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Breastfeeding/Milk supply/returning to work

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Question
Hi, I returned to work about a month and a half ago. I express (electric pump) 2-3 times a day during my 8 hour work day. I nurse before and after work, nights and weekends. Generally when I express I will get between 2-4 ounces. I am concerned about my supply because now my daughter is starting to eat more at almost 4 months. She has been eating 4-5 ounces per feeding. I have a small stash of frozen milk but I am concerned that it will run out. Is it common for a nursing mom to have a decrease in supply when she returns to work? Also, what can I do to nurse as long as possible and not worry if my daughter is getting enough milk?

Answer
Dear Katie,

First, congratulations for giving your daughter the best start in life by breastfeeding her!

Yes, it is common for nursing moms to have a decrease in supply when they go back to work. If you can, try to get a little rest during the day and in the evenings when you return home. I know that's hard to do, with a baby and a full-time job. And another hard thing: If you can possibly squeeze in an extra feeding at night and weekends, that might help. A vigorously suckling baby will extract more  milk than even the best pump!

It sounds as if you have a very good nursing and pumping schedule worked out, but if you think your baby is hungry, you can try supplementing by adding a little formula (whichever one your pediatrician recommends) to your pumped breast milk to make that last longer. Also, many pediatricians are now suggesting the beginning of solid food at 4 to 6 months, and your baby is almost in that age group, so you might start feeding her solids.

Good luck!

Sally
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Sally Wendkos Olds
Author, THE COMPLETE BOOK OF BREASTFEEDING: Olds & Marks, 4th edition, September 2010, published by Workman Publishing, and available in most public libraries, bookstores & La Leche League chapters.  

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Sally Wendkos Olds

Expertise

What do you want to know about breastfeeding? I can tell you what`s good for the baby, what`s good for the mother -- and the father, how it`s related to a woman`s sexuality, how working moms can nurse, how to overcome obstacles, and lots more. As the author of THE COMPLETE BOOK OF BREASTFEEDING and author or coauthor of 8 other books and more than 200 articles about child and adult development, I can offer sound, sensible advice on breastfeeding, child care and family issues.

Experience

I nursed my 3 daughters and am the grandmother of 5 breastfed children. My book THE COMPLETE BOOK OF BREASTFEEDING (written in consultation with pediatrician Marvin S. Eiger, M.D.) was first published in 1972, and in 1999 came out in an updated 3rd Edition by Workman Publishing & Bantam Books. It is now a classic, with over 2 million copies in print. I am now revising this book for a fourth edition, consulting with pediatrician Laura M. Marks, M.D. This new edition will be published September 2009. I welcome any and all suggestions for the new edition. I coauthored college textbooks A CHILD'S WORLD: INFANCY THROUGH ADOLESCENCE, and HUMAN DEVELOPMENT; both are leading texts in their fields and have been read by 2 million students. I am the coauthor of HELPING YOUR CHILD FIND VALUES TO LIVE BY and RAISING A HYPERACTIVE CHILD, and author of THE WORKING PARENTS' SURVIVAL GUIDE & THE ETERNAL GARDEN: SEASONS OF OUR SEXUALITY. My newest book, A BALCONY IN NEPAL: GLIMPSES OF A HIMALAYAN VILLAGE, published in 2002, tells the story of the way of life in a remote village in Nepal, where all the women breastfeed! My book, SUPER GRANNY: COOL PROJECTS, ACTIVITIES, AND OTHER GREAT STUFF TO DO WITH YOUR GRANDKIDS, will be published March 2009. I speak often to professional, parent and general audiences and make many radio and TV appearances.

Credentials I received my B.A. in English Literature from the University of Pennsylvania, where I minored in Psychology, was elected to Phi Beta Kappa and graduated summa cum laude.

Other points of interest I have received national awards for my writing, and am a former president of the American Society of Journalists & Authors. I am listed in the World Who's Who of Women, International Authors & Writers Who's Who, and Contemporary Authors, and am a member of several professional and civic organizations. I believe: that all parents are working parents; that parents employed outside the home need special support; that mothers' well-being is crucial to their children's welfare; and that the family is the best institution in the world and the one for which we are least prepared. My thrills come when parents or kids tell me they were helped by my writing or speaking or just understanding. To find out more about me, go to

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