four months old only breastfeed and gets 250gr;((

[gozde]

Hi my baby is only breastfeeding and this month he gets 250 gr.he always gets 600 gr in a month.How can i do my milk more and oily? and what does it mean top up feed ?thanks for your concern .

[jessmum46]

Babies go through growth spurts at different times - some months they will gain lots of weight and others not as much.  The first 3 months are the time of quickest growth, so you wouldn't necessarily expect a baby to gain as much weight per month as they get older.  Has he/she been following (roughly) a line on the centile charts?  If LO is gaining weight, happy, active, plenty of wet and dirty nappies then I wouldn't have thought the exact number of grams per month matters.  Unless it has been recommended by a health professional, I wouldn't start top-up feeds as (if you use formula) they can adversely affect your own milk supply, and if baby is healthy there really isn't any need.

[gozde]

thanks for your reply ,my doctor said he gained low this month and we started yogurt .l only breastfeeding and give  ten spoon yogurt to him. l dont use formula .what is top up feeds?and how can l make my milk more?

[jessmum46]

You might find these links helpful

 "I'm worried I may have a low milk supply"
http://kellymom.com/bf/got-milk/supply-worries/low-supply/

How often are you feeding at the moment? Do you feed one side at a time or both? How long does a typical feed last?

[gozde]

thanks for your quick response


at 8:00 in the morning
at 11:30 in the morning
2:20 in the morning
16:00 yogurt in the morning
17:40 in the morning
19:30 in the morning
 11:00 at night
  16:00 16:30 at night
I feed one side at a time .lt takes between 18/ 25 min.

[Fiver]

Once he's finished the first side, do you offer him the second or leave it at just the one?  If he'll take it, I think I would try offering a second breast and see what happens.  That will also signal your body that more milk is required.

It's obviously up to you if you want to carry on with the yoghurt, but breastmilk is actually higher in calories and fat than most solid foods.

A top up feed is where you allow LO to finish on the breast and then offer a supplemental feed (expressed breastmilk or, if required, formula) in a bottle (usually) or from a cup/syringe, the idea being to "fill them up" if they haven't had enough from the breast.  As you're only feeding from one side at the moment, you could consider offering the second side as a 'top up' for now.

[gozde]

l began to give one side at atime for two weeks before it l gave  both of them.on saturday we are going to the doctor so l will check if it is work or not.lf not working l will do both too .Do you think that should l feed him at night more ?night feeding make my milk more? and one month later l have to start working ,l try to pump my milk but there is no milk what will l do ?l am really upsad.

[Fiver]

At 4m, I'm not sure how much of a difference another NF would make unless LO is waking for a feed herself.  Often BF LOs drop away from a centile curve for a while.  At long as they're gaining something and finding their own curve, a lot of health care providers will be happy.

The Pumping FAQ gives lots of tips about expressing and about how to increase pumping output.  Your body needs to get used to reacting to a pump and about producing the extra milk that you need to extract for LO.  If you're going back to work in a month, you probably want to find some way to add in some pumping sessions now so you can get some milk in the freezer as a backup and let your body adjust to the pump as well as your nursling.

[gozde]

he gets 200 grms in two weeks Really l am depressed what should l do ?yesterday l try to give my breast he sucked it for 30min.than l give the second one he sucked it for 10 min. but after this for the second feeding l felt empty to my breasts and while he is sucking he cries and scream .so which one is correct for me one breast or both  l dont know ?l feel l am not enough for him and really guilty not have enough milk.

[Fiver]

Really, as long as he is still gaining weight and finding himself some sort of centile curve, you really don't need to worry about not having enough milk.

If it's any comfort, between 8 and 12w, my DD gained 180g - that's an average of 45g per week, or 90g in a fortnight.  My health visitor wanted to keep an eye on it as the weight gain wasn't massive, but at the same time wasn't panicking as weight was going on, albeit slowly.

For now, I would probably continue to offer both sides at each feed.  It is perfectly normal at around 4m for your breasts to not feel as "full" (or engorged) as your body is now producing milk in response to demand from your baby rather than high levels of milk producing hormones.

Is he crying at each feed or just some?  It could be that he's uncomfortable or that you have now hit the 4m growth spurt and he's trying to get as much milk as possible, so you may be needing to feed a little more frequently for him and so your body can catch up with his requirements.

[gozde]

thanks for your kind response now l am trying to give both he is only happy at the first feeding because my breast is full because of night feeding.Others he was angry to me and my milk .l understand my breast will produce enough milk in a period.l hope it but l am always think he is hungry so he cant sleep he is hungry so he cant laugh ...l feed in two times in 1.45 min. activity time to make my milk more is it correct ? you suggest feed him frequently .l wrote my day is it okay to feed in two times in activity time.Thanks for your patient and for your help.

[gozde]

l think to try fenugreek but howmany glass should l drink?

[Fiver]

Could you post you rough EASY so we can get a bit of an idea about how often LO is feeding, please?  Like this:

E - 7am
A
S - 9 - 10.30
E - 10.30

etc...

As for the fenugreek, everything you could possibly want to know about it can be found here - http://kellymom.com/bf/can-i-breastfeed/herbs/fenugreek/

[gozde]

at7 :30 E morning
   8:00/9:15 A morning
   9:30/11:30 S morning
   11:30/12:00 E noon
   12:00/1:15 A afternoon
   1:30 /2:22 S afternoon
   2:30/3:00E afternoon
   3:00/4:15 A afternoon
   4:30/5:15 S  afternoon
   5:15/5:45 E afternoon
   5:45/7:00 A evening
   7:00/7:10 bath evening
   7:10/7:20 E eveining
   7:45 S evening
   11:00 E a t night
   4:30 E at night
 This is my general easy l have aptoblem with am and pm sometimes l make mistake so l write the part of the day l hope it is okay for you .

   

[Fiver]

The frequency of the feeds you've got there looks ok to me.  Obviously if he asks for milk sooner, it's ok to give it.

Have you tried some Breast compression to keep him interested and the milk coming more easily if he's getting cross at the breast?