{"id":6401,"date":"2021-04-22T09:31:20","date_gmt":"2021-04-22T04:01:20","guid":{"rendered":"https:\/\/www.odoc.life\/?p=6401"},"modified":"2022-05-23T10:52:49","modified_gmt":"2022-05-23T05:22:49","slug":"is-my-baby-drinking-enough-milk","status":"publish","type":"post","link":"https:\/\/www.odoc.life\/si\/blog\/is-my-baby-drinking-enough-milk\/","title":{"rendered":"Is My Baby Drinking Enough Milk?"},"content":{"rendered":"
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Is my baby drinking enough milk?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Milk supply myths debunked!<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Nicole Parakrama <\/span>|<\/span> BSc Hons Molecular Cell Biology, UCL (UK) <\/span>|<\/span> 17<\/span>th<\/span> April 2021 <\/span>|<\/span> <5 minute read<\/span><\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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<\/i><\/span>Shares<\/small><\/div>
<\/i><\/span><\/a><\/span>\n<\/i><\/a><\/span>\n<\/i><\/a><\/span>\n<\/i><\/a><\/span>\n<\/i><\/a><\/span><\/div><\/div><\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\u201cAney why is he crying so much?\u201d\u2026<\/span><\/p>

\u2026\u201cHungry-da?\u201d…..<\/span><\/p>

Mothers of infants might find this line of questioning familiar!<\/span><\/p>

In our culture, we tend to cajole and bribe our children into eating more, with the goal of making them as chubby as possible. However, when we don\u2019t allow our children to regulate their hunger for themselves, this can lead to unhealthy eating patterns (see this study <\/span>here<\/span><\/a>) with repercussions all the way into adulthood (some other great longitudinal studies <\/span>here<\/span><\/a> and <\/span>here<\/span><\/a>). We do our children a great disservice when we don\u2019t take into account their varying body structures, feeding patterns, and metabolisms when considering when and how often we feed them.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\u201cAney why is he crying so much?\u201d\u2026<\/span><\/p>

\u2026\u201cHungry-da?\u201d…..<\/span><\/p>

Mothers of infants might find this line of questioning familiar!<\/span><\/p>

In our culture, we tend to cajole and bribe our children into eating more, with the goal of making them as chubby as possible.\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\u00a0<\/span>This same culture can extend to breastfeeding as well, with negative repercussions as a result! A <\/span>study <\/span>conducted <\/span>by Rodrigo et al<\/span><\/a> among <\/span>249 mothers at the Colombo North Teaching Hospital, found that \u201ca family member telling mothers that their milk supply was low had<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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However, when we don\u2019t allow our children to regulate their hunger for themselves, this can lead to unhealthy eating patterns (see this study\u00a0<\/span>here<\/a>) with repercussions all the way into adulthood (some other great longitudinal studies\u00a0<\/span>here<\/a>\u00a0and\u00a0<\/span>here<\/a>). We do our children a great disservice when we don\u2019t take into account their varying body structures, feeding patterns, and metabolisms when considering when and how often we feed them.\u00a0<\/span>This same culture can extend to breastfeeding as well, with negative repercussions as a result! A <\/span>study <\/span>conducted <\/span>by Rodrigo et al<\/span><\/a> among <\/span>249 mothers at the Colombo North Teaching Hospital, found that \u201ca family member telling mothers that their milk supply was low had the most<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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the most\u00a0significant impact on <\/span>Perceived<\/span> Inadequacy of Milk (PIM)\u201d. <\/span>\u00a0In other words, we can give undue weight to the opinion, however well-intentioned, of someone who is (to put it simply) not the mother of our baby.\u00a0<\/span><\/p>

It is not surprising, then, that one of the most Googled questions on breastfeeding is – \u201cHow can I tell if my baby is drinking enough milk?\u201d\u00a0 This is an understandable concern, as we simply cannot see how much milk our baby is taking in at the breast, so we have to guess!\u00a0 Rest-assured, our babies are very clever at making their needs known \u2013 and they will usually drink as much milk as they need. \u00a0In turn, our breast tissue will respond over time and produce a supply of milk to match their demands. There ARE instances where concerns are warranted, and supply is low for medical reasons, but this is very often not the case.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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This same culture can extend to breastfeeding as well, with negative repercussions as a result! A study conducted by Rodrigo et al<\/a> among 249 mothers at the Colombo North Teaching Hospital, found that \u201ca family member telling mothers that their milk supply was low had the most significant impact on <\/span>Perceived<\/span> Inadequacy of Milk (PIM)\u201d. <\/span>\u00a0In other words, we can give undue weight to the opinion, however well-intentioned, of someone who is (to put it simply) not the mother of our baby.\u00a0<\/span><\/p>

