Ask LC Doris Fok

Got a breastfeeding/ lactation question?
Email info@motherneeds.com with "Ask LC Doris" as your subject heading.
Please limit your queries/questions to a maximum of 150 words.

Doris will select 2 letters to be answered every month. Selected letters published here win a S$20 gift certificate for purchases at our MotherNeeds online store.

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Doris Fok in action small

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 25 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 have a 3-1/2 month old baby. I have recently gone back to work and am still breastfeeding. At work, I express once daily and feed my baby the expressed milk the next day. I have been yielding about 150ml daily, up until about 1 week ago, when my yield suddenly reduced to only 50ml.   Is there any way I can increase my milk supply?
Thank you very much.
Tracy Jiang
Answer 1:
Dear Tracy,

You must be applauded for wanting to continue providing breastmilk for your baby.  To increase your milk supply, you might have to increase your "extraction" time either by expressing more often or by breastfeeding more often.  So instead of expressing only once a day, you might have to increase to either one or two times more.  At home, after direct breastfeeding, continue to accumulate your milk so that you can combine your expressed milk of that day into one bottle.  I hope you have kept a reserve of "stand-by" milk before going back to work so that you can also use that "emergency" bottle to make up the difference.  I wish you all the best in your breastfeeding and mothering journey. 
Wishing you all the best.

Doris Fok
Lactation fellow/ consultant

Question 2:
Dear Doris,

I recently came across an article (it was a recommendation by the American Academy of Pediatrics ("AAP")) that indicates that breastfed babies should be supplemented with Vitamin D (as much as 400IU) because we lack it in our diet.
I would like to know how I should introduce that into my baby’s diet. Are there Vitamin D drops we can buy on the market for infants? Or should I be supplementing my diet to ensure both my baby and I are getting enough of it? Is there any side effect to supplementing my baby with it?
Thank you very much.
Catherina Low
(You may also like to read this related article: New Guidelines Double the Amount of Recommended Vitamin D)


Answer 2:
Dear Catherina,

Thank you for your question.  It shows how much you wish the best for your baby.  The American Academy of Pediatrics meant for this to be applied in America, where the percentage of exposure to sunshine is more limited the further up north anyone gets.  In Singapore, we have plenty of sunshine which helps us with getting our Vitamin D.  An average exposure of sunshine helps us with getting a day's portion of sunshine.  So far us, we really blessed with this natural resource.  With this natural gift, it is not necessary for us to supplement unless the doctor observes any particular concern with your child's physical development and milestone. 
Wishing you all the best.

Doris Fok

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

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