Interview 22  

Interview 22

Age at Interview: 28
Sex: Female
Background: At the time of interview, this 28 year old, Sri Lankan woman was breastfeeding her 4 month old daughter. She and her husband were both physicians.

Brief outline:Difficulty with latch-on; poor weight gain; mixed breastfeeding and bottle feeding (expressed breast milk and formula); baby on regular 6 feeds during the day.

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Her baby's weight gain slowed so she gave her top ups of expressed milk and infant formula. She used Domperidone* to improve her milk supply.

 



I went to the clinic on and off for about five to six weeks, what happened was that I eventually got the latch right but I had a couple of other hiccoughs along the way, and one was that I developed mastitis a couple of times and I suspect that was because I hadn't got the latch quite right, and that was a bit of a, again that kind of took my confidence away because once I thought I had my latch right then something else happened and, you know, I have these horrible painful red sore breasts and I had to take antibiotics and I felt dreadful and, you know, I just needed to go back and get a bit more emotional support I think if nothing else, but that sorted itself out. However I think after about, when she was about eight weeks old I noticed that she wasn't really putting on weight quite as well as she ought to have been. She'd dipped down quite badly in those first two weeks which I assume was because I was breastfeeding her so badly but then she'd started to pick up again but she never quite followed a centile, she started sort of crossing over centiles going downwards, and that was very worrying. When I went to the breastfeeding clinic they were, they were very good about sort of talking me through what exactly I was doing, you know, sort of routine-wise how many feeds she was getting a day and at that stage she was getting about eight feeds a day but she still didn't seem to be getting enough milk at each time, so they suggested a sort of variety of strategies to increase my breastmilk production. So what I first did was I started expressing at the end of each feed so that I'd have a bit of extra breast stimulation so I would feed her, express, and then give her whatever expressed milk I had at the end of each feed so she was having sort of a double feed if you like. And I did that for about two or three weeks and it was very time-consuming and quite draining because, you know, it's bad enough I think feeding every three hours through the night but when you also have to be up and expressing and then giving her the bottle and sterilising the bottles and so on and so forth it got, very tiring. Then what happened was at, but that still didn't really seem to be working and again I started getting quite upset because I thought, you know, 'What more can I do?' so I started topping her up with formula, I'd breastfeed her and then give her a bottle of formula, and she'd have sort of between say two and four ounces after a breastfeed and then at the same time I started taking some Domperidone which is what the breastfeeding clinic recommended, to increase my breastmilk production. And the Domperidone's actually an anti-nausea drug but it has the side, the side effect of increasing lactation, so I was taking one tablet three times a day for about two weeks. And it did actually increase my breastmilk production so that I was getting more each time I expressed at the end of a breastfeed and you know so there I was, I went back to breastfeeding, expressing and giving her the expressed milk, and that would seem to settle her actually. Once my breastmilk production had gone up a bit her own growth picked up a bit and she went back onto the centile that she was born on and has followed that ever since, so that's what I've continued doing, she's down to six feeds a day but I breastfeed her and top her off with expressed milk at the end of each feed, and it sounds a bit of a bother but it's worked now for the last two months and she's incredibly settled and is happy with her six feeds a day and she sleeps through the night and I just don't want to rock the boat so I think I'm just going to just continue doing that until it's time to wean her.

Are you still taking the Domperidone?

No I stopped taking the Domperidone after about two weeks, but I really do think it had an effect, I noticed it myself, I mean I could see the effect it was having in the quantity of expressed milk I was getting.

Any side effects from it?

No I had no side effects from the Domperidone at all I felt fine.

*Footnote: Domperidone is normally used in the treatment of Parkinson's Disease and has the side effect of increasing lactation in a breastfeeding woman. It should only be taken on the advice and under the supervision of a health professional.

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