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Reduced breast milk production - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2411 Questions
Doctor :   hi
Doctor :  
how can i help you?
Doctor :  
please proceed with your health query
User :   hello doctor, how you doing and may I know ur name
Doctor :   I am Dr AAAAAAA here

User :   are you a gyne doc as i have questions for my wife
Doctor :  
I am a general practitioner, but I have experience in gynecology since last 5 years
Doctor :   you can proceed with your query regarding your wife
User :   ok i will hope you can help us
User :   she delivered 2 days ago
Doctor :  
ok
User :   a baby girl and we are so happy. now the mother and baby are home
User :   couple of questions to clear
Doctor :  
ok
Doctor :  
please proceed with your questions
User :   she is trying to breastfeed the baby
User :   but also feeding her with powerder milk
User :   seems baby is not getting enough milk from her
Doctor :  
ok
User :   are there any food etc
User :   that will help in mother producing milk
Doctor :  
i would like to stop here and tell you not to give outside milk to so small a baby
Doctor :  
mothers are known to produce milk naturally
Doctor :  
there is a technique
Doctor :  
and human body is programed in such a way that it creates more milk
Doctor :  
as the milk gets empty from th ebreast
Doctor :  
*breast
User :   yes but baby seems to make effort to extract from her, so she thins milk is coming less and not enough so i asked
Doctor :  
so the more the baby sucks, the more empty breast gets and more is produced
Doctor :  
there is technique to feed the baby also
Doctor :  
i will explain you
Doctor :  
first o will tell you what milk consists of and how to feed the baby
Doctor :  
and later tell you what can be done to help the mother produce more milk naturally
Doctor :  
shal i proceed?
User :   yes mam
Doctor :  
milk that comes from the breast after delivery consists of 3 parts each having difrent function
Doctor :  
1) fisrt part is watery that quenches thirst of the baby
Doctor :  
2nd part is mixed that gives nutrition
Doctor :  
3rd part and the last part consists of more solids that satisfy teh hunger of baby
Doctor :  
so it is important that the baby gets all 3 parts
Doctor :  
and this can happen only with prolonged feeding each time lasting upto 15-20 minutes
Doctor :  
breast feeding should be done in sitting posture holding and supporting baby's back completely such that baby is in comfortable position to breathe and suck well
User :   thats very informative doctor
Doctor :  
have you followed what i have said uptil now?
Doctor :  
shall i proceed?
User :   yes doc but my wife cant sit
User :   she has a lot pain
Doctor :  
ok
Doctor :  
delivery was XXXXXXXXl delivery or cesarean?
User :   only way is lying down on one side
User :   and she feeds her while she is also lying side ways towards her
User :   perhaps few days from now, she be able to
User :   she has a lot lot of stiches
User :   that she is feeling pain
Doctor :  
some pain will be there, she has to take medicines for adequate pain relief. correct position is necessary as the milk flow might get hampered
User :   she is taking augmentine and rofenac
Doctor :  
if it was a vaginal delivery with stiches put in the vaginal outlet
Doctor :  
then ask het to take sitz bath, that is to sit in warm water bath with betadine solution in it
Doctor :  
it will soothe the pain and give her good healing also
Doctor :  
if it was cesarean, she should take painkillers 2-3 times a day for adequate pain relief
User :   betadine solution ?
User :   is this the name i can ask at the pharmacy
Doctor :  
she need not sit and bend forward, she can sit with support to her back
Doctor :  
yes you can ask for it there, or ask your doctor/gyne to prescribe it for you
Doctor :  
so hall we continue discussing the correct technique of breast feeding?
User :   ok i will go to pharmacy and ask for betadine soln
Doctor :  
once the posture is fine, next thing is to focus on how baby is sucking
User :   yes pls
Doctor :   babys get tired while sucking and stop in between going to sleep
Doctor :  
you should wake up the baby by gently patting cheeks or puling out the mipple a little from the mouth
Doctor :  
if baby's hunger is still not satisfied,baby wil suck again
User :   ok got it
Doctor :  
until she is satisfied with hunger getting satisfied
Doctor :  
so this done, it will make sure that baby is not crying often
Doctor :  
and also since the breast is getting empty it will again get filed with new milk production
Doctor :  
also tel your wife to feed baby completely on one side at a time
User :   i just told her all what u wrtoe
Doctor :  
and next time feed on the other side breast to ensure complete emptying and refiling alternatively
Doctor :   ok
User :   she is thanking u for tips
Doctor :  
also, now baby should be woken up and fed every 1 n 1/2 to 2 hours
Doctor :  
and as days pass on, the feeding should happen ever 2 - 3 hours
Doctor :  
even at night
Doctor :  
until baby gets good weight gain and gets satisfied
Doctor :  
avoid giving outside milk, it will land up with baby getting loose motions and stomach pains.
Doctor :   have you followed what i have said?
User :   yes we both did
Doctor :  
plz ask if you are having any doubts
User :   no its ok
Doctor :  
shall i proceed with foods that help in increasing milk production?
User :   about the food she should take?
Doctor :  
your wife should take atleast 2 glasses milk per day 1 in morning and 1 in night
Doctor :  
she can take mother's horlicks along with milk, it wil help her regain her health and ensure good nutritious milk to baby.