It is not surprising, then, that one of the most Googled questions on breastfeeding is – \u201cHow can I tell if my baby is drinking enough milk?\u201d\u00a0 This is an understandable concern, as we simply cannot see how much milk our baby is taking in at the breast, so we have to guess!\u00a0 Rest-assured, our babies are very clever at making their needs known \u2013 and they will usually drink as much milk as they need. \u00a0In turn, our breast tissue will respond over time and produce a supply of milk to match their demands. There ARE instances where concerns are warranted, and supply is low for medical reasons, but this is very often not the case.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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significant impact on <\/span>Perceived<\/span> Inadequacy of Milk (PIM)\u201d. <\/span>In other words, we can give undue weight to the opinion, however well-intentioned, of someone who is (to put it simply) not the mother of our baby.\u00a0<\/span><\/p>

It is not surprising, then, that one of the most Googled questions on breastfeeding is – \u201cHow can I tell if my baby is drinking enough milk?\u201d\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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This is an understandable concern, as we simply cannot see how much milk our baby is taking in at the breast, so we have to guess!\u00a0 Rest-assured, our babies are very clever at making their needs known \u2013 and they will usually drink as much milk as they need. \u00a0In turn, our breast tissue will respond over time and produce a supply of milk to match their demands. There ARE instances where concerns are warranted, and supply is low for medical reasons, but this is very often not the case.\u00a0<\/span><\/p>

A longitudinal <\/span>study by Nielsen et al<\/span><\/a> studied the milk intake of 50 healthy, exclusively breastfed babies over 6 months, and found the milk intake and fulfilment of energy values to be in excess of literature values. <\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Unfortunately, it is this fear of having a low supply which can become a roadblock in our breastfeeding journeys, far more often than it being an actual medical issue.<\/span><\/p>

At a very high level, the rule of thumb is \u2013 if your baby comes off the breast looking relaxed, and if the number of heavy, wet diapers in 24 hours is more than or equal to the number of days old (for newborns up to one week), and 5-6 thereafter, your baby is very likely getting adequate milk (check out this <\/span>comprehensive presentation by the Sri Lanka College of Pediatricians<\/span><\/a>, particularly slides 41-46).<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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There are 9 common occurrences that may worry mothers, but which are not necessarily an indication of inadequate milk supply:<\/b><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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1. <\/b>My baby wants to nurse very frequently<\/strong><\/p>

Breast milk is actually digested very efficiently (usually within 1.5-2 hours) and frequent feeding is common as a result.\u00a0 Some babies are also more ‘sucky’ than others or require more skin contact.<\/span><\/p>

2. My baby suddenly nurses more frequently, or for longer durations<\/strong><\/p>

This may be a growth spurt, which usually lasts a few days to a week. Since milk production is supply & demand-based, allowing your baby to feed extra will result in your breasts producing more milk to catch up.<\/span><\/p>

3. My baby suddenly nurses less frequently, or for shorter durations<\/strong><\/p>

With age, as your baby gets more efficient at extracting milk, and the size of their little tummy increases, this will happen and is not an indicator of low supply.<\/span><\/p>

4. My baby guzzles down a bottle of milk after nursing<\/strong><\/p>

Many babies will take a bottle of milk even after a full breastfeed, due to their suckling reflex, and then fall asleep due to exhaustion rather than satiation.<\/span><\/p>

5. My breasts don\u2019t leak milk, or only leak a little, or have stopped leaking<\/strong><\/p>

Leaky breasts have nothing to do with your milk supply adequacy. Leaking often stops once your milk supply has adjusted to your baby\u2019s needs, and\/or as the feeds become more predictable.<\/span><\/p>

6. My breasts seem softer, or don’t get engorged anymore<\/strong><\/p>

Again this often happens once your milk supply has adjusted to your baby\u2019s needs, and\/or as the feeds become more predictable.<\/span><\/p>

7. I don’t feel a let down sensation<\/strong><\/p>

Some women may never experience a let down sensation (tingling, pins & needles or a feeling of warmth), or find that it reduces over time. This is not connected to a reduction in supply.<\/span><\/p>

