking your baby for at least one extra night feeding, too, especially if you have a baby who sleeps for more than a four or five hour stretch at night.

    * Don't wait for your breasts to "fill up" to determine when it's time for another feeding. There is always milk in your breasts for your baby, and more milk is made while you feed. Studies have shown that fat levels in milk are higher when the time between feedings is shorter. This means when you offer the breast again minutes after the last feeding (when your breasts may still feel "empty"), your baby is getting high-fat milk that will help him gain weight.

    * Offer the breast more often. The "law of supply and demand" that governs milk production implies that babies will demand the milk they need. Yet, this does not always work. Some babies, especially sleepy babies and those with mellow personalities, may not breastfeed as frequently as they need to without mother doing a bit of prodding. If this sounds like your baby, you need to take the lead and give your baby more frequent opportunities to nurse. Skin-to-skin contact, nap and night nursing, and sling feeding will help to stimulate longer, more frequent feedings.

    * Nurse longer. Don't limit the length of your baby's feedings to a predetermined number of minutes on each side. Allow your baby to finish the first breast before switching to the other side. This gives baby an opportunity to fill up on the high-fat hindmilk brought down by the milk-ejection reflex. If you switch your baby to the second side too soon, he'll fill up on the watery foremilk, which will make his tummy feel full but may not give him enough calories to grow.

    * Try switch nursing. The advice in the previous point about finishing the first breast first may not work well for babies who suck at a leisurely pace or who fall asleep a few minutes into a feeding. Switch nursing will encourage a baby to suck more vigorously for a longer period of time so that he gets more of the creamier, high-fat hindmilk. In switch nursing, you let the baby feed on the first breast until the intensity of his suck and swallow diminishes. Before he drifts off into comfort sucking, sit him up and switch him to the other breast and encourage him to nurse actively again. When his sucking slows, go back to the first breast, and finally, finish feeding on the other breast. Burp him or change his diaper between sides, if that will help to wake him.

    * Try double-nursing. This is an alternative to switch nursing. After you feed your baby and he seems finished, hold or carry him upright and awake for 10 to 20 minutes, allowing any trapped air bubbles to be burped up. This makes room for more milk. Then feed him again on both breasts before you let him go to sleep. Double nursing, like switch nursing, stimulates more milk ejection reflexes, thus increasing the volume and calorie content of your milk.

    * Undress baby during feedings. Skin-to-skin contact helps awaken sleepy babies and stimulates less enthusiastic feeders. Undress baby down to his diaper. To maximize skin contact, take off your bra and wear a shirt that you can unbutton all the way down the front. To prevent baby from getting chilled, place a blanket around his back.

    * Nap and night nurse. One of the most powerful ways to stimulate increased milk production is to "take your baby to bed and nurse." This relaxes both you and your baby and stimulates longer and more frequent nursings. It also increases your milk-producing hormones and reminds you that breastfeeding your baby is the most important thing you can do at this stage of your life together.

    * Sling feed. Naturally, keeping baby inches away from his favorite cuisine will entice him to eat more. Wear your baby in a baby sling between feedings, even when he is napping. In fact, some babies feed better and more often when on the move.

    * Get focused. Take inventory of your lifestyle. What activities and worries are draining away energy that could be better spent in caring for yourself and your baby? Are you trying to do too much, so that you're not taking enough time to sit down and feed and enjoy your baby? To make more milk for your baby, you have to make breastfeeding and taking care of yourself a priority. Let go of other responsibilities for a while. Have your partner share in non-feeding infant care, so that you can rest, take a walk, or take a shower.

    * Get household help. Get help with laundry, dishes, cooking, and cleaning. If you have a demanding toddler, hire a teen to come to your house after school to entertain your older child and give you a few hours of relief so you can sit and relax and nurse your baby.

    * No pacifiers, no bottles. When there are concerns about weight gain, all your baby's sucking should be done at the breast. Bottles of formula will interfere with the balance between your milk supply and baby's need, so will satisfying baby's sucking need with a pacifier. If it is medically necessary to give your baby supplementary feedings, try alternatives to bottles that don't involve artificial nipples.

    * Think baby, think milk. While you are feeding, stroke and calm your baby using a lot of skin-to-skin contact - a practice called grooming. Enjoy his sweet face and the feel of his skin. This will help your milk ejection reflex. The milk ejection reflex squeezes the milk you make out of the milk glands and down into the ducts and milk sinuses where it's available to the baby. Between breastfeedings and immediately before a feeding, imagine your infant nursing at your breast and your breasts pouring out milk to satisfy your baby.