User :   her mother told her to take banana and we think banana will do constipation?
Doctor :   she should drink 8-10 glasses water per day, take a lot of green vegetables and salads
Doctor :  
banana will not lead to constipation, it will aid good bowel movements and avoid stiches getting more pain while passing motion
User :   i will ask her to eat raw cucumber, salad lead and carrots?
Doctor :  
she should take this home remedy if you can make it at home, i will tell the recipy to make it for having more milk production
Doctor :  
yes you can do that
Doctor :  
take a cup of black cumin seeds (roast it without oil) 1 cup of sesame seeds (roast it without oil), cook it in half cup ghee and add 1 cup jaggery to it.
User :   i just helped her sit down as she finished feeding the baby, she is feeling so much pain when i tried to make her sit and now she is having breakfast whic i made, eggs and toast
Doctor :  
make into small balls and let her have 1 ball in morning and 1 in evening
Doctor :  
ok
Doctor :  
she will have pain for few days, she will be fine in few days time
User :   ok
Doctor :  
have you followed what i have said?
User :   pls proceed with ur recepie
Doctor :  
i have already told the recipe, shall i repeat again?
Doctor :   take a cup of black cumin seeds (roast it without oil) 1 cup of sesame seeds (roast it without oil), cook it in half cup ghee and add 1 cup jaggery to it.
User :   no i just coped it
Doctor :   make into small balls and let her have 1 ball in morning and 1 in evening
Doctor :   she wil have more milk in a weeks time
Doctor :  
but she has to continue to feed the baby very often as what i have suggested
User :   doc what is jaggery
Doctor :  
avoid giving outside milk to baby
Doctor :  
it is alternate form of sugar which is made in iron vessels
User :   brown sugar?
Doctor :  
it is actually unrefined brown sugar made from palm sap
Doctor :  
A traditional unrefined sugar used throughout South and South-East Asia
Doctor :   made from the juice of crushed sugar cane stalks
User :   i have the other ingredants at home, sesame seeds and cumin seeds but i am afraid i dont know where can i find this jaggery
Doctor :   you can go thru this link to find what it is
Doctor :  
WWW.WWWW.WW User :   ok i will
Doctor :  
you should be able to find in in the super market or the grocery shop
User :   i will do tht
User :   am living in saudi by the way
Doctor :  
ok
User :   doc can i ask another question pls
Doctor :  
then you should be getting it there
Doctor :  
ask for palm sugar
Doctor :  
they wil help you out
User :   ok
Doctor :  
or you can find it in any of the indian stores or outlets selling indian food items
Doctor :   Is there any thing else I can help you with?
User :   before that, she should take that receipe one spoon every ?
Doctor :  
she should take 1 ball in morning and 1 in evening of the recipe what i told you
User :   ok got it
Doctor :  
or even 1 spoon is fine if you do not make it into balls.
User :   my wife says that she thinks or feels
User :   baby face has some what yellowish
User :   not sure
Doctor :   but making inot balls is easy and avoids the whole thing sticking together when get cooled
Doctor :  
so make it into balls when it is little warm itself
Doctor :  
ok
Doctor :  
is the eyes of baby yellow too?
User :   butshe is afraid of wha u call gondis
User :   while i feel she is ok
Doctor :  
if the yellowness is too obvious the baby should be taken to pediatrician
User :   is there any [recaution we should take
User :   she took out all yelloe lights and replace with tube lights
Doctor :  
ususaly few babys wil get this yellowness, we cal it physiological jaundice
Doctor :  
which disappears in few days
User :   ok so we should wait and see
Doctor :  
it starts on 3rd day and goes away by the 7th day
User :   ok
Doctor :  
expose baby to morning sun every day for 10-15 minutes if it is physiological it will go away
Doctor :  
but if it starts getting more or baby develops temperature or does not feed well
User :   ok
Doctor :  
then take to pediatrician immedaitely
Doctor :  
she will require 'light therapy' for it
User :   doc now sun light is coming to our room so bright but its 2 pm here
User :   shell i face baby to that light
Doctor :  
you can do that, but early morning sun is better, the idea is to expose to UV light
User :   ok got it
Doctor :  
which will help in making the yellowness go away
Doctor :  
Is there any thing else I can help you with?
User :   yes just once
User :   my wife ask me to ask
User :   she she feeds the baby
User :   she feels baby bites severly her nipples
User :   time to time
Doctor :  
ok
User :   is that XXXXXXXX
Doctor :  
its not like that, if she is a first time mother, she wil feel that as the baby wil be hungry so she will press more firmly to get the milk out
Doctor :  
she will be fine
User :   ok
Doctor :  
and this sensation will slowly calm down with frequent feeding of the baby
Doctor :  
until baby starts getting tooth buds below the gums
User :   thats for all ur help and doc if we have more qustions later, can we ask for ur help here, so we know ur timing of duty pls?
Doctor :  
ok , sure you can ask for me
Doctor :  
I am available from 8am to 4:30 PM IST
Doctor :  
on all weekdays
Doctor :  
Is there any thing else you would like to ask me?
User :   thats doc and we are so thankful for ur kind care
Doctor :   Please fill the feedback form and comment box, and say done when done.
User :   i have
User :   cheers mam
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
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