Feed Your Baby—When Supplementing Saves Breastfeeding and Lives

Jody Segrave-Daly, RN, MS, IBCLC

Mothers are taught that it’s rare not to produce enough milk to exclusively breastfeed in nearly every breastfeeding book, mommy group, and hospital breastfeeding class. The truth is we have limited studies that provide an accurate percentage of mothers who can produce enough milk for their babies for the recommended six months. Although actual rates of adequate milk production are unknown, some estimates range from 12-15 percent or more.   

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How I Learned That Fed is Best

by Jen Gamarano

I hate to admit it, but before I got pregnant, and even when I was pregnant, I was already a judgmental mom. I started watching documentaries about natural birth and breastfeeding years before I even entertained the idea of having children because it fascinated me. Women’s bodies are amazing. We are capable of growing, birthing, and feeding a brand new life and I was on board for doing all of it naturally because biology is perfect and I was made to do this – or so I thought. I looked at moms who opted for epidurals and thought “If only they knew about natural birth and how amazing it is”, or those who formula fed and thought  “How sad” because breast milk is magical and formula will never be able to measure up. I hate to admit these things, but I have to admit them so you know just how much this journey has changed me.

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I Was Able To Breastfeed My Third Baby Thanks To The Fed Is Best Foundation

During my pregnancy, I began reading the Fed Is Best Foundation’s feeding educational resources and feeding plan pertaining to breastfeeding and combo feeding. I didn’t have successful breastfeeding experiences with my previous children and wanted to try one more time. I went into labor when I was 37 weeks pregnant. My labor progressed extremely quickly. By the time we got to the hospital almost an hour later, it was already too late to set up an epidural. I struggled for hours with laboring and pushing, and both my daughter and I were profoundly exhausted after delivery.

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I Learned I Was Capable Of Breastfeeding My Baby Thanks To The Fed Is Best Support Group

Asher was born after 46 hours of induced labor at 39 weeks, 4 days. I had sudden onset severe pre-eclampsia. In the “golden hour,” he didn’t latch. He was exhausted and a bit lethargic. After the staff took Asher for his bath, I worked with the RN and he latched really well and nursed on both sides. Towards the end he fell asleep and they had me hand express colostrum and finger feed him. His first two days at the hospital he only lost 3 ounces. I thought he was latching well but the lactation consultant who saw us before discharge said his latch was shallow. She sent us home with a shield, “just in case.” At his first pediatrician appointment at four days old he was down 10 ounces. The doctor gave us ready to feed bottles, encouraged supplementation and sent Asher for lab work because he was slightly jaundiced and lost too much weight. While we were at the hospital, I ended up getting readmitted because my preeclampsia never went away and had gotten much worse. I was put on a magnesium drip for 24 hours which made breastfeeding really challenging. My husband was so supportive and somehow we made it through a three day hospital stay. During that time they checked Asher’s bilirubin levels regularly. His jaundice improved and he had gained four ounces! By then my nipples were raw from his very bad latch. I started using the shield and it was a lifesaver. Asher was back up to birth weight by his two week check up. I was encouraged to wean him from the shield. That ended with many deep cracks and damage to my nipples that led to a six week bout of thrush, a bad clog, and mastitis.

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