8. I get very little milk when i pump<\/strong><\/p>

There are many reasons why this could be… pumping technique, pump type, flange size etc. At the best of times, your baby’s suck will always be more efficient at draining your breasts than the pump can mimic.\u00a0 Pump output should not be used as a reliable indicator of production.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Hopefully you will find some reassurance if you are in this boat of questioning your supply.\u00a0 However, if you have already found it in yours or your baby\u2019s best interest to give formula, there is no guilt or shame in that. Breastmilk, while optimal, is not the only way to feed your baby. There are many circumstances where combination feeding (formula + breast milk) or only formula is necessary, and your child will be none the worse for it.\u00a0 A well-fed baby combined with a happy mother really is the best end result.<\/span><\/p>

How I became \u2018The Milk Coach\u2019<\/strong><\/p>

When my first child was born, I was quite unprepared for what lay ahead.\u00a0 Particularly when it came to breastfeeding – I was na\u00efvely expectant that I could just place him onto my chest, and let nature take its course.\u00a0 What a surprise I was in for!\u00a0 Cracked nipples from sub-optimal positioning, and my milk taking its own time to come in, led to terrible pain.\u00a0 This pain became excruciating when my son developed oral thrush which travelled through to my milk ducts.\u00a0 Fortunately, thanks to a lot of research and some wise mum friends, I was able to power through those awful first few months.\u00a0 Most crucially, I was able to advocate for myself with health professionals (and I\u2019m thankful for the ones who listened to me when I did!).<\/span><\/p>

This birthed a passion to peer-to-peer counsel, share with and advocate for my fellow Sri Lankan mums, to support them to achieve their breastfeeding goals. To this end I am working to add to a science background (in Molecular Cell Biology) with an accreditation by La Leche League International (LLLI).\u00a0<\/span><\/p>

Join the conversation, follow @themilkcoach on Instagram or Facebook.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\toDoc \u0da9\u0dc0\u0dd4\u0db1\u0dca\u0dbd\u0ddd\u0da9\u0dca<\/a><\/span><\/span><\/strong> today on the App store or Play store. <\/span><\/span>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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<\/i><\/span>Shares<\/small><\/div>
<\/i><\/span><\/a><\/span>\n<\/i><\/a><\/span>\n<\/i><\/a><\/span>\n<\/i><\/a><\/span>\n<\/i><\/a><\/span><\/div><\/div><\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\r\n\t\t\t\t<\/span> Post Views:<\/span> 5,476<\/span>\r\n\t\t\t<\/div> <\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Did you know that gestational diabetes mellitus, also known as GMD, is one of the most common medical complications of pregnancy? What is GMD? Why<\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

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Endometriosis No woman looks forward to \u201cthat time of the month.\u201d Dealing with nausea, stomach cramps, mood swings, back pains and fatigue, all whilst facing<\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<\/div>\n\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Is my baby drinking enough milk? Milk supply myths debunked! Nicole Parakrama | BSc Hons Molecular Cell Biology, UCL (UK) | 17th April 2021 | <5 minute read \u201cAney why is he crying so much?\u201d\u2026 \u2026\u201cHungry-da?\u201d….. Mothers of infants might find this line of questioning familiar! In our culture, we tend to cajole and bribe…<\/p>","protected":false},"author":29,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"categories":[6],"tags":[28,73,26],"class_list":["post-6401","post","type-post","status-publish","format-standard","hentry","category-blog-article","tag-childcare","tag-new-parents","tag-womens-health"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/www.odoc.life\/si\/wp-json\/wp\/v2\/posts\/6401","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.odoc.life\/si\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.odoc.life\/si\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.odoc.life\/si\/wp-json\/wp\/v2\/users\/29"}],"replies":[{"embeddable":true,"href":"https:\/\/www.odoc.life\/si\/wp-json\/wp\/v2\/comments?post=6401"}],"version-history":[{"count":0,"href":"https:\/\/www.odoc.life\/si\/wp-json\/wp\/v2\/posts\/6401\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.odoc.life\/si\/wp-json\/wp\/v2\/media?parent=6401"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.odoc.life\/si\/wp-json\/wp\/v2\/categories?post=6401"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.odoc.life\/si\/wp-json\/wp\/v2\/tags?post=6401"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}