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When You Just Can't Breastfeed

by Valorie Delp | More from this Blogger

14 Aug 2006 05:07 AM

Women were designed to feed their babies through breast milk. I am absolutely a believer in breast milk being the best food for your baby. However, sometimes it just doesn't work out. For whatever reason, a mother can't make enough milk and has to start giving her baby formula, either exclusively or by supplementation.

There are actually, very few mothers who physically are unable to make enough milk for their babies. However, as anyone who has breastfed will tell you, breastfeeding does need to be managed properly in order to maintain supply and this is where many mothers go awry and get themselves into a cycle that makes it difficult for them to produce enough milk.

If you had your heart set on breastfeeding your baby, and then discover that all is not going as planned, you probably felt devastated. Adding to the problem is the medical profession who either makes you feel horrid for not breastfeeding, or is way too quick to point you to the formula.

Understanding Mismanaged Medical Care for the Breastfeeding Mother If you have a breastfeeding relationship to salvage, try seeking out a good lactation consultant. Most supply issues are due to mismanagement and not seeking help early enough. This is not your fault. In my opinion, it is the fault of the medical profession. It should be that if you're in the hospital and your nipples are painful and cracked and bleeding, you should get to see a good lactation consultant right away. But I know at least here, that's not the case. Many women don't realize it's not supposed to hurt until it's already too painful to continue.

If it's too late, you don't need to beat yourself up. Painful nipples make it incredibly difficult to care for an infant who is further making your nipples more painful! You can still bond with your baby by holding him while your bottle feeding him, wearing him in a sling or pouch, and playing. You will still bond just fine if you mommy your baby in all those other important ways and do what comes instinctively!

Remember: You're Not a Bad Mother If you've read any of my blogs, you know that I am pro-breastfeeding. I'm about as pro-breastfeeding as they come. And yet, even I recognize that a mommy who bottle feeds is not a bad mommy. Don't let anyone make you feel guilty if you gave up breastfeeding. I know lots of moms that wanted to breastfeed and felt horribly guilty when it wasn't working out. But the reality is that being a mommy is a tough job. We all make the best judgment calls we can in a given situation. I'm sure if moms had nothing else to do but sit around and figure out how to make breastfeeding work more women would continue until their babies got it right. Unfortunately though, dinner doesn't make itself, the laundry doesn't do itself and if you have other children to add to the mix, they need care too. Trust in your instincts that you have made the best decision for your baby.

Breast milk is the best food for your baby. No doubt about it. But if you can't breastfeed, if it's not working out, you can rest assured that you are still doing the best job that you possibly can. Go forward from there and don't dwell on what your body will or will not do.

Related Articles: Meghan, the Vampire Baby: My Nursing Nightmare

The Who, What and Why of Lactation Consultants

Why Breast is Best

 
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Learn more about Valorie Delp
twinzplus3`s avatar

Hello everybody! My name is Valorie and I am one busy lady! When I'm not writing or editing for families, I am busy trying to get my brood of 5 in line.

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User Comments

mommytotwo (526) 14 Aug 2006 09:05 AM

Thanks for this Valorie! I breastfed my first baby and had no problem with my milk. I had so much milk, I could pump and had enough milk saved and frozen for a month after I stopped breastfeeding him and went to the bottle. Unfortunately, with my second baby, my plans to breastfeed went out the window. I had a repeat c-section with him and ended up being rushed back to surgery, put under completely and having my bladder repaired in a three hour surgery after my c-section was complete.

The dr had knicked my bladder during the c-section, but didn't see it until after I got to recovery. With the anesthesia from that surgery my milk had trouble coming in. No one mentioned this to me until my home visit from a nurse, who was also a lactation consultant. I had no idea that was a side-effect. She reassured me that my milk would fully come in, it would just take a lot longer. Unfortunately, I became quite ill from a resulting kidney infection (had to wear a catheter for 10 days after the surgery to help the bladder heal) and very high fever, my milk dried up even more and just never came back. I had an almost two year old to care for and a newborn, so I decided to just stop the stress of even trying to nurse and went straight to a bottle. I was heart broken, but my second son is just fine. He is a happy, healthy two year old now. Matter of fact, he was much healthier than his breastfed brother! Go figure!

I am pleased that your blog shed some light on those parents that choose not to or just can't nurse. It is such a personal decision and no one should ever feel like a bad mommy just because nursing didn't work for them.

