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Got a breastfeeding/ lactation question?

Write to: LC Doris Fok c/o Q&A Lactation, MotherNeeds, 141 Lentor Street, Singapore 786838, or fax us at 6877-1979, or email info@motherneeds.com with "Ask LC Doris" as your subject heading*

Doris will select 2 letters to be answered every month. Selected letters published here win a S$12 gift certificate for purchases at our MotherNeeds online store.

Copyright © 2004

Doris Fok is the first International Board Certified Lactation Consultant (IBCLC) in Asia and Singapore. After setting up the KKH Lactation Services, Doris started her independent practice in 1998. She has worked with WHO and UNICEF, and various hospitals and international communities in the area of breastfeeding training and research. With over 19 years of clinical experience, and more importantly as a mother of two breastfed children, it is Doris' wish to help mothers achieve their natural ability to breastfeed successfully. Read more about Doris' breastfeeding experience and consultancy experience.

Question 1:
Dear Doris,

I am a mother of a 6 month old boy. Recently I returned to work. As I hope to breastfeed my son until he is 1 year old, I have been pumping at work. However, for some reason, my volume of milk has decreased. Last week, I was able to pump about 200 - 220ml in a single session but this week, I've only been able to pump 150ml. May I know what could have caused this decrease and is there any way to increase the amount of milk since I am not able to breastfeed my son in the day?

Thanks very much,
Stephanie Lim

Answer 1:
Dear Stephanie,

Congratulations on giving your baby breastmilk for up to 6 months. Do keep up the good work. It's tough adjusting to full time working life again and not having the baby to breastfeed you in the day time makes it tougher to sustain. Having a decrease in your milk supply is hopefully a temporary situation.
The decrease also coincides with the time of your baby's life when he is getting more curious of his environment and will have different caloric needs.

If you could just sustain your pumping as much as possible and when you are back home, do try to breastfeed more so that you could stimulate more milk supply. If not, try to see if you could pump out the extra milk from the second breast after he is done with breastfeeding you. Then accumulate the milk so that you can have stand-by milk for him when you leave for work. If this doesn't work, then do get in contact with a lactation consultant who may work out something with you.

Wishing you all the best.

Doris Fok

Question 2:
Dear Doris,

My baby is 1 week old. I have been doing partial breastfeeding. However, she has not been passing motion for the pass 3 days.

Is that normal? I thought that breastfed babies usually pass motion more frequently? Should I be concerned, and is there anything wrong?

Thank you,
Nix Tang

Answer 2:
Dear Nix Tang,

If your baby had been fully breastfed, we are usually not concerned about his stools pattern. However, since your baby has formula in his diet, you may need to
follow up with your doctor for an assessment of his condition. He might be constipated.

Doris Fok

*We regret that only 2 letters will be answered by Doris every month.

Neither the information nor any opinion expressed constitutes a medical consultation or prescription or treatment of a medical or health condition. This column is prepared for general viewing and is published for general information only. It does not have regard to the specific medical or health condition, and the particular needs of any specific person who may receive this information. Persons needing medical attention should seek advice from his/her healthcare practitioner regarding the appropriateness of information discussed or recommended in this column. Should you have a pressing question or issue concerning your medical or health condition, please consult your healthcare practitioner.

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