Green Child Magazine Spring 2014 | Page 11

Photography by Crystal Keyes Breastfeeding Challenges Could it be low milk supply? |by Sara Chana IBCLC, RA (AHG) I am bravely, yet confidently, going to make the following statement—ladies hold back your gasps—most women can produce enough breast milk to exclusively breast feed their babies. The concept of “low milk supply” is often a misunderstanding of what is really going on. When women come into my office concerned with a low milk supply, more often than not there is an alternative issue—possibly an incorrect latch of the baby onto the breast, or perhaps a baby with a weak suck or suck disorder. In fact, I would venture to say that if the breastfeeding is being managed correctly—which means that the baby has not been trained on a schedule and the mother has mastered a PAINFREE latch onto the breast—yet she still feels as though she cannot satisfy her baby by nursing alone, then it can be safe to assume the baby is having the issue and not the mom. This fixable problem is usually in the form of a “suck disorder”. Suckling disorders can be extra confusing to moms because it seems as if nearly everything is going according to the basic breast feeding protocols—they are breast feed pain-free and baby appears to be getting milk. The concern blossoms once the babies are weighed before and after breastfeeding on a digital scale that meas- ures ounces, and much to the moms’ dismay, the numbers on the scale have barely moved. Here’s the good news, mamas! If your breastfeeding problem is indeed with your baby’s latch or baby’s suckle, consider yourself blessed because most proficient lactation consultants can teach you how to fix these problems. Not to say a magical wand will wipe your problems free, but with the right dedication and some work, a mom with the help of her spouse or partner, can learn how to suck-train her baby. Once a baby is properly suck trained however, it may indeed seem magical when the numbers begin to jump on the scale before and after the feedings. I don’t want to belittle the hard work some of my clients are challenged with before yielded with the cherished results. But in my experience, once a baby is guided on how to suckle properly, the progress for the baby is usually profound and extremely rewarding. In rare cases, when it truly is the mother with the problem, it would tend to be from one of the following conditions: Insufficient glandular tissue is a condi- tion in which the straw-like tubes in the breast that carry the milk, called ducts, never grew properly during adolescence. This means that 11