Thanks, Kaye

Lisa P (24013) 14 Aug 2006 10:08 AM

Whether it was because of my gastric bypass, lack of knowledge or some other reason, I just couldn't get nursing right. For those who can't get it right, you can always do what I did: express milk and combine it with a good quality formula to make up whatever amount you can't come up with. Every little bit will help your baby. Don't let yourself feel like a bad mother just because you aren't one of those Earth Mothers who can do their shopping, breast feed baby in a sling and talk on the phone at the same time. There is enough guilt involved in being a parent. Don't let the lack of milk break you!

Libby Pelham Online! (12876) 14 Aug 2006 10:49 AM

I didn't have much success either. I just had a mammogram and they said I had dense breast tissue - I don't know if that could have been a problem or not. I pumped what I could, but no one should be made to feel guilty about not being able to breastfeed.

Valorie Delp (49340) 14 Aug 2006 04:33 PM

Thanks for your comments Kaye! Yep--major surgery will do you in. It is "unusual" that your formula fed baby was healthier than the breastfed one. For my kids it's consistently been the longer they breastfed. . .the healthier they were.

Valorie Delp (49340) 14 Aug 2006 04:34 PM

Hey Lisa--I resemble that comment! I'm totally one of those earth mothers who nurses the baby while in the sling walking in downtown Manhattan on the phone. (And boy do I get strange looks!) Thanks for pointing that out--I wish I had thought to write it. You can also mix breastmilk with cereal when your baby starts solids. Research consistently shows that the more breastmilk and the longer--the better. This "Earth Mother" is totally in awe of people who pump! I could never do that!

Valorie Delp (49340) 14 Aug 2006 04:38 PM

Libby--you're right. Unfortunatley, I think it's common that people say things to mothers who quit nursing and they already feel badly--it only makes it worse. Dense breast tissue is very unlikely to be the cause of your troubles. It was most likely that your baby wasn't sucking effectively. In order for it to work "right", the baby has to suck and "empty" the breast effectively. (If it was painful--he wasn't sucking right!)

Brownie (1011) 15 Aug 2006 04:21 AM

Thank you for an excellent article! I hated breastfeeding my first daughter, struggled with my son, but now with our youngest daughter it's easy and a joy to share with her. Just depends on the baby in my case, or age! But I wish I'd had your article for comfort many years ago!

Valorie Delp (49340) 15 Aug 2006 10:13 AM

Brownie--You would probably like reading my article about Meghan the Vampire Baby. Had she been my first--all of my children would've been bottle fed. The link is on the bottem of this if you're interested. Anyway, yes, babies have different "feeding personalities", and it can be a real struggle.

karabu (980) 20 Aug 2006 03:50 PM

Thanks for mentioning not making enough milk. This was my problem with my first baby, but most doctors kept telling me that not enogh was never a problem - it must be something else. Until my baby started loosing weight. My lactations consultant saved my sanity - I highly reccomend one, althoug you may need to be proactive and ask. I'm preg with #2 now. Any advice for advance preperation this time?

Valorie Delp (49340) 20 Aug 2006 08:05 PM

You might want to read my blog on Meghan the Vampire Baby--My Nursing Nightmare. I would be happy to give advice if I have the knowledge but do you know WHY you weren't making enough milk? The doctors are right in that it is exceedingly rare for women not to produce enough milk, medically speaking. The whole picture though is that if the baby is not sucking effectively, you won't make enough milk--and that's usually what happens. You're right, a good LC will help you out right away. If the baby is the problem the first time, then you'll know it's not you and you will be able to breastfeed your next one. If the problem has to do with you and your ducts ;-), then you may want to consider a SNS (supplemental nutritional system) so that your baby can take feedings at the breast but so he'll get enough. An LC would be able to help you with that. If you let me know specifically what type of advice or questions you want answered, I'll likely be able to blog on it if I haven't already! Or you can PM me!

oweirdo (33643) 18 Apr 2008 02:42 PM

Hey Val I know its an old one, and I think I have read all your your BFing blogs today. But I just wanted to say thanks once more. Your so right being a mommy is a tough job, and I cant wait to BF this baby for a few years! We should not beat ourselves up when things go wrong, a happy baby equals a happy mom.

Valorie Delp (49340) 18 Apr 2008 05:23 PM

Wow! That's a lot of reading for one day! I hope all goes well with this baby. . .aren't you due like. . .now? LOL

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