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Older, Overweight Moms at Risk for Breastfeeding Difficulties

Posted by bethanysanders on July 28th, 2010 at 1:30 pm

161052 lactation2 Older, Overweight Moms at Risk for Breastfeeding DifficultiesMoms who have their first baby over age 30 or who are overweight might be at risk for breastfeeding problems, says a new study out of Cincinnati Children’s Hospital Medical Center in Ohio.

Called delayed lactogenesis — defined as milk not coming in within 72 hours of birth — the condition can arise if a new mother has difficulty breastfeeding in the first days after birth, too.

Researchers followed 431 new moms from a California medical center and discovered:

  • 44 percent responded on a survey that it took longer than 72 hours for their milk to come in
  • 45 percent of overweight women and 54 percent of obese women reported delayed lactogenesis, compared to 31 percent of women of normal weight
  • 58 percent of women 30 and over reported a delay in milk production, compared to 39 percent of younger women
  • Women who successfully breastfed at least twice in 48 hours post-partum were less likely to experience problems than those had one or no successful sessions.

The study is important because breastfeeding problems can cause women to stop nursing, especially if they feel that their baby is hungry or dehydrated. But delayed lactogenesis can be overcome says lead researcher Dr. Laurie A. Nommsen-Rivers. She recommends consulting a lactation consultant for help, feeding baby on demand, and trying skin-to-skin contact. Taking classes before birth can also help to prevent common problems like poor latch and nipple soreness.

Nommsen-Rivers also reminds moms that if your milk hasn’t come in by 72 hours post-birth, call your pediatrician.

 Older, Overweight Moms at Risk for Breastfeeding Difficulties

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Spits and Giggles commented on Jul 28 10 at 11:33 pm

Expectations vs. Reality…

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Spits and Giggles commented on Jul 29 10 at 3:04 pm

My milk took 5 days to come in. I am very grateful that my pediatrician did not push me to use formula. My son was losing weight, but not dehydrated so he let us continue to try nursing exclusively for a few more days. My milk came in fine and my son gained back all his weight and then some very quickly. We went on to nurse for 16 months. I do think sometimes mothers are pushed into giving formula at the first sign of trouble instead of giving them time to work out the nursing relationship. Of course, formula is a fine solution, but nursing is such a cheap, nutritious, easy option, I hate to see people give up on it too quickly.

calicopie commented on Jul 28 10 at 3:45 pm

My understanding was always that milk typically takes 2-5 days to come in. This ‘delayed lactogenesis’ seems like it’s going to have women turning to formula prematurely, therefore ensuring the failure of brastfeeding.

Voice of Reason commented on Jul 28 10 at 4:36 pm

That would, of course, be ‘breastfeeding’.

Voice of Reason commented on Jul 28 10 at 4:36 pm

Real classy to put a large formula ad next to an article about breastfeeding difficulties.

Kate commented on Jul 28 10 at 6:00 pm

well, this explains all the stories I hear about people have so much trouble…hmm…also, yeah, folks need to give it more time, too, we learned in our birth class that it can take 5-7 days sometimes and that a baby can survive for a while without milk and has the colostrum first anyway

Gretchen Powers commented on Jul 28 10 at 6:05 pm

I was totally going to breastfeed, but then I saw that formula ad and TOTALLY changed my mind. *headdesk*

Mistress_Scorpio commented on Jul 28 10 at 8:22 pm

I don’t even understand this article. Everyone’s milk takes 2-5 days to come in. And who are these “breastfeeding mothers” who are breatsfeeding LESS than 1-2 times in the first 48 hours? I’m pretty sure it’s common knowledge that you need to put your baby to the breast every couple of hours from birth on.

Linda commented on Jul 28 10 at 8:59 pm

@Linda – they are saying “successfully breastfed” 1-2 times. I tried constantly but my son wouldn’t latch on for several days. (I think this is what they mean?) In any case, I was able to breastfeed eventually.

Laure68 commented on Jul 29 10 at 6:03 pm

That’s not typical though, Laure, and good for you for not giving up!

Linda commented on Jul 29 10 at 7:38 pm

I tried to breastfeed for 8 days, and my milk never came in. My son had a good latch, he would suck for 45 minutes or more, but nothing. I also rented a pump to try to encourage the milk to come in. Nothing. I called La Leche League, and they actually told me to use formula, because if my mild hadn’t come it yet, it wasn’t going to.

candy commented on Aug 17 10 at 3:53 pm

Comments
This study confirms a lot of things I felt when breastfeeding my daughter. It took 3 months to establish breastfeeding. Every three hours I would weigh her, nurse her, supplement up to 2 oz with formula and pump for 30 minutes. Eventually my body did what it needed to do and I enjoyed 9 months of nursing with no issues and it was very rewarding. It took a lot of determination and work with my pediatrician and a lactation consultant to establish. Breastfeeding is a choice and a lot of work. I have to say I got a lot of reactions from LLL who felt that using formula was somehow taking away from establishing nursing and had many strong opinions. At the end of the day the safety and health of my daughter came first. Medicine has progressed in the last 200 years for a reason and because of my doctors, consultants and yes formula my daughter is alive, healthy, neuro typical and I got to experience breastfeeding because I chose to stick it out and it was what worked for my family. We all need to give ourselves and those around us a break for when life doesn’t go by “the book”. As my doctor often joked, “Babies don’t read the book….”

bethany commented on Sep 04 10 at 6:42 pm

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