What is the best to increase my supply for pumping? in Breastfeeding

Posted by Anonymous on - 2 replies

What is the best to increase my supply for pumping? My baby has tongue tie and we're waiting for it to be snipped, but at the moment he is unable to latch on to feed at all so I am pumping exlusively - I'm only able to produce around 200 ml each time, how can I increase this to keep up with his demand?


Users' Replies

Aug 22, 2016 19:12 PM

Hi
Many thanks for your questions concerning maintaining an adequate breastmilk supply whilst you are waiting for a frenulotomy appointment for your baby.
The amount that you are already expressing -200 mls is actually adequate volume for a 10kg baby, so I am thinking that your baby is much younger and lighter than this if you are planning frenulotomy. When using breastmilk the volumes required are 20mls per kilo per feed and 150mls per kilo in 24 hours. Your frequency for expressing episodes needs to mimic that of your baby, 6-8 times in 24 hours is best with at least one expressing at night. Using breast compression during the pumping will help to express more as will turning the vacuum and cycle controls up for 4-6 cycles and then down will mimic baby's letdown inducing rapid suckling patterns
It will be very important that your baby breastfeeds immediately after the frenulotomy to stop any bleeding, and in the days and weeks following to help prevent recurrent tongue. Whilst waiting for frenulotomy minimise the potential for baby aquiring a preference for bottle feeding, by either syringe or finger feeding. It is my view that it is unsafe to cup feed a tongue-tied baby as they cannot extend their tongue sufficiently to lap milk from the cup, and clear it safely from the mouth, this potentially could cause a choking or aspiration risk.

I hope this is helpful, please contact me again via the Q&A if you need further advice.

Katherine

Aug 22, 2016 19:48 PM

Hi,

I would also like to add that paced bottle feeding is useful for feeding expressed breast milk to babies. Here's a link to the jackie barton video on you tube about paced bottle feeding for breastfed babies https://www.youtube.com/watch?v=UH4T70OSzGs

I hope you find it useful.

Best wishes,

Katherine