Based on our clinic and email experience, late onset decreased milk supply is a common problem. Though this may manifest as slow or no weight gain after 2 or 3 months of age in a previously well gaining baby, as this problem occurs most commonly in mothers who once had an abundant milk supply, adequate weight gain may continue despite the mother’s decreased milk supply. The baby’s behaviour, often diagnosed as “reflux”, late onset colic and “overactive letdown reflex”, may include biting, late onset sore nipples, pulling and crying while on the breast, the baby’s “weaning himself” and much more. The presentation will discuss ways of preventing and dealing with this problem.
Learning Objectives:
Objective 1: Outline reasons why a baby who previously gained well might start to gain poorly or even if does continue to in, is fussy at the breast
Objective 2: Have an approach to preventing such a situation
Objective 3: Have an approach treating this situation without undermining the breastfeeding
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