    * Try herbs to increase your milk supply. There are no scientific studies that show that certain herbs will make you produce more milk, but some mothers and lactation consultants believe that certain herbs can stimulate your body to make more milk. (See "Galactogogues" for more information.) Remember, though, that an herbal tea or other concoction can not substitute for more frequent nursing as a way to tell your body to make more milk.

    * Get professional help. Contact your local La Leche League Leader and/or a professional lactation consultant for tips on increasing your milk supply. A lactation consultant can help you evaluate your baby's latch-on and suck so you can be certain that baby is nursing effectively. Support from a La Leche League Leader or the other mothers in a La Leche League Group will help you feel more confident about your ability to nourish your baby.

    * Trust that nature's system works. If you're nursing often enough, and baby is sucking effectively, you will make enough milk. It's rare that a mother is unable to produce enough milk for her baby. And while it may seem that your life is stressful, mothers throughout history have breastfed their babies through war, famine, and personal tragedies. Your body nourished this baby through pregnancy. There's no reason to think that you won't succeed at breastfeeding.

    * Massaging your MER. Giving your breast just the right touch can help trigger your MER, especially if your breasts are engorged, your nipples are sore, or your baby is impatient.

    1. Apply a warm compress to your breast, such as a warm towel or cloth diaper soaked in warm water. Then, with your fingertips, stroke from the top of the breast down and over the nipple, using a light feather touch. This helps you relax and helps stimulate your oxytocin.
    2. Using a motion similar to the one you use when examining your breasts, massage the milk-producing glands and ducts by pressing the breast firmly with the flat of the fingers into the chest wall, beginning at the top and working in a spiral down toward the areola. Massage in a circular motion a few strokes at a time before moving to another spot.
    3. While leaning forward, gently shake your breasts, allowing gravity to encourage the stimulation to release milk.
  • Re: Excessive weight loss and breastfeeding

    Thu, May 1, 2008 - 10:46 PM
    "I'm sure he knows he's getting better sustenance from other things." -- actually ounce for ounce, there aren't any solid foods which better the nutritional content of breastmilk! :)

    I don't know anything about your weight issues, but I wanted to tell you that you are doing amazing things for your son by continuing to nurse past the arbitrary 6 months that people seem to think is enough. Your milk changes in composition to meet his current needs, and this is especially true as he approaches toddlerhood.

    I think getting your thyroid checked is a great suggestion; I, too, have heard of mothers having thyroid issues postpartum. If your thyroid does need some help, you can safely nurse while taking the medications.

    Hang in there!
    • Re: Excessive weight loss and breastfeeding

      Fri, May 2, 2008 - 7:13 AM
      The only concern I have with the thyroid condition being the problem is they site it lasting until 12 months. Aris is now 13 months. I know it's possible that it could last longer than the average point most women stop having problems, but it makes me wonder if maybe that's going to be a more permanent problem than just postpartum. Hmm...I'll see if I can actually get an appointment with my doctor. Of course, who knows if I'll actually be able to or not in any kind of reasonable time...
      • Re: Excessive weight loss and breastfeeding

        Fri, May 2, 2008 - 11:47 AM
        if it ends up being your thyroid, i would try finding a nauropath, they can get you on a diet that will level it out. some foods that could help: brown rice - burns slower for longer lasting energy
        nuts! - they are fatty, they burn long and slow and are chock full of vitamins
        guiness beer - seriously, it will up your supply, give you more calories

        last but not least, don't stress. stress is only going to make you lose more weight. i don't know you but your posts sound stressed. take time for deep breathing and follow your instincts. i hope you get it worked out soon!
        • Re: Excessive weight loss and breastfeeding

          Fri, May 2, 2008 - 9:45 PM
          Yeah, I am a little on the stressed side, well, more that I get stressed every time I look at the baby and feel like somehow I'm a bad mommy because I'm failing at nursing again... That's a little counter-productive though. I've been trying to keep my stress as low as possible, mostly because I don't want to deal with it! Yeah, that's kind of my stance on things right now. "I'm not going to be stressed because...well...I don't feel like being stressed! I want to be mellow!" It's funny how well that works...

          I think I want to see about finding a nutritionist or something in general. I mean, now that I think about it, what if it's not how much I'm eating (which is everything in sight! I swear, it's worse than being pregnant!) so much as what I'm eating? It's always worth looking into, right?

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