Well, first let me say that 30-45 seconds is a completely normal time in which to let down. Your second baby's frustration was definitely unusual. Even while waiting for letdowns, babies often get a drop or two for encouragement, and most are willing to relatch on once the letdown starts. My condolences on the loss of your nursing relationship with your second baby. That must have been frustrating and heartbreaking.
I would encourage you not to attempt to start a letdown any earlier than before you nurse, unless you begin to encounter problems. If this does seem to be a problem, go ahead and manually express (or use pump) to encourage letdowns before latching your baby on. Also, do not use any bottles whatsoever.
The problem you describe with your second baby sounds very similar to nipple confusion (which refers to frustration with breastfeeding and not just simple confusion on how to nurse). In the case of even 4 month olds, babies can realize that milk can be had much more readily from a bottle than from a breast.
The solution in that case is to never offer any supplements whatsoever. And if you are a working mother, have caregivers offer your expressed breastmilk or other supplement from a sippy cup (preferably one with no suction necessary) holding the cup for the baby as if it were a bottle (and tilting it up to stop flow until baby learns to handle it). I also want to reassure you that the ability to produce milk with a breastpump has absolutely no relation to your ability to produce milk for your baby. Breastpumps are simply not as 'smart' as babies are at producing milk. They only use suction, whereas babies use their entire palate and tongue, and very little sucking action.
There really is no way to "speed" letdowns, but you can induce a letdown yourself before nursing. Simply massage your breasts (as if for a self-breast exam), stroke them from the outer areas to the inner areas lightly, and shake them. Then manually express a few drops. Repeat the process until you feel your regular letdown sensation (if you can feel it - many women are unable to feel letdown after 2-3 months). But the most efficient way to induce letdown is through your baby.
If you find the same pattern of problems happening with this baby as your second baby, I implore you to locate an IBCLC certified lactation consultant and arrange for a consultation. She can work with you directly to determine a plan to prevent unwanted weaning.
Best of luck to you and Happy Nursing!
These tips are not intended to be medical advice. Please consult your
healthcare provider if you have questions.
| © 1998 Paula Bobbett Last Update: October 24, 1998 | |