Anda Tanya - Iffa Jawab : Apa yang boleh Ibu Buat jika Baby Minum sekejap sahaja?

Salam semua,

Alhamdulillah, semalam Iffa ada fowardkan satu email kepada Mary Bibs - berkenaan persoalan Puan Sheil di Kump. Ibu2 Menyusu(KIM) di Facebook. Jadi hari ini Iffa dah terima reply dari beliau.. Harap ilmu dan panduan yang di share membantu puan Sheil dan berguna juga buat panduan ibu-ibu.


Jika ibu-ibu yang lain mempunyai keraguan dan inginkan pendapat dari Mary Bibs, boleh tinggalkan komen di fw-shaklee2u, atau post di chatroll atau email kepada Iffa di faheem.wardrobe@gmail.com

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Iffa @fw-shaklee2u

Posted from faheem.wardrobe@gmail.com

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From: Faheem Wardrobe [mailto:faheem.wardrobe@gmail.com]
Sent: Thu 2/17/2011 9:52 AM
To: askthelc2
Subject: Worry Baby Only get Foremilk

Dear Mary,


It has been a while not writing to you. How are you? Hope you're in a great health. Here I'd like to seek an advise from you, base on my friend concern, Sheil(This email also cc to her):


       She is now breastfeed her baby, reaching 4 months old. Her concern is, her baby weight gain is very small and her baby only breastfeed for a short period. She worries, if her baby didn't get the sufficient nutrient from the breast milk(only drink foremilk). She did said to me that sometimes her baby poo poo is light green colour (which mean her baby only consume foremilk right?). She also mentioned that her breastmilk is thin...


The question here:

1.      What she need to do, to ensure her baby obtain both foremilk and hindmilk? She try to pump and bottle fed her baby but baby refused?
2.      Is there a need for her to take supplement such as multivitamins or any milk booster(Alfalfa/fenugreek) to thicken her breastmilk?

Appreciate your reply soon...


Thank you & regards,


Zuraifah Anuar

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Berikut ialah jawapan dari Mary Bibs:


Dear Zuraifah,


It's nice to hear from you again for your friend.


Here is some info for Sheil:


I think that you would benefit by eating or taking some things that can increase the supply.  I am sending you a list of these.  Increasing the fat in your diet will not increase the fat in your breast milk or make it richer.  I agree with Zuraifah that if your daughter only breastfeeds briefly that she is probably not getting the fat that is there for her. Can you try squeezing the breast when your daughter eats to try to get more milk to her?


It is fine that your baby won't take the extra milk by bottle.  But, would she take it if you put it in an eyedropper, a medicine syringe, a spoon or from a small cup?  Or, she could be fed the extra milk at the breast with some tubing.  Please see www.drjacknewman.com for Dr. Newman's description of a Lactation Aid.  Also, if you look at breast compression, you will see a description of squeezing the breast, and there is a video clip there too.  I recommend pumping AFTER she breastfeeds to try to increase the supply.


Here are the herbs, foods and medicines:


Some mothers find it helpful to take the herbs Fenugreek and Blessed Thistle, two to three capsules three times per day, and Goat's Rue, 1-2 tsp. in 8 oz. (240 mls) of boiling water once or twice a day. Increasing breastfeeding and/or pumping sessions must happen along with taking these herbs, as removing milk from the breasts is very important to stepping up milk production. Fenugreek should probably not to be used by people with asthma, as it may worsen symptoms. Also, Fenugreek may alter insulin needs in diabetic individuals.   Please consult with an herbalist or your doctor before using any herbs.  


Sources:  www.drjacknewman.com and The Nursing Mothers Herbal, c. 2006 by Sheila Humphrey.


Two prescription medicines are often used for increasing the supply.  Domperidone (Motilium) is approved by the American Academy of Pediatrics for use by breastfeeding mothers, but this medication is not readily available in the United States.  The other prescription medicine is Reglan, (Metoclopramide.)  Unfortunately, this medicine can have some serious side effects.  Please keep in close contact with your doctor if you are taking Reglan.  


Source:  Medications and Mothers' Milk, '10 ed by Thomas Hale.


Here are some foods and herbs that can help to increase the supply:  

1. High fiber foods and grains such as oats (not instant), barley, brown rice and beans. 
2. Calcium-rich foods such as sesame, almonds and dark green leafy vegetables.  
3. Fruits such as apricots, dates, figs and cooked green papaya.  Soups made from Torbangun or Mulunggay leaves.
4. Herbs:  Some of the common cooking herbs include anise, blackseed, caraway, coriander; dill, fennel and fenugreek. 
5. Nonfood herbs include alfalfa, blessed thistle, milk thistle, nettle, goat's rue, red clover and Shatavari. 

Source:  Journal of Human Lactation, "Increasing Your Milk Supply with Galactogogues," by Lisa Marasco, c. 2008.


Avoid hormonal methods of birth control as these can decrease the milk supply. Mothers often have trouble with Depo-Provera injections as well as oral birth control pills. Even the progestin-only mini-pill and hormonal IUDs can cause supply problems for some mothers.  Over-the-counter medications for colds and allergies, especially those containing pseudoephedrine, (Sudafed, Actifed, Drixoral and many others), can cause supply problems.  


Source:  Medications and Mothers' Milk, '10 ed by Thomas Hale.


Sheil, I hope that this helps you out.  Please write again if you have more questions.


Sincerely,
Mary Bibb, BA, IBCLC
International Board Certified Lactation Consultant
Independent Lactation Consultant, Medela, Inc.

Posted in: ANDA TANYA IFFA JAWAB,BREASTFEEDING