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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had A Csection Delivery, Hb Levels Low. Breastfeed Not Adequate For Baby. Start Lactogen And Quantity?

Hi,i had a c section baby recently and according to doc i lost more than normal blood during my operation.my hemoglobin level is low.my baby is 15days old..I Am breastfeeding her evry hour and stil she is cranky and doesn t go to sleep ,I feel the breastfeed is not adequate for her. Should I start with lactogen?if so how much. And how is lactogen given or prepared? Plz reply ASAP at YYYY@YYYY
Wed, 12 Dec 2012
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Pediatrician 's  Response
Hi

You try to give exclusive breastfeeds till 6 months of age.
Hope you are taking your iron and calcium supplements. Do not take both at the same time as absorption will be interfered.
You must eat healthy diet- with adequate fluids, milk, fresh fruits, lot of pulses, dry fruits- dates etc. If you are a non-vegetarian, you may have eggs, non-veg food too.
Take adequate rest- do not resume your normal works early.
You may ask your doctor for medications like Domperidone that can increase milk output to some extent.
Be confident that you can feed her with breast milk alone for 6 months.
More confident you are, more love and affection towards your baby, more will be the milk output.

Once you start supplementing with formula milk, baby will be easily satisfied, less will be the sucking and your breast milk output will reduce.

At a time, feed her from both your breasts so that she drinks to her satisfaction and sleeps off. If she sleeps off in between without feeding fully, arouse her by gentle strokes on her feet/ ears.

Have her weight checked, if she is gaining weight adequately, there is no need to supplement her.

If her weight gain is not sufficient and your breastmilk output is still low, then you may opt for formula. The mode of preparation will be given on the pack (one scoop for 30ml of warm water). And the amount will be decided by your baby. If at all you decide to supplement her- do not use bottles. Its preferable to give it with spoon.

Breast milk is the best for your baby in numerous ways.
Hope my answer helps you.
Happy parenting.
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Had A Csection Delivery, Hb Levels Low. Breastfeed Not Adequate For Baby. Start Lactogen And Quantity?

Hi You try to give exclusive breastfeeds till 6 months of age. Hope you are taking your iron and calcium supplements. Do not take both at the same time as absorption will be interfered. You must eat healthy diet- with adequate fluids, milk, fresh fruits, lot of pulses, dry fruits- dates etc. If you are a non-vegetarian, you may have eggs, non-veg food too. Take adequate rest- do not resume your normal works early. You may ask your doctor for medications like Domperidone that can increase milk output to some extent. Be confident that you can feed her with breast milk alone for 6 months. More confident you are, more love and affection towards your baby, more will be the milk output. Once you start supplementing with formula milk, baby will be easily satisfied, less will be the sucking and your breast milk output will reduce. At a time, feed her from both your breasts so that she drinks to her satisfaction and sleeps off. If she sleeps off in between without feeding fully, arouse her by gentle strokes on her feet/ ears. Have her weight checked, if she is gaining weight adequately, there is no need to supplement her. If her weight gain is not sufficient and your breastmilk output is still low, then you may opt for formula. The mode of preparation will be given on the pack (one scoop for 30ml of warm water). And the amount will be decided by your baby. If at all you decide to supplement her- do not use bottles. Its preferable to give it with spoon. Breast milk is the best for your baby in numerous ways. Hope my answer helps you. Happy parenting.